Relationship between body weight and spinopelvic alignment in Chinese adult people: A preliminary study

2020 ◽  
Author(s):  
Qing Xi Zhang ◽  
Fu Qiang Gao ◽  
Yun Ting Wang ◽  
Zi Rong Li ◽  
Ozaki Koji ◽  
...  
Keyword(s):  
Body Weight ◽  
Strong Correlation ◽  
The Body ◽  
Sacral Slope ◽  
Female Group ◽  
Spinopelvic Parameters ◽  
Sagittal Abdominal Diameter ◽  
Spinopelvic Alignment ◽  
Chinese Adult ◽  
Adult Volunteers

Abstract Background: The purpose of this study is to evaluate the correlation between spinopelvicalignment and the body weight parameters in healthy Chinese adult volunteers. That has not been systematically studied yet. Methods: 100 Chinese healthy adult volunteers (36 males and 64 females) were included in this study, which grouped according to the gender. The obesity parameters, body mass index (BMI), waist circumference (WC), sagittal abdominal diameter (SAD), transverse abdominal diameter (TAD) and RR (the ratio of SAD to TAD) were measured. The sagittal spinopelvic parameters include pelvic incidence (PI), pelvic tilt (PT), pelvic angulation (PA), sacral slope (SS), sacral inclination (SI), lumbar lordosis (LL) and the disc angle of L5/S1. The coronal spinopelvic parameters include the Cobb angle of the major curve of the spine, lumbar scoliosis (LS) and pelvic obliquity (PO). Pearson's correlation analysis was used to determine correlations between obesity index and spinopelvic alignment parameters. Results: The mean BMI and WC of the males and females was 28.7 ± 3.7 kg/m2 vs 26.8 ± 2.3 kg/m2 and 88.39 ± 9 cm vs 82.6 ± 2.7 cm respectively. In the female group, a strong correlation was found between BMI and PI, WC and PT, WC and PI. However, there was no strong correlation between the obesity and spinopelvic alignment parameters in the male group. None of the coronal spinopelvic parameters showed a correlation with the obesity parameters in two groups. The RR showed a positive linear correlation with PA and PT in both groups. Conclusions: Body weight could influence the spinopelvic alignment,especially for females. People with abdominal obesity, the sagittal spinopelvic alignment is likely to change. But there is little effect on the coronal spinopelvic alignment.

scholarly journals Relationship between bodyweight and spinopelvic alignment in Chinese adult people: A pilot study

2020 ◽  
Author(s):  
QingXi Zhang ◽  
FuQiang Gao ◽  
YunTing Wang ◽  
ZiRong Li ◽  
Ozaki Koji ◽  
...  
Keyword(s):  
Pilot Study ◽  
Strong Correlation ◽  
Sacral Slope ◽  
Spinopelvic Parameters ◽  
Sagittal Abdominal Diameter ◽  
Spinopelvic Alignment ◽  
Chinese Adult ◽  
Positive Linear Correlation ◽  
Males And Females ◽  
Adult Volunteers

Abstract Background: With the increase of people in obesity, which may affect the alignment of spinopelvic, we designed this study. The purpose of this study is to evaluate the correlation between spinal alignment and the bodyweight parameters in healthy Chinese adult volunteers. That has not been systematically studied yet. Methods: This pilot study included 100 Chinese healthy adult volunteers (36 males and 64 females) who were grouped according to gender. The obesity parameters measured were body mass index (BMI), waist circumference (WC) , sagittal abdominal diameter (SAD), transverse abdominal diameter (TAD) and RR (the ratio of SAD to TAD). The sagittal spinopelvic parameters included Anchorpelvic incidence (PI), pelvic tilt (PT), pelvic angulation (PA), sacral slope (SS), sacral inclination (SI), lumbar lordosis (LL) and the disc angle of L5/S1. The coronal spinopelvic parameters included the Cobb angel of the major curve of the spine, lumbar scoliosis (LS) and pelvic obliquity (PO). Pearson’s correlation analysis was used. Results: The mean BMI of the males and females was 28.7 ± 3.7 kg/m2 and 26.8 ± 2.3 kg/m2 respectively; mean WC, 88.39 ± 9 cm and 82.6 ± 2.7 cm respectively. In the females, strong correlation was found between BMI and PI, WC and PT, and WC and PI. In the males, no strong correlation was found between the obesity and spinopelvic alignment parameters. RR showed a positive linear correlation with PA and PT in both groups. None of the coronal spinopelvic parameters showed a correlation with the obesity parameters in either group. Conclusions: BMI and WC had a strong influence on some spinopelvic parameters, especially in females. In individuals with abdominal obesity, the sagittal spinopelvic alignment is likely to change, but there is little effect on the coronal spinopelvic alignment.

