Musculoskeletal effects of obesity

被引:101
作者
Chan, Gilbert [1 ]
Chen, Christopher T. [2 ]
机构
[1] Hosp Special Surg, Div Orthopaed Surg, Weill Cornell Med Coll, Dept Pediat Orthoped Surg, New York, NY 10021 USA
[2] Hosp Special Surg, NY Ctr Biomed Engn Tissue Engn, Regenerat & Repair Program, Weill Cornell Med Coll, New York, NY 10021 USA
关键词
child; children; musculoskeletal system; obesity; overweight; BODY-MASS INDEX; CAPITAL FEMORAL EPIPHYSIS; BIOMECHANICAL ANALYSIS; KNEE OSTEOARTHRITIS; CHILDHOOD OBESITY; PHYSICAL-ACTIVITY; BONE MASS; OVERWEIGHT; CHILDREN; WEIGHT;
D O I
10.1097/MOP.0b013e328320a914
中图分类号
R72 [儿科学];
学科分类号
100202 [儿科学];
摘要
Purpose of review The problem of obesity has become a global concern, with increased prevalence reported in the literature. Numerous comorbid conditions are known to be associated with obesity; its relationship with the development and function of the musculoskeletal system in the growing child is poorly understood. This article reviews the current literature on the various musculoskeletal effects associated with obesity in children and adolescents. Recent findings The association between obesity and various musculoskeletal disorders such as slipped capital femoral epiphysis and Blount disease is well reported. Its effects on the structure and function of the musculoskeletal system have not been well documented. Recent studies suggest an increased association between obesity and musculoskeletal pain and increased fracture risk. The limitations imposed by increasing body mass appear to be directly reflected in the child's level of activity and overall functional capacity. Summary Obesity continues to pose a serious health concern. Its impact on the development of the child's musculoskeletal system is still poorly understood. Recent data suggests that obesity affects the child's locomotor system both functionally and structurally. As the obesity epidemic grows, newer studies will be needed to help us fully understand the true impact of obesity on the musculoskeletal system of the growing child.
引用
收藏
页码:65 / 70
页数:6
相关论文
共 49 条
[1]
Expert committee recommendations regarding the prevention, assessment, and treatment of child and adolescent overweight and obesity: Summary report [J].
Barlow, Sarah E. .
PEDIATRICS, 2007, 120 :S164-S192
[2]
Obesity evaluation and treatment: Expert committee recommendations [J].
Barlow, SE ;
Dietz, WH .
PEDIATRICS, 1998, 102 (03)
[3]
Increasing body mass index z-score is continuously associated with complications of overweight in children, even in the healthy weight range [J].
Bell, Lana M. ;
Byrne, Sue ;
Thompson, Alisha ;
Ratnam, Nirubasini ;
Blair, Eve ;
Bulsara, Max ;
Jones, Timothy W. ;
Davis, Elizabeth A. .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2007, 92 (02) :517-522
[4]
A New Look at the Incidence of Slipped Capital Femoral Epiphysis in New Mexico [J].
Benson, Eric C. ;
Miller, Miryam ;
Bosch, Patrick ;
Szalay, Elizabeth A. .
JOURNAL OF PEDIATRIC ORTHOPAEDICS, 2008, 28 (05) :529-533
[5]
Body mass index in patients with slipped capital femoral epiphysis [J].
Bhatia, NN ;
Pirpiris, M ;
Otsuka, NY .
JOURNAL OF PEDIATRIC ORTHOPAEDICS, 2006, 26 (02) :197-199
[6]
Obesity and prevalence of chronic diseases in the 1999-2000 Italian National Health Survey [J].
Calza, Stefano ;
Decarli, Adriano ;
Ferraroni, Monica .
BMC PUBLIC HEALTH, 2008, 8 (1)
[7]
Knee osteoarthritis and obesity [J].
Coggon, D ;
Reading, I ;
Croft, P ;
McLaren, M ;
Barrett, D ;
Cooper, C .
INTERNATIONAL JOURNAL OF OBESITY, 2001, 25 (05) :622-627
[8]
A BIOMECHANICAL ANALYSIS OF THE ETIOLOGY OF TIBIA VARA [J].
COOK, SD ;
LAVERNIA, CJ ;
BURKE, SW ;
SKINNER, HB ;
HADDAD, RJ .
JOURNAL OF PEDIATRIC ORTHOPAEDICS, 1983, 3 (04) :449-454
[9]
Childhood obesity affects fine motor skill performance under different postural constraints [J].
D'Hondt, Eva ;
Deforche, Benedicte ;
De Bourdeaudhuij, Ilse ;
Lenoir, Matthieu .
NEUROSCIENCE LETTERS, 2008, 440 (01) :72-75
[10]
A dynamic biomechanical analysis of the etiology of adolescent tibia vara [J].
Davids, JR ;
Huskamp, M ;
Bagley, AM .
JOURNAL OF PEDIATRIC ORTHOPAEDICS, 1996, 16 (04) :461-468