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01-04-2013 | Original Article

The impact of body mass index and central obesity on the spino-pelvic parameters: a correlation study

Authors: S. Romero-Vargas, B. Zárate-Kalfópulos, E. Otero-Cámara, L. Rosales-Olivarez, A. Alpízar-Aguirre, Eugenio Morales-Hernández, Alejandro Reyes-Sánchez

Published in: European Spine Journal | Issue 4/2013

Abstract

Introduction

Obesity is an increasing problem of epidemic proportion, and it is associated with various musculoskeletal disorders, including impairment of the spine. However, the relationship between obesity and spino-pelvic parameters remains to date unsupported by an objective measurement of the mechanical behavior of the spino-pelvic parameters depending on body mass index (BMI) and the presence of central obesity. Such analysis may provide a deeper understanding of this relationship.

Purpose

To assess whether BMI and central obesity are associated with modifications on spino-pelvic parameters and determine if exists any correlation between BMI and obesity with the type of lumbar lordosis (LL).

Methods

A cross-sectional study with 200 participants was conducted. Parameters measured were LL, pelvic tilt, sacral slope, and pelvic incidence (PI), using lumbosacral radiographs in lateral view. Subjects were classified depending on BMI. In a secondary analysis, the subjects were categorized into two groups depending on the presence or not of elevated abdominal circumference. The categorical variables were compared using Chi-square test, and the mean values were compared using ANOVA and student t test. A Spearman correlation test was used to analyze the correlation between BMI categories and LL types.

Results

From the total of participants, there were 51 (25.5 %) normal weight subjects, 93 (46.5 %) overweight, and 56 (28 %) obese individuals. The spino-pelvic parameters among these groups are practically equal. The correlation between the different BMI categories and LL types is poor 0.06 (P = 0.34). In a secondary analysis, grouping the participants in obese and non-obese, the results showed that obesity is modestly positively associated with increasing of spino-pelvic parameters values, in particular with PI (P = 0.078). The comparison made between the presence or not of central obesity, interestingly did not show significant differences.

Conclusions

Despite the results did not reach statistically significant differences, the results indicate that the obese spine is slightly different from the non-obese spine. Therefore, this relationship deserves future attention.

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Title: The impact of body mass index and central obesity on the spino-pelvic parameters: a correlation study
Authors: S. Romero-Vargas
B. Zárate-Kalfópulos
E. Otero-Cámara
L. Rosales-Olivarez
A. Alpízar-Aguirre
Eugenio Morales-Hernández
Alejandro Reyes-Sánchez
Publication date: 01-04-2013
Publisher: Springer-Verlag
Published in: European Spine Journal / Issue 4/2013
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-012-2560-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The impact of body mass index and central obesity on the spino-pelvic parameters: a correlation study

Abstract

Introduction

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Purpose

Methods

Results

Conclusions

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