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Relationship of Obesity With Gait and Balance in People With Multiple Sclerosis.

Identifieur interne : 000657 ( Main/Curation ); précédent : 000656; suivant : 000658

Relationship of Obesity With Gait and Balance in People With Multiple Sclerosis.

Auteurs : Alon Kalron [Israël]

Source :

RBID : pubmed:27323326

Descripteurs français

English descriptors

Abstract

OBJECTIVE

The aim of this study was to examine the relationship of obesity with walking and balance in people with multiple sclerosis.

DESIGN

This was a cross-sectional study performed at the Multiple Sclerosis Center, Sheba Medical Center, Israel. Four hundred thirty-six people with multiple sclerosis were divided into obese (n = 178) and normal-weight (n = 258) groups. Spatiotemporal parameters of gait, 2-Minute Walk test, 6-Minute Walk test, Timed Up and Go test, Timed 25-Foot Walk test, Multiple Sclerosis Walking Scale self-reported questionnaire, and posturography measures were determined.

RESULTS

Compared with normal-weight patients, obese subjects walked significantly slower [98.7 (SD, 29.2) m/s vs. 106.4 (SD, 29.2) m/s; P = 0.01], with shorter step lengths [54.8 (SD, 11.6) cm vs. 58.1 (SD, 10.7) cm; P = 0.003] and a wider step width [12.1 (SD, 3.7) cm vs. 10.9 (SD, 4.6) cm; P = 0.01]. Furthermore, the obese group walked a shorter distance on the 6-Minute Walk test [378.2 (SD, 145.5) m vs. 426.1 (SD, 129.8) m; P ≤ 0.001] and slower on the Timed 25-Foot Walk test [9.0 (SD, 8.0) seconds vs. 7.2 (SD, 2.4) seconds; P = 0.006] and the Timed Up and Go test [9.2 (SD, 6.3) seconds vs. 10.0 (SD, 6.1) seconds; P = 0.002]. No significant differences between groups were noted in the Multiple Sclerosis Walking Scale self-reported questionnaire and postural control measures.

CONCLUSION

Obesity affects walking but not postural control in people with multiple sclerosis despite the level of neurological disability.


DOI: 10.1097/PHM.0000000000000552
PubMed: 27323326

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Le document en format XML

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<title xml:lang="en">Relationship of Obesity With Gait and Balance in People With Multiple Sclerosis.</title>
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<name sortKey="Kalron, Alon" sort="Kalron, Alon" uniqKey="Kalron A" first="Alon" last="Kalron">Alon Kalron</name>
<affiliation wicri:level="1">
<nlm:affiliation>From the Department of Physical Therapy, School of Health Professions, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv; and Multiple Sclerosis Center, Sheba Medical Center, Tel Hashomer, Israel.</nlm:affiliation>
<country xml:lang="fr">Israël</country>
<wicri:regionArea>From the Department of Physical Therapy, School of Health Professions, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv; and Multiple Sclerosis Center, Sheba Medical Center, Tel Hashomer</wicri:regionArea>
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<term>Adult (MeSH)</term>
<term>Cross-Sectional Studies (MeSH)</term>
<term>Female (MeSH)</term>
<term>Gait Disorders, Neurologic (physiopathology)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Multiple Sclerosis (physiopathology)</term>
<term>Obesity (physiopathology)</term>
<term>Postural Balance (physiology)</term>
<term>Walk Test (MeSH)</term>
<term>Walking (physiology)</term>
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<term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Marche à pied (physiologie)</term>
<term>Mâle (MeSH)</term>
<term>Obésité (physiopathologie)</term>
<term>Sclérose en plaques (physiopathologie)</term>
<term>Test de marche (MeSH)</term>
<term>Troubles neurologiques de la marche (physiopathologie)</term>
<term>Équilibre postural (physiologie)</term>
<term>Études transversales (MeSH)</term>
</keywords>
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<term>Marche à pied</term>
<term>Équilibre postural</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en">
<term>Postural Balance</term>
<term>Walking</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr">
<term>Obésité</term>
<term>Sclérose en plaques</term>
<term>Troubles neurologiques de la marche</term>
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<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en">
<term>Gait Disorders, Neurologic</term>
<term>Multiple Sclerosis</term>
<term>Obesity</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Cross-Sectional Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mâle</term>
<term>Test de marche</term>
<term>Études transversales</term>
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<b>OBJECTIVE</b>
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<p>The aim of this study was to examine the relationship of obesity with walking and balance in people with multiple sclerosis.</p>
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<p>
<b>DESIGN</b>
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<p>This was a cross-sectional study performed at the Multiple Sclerosis Center, Sheba Medical Center, Israel. Four hundred thirty-six people with multiple sclerosis were divided into obese (n = 178) and normal-weight (n = 258) groups. Spatiotemporal parameters of gait, 2-Minute Walk test, 6-Minute Walk test, Timed Up and Go test, Timed 25-Foot Walk test, Multiple Sclerosis Walking Scale self-reported questionnaire, and posturography measures were determined.</p>
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<b>RESULTS</b>
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<p>Compared with normal-weight patients, obese subjects walked significantly slower [98.7 (SD, 29.2) m/s vs. 106.4 (SD, 29.2) m/s; P = 0.01], with shorter step lengths [54.8 (SD, 11.6) cm vs. 58.1 (SD, 10.7) cm; P = 0.003] and a wider step width [12.1 (SD, 3.7) cm vs. 10.9 (SD, 4.6) cm; P = 0.01]. Furthermore, the obese group walked a shorter distance on the 6-Minute Walk test [378.2 (SD, 145.5) m vs. 426.1 (SD, 129.8) m; P ≤ 0.001] and slower on the Timed 25-Foot Walk test [9.0 (SD, 8.0) seconds vs. 7.2 (SD, 2.4) seconds; P = 0.006] and the Timed Up and Go test [9.2 (SD, 6.3) seconds vs. 10.0 (SD, 6.1) seconds; P = 0.002]. No significant differences between groups were noted in the Multiple Sclerosis Walking Scale self-reported questionnaire and postural control measures.</p>
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<b>CONCLUSION</b>
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<p>Obesity affects walking but not postural control in people with multiple sclerosis despite the level of neurological disability.</p>
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