scholarly journals Kinematics Adaptation and Inter-Limb Symmetry during Gait in Obese Adults

Sensors ◽  
2021 ◽  
Vol 21 (17) ◽  
pp. 5980
Author(s):  
Massimiliano Pau ◽  
Paolo Capodaglio ◽  
Bruno Leban ◽  
Micaela Porta ◽  
Manuela Galli ◽  
...  
Keyword(s):  
Lower Limb ◽  
Stance Phase ◽  
Statistical Significance ◽  
Normal Weight ◽  
Lumbar Pain ◽  
Obese Adults ◽  
Kinematic Data ◽  
Gait Kinematics ◽  
Kinematic Pattern ◽  
Age And Sex

The main purpose of this study is to characterize lower limb joint kinematics during gait in obese individuals by analyzing inter-limb symmetry and angular trends of lower limb joints during walking. To this purpose, 26 obese individuals (mean age 28.5 years) and 26 normal-weight age- and sex-matched were tested using 3D gait analysis. Raw kinematic data were processed to derive joint-specific angle trends and angle-angle diagrams (synchronized cyclograms) which were characterized in terms of area, orientation and trend symmetry parameters. The results show that obese individuals exhibit a kinematic pattern which significantly differs from those of normal weight especially in the stance phase. In terms of inter-limb symmetry, higher values were found in obese individuals for all the considered parameters, even though the statistical significance was detected only in the case of trend symmetry index at ankle joint. The described alterations of gait kinematics in the obese individuals and especially the results on gait asymmetry are important, because the cyclic uneven movement repeated for hours daily can involve asymmetrical spine loading and cause lumbar pain and could be dangerous for overweight individuals.

scholarly journals Multi-Segment Foot and Ankle Gait Kinematics Following Total Ankle Arthroplasty

2020 ◽  
Vol 5 (4) ◽  
pp. 2473011420S0048
Author(s):  
Dylan Wiese ◽  
Jessica M. Fritz ◽  
Karl Canseco ◽  
Carolyn M. Meinerz ◽  
Katherine Konop ◽  
...  
Keyword(s):  
Stance Phase ◽  
Swing Phase ◽  
Total Ankle Arthroplasty ◽  
Foot And Ankle ◽  
Ankle Arthritis ◽  
Control Data ◽  
Kinematic Data ◽  
Ankle Arthroplasty ◽  
Gait Kinematics

Category: Ankle Arthritis; Ankle. Introduction/Purpose: Ankle arthritis is a painful disease resulting in limited function, mobility, and quality of life.1 Total ankle arthroplasty (TAA) a widely accepted treatment to reduce pain while maintaining joint motion.2,3 There are two common types of implants: fixed bearing (FB) and mobile bearing (MB). Comparisons of these implants have shown similar patient and clinical outcomes;4 however, post-operative gait kinematics from a multi-segment foot and ankle model have not been compared. This study assessed multi-segmental foot and ankle gait kinematics between persons following TAA with MB and FB implants and compared them to control data of adult ambulators without lower extremity pathology. Methods: This was a prospective analysis of persons who had previously underwent TAA with a MB (n=6; average follow-up period of 2.5 years) implant. After consenting to the IRB-approved study, participants were fitted with reflective markers for the Milwaukee Foot Model (MFM).5 Participants walked barefoot along a 30-foot walkway at a comfortable, self-selected pace for a minimum of ten trials while twelve infrared motion capture cameras recorded data. Kinematic data from the MB group and historical data from a FB population who underwent the same protocol with the MFM (n=7; average follow-up period of 2 years) were compared to control data (n=37). Welch’s two-tailed t-tests were used to calculate statistical significance at an alpha level of 0.05. Deviation from control data was compared between both implant groups. Results: In the MB group, sagittal motion of the hindfoot, forefoot, and hallux were significantly different from control for the majority of stance. The only significant MB group swing phase differences were early swing sagittal kinematics in the tibia, forefoot, and hallux segments. The FB data differed significantly for the majority of stance phase for sagittal tibia motion, all hindfoot planes, sagittal and coronal forefoot motion, and all hallux planes. The FB group kinematics also significantly differed throughout most of swing phase across all planes and segments, except coronal hindfoot motion. All FB kinematic data deviated further from control than the MB data except stance phase coronal tibia and transverse forefoot motion, where the data overlapped (Figure 1). Conclusion: Multi-segment foot and ankle gait kinematics following TAA showed the MB implant better restores healthy ambulatory motion than the FB implant. Abnormal stance phase kinematics lead to altered joint loading. This can accelerate adjacent joint arthritis, which has been seen following ankle arthrodesis.6 Both populations showed diminished forefoot plantarflexion throughout gait, compensating for decreased hindfoot dorsiflexion. Because the joints are not heavily loaded during swing phase, the primary concerns of alterations are regarding ground clearance and foot position prior to the next step. The MB implant better restores normal gait, minimizing compensations and likely decreasing arthritis-inducing stress on adjacent joints.

