Citation

Kim D, Lewis CL, Gill SV. Gait Posture 2022; 94: 93-101.

Copyright

(Copyright © 2022, Elsevier Publishing)

DOI

10.1016/j.gaitpost.2022.02.029

PMID

35255384

Abstract

BACKGROUND: Individuals with obesity demonstrate deficits in postural stability, leading to increased fall risks. Controlling whole-body angular momentum is essential for maintaining postural stability during walking and preventing falls. However, it is unknown how obesity impacts whole-body angular momentum during walking. RESEARCH PURPOSE: To investigate the change in angular momentum about the body's COM during walking in individuals with different degrees of obesity.

METHODS: Thirty-eight young adults with different body mass index (BMI) scores walked barefoot at their preferred speed on a treadmill for 2 min. The whole-body angular momentum has been quantified from ground reaction force and moment data to capture the rotational behavior of walking in individuals with obesity without relying solely on placing markers on anatomical landmarks.

RESULTS: We found that adults with higher BMI scores walked slower with shorter step length, wider step width, and longer double support time (ps<.01). Ranges of the frontal- and transverse-plane angular momentum were greater in adults with higher BMI scores (ps<.01), while no difference was observed between BMI groups in the total sum of changes in whole-body angular momentum in any plane (ps>.05). SIGNIFICANCE: Obesity not only decreased walking speed but also limited the ability to control mediolateral stability during walking. Investigating how obesity affects whole-body angular momentum may help better understand why adults with obesity have atypical gait with poor balance, address fall risk factors, and facilitate participation in physical activities.

Language: en

Keywords

Gait; Rehabilitation; Obesity; Angular momentum; Dynamic stability