Sedanter Kadın ve Erkekerde Beden Kitle İndeksi ile Pes Planus, Denge, Yaşam Kalitesi ve Ağrı Düzeyleri Arasındaki İlişki

Year 2022, Volume: 12 Issue: 1, 58 - 64, 14.01.2022

Arzu Keskin Aktan Özden Kutlay

https://doi.org/10.33631/sabd.1055295

Cited By: 1

Abstract

Amaç: Bu çalışmanın amacı sedanter erkek ve kadınlarda beden kitle indeksi ile pes planus, denge, yaşam kalitesi ve ağrı arasındaki ilişkinin araştırılmasıdır.
Gereç ve Yöntemler: Çalışmamıza 18-30 yaş aralığında, toplam 82 sedanter gönüllü (39 erkek, 43 kadın) katıldı. Katılımcıların fiziksel aktivite düzeyleri Uluslararası Fiziksel Aktivite Ölçeği ile değerlendirildi ve beden kitle indeksleri hesaplandı. Her iki ayak için pes planus değerlendirmesi Naviküler Düşme Testi (NDT) ile yapıldı. Statik denge ölçümü Tek Ayak Üstünde Durma testi ile, dinamik denge ölçümü ise Dört Adım Kare ve Zamanlı Kalk-Yürü testleri ile yapıldı. Yaşam kalitesinin değerlendirilmesinde Kısa Form-36 (SF-36) ölçeği kullanıldı, ağrı değerlendirmesi ise Vizuel Analog Skala (VAS) ile yapıldı.
Bulgular: BKİ ile yaş, kilo, NDT, Dinamik Denge-Zamanlı Kalk ve Yürü test puanları arasında pozitif yönde; Statik Denge, SF-36-Fiziksel fonksiyon, SF-36-Genel sağlık puanları arasında ise negatif yönde ilişki saptandı. Erkeklerde boy, kilo ve BKİ’ nin yanı sıra NDT-sağ ayak ölçümü daha yüksek bulundu. NDT sınıflamasına göre yapılan gruplamada pes planusu olan katılımcıların kilo, BKİ ve VAS (şiddetli) ölçümlerinin daha yüksek olduğu, ayrıca statik ve dinamik dengelerinin daha kötü olduğu görüldü.
Sonuç: Bulgularımız sedanter genç-erişkinlerde beden kitle indeksinin, pes planus, vücut dengesi ve yaşam kalitesi ile ilişkili olduğunu göstermekte, ayrıca pes planusun statik ve dinamik vücut dengesini olumsuz yönde etkilediğine işaret etmektedir.

Keywords

Beden kitle indeksi, pes planus, denge, yaşam kalitesi, ağrı

The Relationship between Body Mass Index and Pes Planus, Balance, Quality of Life and Pain Levels in Sedentary Female and Male

Abstract

Aim: This study aimed to investigate the relationship between body mass index and pes planus, balance, quality of life, and pain in sedentary female and male.
Material and Methods: A total of 82 sedentary volunteers (39 men, 43 women) between the ages of 18-30 participated in our study. Physical activity levels of the participants were evaluated with the International Physical Activity Questionnaire, and body mass index was calculated. Pes planus was performed with Navicular Drop Test (NDT) for both feet. Static balance measurement was performed with Stand on One Foot test, and dynamic balance measurement was performed with Four Step Square and Timed Up-Go tests. The Short Form-36 (SF-36) scale was used to assess the quality of life, and the pain assessment was made with Visual Analogue Scale (VAS).
Results: BMI was positively correlated with age, weight, NDT, Dynamic Balance-Timed Up and Go test, while negatively correlated with Static Balance, SF-36-Physical function, and SF-36-General health scores. NDT-right foot measurement was found to be higher in men as well as height, weight, and BMI. In the grouping made according to the NDT classification, it was seen that the participants with pes planus had higher weight, BMI, and VAS (severe) measurements, and their static and dynamic balance was worse.
Conclusion: Our findings show that body mass index is correlated with pes planus, body balance, and quality of life in sedentary young-adults, and also indicate that pes planus negatively affects the static and dynamic body balance.