scholarly journals Relationship between bodyweight and spinopelvic alignment in Chinese adult people: A pilot study

2019 ◽  
Author(s):  
QingXi Zhang ◽  
FuQiang Gao ◽  
YunTing Wang ◽  
ZiRong Li ◽  
Ozaki Koji ◽  
...  
Keyword(s):  
Pilot Study ◽  
Strong Correlation ◽  
Sacral Slope ◽  
Spinopelvic Parameters ◽  
Sagittal Abdominal Diameter ◽  
Spinopelvic Alignment ◽  
Chinese Adult ◽  
Positive Linear Correlation ◽  
Males And Females ◽  
Adult Volunteers

Abstract Background The purpose of this study is to evaluate the correlation between spinal alignment and the obesity parameters in healthy Chinese adult volunteers.Methods This pilot study included 100 Chinese healthy adult volunteers, 36 males and 64 females. The obesity parameters measured were BMI, waist circumference (WC), sagittal abdominal diameter (SAD), transverse abdominal diameter (TAD) and RR (the ratio of SAD to TAD). The sagittal spinopelvic parameters included pelvic incidence (PI), pelvic tilt (PT), pelvic angulation (PA), sacral slope (SS), sacral inclination (SI), lumbar lordosis (LL) and the disc angle of L5/S1. The coronal spinopelvic parameters included the Cobb angel of the major curve of the spine, lumbar scoliosis (LS) and pelvic obliquity (PO).Results The mean BMI of the males and females was 28.7 ± 3.7 kg/m2 and 26.8 ± 2.3 kg/m2 respectively; mean WC, 88.39 ± 9 cm and 82.6 ± 2.7 cm respectively. In the females, strong correlation was found between BMI and PI, WC and PT, and WC and PI. In the males, no strong correlation was found between the obesity and spinopelvic alignment parameters. RR showed a positive linear correlation with PA and PT in both groups. None of the coronal spinopelvic parameters showed a correlation with the obesity parameters in either group.Conclusions BMI and WC had a strong influence on some spinopelvic parameters, but only in females. In individuals with abdominal obesity, the sagittal spinopelvic alignment is likely to change, however there is little effect on the coronal spinopelvic.

Effects of theabrownin on serum metabolites and gut microbiome in rats with a high-sugar diet

2019 ◽  
Vol 10 (11) ◽  
pp. 7063-7080 ◽  
Author(s):  
Suijuan Yue ◽  
Dan Zhao ◽  
Chunxiu Peng ◽  
Chao Tan ◽  
Qiuping Wang ◽  
...  
Keyword(s):  
Body Weight ◽  
Gut Microbiota ◽  
Gut Microbiome ◽  
Strong Correlation ◽  
The Body ◽  
Serum Metabolites ◽  
High Sugar

In a high sugar diet mode, TB reduced the body weight and TG and improved HOMA-IR mainly by targeting the gut microbiota. A strong correlation between cecal microorganisms and serum metabolites, obesity and HOMA-IR was observed.

