长期肥胖儿童在重要的发育期内改变步态:一项实验纵向研究
Luming Yang1, Xinye Liu1, Yuan Liu1
1National Engineering Laboratory for Clean Technology of Leather Manufacture, Sichuan University, Chengdu, China.
Gait & posture
|May 4, 2024
概括
持续的儿童肥胖症会影响脚的发育,改变步态,脚跟反转,前脚. 然而,步态稳定的发展并没有受到肥胖的显著限制.
科学领域:
- 儿科 儿科 儿科
- 生物力学 生物力学
- 整形外科 整形外科 整形外科
背景情况:
- 儿童肥胖会导致足部在发育过程中的结构和功能变化.
- 缺乏持续观察持续肥胖儿童的足部发育情况,这阻碍了预防策略.
- 了解这些变化对于解决潜在的长期骨科问题至关重要.
研究的目的:
- 调查持续肥胖对儿童在关键足发育时期的步态模式的影响.
- 分析持久肥胖儿童脚部结构和负载的纵向变化.
- 为了比较持续肥胖的儿童和正常体重的同龄人之间的步态参数.
主要方法:
- 在两年内使用了Footscan®脚部压力系统进行三次评估.
- 包括33名体重正常的儿童和26名持续肥胖的儿童 (年龄为7-8岁).
- 使用重复测量 ANOVA/弗里德曼测试用于纵向分析和t测试/曼-惠特尼-威尔科克森测试用于横截面比较.
主要成果:
- 持续肥胖的儿童在第三次检查时表现出较高的弧度指数值,表明发育速度较慢.
- 在肥胖儿童中,观察到侧侧后脚,第一个甲索关节和大脚区域的负荷增加.
- 肥胖儿童最初表现出更大的中侧侧足位移,尽管这种差异随着时间的推移而减少.
结论:
- 儿童足部发育过程中持续的肥胖会导致形结构异常和足部负荷变化 (部逆转,前脚逆转).
- 尽管有结构性变化,但在持续肥胖的儿童中,步行稳定的发展并未显著受到损害.
- 早期干预可能是必要的,以减轻肥胖对足部发育和生物力学的长期影响.
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