scholarly journals Awareness and knowledge about weight status and management: results from the 1 d sensitization campaign ‘Obesity Day’ in northern Italy

2011 ◽  
Vol 14 (10) ◽  
pp. 1813-1822 ◽  
Author(s):  
Michela Barichella ◽  
Alexis E Malavazos ◽  
Giuseppe Fatati ◽  
Emanuele Cereda
Keyword(s):  
Physical Activity ◽  
Weight Management ◽  
Health Care Professionals ◽  
Weight Control ◽  
Weight Status ◽  
Normal Weight ◽  
Cross Sectional Survey ◽  
Obese Adults ◽  
Cross Sectional

AbstractObjectiveTo evaluate the awareness and knowledge about weight status and its management.DesignA 1 d cross-sectional survey. Basic anthropometric assessments (weight, height, BMI and waist circumference) and a self-administered questionnaire were considered.SettingNineteen Clinical Nutrition or Endocrinology and Metabolic Disorders Units or Dietetics Services in the Italian region of Lombardy.SubjectsAll adults attending the ‘Obesity Day’ initiative.ResultsA total of 914 participants (605 female and 309 male) were recruited. Although most of the participants (83·5 %) considered obesity to be a disease, 38·5 % were likely to misperceive their weight status. In particular, 38·8 % of normal-weight adults believed themselves to be overweight, whereas 71·1 % and 37·5 % of classes I and II/III obese adults classified themselves as being overweight and mildly obese, respectively. However, most of the overweight (90·2 %), mildly (96·8 %) and moderately/severely obese adults (99·1 %) recognized the need to lose weight. In all, 37·8 % of the sample underestimated the role of physical activity in weight management. Interestingly, only 17·2 % of dieters (previous or current) declared being advised by their doctor to lose weight. Multivariate models revealed that higher age, low education and higher BMI were important determinants of poor weight control and management. In addition, previous dieting appeared not to provide better knowledge, whereas the role of physical activity was recognized mainly by those practising it.ConclusionsThe present study suggests that in Italy knowledge about weight management should be improved not only in the general population but also among health-care professionals. To confirm this finding, there is now the rationale for a nationally representative survey. New educational programmes can be designed on the basis of the information collected.

scholarly journals Effect of organ and tissue masses on resting energy expenditure in underweight, normal weight and obese adults

2003 ◽  
Vol 28 (1) ◽  
pp. 72-79 ◽  
Author(s):  
A Bosy-Westphal ◽  
U Reinecke ◽  
T Schlörke ◽  
K Illner ◽  
D Kutzner ◽  
...  
Keyword(s):  
Energy Expenditure ◽  
Resting Energy Expenditure ◽  
Normal Weight ◽  
Obese Adults ◽  
Resting Energy

scholarly journals Impaired endothelium-dependent vasodilation in overweight and obese adult humans is not limited to muscarinic receptor agonists

