Impact of overweight and obesity on knee joint biomechanics during running in children

YANG Haiying; FU Changxi; HE Ruibo; MA Gang

doi:10.16835/j.cnki.1000-9817.2022.04.021

Volume 43 Issue 4

Apr. 2022

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YANG Haiying, FU Changxi, HE Ruibo, MA Gang. Impact of overweight and obesity on knee joint biomechanics during running in children[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(4): 570-573. doi: 10.16835/j.cnki.1000-9817.2022.04.021

Citation:

YANG Haiying, FU Changxi, HE Ruibo, MA Gang. Impact of overweight and obesity on knee joint biomechanics during running in children[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(4): 570-573. doi: 10.16835/j.cnki.1000-9817.2022.04.021

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Impact of overweight and obesity on knee joint biomechanics during running in children

doi: 10.16835/j.cnki.1000-9817.2022.04.021

1.
Public Physical Education Department of Xuhai College, China University of Mining Technology, Xuzhou (221008), Jiangsu Province, China

Received Date: 2022-02-27
Rev Recd Date: 2022-03-11

Available Online: 2022-04-25

Publish Date: 2022-04-25

Abstract

Abstract

Objective To investigate the impact of overweight and obesity on knee joint biomechanics during running in children and to provide theoretical support for scientific exercise prescription and reduced risk of exercise injury in overweight and obese children. Methods Fifteen children aged 7-11 years old with normal weight (healthy group) and overweight/obesity (overweight/obesity group) were selected from June to August 2020. Participants ran through the force measuring platform at a speed of [3.5×(1-5%)~3.5×(1+5%)]m/s. The kinematic and dynamic data of the knee joint were collected simultaneously by the Simi Motion motion capture system and the Kistler three-dimensional force measuring platform, and the surface area and density of the tibial plateau were measured by peripheral quantitative computed tomography. The difference of knee joint angle, impact mechanics and knee joint torque based on tibial plateau dimension were compared between the two groups. Results The knee abduction peak angle of the overweight/obesity group[(6.14±4.16)°] was higher than that of the healthy group[(2.57±1.36)°] (t=-3.16, P < 0.05). Based on the standardization of tibial plateau dimension, the impact mechanics (peak vertical ground reaction force, peak impact force, maximum load rate and average load rate) and knee joint torque (knee flexion, extension, adduction peak torque) in the overweight/obesity group were higher than those in the healthy group (t=-4.26, -4.52, -2.97, -2.74, -2.17, -4.27, -3.70, P < 0.05). Conclusion Overweight/obese children show abnormal running mechanics and knee joint load. Higher joint load may indicate increased risk of anterior cruciate ligament injury among overweight/obese children.
- Overweight,
- Obesity,
- Motor activity,
- Knee joint,
- Child

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References(16)

References

[1]	郭子予, 冯哲浩, 汪文新, 等. 中国学龄儿童超重肥胖流行特征及其干预对策[J]. 中国学校卫生, 2021, 42(11): 1747-1750. doi: 10.16835/j.cnki.1000-9817.2021.11.034 GUO Z Y, FENG Z H, WANG W X, et al. Epidemiological characteristics and intervention strategies of overweight and obesity among Chinese school-age children[J]. Chin J Sch Health, 2021, 42(11): 1747-1750. doi: 10.16835/j.cnki.1000-9817.2021.11.034
[2]	袁金娜, 金冰涵, 斯淑婷, 等. 2009—2019年6~15岁中国儿童超重和肥胖趋势分析[J]. 中华儿科杂志, 2021, 59(11): 935-941. YUAN J N, JIN B H, SI S T, et al. Changing prevalence of overweight and obesity among Chinese children aged 6-15 form 2009-2019[J]. Chin J Pediatr, 2021, 59(11): 935-941.
[3]	KOHUT T, ROBBINS J, PANGANIBAN J. Update on childhood/adolescent obesity and its sequela[J]. Curr Opin Pediatr, 2019, 31(5): 645-653. doi: 10.1097/MOP.0000000000000786
[4]	MONTES-ALGUACIL J, PÁEZ-MOGUER J, JIMÉNEZ CEBRIÁN A M, et al. The influence of childhood obesity on spatio-temporal gait parameters[J]. Gait Posture, 2019, 71: 69-73. doi: 10.1016/j.gaitpost.2019.03.031
[5]	KIM N, BROWNING R C, LERNER Z F. The effects of pediatric obesity on patellofemoral joint contact force during walking[J]. Gait Posture, 2019, 73: 209-214. https://pubmed.ncbi.nlm.nih.gov/31374438/
[6]	LEONARD M B, ZEMEL B S, WROTNIAK B H, et al. Tibia and radius bone geometry and volumetric density in obese compared to non-obese adolescents[J]. Bone, 2015, 73: 69-76. doi: 10.1016/j.bone.2014.12.002
[7]	国家卫生和计划生育委员会. 学龄儿童青少年超重与肥胖筛查: WS/T 586—2018[S]. 2018-08-01. National Health and Family Planning Commission of the PRC. Screening for overweight and obesity in school-age children and adolescents: WS/T 586-2018[S]. 2018-08-01.
[8]	陆爱云. 运动生物力学[M]. 北京: 人民体育出版社, 2019: 175-193. LU A Y. Biomechanics of sports[M]. Beijing: People's Sports Press, 2019: 175-193.
[9]	SILVA M, DECHICHI P, LIMIRIO P. Impact of childhood obesity on bone metabolism[J]. Pediatr Endocrinol Rev, 2020, 17(4): 308-316.
[10]	VILLARRASA-SAPIÑA I, SERRA-AÑÓ P, PARDO-IBÁÑEZ A, et al. Relationship between body composition and vertical ground reaction forces in obese children when walking[J]. Clin Biomech (Bristol, Avon), 2017, 41: 77-81. doi: 10.1016/j.clinbiomech.2016.12.008
[11]	GKASTARIS K, GOULIS D G, POTOUPNIS M, et al. Obesity, osteoporosis and bone metabolism[J]. J Musculoskelet Neuronal Interact, 2020, 20(3): 372-381. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7493444/
[12]	GEORGIEV T, ANGELOV A K. Modifiable risk factors in knee osteoarthritis: treatment implications[J]. Rheumatol Int, 2019, 39(7): 1145-1157. doi: 10.1007/s00296-019-04290-z
[13]	MCMILLAN A G, PULVER A M, COLLIER D N, et al. Sagittal and frontal plane joint mechanics throughout the stance phase of walking in adolescents who are obese[J]. Gait Posture, 2010, 32(2): 263-268. doi: 10.1016/j.gaitpost.2010.05.008
[14]	CREABY M W, WANG Y, BENNELL K L, et al. Dynamic knee loading is related to cartilage defects and tibial plateau bone area in medial knee osteoarthritis[J]. Osteoarthritis Cartilage, 2010, 18(11): 1380-1385. doi: 10.1016/j.joca.2010.08.013
[15]	HUDSON D, ROYER T, RICHARDS J. Bone mineral density of the proximal tibia relates to axial torsion in the lower limb[J]. Gait Posture, 2007, 26(3): 446-451. doi: 10.1016/j.gaitpost.2006.11.001
[16]	SHULTZ S P, SITLER M R, TIERNEY R T, et al. Effects of pediatric obesity on joint kinematics and kinetics during 2 walking cadences[J]. Arch Phys Med Rehabil, 2009, 90(12): 2146-2154. doi: 10.1016/j.apmr.2009.07.024