Cent Eur J Public Health 2017, 25(4):326-331 | DOI: 10.21101/cejph.a4780

Comprehensive group therapy of obesity and its impact on selected anthropometric and postural parameters

Stanislav Horák1,2, Eliška Sovová3, Dalibor Pastucha4,5, Petr Konečný2,6,7, Lenka Radová8, Naděžda Calabová1,2, Jana Janoutová9, Vladimír Janout9
1 Department of Rehabilitation, University Hospital Olomouc, Olomouc, Czech Republic
2 Department of Physiotherapy, Faculty of Health Sciences, Palacký University Olomouc, Olomouc, Czech Republic
3 Department of Exercise Medicine and Cardiovascular Rehabilitation, University Hospital Olomouc and Faculty of Medicine and Dentistry, Palacký University Olomouc, Olomouc, Czech Republic
4 Department of Rehabilitation, Faculty of Medicine, University of Ostrava, Ostrava, Czech Republic
5 ReFit Clinic, Olomouc, Czech Republic
6 Department of Rehabilitation, Prostějov Hospital, Prostějov, Czech Republic
7 Department of Physiotherapy and Rehabilitation, Faculty of Medicine, Masaryk University, Brno, Czech Republic
8 Central European Institute of Technology, Masaryk University, Brno, Czech Republic
9 Centre for Research and Science, Faculty of Health Sciences, Palacký University Olomouc, Olomouc, Czech Republic

Objective: Obesity is a multifactorial disease. This non-infectious epidemic has reached pandemic proportions in the 21 century. Posture is a dynamic process referring to an active maintenance of body movement segments against the action of external forces. The aim of the study was to investigate the effect of comprehensive group therapy for obese persons on selected anthropometric and postural parameters.

Methods: The study comprised 53 females with a mean age of 44.5 years (range 29-65 years, standard deviation 9.42 years, median 44 years), who completed a controlled weight loss programme. At the beginning and at the end of the programme, anthropometric parameters (Body Mass Index (BMI), weight and waist circumference) were measured and the posturography tests Limits of Stability (LOS) and Motor Control Test (MCT) were performed using the NeuroCom's SMART EquiTest system. The data were statistically analyzed using R software at a level of significance of 0.05.

Results: There were positive changes after the controlled weight loss programme in anthropometric parameters (BMI reduction, with p < 0.001; waist circumference reduction, with p < 0.001; and weight loss, with p < 0.001), postural stability with statistically significant (p < 0.05) improvements in both postural activity (LOS test parameters) and reactions (MCT parameters).

Conclusion: The study showed a statistically significant effect of comprehensive group therapy for obesity in terms of reductions in waist circumference, body weight and BMI, and thus the overall reduction of both cardiovascular and metabolic risks, as well as improved postural skills (activity and reactions).

Keywords: body mass index, obesity, waist circumference, posture, posturography, controlled weight loss programme

Received: March 21, 2016; Revised: November 30, 2017; Published: December 30, 2017  Show citation

