Exploring the influence of body composition on trunk stability: Insights from a male demographic study
G.S. Georgestephen
, K. Mohanan
, P. K. Kandarkurti
, S. K. Durairaj
Резюме: Objective: To find body mass index (BMI) association with trunk stability, core muscles activation, trunk extensor muscles endurance and balance among males. Methods: Cross-sectional study design on 153 males (mean age: 33±7 years, mean BMI: 27.4 ± 3.9 kg/m^2) who underwent assessments for trunk stability (modified double straight leg lowering test), core muscles activation (electromyography analysis), trunk extensor muscles endurance (Biering-Sorenson test), and balance (limits of stability and total stability index). Results: Correlation analysis revealed associations between BMI and these measures, as well as waist circumference (WC) and waist-to-hip ratio (WHR). BMI exhibited significant negative correlations with trunk stability (r = -0.80), core muscles activation [transverse abdominis (r = -0.39) and multifidus (r = -0.50)], trunk extensor muscles endurance (r = -0.98) and balance (r = -0.76). WC and WHR also showed negative correlations with trunk stability (r = -0.79 and r = -0.70, respectively). Conclusions: Across BMI categories including normal, overweight, and obesity class I, high negative correlations were observed with trunk stability and trunk extensor muscles endurance, moderate negative correlation with balance and low negative correlation with core muscles activation. Trunk stability and core muscles activation revealed a positive relationship demonstrating the significance of core muscles in spinal control. The study findings recommend body composition indicators and MDSLL test as convenient measures to identify males with risks of developing low back pain and the importance of initiating core strengthening exercise program to improve core muscles activation.
Series on Biomechanics, Vol.38, No.3 (2024), 32-41
DOI:10.7546/SB.04.03.2024
Ключови думи: Body mass index; core stability; male; postural balance; waist-hip ratio
| Литература: (click to open/close) | [1] GBD, 2021. Low Back Pain Collaborators. Global, regional, and national burden of low back pain, 1990-2020, its attributable risk factors, and projections to 2050: a systematic analysis of the Global Burden of Disease Study 2021. The Lancet. Rheumatology 5, e316–e329.
[2] Khoroshev, D. V., Ilyalov, O. R., Ustyuzhantsev, N. E., Nyashin, Y. I., 2021. Biomechanical modelling of the vertebromotor segment of the human lumbar spine the problem current state. Series on Biomechanics 35, 31-44.
[3] Shiri, R., Falah-Hassani, K., Heliövaara, M., Solovieva, S., Amiri, S., Lallukka, T., Burdorf, A., Husgafvel-Pursiainen, K., Viikari-Juntura, E., 2019. Risk factors for low back pain: a population-based longitudinal study. Arthritis Care and Research (Hoboken) 71, 290-299.
[4] Heliövaara, M., 1989. Risk factors for low back pain and sciatica. Annals of Medicine 21, 257-64.
[5] Heliövaara, M., Mäkelä, M., Knekt, P., Impivaara, O., Aromaa, A., 1991. Determinants of sciatica and low-back pain. Spine (Phila Pa 1976) 16, 608-14.
[6] Vadasova, B., Cech, P., Smerecka, V., Junger, J., Zvonar, M., Ruzbarsky, P., 2016. Overweight and obesity in Slovak high school students and body composition indicators: a non-randomized cross-sectional study. BMC Public Health 16, 808.
[7] Shiozawa, M., Kaneko, H., Itoh, H., Morita, K., Okada, A., Matsuoka, S., Kiriyama, H., Kamon, T., Fujiu, K., Michihata, N., Jo, T., Takeda, N., Morita, H., Nakamura, S., Node, K., Yasunaga, H., Komuro, I., 2021. Association of Body Mass Index with Ischemic and Hemorrhagic Stroke. Nutrients 13, 2343.
[8] Nikolova G., Dantchev D., 2023. Age changes in the basic anthropometric characteristics of the average Bulgarian females. Series on Biomechanics 37 ,1, 5-12.