2008 ◽  
Vol 294 (4) ◽  
pp. H1685-H1692 ◽  
Author(s):  
Gary P. Van Guilder ◽  
Brian L. Stauffer ◽  
Jared J. Greiner ◽  
Christopher A. DeSouza
Keyword(s):  
Body Mass Index ◽  
Substance P ◽  
Sodium Nitroprusside ◽  
Muscarinic Receptor ◽  
Body Mass ◽  
Area Under The Curve ◽  
Normal Weight ◽  
Obese Adults ◽  
Single Class ◽  
Receptor Agonists

Muscarinic receptor agonists have primarily been used to characterize endothelium-dependent vasodilator dysfunction with overweight/obesity. Reliance on a single class of agonist, however, yields limited, and potentially misleading, information regarding endothelial vasodilator capacity. The aims of this study were to determine 1) whether the overweight/obesity-related reduction in endothelium-dependent vasodilation extends beyond muscarinic receptor agonists and 2) whether the contribution of nitric oxide (NO) to endothelium-dependent vasodilation is reduced in overweight/obese adults. Eighty-six middle-aged and older adults were studied: 42 normal-weight (54 ± 1 yr, 21 men and 21 women, body mass index = 23.4 ± 0.3 kg/m2) and 44 overweight/obese (54 ± 1 yr, 28 men and 16 women, body mass index = 30.3 ± 0.6 kg/m2) subjects. Forearm blood flow (FBF) responses to intra-arterial infusions of acetylcholine in the absence and presence of the endothelial NO synthase inhibitor NG-monomethyl-l-arginine, methacholine, bradykinin, substance P, isoproterenol, and sodium nitroprusside were measured by strain-gauge plethysmography. FBF responses to each endothelial agonist were significantly blunted in the overweight/obese adults. Total FBF (area under the curve) to acetylcholine (50 ± 5 vs. 79 ± 4 ml/100 ml tissue), methacholine (55 ± 4 vs. 86 ± 5 ml/100 ml tissue), bradykinin (62 ± 5 vs. 85 ± 4 ml/100 ml tissue), substance P (37 ± 4 vs. 57 ± 5 ml/100 ml tissue), and isoproterenol (62 ± 4 vs. 82 ± 6 ml/100 ml tissue) were 30%-40% lower in the overweight/obese than normal-weight adults. NG-monomethyl-l-arginine significantly reduced the FBF response to acetylcholine to the same extent in both groups. There were no differences between the groups in the FBF responses to sodium nitroprusside. These results indicate that agonist-stimulated endothelium-dependent vasodilation is universally impaired with overweight/obesity. Moreover, this impairment appears to be independent of NO.

scholarly journals Acute effects of mustard, horseradish, black pepper and ginger on energy expenditure, appetite,ad libitumenergy intake and energy balance in human subjects

2012 ◽  
Vol 109 (3) ◽  
pp. 556-563 ◽  
Author(s):  
N. T. Gregersen ◽  
A. Belza ◽  
M. G. Jensen ◽  
C. Ritz ◽  
C. Bitz ◽  
...  
Keyword(s):  
Energy Balance ◽  
Treatment Effects ◽  
Human Subjects ◽  
Statistical Significance ◽  
Black Pepper ◽  
Normal Weight ◽  
Acute Effects ◽  
Significant Treatment ◽  
Ad Libitum ◽  
Few Data

