Musculoskeletal findings in obese children

被引:80
作者
Pinto, Ana L. de Sa [1 ]
Holanda, Patricia M. de Barros [1 ]
Radu, Ari S. [1 ]
Villares, Sandra M. F. [1 ]
Lima, Fernanda R. [1 ]
机构
[1] Univ Sao Paulo, Sch Med, Dept Rheumatol, Div Rheumatol, BR-01246903 Sao Paulo, Brazil
关键词
arthralgia; back pain; obesity; physical activity;
D O I
10.1111/j.1440-1754.2006.00869.x
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Aim: A cross-sectional study was conducted to explore osteoarticular alterations in obese children. Methods: Twenty-five boys and 24 girls (mean age: 10.8 +/- 2.07 years) with a body mass index (BMI) above the 95th percentile were compared with 28 boys and 19 girls (controls, mean age: 10.4 +/- 2.3 years) with a BMI below the 80th percentile. Results: A higher frequency of at least one osteoarticular manifestation was observed in obese patients (55%) compared with the control group (23%) (P = 0.001). A statistically significant association was also found between obesity and lower back pain, genu valgum, genu recurvatum and tight quadriceps. Fibromyalgia tender points (=11) were present at similar frequency in both groups (obese: 3/38 (9%) vs. control: 1/48 (2%)). Conclusion: The present data suggest that obesity has a negative impact on osteoarticular health by promoting biomechanical changes in the lumbar spine and lower extremities.
引用
收藏
页码:341 / 344
页数:4
相关论文
共 28 条
[1]   Relationship of physical activity and television watching with body weight and level of fatness among children - Results from the Third National Health and Nutrition Examination Survey [J].
Andersen, RE ;
Crespo, CJ ;
Bartlett, SJ ;
Cheskin, LJ ;
Pratt, M .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1998, 279 (12) :938-942
[2]  
BALAGUE F, 1988, SCAND J REHABIL MED, V20, P175
[3]   Relationships between body mass index and well-being in young Australian women [J].
Brown, WJ ;
Mishra, G ;
Kenardy, J ;
Dobson, A .
INTERNATIONAL JOURNAL OF OBESITY, 2000, 24 (10) :1360-1368
[4]   Does obesity influence foot structure and plantar pressure patterns in prepubescent children? [J].
Dowling, AM ;
Steele, JR ;
Baur, LA .
INTERNATIONAL JOURNAL OF OBESITY, 2001, 25 (06) :845-852
[5]  
Duran Paola, 2002, Pediatr Case Rev, V2, P168, DOI 10.1097/00132584-200207000-00006
[6]   Association between obesity and functional status in patients with spine disease [J].
Fanuele, JC ;
Abdu, WA ;
Hanscom, B ;
Weinstein, JN .
SPINE, 2002, 27 (03) :306-312
[7]  
FELSON DT, 1988, EPIDEMIOL REV, V10, P1
[8]  
HADLER NM, 1985, CLIN RHEUM DIS, V11, P175
[9]   Plantar pressure differences between obese and non-obese adults: A biomechanical analysis [J].
Hills, AP ;
Hennig, EM ;
McDonald, M ;
Bar-Or, O .
INTERNATIONAL JOURNAL OF OBESITY, 2001, 25 (11) :1674-1679
[10]  
HOPPENFELD S, 1976, PHYSICAL EXAMINATION, P171