[9] Khan, S. S., Ning, H., Wilkins, J. T., Allen, N., Carnethon, M., Berry, J. D., Sweis, R. N., Lloyd-Jones, D. M., 2018. Association of body mass index with lifetime risk of cardiovascular disease and compression of morbidity. JAMA cardiology 3, 280-287.
[10] Lu, J., Liu, X., Jiang, S., Kan, S., An, Y., Zheng, C., Li, X., Liu, Z., Xie, G., 2022. Body mass index and risk of diabetic nephropathy: a mendelian randomization study. The Journal of clinical endocrinology and metabolism 107, 1599-1608.
[11] Lim, Y., Boster, J., 2024. Obesity and Comorbid Conditions. StatPearls Publishing, Florida.
[12] Resende, R. A., Jardim, S. H. O., Filho, R. G. T., Mascarenhas, R. O., Ocarino, J. M., Mendonça, L.M., 2020. Does trunk and hip muscles strength predict performance during a core stability test? Brazilian Journal of Physical Therapy 24, 318-324.
[13] Shaikh, A., Nuhmani, S., Kachanathu, S. I., Muaidi, Q., 2019. Relationship of core power and endurance with performance in random intermittent dynamic type sports. Asian Journal of Sports Medicine, e62843.
[14] Akuthota, V., Ferreiro, A., Moore, T., Fredericson, M., 2008. Core stability exercise principles. Current Sports Medicine Reports 7, 39-44.
[15] Panjabi, M. M., 2003. Clinical spinal instability and low back pain. Journal of electromyography and kinesiology 13, 371-9.
[16] Park, S. H., Lee, M. M., 2021. Effects of progressive neuromuscular stabilization exercise on the support surface on patients with high obesity with lumbar instability: A double-blinded randomized controlled trial. Medicine (Baltimore) 100, e23285.
[17] Uçar, İ., Karartı, C., Cüce, İ., Veziroğlu, E., Özüdoğru, A., Koçak, F. A., Dadalı, Y., 2021. The relationship between muscle size, obesity, body fat ratio, pain and disability in individuals with and without nonspecific low back pain. Clinical Anatomy 34, 1201-1207.
[18] Popov, I., Larionov, N., Dudin, M., Popov, A., Sviridov, D., Zubkov, M., Bobior, S., 2024. Biomechanical model of intervertebral discs of human spine. Series on Biomechanics 38, 26-44.
[19] Kim, T. N., Park, M. S., Ryu, J. Y., Choi, H. Y., Hong, H. C., Yoo, H. J., Kang, H. J., Song, W., Park, S. W., Baik, S. H., Newman, A. B., Choi, K. M., 2014. Impact of visceral fat on skeletal muscle mass and vice versa in a prospective cohort study: the Korean Sarcopenic Obesity Study (KSOS). PLoS One 9, e115407.
[20] Physical status: the use and interpretation of anthropometry. Report of a WHO Expert Committee. World Health Organization technical report series 854, 1-452.
[21] Richardson, C. A., Hodges, P., Hides, J. A., 2004. Therapeutic Exercise for Lumbopelvic Stabilization: A Motor Control Approach for the Treatment and Prevention of Low Back Pain, 2nd edition. Churchill Livingstone. London, United Kingdom.
[22] Sharma, A., Geovinson, S. G., Singh, S. J., 2012. Effects of a nine-week core strengthening exercise program on vertical jump performances and static balance in volleyball players with trunk instability. The Journal of sports medicine and physical fitness 52, 606-15.
[23] Hodges, P., Richardson, C., 1996. Inefficient Muscular Stabilization of the Lumbar Spine Associated With Low Back Pain: A Motor Control Evaluation of Transversus Abdominis. Spine 21, 2640–2650.
[24] Mesbah, M., Barkaoui, A., Chiali, H., 2019. Finite element analysis of a patient-specific model of the lumbar spine behaviour. Series on Biomechanics 33, 27- 39.
