Farklı Vücut Kütle İndeksi Düzeyinde Olan Bireylerde Statik Yük Altındaki Ayağın Pronasyon Cevabının İncelenmesi

Yıl 2018, Cilt: 7 Sayı: 4, 38 - 45, 28.12.2018

Halit Selçuk , Hilal Keklicek

Öz

Çalışmanın amacı farklı vücut kitle indeksi (VKİ)
düzeyinde olan bireylerde statik yük altındaki ayağın pronasyon cevabının
araştırılmasıydı. Demografik veriler, VKİ değerleri (kg/m²)
kaydedildi ve naviküler düşme miktarı (%) değerlendirildi. Değerlendirme
tamamlandıktan sonra, katılımcılar üç gruba ayrıldı: düşük kilolu bireyler (VKİ
<18,5 kg/m²), normal kilolu bireyler (VKİ=18,5-24,9 kg/m²),
preobezite düzeyinde olan bireyler (25-29,9 kg/m²). İkili
karşılaştırmalar, düşük kilolu grup ile normal kilolu grup (p = 0,012) arasında
ve preobez grup ile normal kilolu grup arasında fark olduğunu gösterdi (p =
0,046). Düşük kilolu grup ile preobez grup arasında olmadığı görüldü (p=0,854).
Çalışma, düşük kilolu ve preobez bireylerin ayağının pronasyon cevabının benzer
olduğunu ve her iki grubun da normal kilolu bireylerden daha yüksek bir
pronasyon cevabı oluşturduğunu gösterdi. Normal kiloda olmanın, statik yüklenme
altında uygun ayak pronasyonu açısından önemli olduğu sonucuna varılmıştır