Chilli peppers have been shown to enhance diet-induced thermogenesis (DIT) and reduce energy intake (EI) in some studies, but there are few data on other pungent spices. The primary aim of the present study was to test the acute effects of black pepper (pepper), ginger, horseradish and mustard in a meal on 4 h postprandial DIT. The secondary aim was to examine the effects on subjective appetite measures,ad libitumEI and energy balance. In a five-way placebo-controlled, single-blind, cross-over trial, twenty-two young (age 24·9 (sd4·6) years), normal-weight (BMI 21·8 (sd2·1) kg/m2) males were randomly assigned to receive a brunch meal with either pepper (1·3 g), ginger (20 g), horseradish (8·3 g), mustard (21 g) or no spices (placebo). The amounts of spices were chosen from pre-testing to make the meal spicy but palatable. No significant treatment effects were observed on DIT, but mustard produced DIT, which tended to be larger than that of placebo (14 %, 59 (se3)v.52 (se2) kJ/h, respectively,P= 0·08). No other spice induced thermogenic effects approaching statistical significance. Subjective measures of appetite (P>0·85),ad libitumEI (P= 0·63) and energy balance (P= 0·67) also did not differ between the treatments. Finally, horseradish decreased heart rate (P= 0·048) and increased diastolic blood pressure (P= 0·049) compared with placebo. In conclusion, no reliable treatment effects on appetite, EI or energy balance were observed, although mustard tended to be thermogenic at this dose. Further studies should explore the possible strength and mechanisms of the potential thermogenic effect of mustard actives, and potential enhancement by, for example, combinations with other food components.

scholarly journals Weight-based stigma/discrimination and disordered eating: exploring the mechanisms in obese adults and normal-weight undergraduates

2021 ◽  
Author(s):  
Aliza Friedman
Keyword(s):  
Disordered Eating ◽  
Undergraduate Students ◽  
Emotional Eating ◽  
Body Shape ◽  
Normal Weight ◽  
Elevated Risk ◽  
Female Undergraduate ◽  
Obese Adults ◽  
Obese Female ◽  
Explanatory Mechanism

Individuals who experience stigma/discrimination on the basis of their weight are at an elevated risk for disordered eating; however, the specific associations between various facets of weight-based stigma/discrimination with disordered eating and the mechanisms underlying this association remain unclear. To address this conundrum, the current study examined the relations between three components of weight-based stigma/discrimination with binge/emotional eating, as well as potential psychological distress mechanisms of these relations, in obese female bariatric surgery-seeking patients and predominately normal-weight female undergraduate students. Results revealed that individuals who reported concerns regarding experiencing weight-based stigma, perceived that they have been discriminated against on the basis of their weight, and/or internalized anti-fat attitudes were at an elevated risk for binge eating across both samples. Body shape concerns emerged as the most relevant explanatory mechanism in the relation between weight-based stigma/discrimination and disordered eating across both samples.

Plasma Nesfatin-1 Level in Obese Patients after Acupuncture: A Randomised Controlled Trial

2014 ◽  
Vol 32 (4) ◽  
pp. 313-317 ◽  
Author(s):  
Yongfang Guo ◽  
Mingqing Xing ◽  
Wenjuan Sun ◽  
Xiaoyan Yuan ◽  
Hongyan Dai ◽  
...  
Keyword(s):  
Weight Control ◽  
Serum Insulin ◽  
Controlled Trial ◽  
Diet Group ◽  
Normal Weight ◽  
Obese Patients ◽  
Obese Adults ◽  
The Difference ◽  
Randomised Controlled ◽  
The Relationship

Background Nesfatin-1 is an anorexigenic hormone suggested to regulate obesity. Objective To investigate the relationship between nesfatin-1 level and anthropometric and metabolic parameters in obese patients, and examine the change in plasma nesfatin-1 level after acupuncture treatment. Methods 64 obese adult patients without diabetes and 58 normal weight control subjects were enrolled in this study. The obese patients were randomly divided into an acupuncture plus diet group (n=32) and a diet only group (n=32). Measurements were repeated after 45 days. Results Body mass index (BMI), waist and hip circumferences, serum insulin, lipoprotein and insulin resistance measures were significantly higher, and plasma nesfatin-1 level was significantly lower, in obese patients than in normal weight controls. In addition, negative correlations were found between plasma nesfatin-1 level and BMI, waist and hip circumferences. Weight reduction in participants after acupuncture and diet restriction was 7.0% and 4.3%, respectively. Plasma nesfatin-1 level increased from 2.75±1.16 to 3.44±1.28 ng/mL and from 2.86±1.07 to 3.23±1.06 ng/mL in acupuncture and diet groups, respectively; the difference was significant, p<0.05. Conclusions Plasma nesfatin-1 level is reduced in obese adults, and is increased after acupuncture. The beneficial effect of acupuncture on obesity is associated with increased plasma nesfatin-1 level.