ACS AIP APA ASA Harvard Chicago IEEE ISO690 MLA NLM Turabian Vancouver
Horák S, Sovová E, Pastucha D, Konečný P, Radová L, Calabová N, et al.. Comprehensive group therapy of obesity and its impact on selected anthropometric and postural parameters. Cent Eur J Public Health. 2017;25(4):326-331. doi: 10.21101/cejph.a4780. PubMed PMID: 29346858.
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. Hainer V, et al. Basics of clinical obesitology. 2nd ed. Prague: Grada; 2011. (In Czech.)
    2. Owen K. Modern treatment of obesity. Everyday practice guide. Prague: Maxdorf; 2012. (In Czech.)
    3. Poděbradská R. Physical activity as a part of overweight and obesity treatment. Rehabil Fyz Lek. 2011;18(2):50-8. (In Czech.) Go to original source...
    4. Rothman KJ. BMI-related errors in the measurement of obesity. Int J Obes [Internet]. 2008 [cited 2014 March 16];32:56-9. Available from: http://www.nature.com/ijo/journal/v32/n3s /full/ijo200887a.html. Go to original source... Go to PubMed...
    5. Wolin KY, Petrelli JM. Obesity. Santa Barbara: Greenwood Publishing Group; 2009.
    6. Zeman M, Žák A, Vecka M. News in the treatment and prevention of metabolic syndrome. Postgrad Med. 2007;9(2):124-9. (In Czech.)
    7. Dylevský I. Kinesiology: basics of structural kinesiology. Prague: Triton; 2009. (In Czech.)
    8. Kolář P, et al. Rehabilitation in clinical practice. Prague: Galén; 2009. (In Czech.)
    9. Vařeka I. Postural stability (Part I): terminology and biomechanical principles. Rehabil Fyz Lek. 2002;9(4):115-21. (In Czech.)
    10. Kolářová B. Instrumental examination methods for motion evaluation in clinical practice. Olomouc: EZ Centrum; 2012. (In Czech.)
    11. NeuroComInternational Inc. Smart EquiTest system operator's manual. version 8. Clackamas: NeuroCom International Inc; 2001.
    12. Teasdale N, Hue O, Macotte J, Berrigan F, Simoneau M, Doré J, et al. Reducing weight increases postural stability in obese and morbid obese men. Int J Obes. 2007;31(1):153-60. Go to original source... Go to PubMed...
    13. King AC, Challis JH, Bartok C, Costigan FA, Newell KM. Obesity, mechanical and strength relationships to postural control in adolescence. Gait Posture. 2012;35(2):261-5. Go to original source... Go to PubMed...
    14. NeuroCom® manual. 2012. NeuroCom® [Internet]. [cited 2014 Apr 28]. Available from: http://resourcesonbalance.com/neurocom/products/SMARTEquiTest.aspx.
    15. Ku PX, Abu Osman SA, Yusov A, Wan Abas WA. Biomechanical evaluation of the relationship between postural control and body mass index. J Biomech. 2012;45(9):1638-42. Go to original source... Go to PubMed...
    16. Cruz-Gomez NS, Plascencia G, Villanueva-Padron LA, Jáuregui-Renaud K. Influence of obesity and gender on the postural stability during upright stance. Obes Facts [Internet]. 2011 [cited 2013 May 14];4:212-17. Available from: http://www.karger.com/Article/Pdf/329408. Go to original source... Go to PubMed...
    17. Greve J, Alonso A, Bordini AC, Camanho GL. Correlation between body mass index and postural balance. Clin Sci [Internet]. 2007 [cited 2012 Dec 15];62(6):717-20. Available from: http://www.scielo.br/scielo.php?pid=S1807-59322007000600010≻ript=sci_arttext. Go to original source... Go to PubMed...
    18. Handrigan GA, Berrigan F, Hue O, Simoneau M, Corbeil P, Tremblay A, et al. The effects of muscle strength on center of pressure-based measures of postural sway in obese and heavy athletic individuals. Gait Posture. 2012;35(2):88-91. Go to original source... Go to PubMed...
    19. Laughton CA, Slavin M, Katdare K, Nolan L, Bean JF, Kerrigan DC, et al. Aging, muscle activity, and balance control: physiologic changes associated with balance impairment. Gait Posture. 2003;18(2):101-8. Go to original source...
    20. Singh D, Park W, Levy MS, Jung ES. The effects of obesity and standing time on postural sway during prolonged quiet standing. Ergonomics. 2009;52(8):977-86. Go to original source... Go to PubMed...
    21. Colne P, Frelut ML, Peres G, Thoumie P. Postural control in obese adolescents assessed by limits of stability and gait initiation. Gait Posture. 2008;28(1):164-9. Go to original source... Go to PubMed...
    22. Schiepati M, Hugon M, Grasso M, Nardone A, Galante M. The limits of equilibrium in young and elderly normal subjects and in parkinsonians. Electroencephalogr Clin Neurophysiol. 1994;93(4):286-98. Go to original source... Go to PubMed...
    23. Del Porto HC, Pechak CM, Smith DR, Reed-Jones R. Biomechanical effects of obesity on balance. Int J Exerc Sci [Internet]. 2012 [cited 2014 May 14];5(4):301-20. Available from: http://digitalcommons.wku.edu/ijes/vol5/iss4/1.
    24. Corbeil P, Simoneau M, Rancourt D, Tremblay A, Teasdale N. Increased risk for falling associated with obesity: mathematical modeling of postural control. IEEE Trans Neural Syst Rehabil Eng. 2001 Jun;9(2):126-36. Go to original source... Go to PubMed...
    25. Ledin T, Odkvist LM. Effects of increased inertial load in dynamic and randomized perturbed posturography. Acta Otolaryngol. 1993 May;113(3):249-52. Go to original source... Go to PubMed...
    26. McGraw B, McClenaghan BA, Williams HG, Dickerson J, Ward DS. Gait and postural stability in obese and nonobese prepubertal boys. Arch Phys Med Rehabil. 2000;81(4):484-9. Go to original source... Go to PubMed...
    27. Maki BE, Perry SD, Norrie RG, McIlroy WE. Effect of facilitation of sensation from plantar foot-surface boundaries on postural stabilization in young and older adults. J Gerontol A Biol Sci Med Sci. 1999 Jun;54(6):M281-7. Go to original source... Go to PubMed...
    28. Meyer PF, Oddsson LI, De Luca CJ. The role of plantar cutaneous sensation in unperturbed stance. Exp Brain Res. 2004;156(4):505-12. Go to original source... Go to PubMed...
    29. Birtane M, Tuna H. The evaluation of plantar pressure distribution in obese and non-obese adults. Clin Biomech [Internet]. 2004 [cited 2014 March 10];19(10):1055-9. Available from:http://www.sciencedirect.com/science/article/pii/S02680033040 01627. Go to original source... Go to PubMed...
    30. Hue O, Simoneau M, Marcotte J, Berrigan F, Doré J, Marceau P, et al. Body weight is a strong predictor of postural stability. Gait Posture [Internet]. 2007 [cited 2014 Apr 9];26:32-8. Available from: http://ac.els-cdn.com/S0966636206001470/1-s2.0-S0966636206001470-main.pdf?_tid= 50bd4474 -c01b-11e3-b86100000aab0f6c&acdnat=1397071110_b866b73c0defd0e807c839b8d06c 01de. Go to original source... Go to PubMed...

    Return to the content