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5至6岁超重及肥胖儿童身体姿势异常情况的初步研究

Occurrence of Body Posture Abnormalities in Overweight and Obese Children Aged 5-6 Years-Pilot Study.

作者信息

Bober Alicja, Kopaczyńska Aleksandra, Puk Agnieszka, Chwałczyńska Agnieszka

机构信息

Student Scientific Society, Wroclaw University of Health and Sport Sciences, 51-612 Wrocław, Poland.

Department of Human Biology, Wroclaw University of Health and Sport Sciences, 51-612 Wrocław, Poland.

出版信息

Children (Basel). 2024 Jul 12;11(7):849. doi: 10.3390/children11070849.

Abstract

OBJECTIVES

The study aimed to assess the occurrence of body posture disorders and their changes under the influence of a physioprophylactic program in children depending on body weight.

METHODS

In the examined children, the general and segmental body composition and body posture were determined using a physiotherapeutic assessment based on the Kasperczyk method. Mass, overall, and segmental body composition were determined using the bioelectrical impedance method using a TANITA body composition analyzer. The study group of 76 children was divided due to body weight disorders into Group I (n = 51), in which BMI and fat mass values were within the normative limits for age and gender, and Group II (n = 19), comprising children whose body weight exceeded the norm and/or fat mass exceeded normative values. The examined children underwent a physioprophylactic. The program was conducted by qualified physiotherapists for 12 weeks, once a week for 30 min. The therapeutic program was focused on physioprevention of being overweight and the correction of body posture.

RESULTS

A distal distribution of fat mass was observed in the examined group. Asymmetry in the sagittal plane was found in 35% of children. No statistically significant differences were found in the presence of asymmetry in the sagittal plane between the groups. No statistically significant differences were found in the occurrence of posture irregularities between the groups.

CONCLUSIONS

There were no changes in the weight and body posture of the examined children under the influence of the physiotherapy program. The lack of correlation in the examined group between body weight and posture irregularities in 5-6-year-olds may suggest the acquisition of posture defects as a consequence of the persistence of overweight or obesity.

摘要

目的

本研究旨在评估儿童身体姿势障碍的发生情况及其在物理预防计划影响下随体重的变化。

方法

在受试儿童中,采用基于卡斯佩尔齐克方法的物理治疗评估来确定全身和各节段的身体成分及身体姿势。使用百利达人体成分分析仪通过生物电阻抗法测定体重、全身及各节段的身体成分。76名儿童的研究组因体重障碍分为I组(n = 51),其BMI和脂肪量值在年龄和性别的正常范围内,以及II组(n = 19),包括体重超过正常范围和/或脂肪量超过正常值的儿童。受试儿童接受了物理预防。该计划由合格的物理治疗师进行,为期12周,每周一次,每次30分钟。治疗计划的重点是预防超重和纠正身体姿势。

结果

在受试组中观察到脂肪量的远端分布。35%的儿童在矢状面存在不对称。两组在矢状面不对称的存在上未发现统计学显著差异。两组在姿势异常的发生上未发现统计学显著差异。

结论

在物理治疗计划的影响下,受试儿童的体重和身体姿势没有变化。在受试组中,5 - 6岁儿童的体重与姿势异常之间缺乏相关性,这可能表明超重或肥胖持续存在导致姿势缺陷的形成。

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Measuring body composition in children: research and practice.儿童身体成分测量:研究与实践
Arch Dis Child Educ Pract Ed. 2023 Aug;108(4):285-289. doi: 10.1136/archdischild-2022-324920. Epub 2023 Feb 22.

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