Volume 10 -                   MEJDS (2020) 10: 84 | Back to browse issues page

XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Najafian Razavi M, Rezaei M, namazizadeh M, Ghasemi A. Differences Gait in Normal and Overweight Elderly. MEJDS 2020; 10 :84-84
URL: http://jdisabilstud.org/article-1-1392-en.html
1- Department of Physical Education and Sport Sciences, Science and Research Branch, Islamic Azad University, Tehran, Iran
2- Department of Physical Education and Sport Sciences, Mashhad Branch, Islamic Azad University
3- Department of Physical Education and Sport Sciences, Khorasgan Branch, Islamic Azad University
4- Department of Physical Education and Sport Sciences. Science and Research Branch, Islamic Azad University
Abstract:   (2388 Views)
Background & Objective: The ability to walk efficiently and safely is vital for older people to avoid falls. The prevalence of abnormal gait has been reported to be 35% in adults aged >70 years. Furthermore, obesity is a critical issue in numerous countries. In Iran, as a fast–developing country confronting growing urban living and industrialization, the prevalence of obesity has dramatically raised more than the expected frequency in recent years. Obesity and overweight have numerous effects on the elderly’s movement patterns. Besides, gait variability measures have been described as more efficient predictors of falls and declined mobility. Accordingly, the present study aimed to investigate gait differences in the normal–weight and overweight elderly.
Methods: The current study explored the effect of obesity on the kinematics factors of gait patterns in the elderly. For this reason, 10 elderly males age 65–85 years were selected based on BMI from 27 volunteers. Next, the study participants were classified into two normal–weight and overweight groups. All of the study samples were healthy and had no physical conditions. The investigated elderly’s gait was normal, and they reported no falling history. The SEKA instrument was used for evaluating the study subjects’ weight and height. Moreover, a 3D motion analysis was applied for measuring gait parameters, such as walking speed, stride length, stride width, single support phase duration, double support, and swing phase duration. T–test was implemented for data analysis in SPSS 19. The significance level was set at p<0.05.
Results: Based on the present study findings, there was no significant difference in the parameters of gait, such as stride length (p=0.107), stride width (p=0.753), swing phase (p=0.599), double support (p=0.248), single support (p=0.76) phases duration, and walking speed (p=0.923) between the normal–weight and overweight elderly groups. 
Conclusion: Generally, in the past studies, obesity demonstrated significant differences in gait parameters in the elderly. However, in the present study, there was no significant difference in gait between the studied normal–weight and overweight elderly groups. Such a result might be explained by the close BMI scores of the two study groups. Additionally, some essential variables might have influenced the elderly’s gait, such as strength, balance, and fall history; therefore, in future studies investigating the elderly’s gait, these variables must be considered.
Keywords: Elderly, Gait, Overweight.
Full-Text [PDF 535 kb]   (618 Downloads)    
Type of Study: Original Research Article | Subject: Rehabilitation