Implications of Spinopelvic Alignment for the Spine Surgeon

Neurosurgery ◽  
2011 ◽  
Vol 70 (3) ◽  
pp. 707-721 ◽  
Author(s):  
Vivek A. Mehta ◽  
Anubhav Amin ◽  
Ibrahim Omeis ◽  
Ziya L. Gokaslan ◽  
Oren N. Gottfried
Keyword(s):  
Sagittal Balance ◽  
Lumbar Lordosis ◽  
Pelvic Incidence ◽  
Degenerative Spondylolisthesis ◽  
Disease Process ◽  
Sacral Slope ◽  
Sagittal Imbalance ◽  
Spinopelvic Parameters ◽  
Spinopelvic Alignment ◽  
Spinopelvic Balance

Abstract The relation of the pelvis to the spine has previously been overlooked as a contributor to sagittal balance. However, it is now recognized that spinopelvic alignment is important to maintain an energy-efficient posture in normal and disease states. The pelvis is characterized by an important anatomic landmark, the pelvic incidence (PI). The PI does not change after adolescence, and it directly influences pelvic alignment, including the parameters of pelvic tilt (PT) and sacral slope (SS) (PI = PT 1 SS), overall sagittal spinal balance, and lumbar lordosis. In the setting of an elevated PI, the spineadapts with increased lumbar lordosis. To prevent or limit sagittal imbalance, the spine may also compensate with increased PT or pelvic retroversion to attempt to maintain anupright posture. Abnormal spinopelvic parameters contribute to multiple spinal conditions including isthmic spondylolysis, degenerative spondylolisthesis, deformity, and impact outcome after spinal fusion. Sagittal balance, pelvic incidence, and all spinopelvic parameters are easily and reliably measured on standing, full-spine (lateral) radiographs, and it is essential to accurately assess and measure these sagittal values to understand their potential role in the disease process, and to promote spinopelvic balance at surgery. In this article, we provide a comprehensive review of the literature regarding the implications of abnormal spinopelvic parameters and discuss surgical strategies for correction of sagittal balance. Additionally, the authors rate and critique the quality of the literature cited in a systematic review approach to give the reader an estimate of the veracity of the conclusions reached from these reports.

Implications of Spinopelvic Alignment for the Spine Surgeon

Neurosurgery ◽  
2011 ◽  
Vol 76 (suppl_1) ◽  
pp. S42-S56 ◽  
Author(s):  
Vivek A. Mehta ◽  
Anubhav Amin ◽  
Ibrahim Omeis ◽  
Ziya L. Gokaslan ◽  
Oren N. Gottfried
Keyword(s):  
Sagittal Balance ◽  
Lumbar Lordosis ◽  
Pelvic Incidence ◽  
Degenerative Spondylolisthesis ◽  
Disease Process ◽  
Sacral Slope ◽  
Sagittal Imbalance ◽  
Spinopelvic Parameters ◽  
Spinopelvic Alignment ◽  
Spinopelvic Balance

Abstract The relation of the pelvis to the spine has previously been overlooked as a contributor to sagittal balance. However, it is now recognized that spinopelvic alignment is important to maintain an energy-efficient posture in normal and disease states. The pelvis is characterized by an important anatomic landmark, the pelvic incidence (PI). The PI does not change after adolescence, and it directly influences pelvic alignment, including the parameters of pelvic tilt (PT) and sacral slope (SS) (PI = PT 1 SS), overall sagittal spinal balance, and lumbar lordosis. In the setting of an elevated PI, the spineadapts with increased lumbar lordosis. To prevent or limit sagittal imbalance, the spine may also compensate with increased PT or pelvic retroversion to attempt to maintain anupright posture. Abnormal spinopelvic parameters contribute to multiple spinal conditions including isthmic spondylolysis, degenerative spondylolisthesis, deformity, and impact outcome after spinal fusion. Sagittal balance, pelvic incidence, and all spinopelvic parameters are easily and reliably measured on standing, full-spine (lateral) radiographs, and it is essential to accurately assess and measure these sagittal values to understand their potential role in the disease process, and to promote spinopelvic balance at surgery. In this article, we provide a comprehensive review of the literature regarding the implications of abnormal spinopelvic parameters and discuss surgical strategies for correction of sagittal balance. Additionally, the authors rate and critique the quality of the literature cited in a systematic review approach to give the reader an estimate of the veracity of the conclusions reached from these reports.