scholarly journals Enhanced endothelin-1 system activity with overweight and obesity

2011 ◽  
Vol 301 (3) ◽  
pp. H689-H695 ◽  
Author(s):  
Brian R. Weil ◽  
Christian M. Westby ◽  
Gary P. Van Guilder ◽  
Jared J. Greiner ◽  
Brian L. Stauffer ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Forearm Blood Flow ◽  
Normal Weight ◽  
Overweight And Obesity ◽  
Receptor Blockade ◽  
Atherosclerotic Vascular Disease ◽  
Obese Adults ◽  
Arterial Infusion ◽  
Vasoconstrictor Response ◽  
Study Population

Endothelin (ET)-1-mediated vasoconstrictor tone contributes to the development and progression of several adiposity-related conditions, including hypertension and atherosclerotic vascular disease. The aims of the present study were to determine 1) whether endogenous ET-1 vasoconstrictor activity is elevated in overweight and obese adults, and, if so, 2) whether increased ET-1-mediated vasoconstriction contributes to the adiposity-related impairment in endothelium-dependent vasodilation. Seventy-nine adults were studied: 34 normal weight [body mass index (BMI) < 25 kg/m2], 22 overweight (BMI ≥ 25 and < 30 kg/m2), and 23 obese (BMI ≥ 30 kg/m2). Forearm blood flow (FBF) responses to intra-arterial infusion of ET-1 (5 pmol/min for 20 min) and selective ET-1 receptor blockade (BQ-123, 100 nmol/min for 60 min) were determined. In a subset of the study population, FBF responses to ACh (4.0, 8.0, and 16.0 μg·100 ml tissue−1·min−1) were measured in the absence and presence of selective ET-1 receptor blockade. The vasoconstrictor response to ET-1 was significantly blunted in overweight and obese adults (∼70%) compared with normal weight adults. Selective ET-1 receptor blockade elicited a significant vasodilator response (∼20%) in overweight and obese adults but did not alter FBF in normal weight adults. Coinfusion of BQ-123 did not affect FBF responses to ACh in normal weight adults but resulted in an ∼20% increase ( P < 0.05) in ACh-induced vasodilation in overweight and obese adults. These results demonstrate that overweight and obesity are associated with enhanced ET-1-mediated vasoconstriction that contributes to endothelial vasodilator dysfunction and may play a role in the increased prevalence of hypertension with increased adiposity.

scholarly journals A kinematics analysis of the lower limb during running with different sports shoes

2018 ◽  
Vol 233 (1) ◽  
pp. 46-52
Author(s):  
Lin Fu ◽  
Yaodong Gu ◽  
Qichang Mei ◽  
Julien S Baker ◽  
Justin Fernandez
Keyword(s):  
Lower Limb ◽  
External Rotation ◽  
Statistical Significance ◽  
Frontal Plane ◽  
3D Motion Analysis ◽  
Significant Difference ◽  
Running Shoes ◽  
Knee Abduction ◽  
Analysis System ◽  
Sports Shoes

The study aimed to investigate the differences in lower limb joint angles during running with three different sports shoes: basketball shoes, football shoes, and running shoes. Fifteen male subjects (age: 25 ± 2.2 years, height: 1.79 ± 0.05 m, and mass: 70.8 ± 3.4 kg) were asked to run on a treadmill at their preferred running speed. The Vicon 3D motion analysis system was used to capture the kinematics of the lower extremity during running. A one-way analysis of variance was used to determine whether any statistical significance existed between the three types of shoes (α < 0.05). Significant differences existed in the lower limb joints between the three sports shoes, particularly at the knee joint. Running shoes presented more knee flexion than basketball shoes and football shoes. In the frontal plane, basketball shoes showed less knee abduction than running shoes and football shoes. No significant difference occurred in ankle external rotation between basketball shoes and football shoes, and both of them presented greater range of motion of the ankle and knee than running shoes.

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