Anahtar Kelimeler

Vücut Kütle İndeksi, Ayak, Pronasyon

Kaynakça

• Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. (2004). The Lancet, 363(9403), 157-163.
• Flegal, K.M., M.D. Carroll, B.K. Kit, and C.L. Ogden. (2012). Prevalence of obesity and trends in the distribution of body mass index among US adults, 1999-2010. Jama, 307(5), 491-497.
• WHO, E.C. (2004). Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet (London, England), 363(9403), 157.
• Janssen, I. (2007). Morbidity and mortality risk associated with an overweight BMI in older men and women. Obesity (Silver Spring), 15(7), 1827-40.
• Wen, C.P., T.Y. David Cheng, S.P. Tsai, H.T. Chan, H.L. Hsu, C.C. Hsu, et al. (2009). Are Asians at greater mortality risks for being overweight than Caucasians? Redefining obesity for Asians. Public Health Nutr, 12(4), 497-506.
• A., B.P., L.K. B., G. W., U.D. M., and M.H. B. (2014). The association between body composition and foot structure and function: a systematic review. Obesity Reviews, 15(4), 348-357.
• Adoracion Villarroya, M., J. Manuel Esquivel, C. Tomas, A. Buenafe, and L. Moreno. (2008). Foot structure in overweight and obese children. Int J Pediatr Obes, 3(1), 39-45.
• Butterworth, P.A., K.B. Landorf, S. Smith, and H.B. Menz. (2012). The association between body mass index and musculoskeletal foot disorders: a systematic review. Obesity reviews, 13(7), 630-642.
• Frey, C. and J. Zamora. (2007). The Effects of Obesity on Orthopaedic Foot and Ankle Pathology. Foot & Ankle International, 28(9), 996-999.
• Mickle, K.J., B.J. Munro, S.R. Lord, H.B. Menz, and J.R. Steele. (2010). Foot pain, plantar pressures, and falls in older people: a prospective study. Journal of the American Geriatrics Society, 58(10), 1936-1940.
• Sadeghi-Demneh, E., F. Jafarian, J.M. Melvin, F. Azadinia, F. Shamsi, and M. Jafarpishe. (2015). Flatfoot in school-age children: prevalence and associated factors. Foot Ankle Spec, 8(3), 186-93.
• Stovitz, S.D., P.E. Pardee, G. Vazquez, S. Duval, and J.B. Schwimmer. (2008). Musculoskeletal pain in obese children and adolescents. Acta Paediatr, 97(4), 489-93.
• Villarroya, M.A., J.M. Esquivel, C. Tomas, L.A. Moreno, A. Buenafe, and G. Bueno. (2009). Assessment of the medial longitudinal arch in children and adolescents with obesity: footprints and radiographic study. Eur J Pediatr, 168(5), 559-67.
• Bell, J.A., M. Kivimaki, and M. Hamer. (2014). Metabolically healthy obesity and risk of incident type 2 diabetes: a meta-analysis of prospective cohort studies. Obes Rev, 15(6), 504-15.
• K., P., B. L., and C. D. (2013). A systematic review of variables associated with the relationship between obesity and depression. Obesity Reviews, 14(11), 906-918.
• Lu, Y., K. Hajifathalian, M. Ezzati, M. Woodward, E.B. Rimm, and G. Danaei. (2014). Metabolic mediators of the effects of body-mass index, overweight, and obesity on coronary heart disease and stroke: a pooled analysis of 97 prospective cohorts with 1.8 million participants. Lancet, 383(9921), 970-83.
• Zhang, Y., H. Liu, S. Yang, J. Zhang, L. Qian, and X. Chen. (2014). Overweight, obesity and endometrial cancer risk: results from a systematic review and meta-analysis. Int J Biol Markers, 29(1), e21-9.
• Pirozzi, K., J. McGuire, and A.J. Meyr. (2014). Effect of Variable Body Mass on Plantar Foot Pressure and Off-Loading Device Efficacy. The Journal of Foot and Ankle Surgery, 53(5), 588-597.
• Ledoux, W.R. and H.J. Hillstrom. (2002). The distributed plantar vertical force of neutrally aligned and pes planus feet. Gait Posture, 15(1), 1-9.
• Razeghi, M. and M.E. Batt. (2002). Foot type classification: a critical review of current methods. Gait & posture, 15(3), 282-291.
• Moon, D.C., K. Kim, and S.K. Lee. (2014). Immediate Effect of Short-foot Exercise on Dynamic Balance of Subjects with Excessively Pronated Feet. J Phys Ther Sci, 26(1), 117-9.
• Ritchie, C., K. Paterson, A.L. Bryant, S. Bartold, and R.A. Clark. (2011). The effects of enhanced plantar sensory feedback and foot orthoses on midfoot kinematics and lower leg neuromuscular activation. Gait Posture, 33(4), 576-81.
• Witchalls, J., P. Blanch, G. Waddington, and R. Adams. (2012). Intrinsic functional deficits associated with increased risk of ankle injuries: a systematic review with meta-analysis. Br J Sports Med, 46(7), 515-23.
• Hagedorn, T.J., A.B. Dufour, J.L. Riskowski, H.J. Hillstrom, H.B. Menz, V.A. Casey, et al. (2013). Foot disorders, foot posture, and foot function: the Framingham foot study. PLoS One, 8(9), e74364.
• Chuter, V.H. and X.A. Janse de Jonge. (2012). Proximal and distal contributions to lower extremity injury: a review of the literature. Gait Posture, 36(1), 7-15.
• Cote, K.P., M.E. Brunet, B.M. Gansneder, and S.J. Shultz. (2005). Effects of Pronated and Supinated Foot Postures on Static and Dynamic Postural Stability. J Athl Train, 40(1), 41-46.
• Health, N.I.o. and N.A.A.f.t.S.o. Obesity. (2000). The Practical guide: identification, evaluation, and treatment of overweight and obesity in adults. NIH Publication Number 00-4084. http://www. nhlbi. nih. gov/guidelines/obesity/prctgd_c. pdf.
• Mueller, M.J., J.V. Host, and B.J. Norton. (1993). Navicular drop as a composite measure of excessive pronation. J Am Podiatr Med Assoc, 83(4), 198-202.
• Tenenbaum, S., O. Hershkovich, B. Gordon, N. Bruck, R. Thein, E. Derazne, et al. (2013). Flexible pes planus in adolescents: body mass index, body height, and gender--an epidemiological study. Foot Ankle Int, 34(6), 811-7.
• Jankowicz-Szymanska, A., K. Wodka, M. Kolpa, and E. Mikolajczyk. (2018). Foot longitudinal arches in obese, overweight and normal weight females who differ in age. Homo, 69(1-2), 37-42.
• Aurichio, T.R., J.R. Rebelatto, and A.P. De Castro. (2011). The relationship between the body mass index (BMI) and foot posture in elderly people. Archives of Gerontology and Geriatrics, 52(2), e89-e92.
• Pirozzi, K., J. McGuire, and A.J. Meyr. (2014). Effect of variable body mass on plantar foot pressure and off-loading device efficacy. J Foot Ankle Surg, 53(5), 588-97.
• Aenumulapalli, A., M.M. Kulkarni, and A.R. Gandotra. (2017). Prevalence of Flexible Flat Foot in Adults: A Cross-sectional Study. J Clin Diagn Res, 11(6), AC17-AC20.
• Atak, E., H. Özbek, and Z.C. Algun. (2016). Sağlıklı sedanter bireylerde vücut ağırlığı artışının ayak postürü ve diz ağrısı üzerine etkisi. Journal of Exercise Therapy and Rehabilitation, 3(2), 66-71.
• De Laet, C., J.A. Kanis, A. Oden, H. Johanson, O. Johnell, P. Delmas, et al. (2005). Body mass index as a predictor of fracture risk: a meta-analysis. Osteoporos Int, 16(11), 1330-8.
• Knapik, J. (2015). The Importance of Physical Fitness for Injury Prevention: Part 2. Journal of special operations medicine: a peer reviewed journal for SOF medical professionals, 15(2), 112-115.
• Tarrant, R.C., J.M. Queally, D.P. Moore, and P.J. Kiely. (2018). Prevalence and impact of low body mass index on outcomes in patients with adolescent idiopathic scoliosis: a systematic review. Eur J Clin Nutr.
• Xu, W., L. Tan, H.F. Wang, T. Jiang, M.S. Tan, L. Tan, et al. (2015). Meta-analysis of modifiable risk factors for Alzheimer's disease. J Neurol Neurosurg Psychiatry, 86(12), 1299-306.
• Renfro, L.A., F. Loupakis, R.A. Adams, M.T. Seymour, V. Heinemann, H.J. Schmoll, et al. (2016). Body Mass Index Is Prognostic in Metastatic Colorectal Cancer: Pooled Analysis of Patients From First-Line Clinical Trials in the ARCAD Database. J Clin Oncol, 34(2), 144-50.
• Sharma, A., C.J. Lavie, J.S. Borer, A. Vallakati, S. Goel, F. Lopez-Jimenez, et al. (2015). Meta-analysis of the relation of body mass index to all-cause and cardiovascular mortality and hospitalization in patients with chronic heart failure. Am J Cardiol, 115(10), 1428-34.
• Lafranca, J.A., I.J. JN, M.G. Betjes, and F.J. Dor. (2015). Body mass index and outcome in renal transplant recipients: a systematic review and meta-analysis. BMC Med, 13, 111.
• Huisman, H.W., R. Schutte, H.L. Venter, and J.M. van Rooyen. (2015). Low BMI is inversely associated with arterial stiffness in Africans. British Journal of Nutrition, 113(10), 1621-1627.