scholarly journals Correlation between body weight and postural control in healthy individuals using sway meter

2019 ◽  
Vol 16 (2) ◽  
pp. 36-41
Author(s):  
Tharani G ◽  
Vedha Varshini M G ◽  
Senthil Nathan C V ◽  
Mohan Kumar G ◽  
Kamatchi K
Keyword(s):  
Body Weight ◽  
Postural Control ◽  
Body Mass ◽  
Strong Correlation ◽  
Daily Living ◽  
Postural Sway ◽  
The Body ◽  
Healthy Individuals ◽  
Eyes Closed ◽  
Anterior Posterior

BACKGROUND: Postural control is critical for ensuring a safety activity of daily living. Individuals with poor stability are more prone to fall while doing activities of daily living. A certain level of sway is essentially present due to small perturbation within the body during shifting body weight from one to other foot, breathing, etc. The purpose of this study was to analyze the correlation between body mass and postural control in normal, lean and obese individual. AIMS: to analyze the correlation between body mass and postural control in healthy individuals using sway meter. MATERIALS AND METHODS: This is an observational study done with 75 participants. Both male and female healthy individuals between 18-23 years were included in this study. Individuals with any musculoskeletal injuries, neurological conditions, peripheral artery disease and pregnant women were excluded from the study. BMI of each participant was calculated and assigned into three groups. Group A-lean, group B-normal and group C-obese. Postural control was analyzed for each group by using sway meter; level of postural sway was compared between groups A, B C. RESULTS: On comparing mean values of groups A, B and C there was a positive association and strong correlation between body mass index and postural control with eye open and eye closed in anterior, posterior and postural sway towards left between the groups at (P 0.05). However, there was a negative association and weak correlation between BMI and postural control with eye open eye closed in postural sway towards right between the groups at (P 0.05). CONCLUSIONS: This study reveals that there is strong correlation between BMI and postural control. Subjects in eyes closed and eyes opened conditions showed sway in anterior, posterior and left directions but there was less sway towards right side direction.

scholarly journals The effect of pedicle subtraction osteotomy for the correction of severe Scheuermann thoracolumbar kyphosis on sagittal spinopelvic alignment

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Guanfeng Lin ◽  
Shengru Wang ◽  
Yang Yang ◽  
Zhe Su ◽  
You Du ◽  
...  
Keyword(s):  
Pedicle Screw ◽  
Pedicle Subtraction Osteotomy ◽  
Sacral Slope ◽  
Thoracolumbar Kyphosis ◽  
Spinopelvic Parameters ◽  
Pedicle Screw Instrumentation ◽  
Spinopelvic Alignment ◽  
Significant Difference ◽  
Post Operation

