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Publication type:	Article in scientific journal
Type of review:	Peer review (publication)
Title:	Differences in spinal posture and mobility between children/adolescents with obesity and age-matched normal-weight individuals
Authors:	Bayartai, M. E. Schaer, C. E. Luomajoki, Hannu Tringali, G. De Micheli, R. Sartorio, A.
et. al:	No
DOI:	10.1038/s41598-022-19823-z 10.21256/zhaw-25802
Published in:	Scientific Reports
Volume(Issue):	12
Issue:	1
Page(s):	15570
Issue Date:	16-Sep-2022
Publisher / Ed. Institution:	Nature Publishing Group
ISSN:	2045-2322
Language:	English
Subjects:	Adolescent; Child; Human; Lumbosacral region; Posture; Spine; Kyphosis; Pediatric obesity
Subject (DDC):	616.7: Diseases of musculoskeletal system and orthopaedics 618.92: Pediatrics
Abstract:	The aim of this study was to cross-sectionally explore the association of obesity with spinal posture and mobility, commonly associated with musculoskeletal problems, by comparing the spinal parameters between 90 obese and 109 normal-weight children and adolescents. A non-invasive electromechanical device, the Idiag M360 (Idiag, Fehraltorf, Switzerland), was used to measure the spinal parameters. An age-and-sex-adjusted two-way analysis of variance (ANOVA) was used to determine postural and mobility differences between the two groups. Children and adolescents with obesity had significantly greater thoracic kyphosis [difference between groups (Δ) = 13.00, 95% CI 10.10-15.80, p < 0.0001] and thoracic extension (Δ = 6.50, 95% CI 2.90-11.60, p = 0.005), as well as smaller mobility in thoracic flexion (Δ = 5.00, 95% CI 1.20-8.80, p = 0.01), thoracic lateral flexion (Δ = 17.70, 95% CI 11.60-23.80, p < 0.0001), lumbar flexion (Δ = 12.10, 95% CI 8.70-15.50, p < 0.0001), lumbar extension (Δ = 7.10, 95% CI 3.10-12.20, p = 0.003) and lumbar lateral flexion (Δ = 9.10, 95% CI 5.50-12.80, p < 0.0001) compared to the normal-weight children and adolescents. These findings provide important information about the characteristics of the spine in children and adolescents with obesity and unique insights into obesity-related mechanical challenges that the spine has to withstand and strategies designed to improve spinal mobility in this young population.
URI:	https://digitalcollection.zhaw.ch/handle/11475/25802
Fulltext version:	Published version
License (according to publishing contract):	CC BY 4.0: Attribution 4.0 International
Departement:	School of Health Sciences
Organisational Unit:	Institute of Physiotherapy (IPT)
Appears in collections:	Publikationen Gesundheit

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