Efeitos agudos de uma atividade de caminhada na pressão plantar de crianças com obesidade

Autores

DOI:

https://doi.org/10.1590/1980-0037.2021v23e78684

Palavras-chave:

Criança, Carga plantar, Massa corporal, Teste de caminhada

Resumo

Crianças com obesidade apresentam maiores cargas plantares durante o caminhar quando comparadas às eutróficas. No entanto, ainda não se conhece os efeitos agudos de uma atividade moderada de caminhar sobre a distribuição da pressão plantar em crianças com excesso de massa corporal. Nosso objetivo foi verificar o efeito agudo do teste de 6 minutos na pressão plantar de crianças obesas e eutróficas. Uma plataforma de pressão foi utilizada para registro da pressão plantar durante o andar de 62 crianças (37 meninas), com idade entre 7 e 10 anos, antes e após o teste de caminhada de seis minutos. As crianças foram divididas em um grupo com obesidade - OB (n = 20) e um grupo eutrófico - EU (n = 42). Pico de pressão plantar (PPP), força máxima (FM), área de contato (AC) foram avaliados em três tentativas durante o andar em velocidade confortável. A análise foi realizada em cinco regiões plantares: retro pé, médio pé, ante pé, hálux e dedos. O PPP foi maior sob a região do médio pé no grupo OB após a caminhada. Na comparação entre os grupos, PPP, FM e AC foram maiores para o grupo OB para a maioria das regiões. Concluímos que, após uma atividade de caminhada moderada, crianças com obesidade sofrem um aumento das cargas plantares, especialmente no médio pé, o que pode trazer maior desconforto e risco de lesões.

Referências

Castillo JJ, Hazlett ZS, Orlando RA, Garver WS. A global evolutionary and metabolic analysis of human obesity gene risk variants. Gene 2017;627:412-419.

Pogodina A, Rychkova L, Kravtzova O, Klimkina J, Kosovtzeva A. Cardiometabolic risk factors and health-related quality of life in adolescents with obesity. Child Obes 2017;13(6):499-506.

Umer A, Kelley GA, Cottrell LE, Jr PG, Innes KE, Lilly CL. Childhood obesity and adult cardiovascular disease risk factors: a systematic review with meta-analysis. BMC Public Health 2017;17(683):1-24.

O'Malley G, Ring-dimitriou S. Physical activity and physical fitness in pediatric obesity : what are the first steps for clinicians? Expert conclusion from the 2016 ECOG workshop. Int J Exerc Sci 2017; 10(4), 487-496.

Shultz SP, Byrne NM, Hills AP. Musculoskeletal function and obesity: implications for physical activity. Curr Obes Rep 2014;3(3):355-360.

Jankowicz-Szymanska A, Mikolajczyk E, Wodka K. Correlations among foot arching, ankle dorsiflexion range of motion, and obesity level in primary school. J Am Podiatr Med Assoc 2017;107(2):130-136.

Dufek JS, Mercer JA, Gouws P-L, Candela L, Gutierrez AP, Mercer JA, Putney LG. Effects of overweight and obesity on walking characteristics in adolescents. Hum Mov Sci 2012;31(4):897-906.

Mesquita P, Neri S, Lima RM, Carpes FP, de David AC. Childhood obesity is associated with altered plantar pressure distribution during running. Gait Posture 2018;62:202-205.

Song-Hua Y, Lu W, Kuan Z. Effects of different movement modes on plantar pressure distribution patterns in obese and non-obese Chinese children. Gait Posture 2017;57:28-34.

Mueller S, Carlsohn A, Mueller J, Baur H, Mayer F. Influence of obesity on foot loading characteristics in gait for children aged 1 to 12 years. PLoS One 2016;11(2):1-12.

Mickle KJ, Steele JR, Munro BJ. Does excess mass affect plantar pressure in young children? Int J Pediatr Obes 2006;1(3):183-188.

Petridou A, Siopi A, Mougios V. Exercise in the management of obesity. Metab Clin Exp 2019;92:163-169.

Vie B, Griffon P, Bijoux A, Cadiere J, Paul J, Jammes Y. Effect of the 6-minute walk test on plantar loading and capability to produce ankle plantar flexion forces. Gait Posture 2016;49:61-66.

Escudero-Uribe S, Hochsprung A, Izquierdo-Ayuso G. Gait pattern changes after six-minute walk test in persons with multiple sclerosis. Physiother Res Int 2018:1-10.

Cacau LAP, Carvalho VO, Pin AS, Daniel CRA, Ikeda DS, de Carvalho EM, et al. Reference values for the 6-min walk distance in healthy children age 7 to 12 years in Brazil: main results of the TC6min Brasil multi-center study. Respir Care 2018;6(3):339-346.

Morinder G. Six-minute walk test in obese children and adolescents: reproducibility and validity. Physiother Res Int 2009;14:91-104.

Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Establishing a standard definition for child overweight and obesity worldwide: international survey. Br Med J 2000;320:1-6.

Lohman TG, Roche AF, Martorell R. Skinfold thicknesses and measurement technique. In: Anthropometric standardization reference manual. 1988, Human Kinetics Book, Champlain, 55–80.

Rosenbaum D, Hautmann S, Gold M, Claes L. Effects of walking speed on plantar pressure patterns and hindfoot angular motion. Gait Posture 1994;2:191-197.

Cavanagh PR, Rodgers MM. The arch index: a useful measure from footprints. J Biomech 1987;20(5):547-551

Menz HB. Two feet, or one person? Problems associated with statistical analysis of paired data in foot and ankle medicine. Foot 2004;14:2-5.

Buldt AK, Forghany S, Landorf KB, Levingere P, Murley GS, Menz HB. Foot posture is associated with plantar pressure during gait: a comparison of normal, planus and cavus feet. Gait Posture 2018;62:235-340.

Putti AB, Arnold GP, Cochrane LA, Abboud RJ. Normal pressure values and repeatability of the Emed ST4 system. Gait Posture 2008;27:501-505.

American Thoracic Society. ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med 2002;166:111-117.

Borg GAV. Psychophysical bases of perceived exertion. Med Sci Sport Exerc 1982;14(5):377-381.

Fourchet F, Kelly L, Horobeanu C, Loepelt H, Taiar R. High-intensity running and plantar-flexor fatigability and plantar-pressure distribution in adolescent runners. Gait Posture 2015;50(2):117-125.

Zhao Y, Zheng D, Yan S, Liu M, Yang L. Children with obesity experience different age-related changes in plantar pressure distributions: a follow-up study in China. Int J Environ Res Public Health 2020;17(6602):1-10.

Catan L, Amaricai E, Onofrei RR, Popoiu CM, Lacob ER, Stanciulescu CM, et al. The impact of overweight and obesity on plantar pressure in children and adolescents: a systematic review. Int J Environ Res Public Health 2020;17(6600):1-21.

Li AM. The six-minute walk test in healthy children: reliability and validity. Eur Respir J. 2005;25(6):1057-1060.

Casonatto J, Joa M, Ricardo E, Ronque V. Association between health-related physical fitness and body mass index status in children. J Child Heal Care 2015:1-10.

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2021-12-08

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