[25] Liebenson, C., 1998. Spinal stabilization training: the transverse abdominus. Journal of Bodywork and Movement Therapies 2, 218-223.
[26] Okubo, Y., Kaneoka, K., Imai, A., Shiina, I., Tatsumura, M., Izumi, S., Miyakawa, S., 2010. Electromyographic analysis of transversus abdominis and lumbar multifidus using wire electrodes during lumbar stabilization exercises. The Journal Of Orthopaedic And Sports Physical Therapy 40, 743-50.
[27] Chanthapetch, P., Kanlayanaphotporn, R., Gaogasigam, C., Chiradejnant, A., 2009. Abdominal muscle activity during abdominal hollowing in four starting positions. Manual Therapy 14, 642-6.
[28] Lehman, G. J., Hoda, W., Oliver, S., 2005. Trunk muscle activity during bridging exercises on and off a Swiss ball. Chiropractic and osteopathy 13, 14.
[29] Queiroz, B. C., Cagliari, M. F., Amorim, C. F., Sacco, I. C., 2010. Muscle activation during four Pilates core stability exercises in quadruped position. Archives of Physical Medicine and Rehabilitation 91, 86-92.
[30] Wang, W., Li, K., Wei, N., Yue, S., Yin, C., 2017. Reaching forward test during standing: A comparison between the young and the elderly. Chinese Automation Congress. Jinan, China, 2254-2257.
[31] Colim, A., Arezes, P., Flores, P., Braga, A., 2016. Differences in muscular activity between obese and non-obese workers during manual lifting. Dyna 83, 55-62.
[32] Maktouf, W., Durand, S., Boyas, S., Pouliquen, C., Beaune, B., 2018. Combined effects of aging and obesity on postural control, muscle activity and maximal voluntary force of muscles mobilizing ankle joint. Journal of Biomechanics 79, 198-206.
[33] Ivanova, M., Chikova, T., 2023. The biomechanical study of human limbs movement using inertial and electromyographic sensors. Series on Biomechanics. 37, 27-34
[34] Kankaanpää, M., Laaksonen, D., Taimela, S., Kokko, S. M., Airaksinen, O., Hänninen, O., 1998. Age, sex, and body mass index as determinants of back and hip extensor fatigue in the isometric Sørensen back endurance test. Archives of Physical Medicine and Rehabilitation 79, 1069-75.
[35] Shaw, J., Jacobs, J. V., Van-Dillen, L. R., Beneck, G. J., Smith, J. A., 2024. Understanding the Biering-Sørensen test: Contributors to extensor endurance in young adults with and without a history of low back pain. Journal of Electromyography and Kinesiology 74, 102854.
[36] Del-Porto, H., Pechak, C., Smith, D., Reed-Jones, R., 2012. Biomechanical effects of obesity on balance. International Journal of Exercise Science 5, 1.
[37] Vella, C. A., Nelson, M. C., Unkart, J. T., Miljkovic, I., Allison, M. A., 2020. Skeletal muscle area and density are associated with lipid and lipoprotein cholesterol levels: The Multi-Ethnic Study of Atherosclerosis. Journal of clinical lipidology 14, 143-153.
[38] Yumuk, V., Tsigos, C., Fried, M., Schindler, K., Busetto, L., Micic, D., Toplak, H., 2015. Obesity Management Task Force of the European Association for the Study of Obesity. European Guidelines for Obesity Management in Adults. Obesity facts 8, 402-24.
[39] Dimitrova, A., 2023. Differences in muscle mass and fat mass accumulation in youth female athletes. Series on Biomechanics 37, 4, 3-8.
[40] Arif, M., Gaur, D. K., Gemini, N., Iqbal, Z. A., Alghadir, A. H., 2022. Correlation of Percentage Body Fat, Waist Circumference and Waist-to-Hip Ratio with Abdominal Muscle Strength. Healthcare (Basel, Switzerland) 10, 2467.
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| Дата на публикуване: 2024-11-15
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