Abstract
The article reviews the biomechanical factors that may cause overweight/obese children to reduce their level of physical activity, while increasing their risk of overuse injuries and exercise-related pain. Recommendations would be to screen those children for any gait or postural impairments before they join any exercise program, and to provide them with specific gait treatments and/or physical exercise programs, in order to decrease their risk for future musculoskeletal injuries and pain.
Highlights
Childhood obesity has become a major public health problem [1]
Overweight and obese children present deficient gait patterns [2], insufficient postural control [3], increased forces/impacts applied to the lower extremities [4], lower extremity mal-alignment [5], and reduced bone mineral density, which may lead to increased incidence of overuse injuries and bone fractures [6]
It was found that obese children participating for decreasing foot pressure among overweight children be required in order to reduce the risk of in physical activity intervention programs improved their postural balance, yet their postural balance developing musculoskeletal complications associated with excessive body mass [22]
Summary
Childhood obesity has become a major public health problem [1]. Overweight and obese children present deficient gait patterns [2], insufficient postural control [3], increased forces/impacts applied to the lower extremities [4], lower extremity mal-alignment [5], and reduced bone mineral density, which may lead to increased incidence of overuse injuries and bone fractures [6]. Childhood obesity is mainly associated with reduced physical functioning and disability, which implies a negative impact on daily activities [7]. Intervention programs during childhood may provide an opportunity to improve functioning and decrease disability, to optimize health, and to prevent chronic diseases related to inactivity. Physical activity intervention programs may improve obese children’s gross motor quotient and locomotor skills acquisition; factors which are critical in physical activity participation during later childhood and adolescence, and for reducing their higher risk for overuse injuries and exercise-related pain [8,9]. Multiple musculoskeletal discomfort and pain associated with physical activity may seriously decrease the motivation to exercise and limit the performance of obese children during locomotion [9,10]. It is important to identify the associations among childhood obesity, gait pattern, physical activity/inactivity, and intervention programs [11]
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