The evaluation of postural stability and fall risk in morbidly obese preoperative bariatric patients: A cross-sectional study

Abstract

Amaç: Obez bireylerin, obez olmayan bireylere göre daha fazla postural instabilite ve düşme riskinde artış gösterdiği bilinmektedir. Morbid obez preoperatif bariatrik hastalarda postural stabiliteyi, düşme riskini ve postural stabiliteye katkıda bulunan faktörleri değerlendirmeyi amaçladık. Gereç ve Yöntemler: Çalışmamıza bariatrik cerrahi öncesi değerlendirilen morbid obez 38 hasta (vücut kitle indeksi (VKI)≥40) ve 52 obez olmayan (BMI <30) sağlıklı birey dahil edildi. Katılımcıların postural stabilite indeksleri (PSI) ve düşme riski indeksi (FRI) Biodex stabilite sistemi kullanılarak değerlendirildi. Düşme korkusunu (FOF) değerlendirmek için Falls Efficacy Scale-International (FES-I) kullanıldı. Bulgular: Çalışma grubundaki 18 hasta (%47.4) ev hanımı ve sedanterdi. Ayrıca 15 hastaya (%39.5) Diabetes Mellitus Tip 2 tanısı konuldu. Gruplar arasında FOF, düşme öyküsü varlığı ve son bir yıl içinde düşme sayısı açısından istatistiksel olarak anlamlı fark yoktu (p:0.831, p:0.558, p:0.596 sırasıyla). Ancak FES-I ve FRI skorları çalışma grubunda istatistiksel olarak anlamlı derecede yüksekti (p:0,006, p<0,001). FRI ile ağırlık, VKİ, bel ve kalça çevresi arasında istatistiksel olarak anlamlı pozitif korelasyon bulundu (r:0.708, p<0.001; r:0.697, p<0.001; r:0.699, p<0.001; r:0.715, p<0.001 sırasıyla). Sonuç: Morbid obezite, önemli bir dinamik stabilite göstergesi olan FRI'yi olumsuz etkilemektedir. Morbid obez hastalarda bariatrik cerrahi öncesi ve sonrası postural denge eğitimi için dinamik görevlere odaklanan rehabilitasyon programlarının uygulanmasını önermekteyiz. Anahtar Kelimeler: Obezite; Vücut kitle indeksi; Morbid obezite; Postural stabilite; düşme riski.

Keywords

• Obesity
• Body Mass Index
• Morbid Obesity
• Postural stability
• fall risk

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