Abstract Purpose To analyze how pedicle subtraction osteotomy (PSO) treatment of severe Scheuermann thoracolumbar kyphosis (STLK) using pedicle screw instrumentation affects sagittal spinopelvic parameters. Background The medical literature on the post-surgical effects of treatments such as Ponte osteotomy is limited, but suggests few effects on spinopelvic profiles. Currently, there is no research regarding changes in sagittal spinopelvic alignment upon PSO treatment in STLK patients. Methods We performed a retrospective study on 11 patients with severe STLK. These patients underwent posterior-only correction surgeries with PSO and pedicle screw instrumentation between 2012 to 2017 in a single institute. Patients were measured for the following spinopelvic parameters: global kyphosis (GK), thoracic kyphosis (TK), thoracolumbar kyphosis (TL), lumbar lordosis (LL), sagittal vertical axis (SVA), pelvic incidence (PI), pelvic tile (PT), sacral slope (SS), and administered a Scoliosis Research Society-22 questionnaire (SRS-22) pre-operation, post-operation and at final follow-up. Results GK improved from a median of 74.1° to 40.0° after surgery, achieving a correction rate of 48.8% with a median correction loss of 0.8°. TK, TL and LL all showed significant difference (P < 0.05) and SVA improved 22.7 (11.6, 30.9) mm post operation. No significant difference was found in pelvic parameters (PI, PT, SS, all P < 0.05). The absolute value of LL- PI significantly improved from a median of 26.5° pre-operation to 6.1° at the final follow-up. 72.7% in this series showed an evident trend of thoracic and lumbar apices migrating closer to ideal physiological segments after surgery. Self-reported scores of pain, self-image, and mental health from SRS-22 revealed significant improvement at final follow-up (all P < 0.05). Conclusions PSO treatment of severe STLK with pedicle screw instrumentation can improve spine alignment and help obtain a proper alignment of the spine and the pelvis.

scholarly journals Can a Nordic diet be implemented as a new strategy for successful long-term weight loss maintenance in subjects with obesity?

2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Lieselotte Cloetens ◽  
Åsa Sedin ◽  
Mona Landin-Olsson
Keyword(s):  
Weight Loss ◽  
Body Weight ◽  
Waist Circumference ◽  
Weight Change ◽  
Weight Maintenance ◽  
The Body ◽  
Sagittal Abdominal Diameter ◽  
Nordic Diet ◽  
Significant Difference

AbstractIntroductionA key problem in all weight-loss programs to fight obesity is the extent to which the body weight is maintained on a long-term basis. The study examines whether the 1-year consumption of healthy Nordic foods can result in better sustainable weight control compared to a control diet.Material and methodsAfter a successful 6-week VLCD period in obese subjects (n = 80, 52 ± 10y, BMI 34.4 ± 3.1 kg/m2, 69% female; 93% completers, -10.9 ± 3.0 kg, p < 0.001), the subjects were randomized to a new Nordic diet (NND) and a traditional Nordic diet (TND) group. The following 1-year period was a body weight maintenance period where the diets were implemented ad libitum. Weight, BMI, waist circumference and sagittal abdominal diameter were measured at 0 (immediately after VLCD), 6 and 12 months. Results are reported as mean ± SEM. Differences in the anthropometric parameters between the diets at different time points compared to the start of the dietary intervention were statistically evaluated using a general linear model (GLM-ANOVA, Minitab Inc.).ResultsForty-three subjects were randomized to NND and 37 to TND. In the NND group, 31 subjects completed the 6-month visit and 30 subjects 12-month visit. In the TND group, 24 and 21 completed 6-month and 12-month visit, respectively. We observed a non-significant difference in weight change at 6 months between NND (0.04 ± 0.87kg) and TND (2.65 ± 1.08kg). At 12 months, the weight change was significantly different between the diets (NND 1.94 ± 0.99 kg and TND 5.69 ± 1.41 kg, p = 0.029, R2 = 9.39). Change in the BMI at 12 months was significantly lower for NND (0.65 ± 0.33 kg/m2) compared to TND (1.87 ± 0.46 kg/m2, p = 0.034, R2 = 8.87) but not at 6 months (0.01 ± 0.30 kg/m2 for NND and 0.84 ± 0.36 kg/m2 for TND). Differences in waist circumference (at 6 months 0.26 ± 0.93 cm for NND and 3.30 ± 1.45 cm for TND; at 12 months 1.04 ± 1.01 cm for NND and 3.85 ± 1.79 cm for TND) were not statistically different. The sagittal abdominal diameter was borderline statistically different at 6 months (NND -0.28 ± 0.29 cm and TND 0.49 ± 0.22 cm, p = 0.049, R2 = 7.09) but not at 12 months (NND 0.41 ± 0.38 cm and TND 1.23 ± + 0.42cm).ConclusionResults show a tendency that the type of diet has an impact on successful weight maintenance, with a benefit for the NND. Further statistical analyses including dietary compliance and biomarkers are needed and will be performed. Moreover, the study is ongoing with a total of 2-year follow-up.

