Posture, diaphragmatic mobility and pulmonary function in obese children and adolescents
DOI:
https://doi.org/10.33233/fb.v22i6.4837Keywords:
obesity; posture; diaphragm; pulmonary function; child; adolescentsAbstract
Introduction: The body overload due to obesity contributes to the emergence of changes in the musculoskeletal and respiratory system. Objective: To analyze the scientific evidence regarding the influence of obesity on trunk posture, the functional kinetic response of the diaphragm and lung function in children and adolescents. Methods: This is a literature review, using the Medline, Cochrane, Embase, Lilacs and Web of Sciences databases, in English, Portuguese and Spanish, in the last 10 years. The descriptors were “obesity”, “posture”, “diaphragm”, “lung function”, “adolescents”, “young adults”. The studies that addressed associated neuromuscular disorders, kyphoscoliosis, cystic fibrosis, pulmonary emphysema, asthma and COPD and articles not available in full were excluded . Results: 226 studies were identified, however, 10 were analyzed. The results showed that the trunk posture in obese patients is hyperkyphotic, hyperlordotic and with pelvic anteversion, in addition to pointing out signs of repercussions on respiratory dynamics, with reduced diaphragm mobility and lung volume and capacity. Conclusion: The studies included in this review suggest that obesity contributes to the occurrence of hyperkyphosis, hyperlordosis and anteversion of the pelvis, as well as to a decrease in diaphragm activity and lung function.
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