Keywords

Body mass index, pes planus, balance, quality of life, pain

References

• Zaccagni L, Barbieri D, Gualdi-Russo E. Body composition and physical activity in Italian university students. J Transl Med. 2014; 12(1): 1-9.
• Yıldız A, Tarakcı D, Karantay Mutluay F. Genç erişkinlerde fiziksel aktivite düzeyi ile vücut kompozisyonu ilişkisi: Pilot çalışma. Sağlık Bilim ve Meslekleri Derg. 2015; 2(3): 297-305.
• Lean MEJ, Han TS, Seidell JC. Impairment of health and quality of life using new US federal guidelines for the identification of obesity. Arch Intern Med. 1999; 159(8): 837-43.
• Kim HW, Weinstein SL. Flatfoot in children: Differential diagnosis and management. Curr Orthop. 2000; 14(6): 441-7.
• Rodgers MM. Dynamic biomechanics of the normal foot and ankle during walking and running. Phys Ther. 1988; 68(12): 1822-32.
• Wolf L, Judge J, Whipple R, King M. Strength is a major factor in balance, gait, and the occurrence of falls downloaded from. Journals Gerontol Ser A. 1995; 50: 64-7.
• Greve JMDA, Cuǧ M, Dülgeroǧlu D, Brech GC, Alonso AC. Relationship between anthropometric factors, gender, and balance under unstable conditions in young adults. Biomed Res Int. 2013; 2013: 1-5.
• Bowling A. What things are important in people’s lives? A survey of the public’s judgements to inform scales of health related quality of life. Soc Sci Med. 1995; 41(10): 1447-62.
• Lazarides SP, Hildreth A, Prassanna V, Talkhani I. Association amongst angular deformities in Hallux Valgus and impact of the deformity in health-related quality of life. Foot Ankle Surg. 2005; 11(4): 193-6.
• Leveille S, Guralnik J, Ferrucci L, Hirsch R, Simonsick E, Hochberg M. Foot pain and disability in older persons: An epidemiologic survey. J Am Geriatr Soc. 1995; 43(5): 479-84.
• Craig CL, Marshall AL, Sjöström M, Bauman AE, Booth ML, Ainsworth BE, et al. International physical activity questionnaire: 12-Country reliability and validity. Med Sci Sports Exerc. 2003; 35(8): 1381-95.
• Zhao Y, Sigmund E, Sigmundova D, Lu Y. Comparison of physical activity between Olomouc and Beijing university students using an international physical activity questionnaire. Acta Univ Palacki Olomuc, Gymn. 2007; 37(4): 107-14.
• Tiplady B, Jackson SHD, Maskrey VM, Swift CG. Validity and sensitivity of visual analogue scales in young and older healthy subjects. Age Ageing. 1998; 27(1): 63-6.
• Cote KP, Brunet ME, Gansneder BM, Shultz SJ. Effects of pronated and supinated foot postures on static and dynamic postural stability. J Athl Train. 2005; 40(1): 41-6.
• Vellas B, Wayne S, Romero L, Baumgartner R, Rubenstein L, Garry P. One-leg balance is an important predictor of injurious falls in older persons. J Am Geriatr Soc. 1997; 45(6): 735-8.
• Dite W, Temple VA. A clinical test of stepping and change of direction to identify multiple falling older adults. Arch Phys Med Rehabil. 2002; 83(11): 1566-71.
• Podsiadlo D, Richardson S. The timed up and go: A test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991; 39(2): 142-8.
• Başaran S, Güzel R, Sarpel T. Yasam kalitesi ve sağlık sonuçlarını değerlendirme ölçütleri. Romatizma. 2005; 20(1): 55-63.
• Koçyiğit H, Aydemir Ö, Fişek G, Ölmez N, Memiş A. Kısa form-36’nın türkçe versiyonunun güvenilirliği ve geçerliliği. İlaç ve Tedavi Derg. 1999; 12: 102-6.
• Jensen IB, Bergström G, Ljungquist T, Bodin L. A 3-year follow-up of a multidisciplinary rehabilitation programme for back and neck pain. Pain. 2005; 115(3): 273-83.
• Lee MS, Vanore J V., Thomas JL, Catanzariti AR, Kogler G, Kravitz SR, et al. Diagnosis and treatment of adult flatfoot. J Foot Ankle Surg. 2005; 44(2): 78-113.
• Pourghasem M, Kamali N, Farsi M, Soltanpour N. Prevalence of flatfoot among school students and its relationship with BMI. Acta Orthop Traumatol Turc. 2016; 50(5): 554-7.
• Khan FR, Chevidikunnan MF, Mazi AF, Aljawi SF, Mizan FH, BinMulayh EA, et al. Factors affecting foot posture in young adults: A cross sectional study. J Musculoskelet Neuronal Interact. 2020; 20(2): 216-22.
• Walczak M, Napiontek M. Flexible flatfoot in children, a controversial subject. Ortop Pol. 2003; 68(4): 261-7.
• Stolzman S, Irby MB, Callahan AB, Skelton JA. Pes planus and paediatric obesity: a systematic review of the literature. Clin Obes. 2015; 5(2): 52-9.
• Molgaard C, Lundbye-Christensen S, Simonsen O. High prevalence of foot problems in the Danish population: A survey of causes and associations. Foot. 2010; 20(1): 7-11.
• Stubbs B, Schofield P, Patchay S. Mobility limitations and fall-related factors contribute to the reduced health-related quality of life in older adults with chronic musculoskeletal pain. Pain Pract. 2016; 16(1): 80-9.
• Araujo F, Lucas R, Alegrete N, Azevedo A, Barros H. Sagittal standing posture, back pain, and quality of life among adults from the general population: A sex-specific association. Spine. 2014; 39(13): 782-94.
• Wang Y Te, Chen JC, Lin YS. Effects of artificial texture insoles and foot arches on improving arch collapse in flat feet. Sensors. 2020; 20(13): 1-14.
• Sivas F, Moran M, Yurdakul F, Koçak RU, Başkan B, Bodur H. Physical activity, musculoskeletal disorders, sleep, depression, and quality of life before and after bariatric surgery. Turkish J Phys Med Rehabil. 2020; 66(3): 281-90.