scholarly journals Food and water consumption in assessment of acute oral toxicity of HEPALIP FORTE in rats

2003 ◽  
Vol 3 (4) ◽  
pp. 47-53
Author(s):  
Maida Todić ◽  
Sanela Bakić ◽  
Begler Begović ◽  
Sanja Krošnjar ◽  
Irfan Zulić
Keyword(s):  
Body Weight ◽  
Statistical Analysis ◽  
Water Consumption ◽  
Toxicity Testing ◽  
The Body ◽  
Female Group ◽  
Test Substance ◽  
Control Groups ◽  
Significant Difference ◽  
Essential Phospholipids

Body weight variations during toxicological testing can be one of the indicators of the test substance toxic effects. Data on food and water consumption are true indicators of the rate of growth of experimental animals (Stevens & Gallo, 1989). Daily recording of the food and water consumption was done during the acute toxicity testing of HEPALIP FORTE. The study was performed on Wistar rats. The active component of HEPALIP FORTE is EPL substance--essential phospholipids, a natural substance present in every living cell. Essential phospholipids in combination with vitamins have been used in the treatment of liver diseases, dyslipoproteinaemias and intoxications accompanied with liver failure. Statistical analysis of the body weight variations was performed separately, for males and females. The analysis failed to show any significant difference between the groups. There was a significant difference in water consumption between the male group 2M and female groups 3F and 2F in comparison with control groups. Statistical analysis of the variations of food consumption showed a significant difference in all male groups in comparison with control groups, and only in the 3F female group in comparison with a control group. Considering the absence of lethality and the lack of significant influence of the test substance on animal body weights, we concluded that the test substance was not acutely toxic in rats, if applied orally, in single doses of 300 mg/kg, 500 mg/kg and 1000 mg/kg. Significant differences found in food and water consumption suggest a need of their during the future chronic toxicity testing.

scholarly journals TORACOLOMBAR BURST FRACTURES AND SPINOPELVIC BALANCE

2020 ◽  
Vol 19 (2) ◽  
pp. 133-136
Author(s):  
DANIEL COSTA ◽  
OSMAR AVANZI ◽  
MARIA FERNANDA SILBER CAFFARO ◽  
ALBERTO GOTFRYD ◽  
NELSON ASTUR ◽  
...  
Keyword(s):  
Lumbar Lordosis ◽  
Sacral Slope ◽  
Spinopelvic Parameters ◽  
Level Of Evidence ◽  
Thoracolumbar Burst Fractures ◽  
Spinopelvic Alignment ◽  
Burst Fractures ◽  
Spinopelvic Balance ◽  
Sagittal Parameters

ABSTRACT Objective To describe the spinopelvic parameters in patients with conservatively treated thoracolumbar burst fractures. Methods Twenty-six patients with thoracolumbar burst fractures treated conservatively between 2008 and 2017 participated in the study. Inclusion criteria were acute burst-type fractures, located between T11 and L2, which compromised a single vertebral segment, did not present a neurological deficit, and had a minimum of 6 months of follow-up, excluding injuries that presented distraction or rotation, pathological fractures, and surgically treated cases. The sagittal and spinopelvic alignment parameters, including vertical sagittal axis, sacral slope, pelvic tilt, pelvic incidence, lumbar lordosis, and regional kyphosis, were analyzed. Results The values obtained for the sample showed that there was an increase in regional kyphosis and that the mean sagittal parameters and lumbar lordosis were within the values considered normal in the literature. Conclusion Patients with thoracolumbar burst fractures treated conservatively had no alterations in the spinopelvic parameters. Level of Evidence II; Retrospective study.

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