Effects of Body Weight and Waist Circumference on Balance Function in Overweight and Obese Adults

XIN Wei; MAI Yi-ying; TANG Xi-xiang; WU He-fang; SHEN Yao; YAO Jian-ming; XIE Dong-feng; CHEN Yan-ming

doi:10.13471/j.cnki.j.sun.yat-sen.univ(med.sci).2023.0402

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Effects of Body Weight and Waist Circumference on Balance Function in Overweight and Obese Adults

Academic Frontiers：Obesity and Metabolic Disorder | 更新时间：2024-02-19

- Effects of Body Weight and Waist Circumference on Balance Function in Overweight and Obese Adults
  增强出版
- Journal of Sun Yat-sen University(Medical Sciences) Vol. 44, Issue 4, Pages: 551-559(2023)
- 作者机构：
  
  1.中山大学附属第三医院康复医学科，广东广州，510630
  2.广东药科大学健康学院，广东云浮，527322
  3.广州医科大学第五临床学院，广东广州，510799
  4.滇西应用技术大学傣医药学院，云南西双版纳，666100
  5.中山大学附属第三医院内分泌科，广东广州，510630
- 作者简介：
  
  CHEN Yan-ming； E-mail： chyanm@mail.sysu.edu.cn
- 基金信息：
- DOI：10.13471/j.cnki.j.sun.yat-sen.univ(med.sci).2023.0402
  CLC： R493
- Published：20 July 2023，
  
  Received：29 January 2023，
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辛蔚,麦艺颖,唐喜香等.体质量与腰围对超重肥胖成年人平衡功能的影响[J].中山大学学报（医学科学版）,2023,44(04):551-559.

XIN Wei,MAI Yi-ying,TANG Xi-xiang,et al.Effects of Body Weight and Waist Circumference on Balance Function in Overweight and Obese Adults[J].Journal of Sun Yat-sen University(Medical Sciences),2023,44(04):551-559.
辛蔚,麦艺颖,唐喜香等.体质量与腰围对超重肥胖成年人平衡功能的影响[J].中山大学学报（医学科学版）,2023,44(04):551-559. DOI： 10.13471/j.cnki.j.sun.yat-sen.univ(med.sci).2023.0402.

XIN Wei,MAI Yi-ying,TANG Xi-xiang,et al.Effects of Body Weight and Waist Circumference on Balance Function in Overweight and Obese Adults[J].Journal of Sun Yat-sen University(Medical Sciences),2023,44(04):551-559. DOI： 10.13471/j.cnki.j.sun.yat-sen.univ(med.sci).2023.0402.

摘要

目的

探讨体质量与腰围对超重肥胖成年人的静态和动态平衡功能的影响。

方法

采用整群随机抽样方法抽取在中山大学附属第三医院内分泌降糖减重门诊就诊的患者（

= 103），对所有参与者进行基本资料的采集和记录、生化检测、体质量、腰围（WC）和身高测量，静态平衡功能评估采用平衡误差评分系统（BESS）及动态平衡功能评估采用功能性伸展测试（FRT）。对所有参与者的BESS评分和FRT距离根据不同身体指数（BMI）分级和WC分级分别进行组间对比。采用单因素及多元线性回归的方法对参与者静态和动态平衡功能的影响因素分别进行分析。

结果

① 随BMI分级增加，BESS评分呈上升趋势（

= 0.004），正常WC者的BESS评分低于中心性肥胖者（

0.001），结果显示与BMI正常者比较，超重和肥胖者的静态和动态平衡能力差；② 随BMI分级，增加FRT距离呈下降趋势（

0.001），正常WC者的FRT距离显著高于中心性肥胖者（

0.001），结果显示中心性肥胖者与WC正常者比较，中心性肥胖者的静态和动态平衡能力更差；③ BMI超重组中，随WC增加FRT距离降低，中心性肥胖者与WC正常者组间差异有统计学意义（

= 0.02），结果显示BMI无差异情况下，与正常WC比较，中心性肥胖者的动态平衡能力更差。④ BESS评分与BMI（

= 4.12，

= 0.027， 95% CI = 0.48-7.75）和WC（

= 3.47，

= 0.046， 95% CI = 0.07-6.88）的影响显著，FRT距离与BMI（

= -5.68，

= 0.001， 95% CI = -8.95-2.41）和WC（

= -4.71，

= 0.003， 95% CI = -7.83- -1.61）的影响显著，结果显示肥胖者随BMI增加其静态和动态平衡能力更差，中心性肥胖者比WC正常者的静态和动态平衡能力更差。

结论

腰围是超重肥胖者的动态和静态平衡功能的独立影响因素，在相同BMI情况下，中心性肥胖者比腰围正常者的动态平衡功能差，其跌倒风险更高。

Abstract

Objective

To explore the effects of body weight and waist circumference on static and dynamic balance function in overweight and obese adults.

Methods

Participants （n=103） were selected by cluster random sampling from the Hypoglycemic Weight Loss Clinic of the Endocrinology Department of the Third Affiliated Hospital of Sun Yat-sen University. All participants were assessed for basic data collection， biochemical test， body weight， waist circumference and height measurement， static balance function assessed by balance error scoring system （BESS） and dynamic balance function assessed by functional reach test （FRT）. The BESS score and FRT distance of all participants were compared among groups according to different BMI grades and WC grades. Multivariate linear regression was used to analyze the influencing factors of participants' dynamic and static balance functions.

Results

① With the increase of BMI grading， the BESS score showed an upward trend， and the difference between groups was statistically significant （

= 0.004）. The BESS score of normal WC patients was lower than that of central obesity patients （

0.001）， which indicated that compared with normal BMI， overweight and obese people had poor dynamic and static balance ability； ② With the BMI grading， the FRT distance increased， showing a downward trend （

0.001）. The FRT distance in normal WC patients was significantly higher than that in central obesity patients （

0.001）， which indicated that the static and dynamic balance ability of central obesity patients was worse than that of normal WC patients； ③ In BMI overweight group， the FRT distance decreased significantly with the increase of WC （

= 0.02）. The results showed that under the condition of no difference in BMI， Compared with normal WC， the dynamic and static balance ability of central obese patients was worse； ④ The influence of BESS score on BMI（

=4.12，

=0.027， 95% CI=0.48-7.75）and WC（

= 3.47，

= 0.046， 95% CI = 0.07 - 6.88）was significant. The influence of FRT distance on BMI（

= -5.68，

= 0.001， 95% CI = -8.95 - 2.41）and WC（

= -4.71，

= 0.003， 95% CI = -7.83 to -1.61）was significant， which indicated that the static and dynamic balance ability of obese people was worse with the increase of BMI， and the ability of dynamic and static balance of central obesity was worse than that of normal WC.

Conclusion

Waist circumference is an independent factor affecting the dynamic and static balance function of overweight and obese people. Under similar BMI， the dynamic balance function of central obese people is worse than that of people with normal waist circumference， leading to higher risk of falling.

关键词

体质量腰围超重肥胖中心性肥胖平衡功能

Keywords

weightwaist circumferenceoverweight and obesitycentral obesitybalance function

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Related Author

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Related Institution

Department of Pediatrics，The Third Affiliated Hospital of Sun Yat-sen University

Department of Maternal and Child Health， People's Hospital of Zhag′yab County， Zhag′yab

Department of Internal Medicine and Pediatrics， People's Hospital of Zhag′yab County， Zhag′yab

Department of Endocrinology & Metabolism， Guangdong Provincial Key Laboratory of Diabetology， The Third Affiliated Hospital of Sun Yat-sen University

Postal code：510080
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