References
1. Buchner DM, de Lateur BJ. The Importance of Skeletal Muscle Strength to Physical Function in Older Adults. Ann Behav Med. 1991;13(3):91–8. [DOI]
2. Fukagawa NK, Schultz AB. Muscle function and mobility biomechanics in the elderly: an overview of some recent research. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences. 1995;50A(Special):60–3. [DOI]
3. Tinetti ME, Speechley M, Ginter SF. Risk factors for falls among elderly persons living in the community. N Engl J Med. 1988;319(26):1701–7. [DOI]
4. Trueblood PR, Rubenstein LZ. Assessment of instability and gait in elderly persons. Compr Ther. 1991;17(8):20–9.
5. Bohannon RW. Comfortable and maximum walking speed of adults aged 20-79 years: reference values and determinants. Age Ageing. 1997;26(1):15–9. [DOI]
6. Buchner DM, Cress ME, Esselman PC, Margherita AJ, de Lateur BJ, Campbell AJ, et al. Factors associated with changes in gait speed in older adults. J Gerontol A Biol Sci Med Sci. 1996;51(6):M297-302. [DOI]
7. Bendall MJ, Bassey EJ, Pearson MB. Factors affecting walking speed of elderly people. Age Ageing. 1989;18(5):327–32. [DOI]
8. Lee H-J, Chang WH, Hwang SH, Choi B-O, Ryu G-H, Kim Y-H. Age-related locomotion characteristics in association with balance function in young, middle-aged, and older adults. J Aging Phys Act. 2017;25(2):247–53. [DOI]
9. Müller S, Carlsohn A, Müller J, Baur H, Mayer F. Static and dynamic foot characteristics in children aged 1-13 years: a cross-sectional study. Gait Posture. 2012;35(3):389–94. [DOI]
10. Lai PPK, Leung AKL, Li ANM, Zhang M. Three-dimensional gait analysis of obese adults. Clin Biomech (Bristol, Avon). 2008;23 Suppl 1:S2-6. [DOI]
11. Hills AP, Parker AW. Gait characteristics of obese children. Arch Phys Med Rehabil. 1991;72(6):403–7. [DOI]
12. Nantel J, Brochu M, Prince F. Locomotor strategies in obese and non-obese children. Obesity (Silver Spring). 2006;14(10):1789–94. [DOI]
13. Browning RC, Kram R. Effects of obesity on the biomechanics of walking at different speeds. Med Sci Sports Exerc. 2007;39(9):1632–41. [DOI]
14. McGraw B, McClenaghan BA, Williams HG, Dickerson J, Ward DS. Gait and postural stability in obese and nonobese prepubertal boys. Arch Phys Med Rehabil. 2000;81(4):484–9. [DOI]
15. Barati AH, Bagheri A, Azimi R, Darchini MA, Nik HN. Comparison Balance and Footprint Parameters in Normal and Overweight Children. Int J Prev Med. 2013;4(Suppl 1):S92–7.
16. Clarkson BH. Absorbent paper method for recording foot placement during gait. Suggestion from the field. Phys Ther. 1983;63(3):345–6. [DOI]
17. Gaudet G, Goodman R, Landry M, Russell G, Wall JC. Measurement of step length and step width: a comparison of videotape and direct measurements. Physiotherapy Canada. 1990;42(1):12–5.
18. Wilkinson MJ, Menz HB. Measurement of gait parameters from footprints: a reliability study. The Foot. 1997;7(1):19–23. [DOI]
19. Bertoti DB. Effect of short leg casting on ambulation in children with cerebral palsy. Phys Ther. 1986;66(10):1522–9. [DOI]
20. Katoh Y, Chao EY, Laughman RK, Schneider E, Morrey BF. Biomechanical analysis of foot function during gait and clinical applications. Clin Orthop Relat Res. 1983;(177):23–33.
21. Ho CS, Lin CJ, Chou YL, Su FC, Lin SC. Foot progression angle and ankle joint complex in preschool children. Clin Biomech (Bristol, Avon). 2000;15(4):271–7. [DOI]
22. Samson MM, Crowe A, de Vreede PL, Dessens JA, Duursma SA, Verhaar HJ. Differences in gait parameters at a preferred walking speed in healthy subjects due to age, height and body weight. Aging (Milano). 2001;13(1):16–21. [DOI]
23. Ko S, Stenholm S, Ferrucci L. Characteristic gait patterns in older adults with obesity--results from the Baltimore Longitudinal Study of Aging. J Biomech. 2010;43(6):1104–10. [DOI]
24. Sheehan KJ, Gormley J. The influence of excess body mass on adult gait. Clin Biomech (Bristol, Avon). 2013;28(3):337–43. [DOI]
25. Kejonen P, Kauranen K. Reliability and validity of standing balance measurements with a motion analysis system. Physiotherapy. 2002;88(1):25–32. [DOI]
26. Houston DK, Ding J, Nicklas BJ, Harris TB, Lee JS, Nevitt MC, et al. Overweight and obesity over the adult life course and incident mobility limitation in older adults. Am J Epidemiol. 2009;169(8):927–36. [DOI]
27. Mortaza N, Abu Osman NA, Mehdikhani N. Are the spatio-temporal parameters of gait capable of distinguishing a faller from a non-faller elderly? Eur J Phys Rehabil Med. 2014;50(6):677–91.
28. Krebs DE, Scarborough DM, McGibbon CA. Functional vs. strength training in disabled elderly outpatients. Am J Phys Med Rehabil. 2007;86(2):93–103. [DOI]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2025 CC BY-NC 4.0 | Middle Eastern Journal of Disability Studies

Designed & Developed by : Yektaweb