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分析超重和肥胖老年女性下肢运动能力和足底压力。

Analysis of Lower Extremity Motor Capacity and Foot Plantar Pressure in Overweight and Obese Elderly Women.

机构信息

Institute of Population Research, Peking University, Beijing 100871, China.

Department of Physical Education, Peking University, Beijing 100871, China.

出版信息

Int J Environ Res Public Health. 2023 Feb 10;20(4):3112. doi: 10.3390/ijerph20043112.

Abstract

BACKGROUND

Overweight, obesity and falls are major public health problems and old people are the biggest group suffering falls.

METHODS

92 females were divided into the overweight or obesity (O) group (68.85 ± 3.85) and regular-weight (R) group (67.90 ± 4.02). Lower extremity motor capacity and plantar pressure were compared between the two groups. The IRB approval number is 20190804.

RESULTS

(1) Functional Movement Screen and Fugl-Meyer Assessment scores in the O group were significantly lower than in the R group. The time to complete the Timed Up and Go test in the O group was significantly longer than in the R group. (2) Foot flat phase, double support distance, and left foot axis angle in the O group were significantly higher than in the R group. Distance and velocity, left-foot minimum subtalar joint angle and right-foot maximum subtalar joint angle in the O group were significantly shorter than in the R group. (3) Peak force, average force and pressure of metatarsal 1-4, mid-foot, heel medial and lateral, peak pressure of metatarsal l, midfoot, heel medial and lateral in the O group were significantly higher than in the R group. ( < 0.05).

CONCLUSIONS

Overweight and obese elderly women have a lower sensorimotor function, flexibility and stability in functional movements, but higher loads on the foot.

摘要

背景

超重、肥胖和跌倒都是重大的公共卫生问题,老年人是跌倒的最大受害群体。

方法

92 名女性被分为超重或肥胖(O)组(68.85 ± 3.85)和正常体重(R)组(67.90 ± 4.02)。比较两组之间的下肢运动能力和足底压力。IRB 批准号为 20190804。

结果

(1)O 组的功能性运动筛查和 Fugl-Meyer 评估评分明显低于 R 组。O 组完成计时起立行走测试的时间明显长于 R 组。(2)O 组的足放平期、双支撑距离和左足轴角度明显高于 R 组。O 组的距离和速度、左足足底最小关节角度和右足足底最大关节角度明显短于 R 组。(3)O 组的跖骨 1-4、中足、跟骨内侧和外侧、跖骨 l、中足、跟骨内侧和外侧的峰值力、平均力和压力明显高于 R 组。( < 0.05)。

结论

超重和肥胖的老年女性在功能性运动中感觉运动功能、灵活性和稳定性较低,但足部承受的负荷较高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b0ba/9965343/e1d3cc797aed/ijerph-20-03112-g001.jpg

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