Turkish Journal of Physiotherapy and Rehabilitation, cilt.35, sa.1, ss.13-19, 2024 (ESCI)
Purpose: The aim of the study is to investigate the difference of temporal-spatial parameters of gait (TSPG) in android and gynoid obese. Methods: A total of 103 individuals between the ages of 18-65 participated in the study. Body mass index (BMI); of normal (18.50-24.99 kg/m2) and obesity (≥30kg/m2), and waist/hip ratio (WHR) were evaluated. Obesity phenotype was determined according to WHR. Dynamic pedobarographic analysis of 43 android obese, 32 gynoid obese and 28 normal individuals evaluated the TSPG and compared them. Results: Significant differences were found between the three groups in step width (bilateral p<0.001), deceleration (right p=0.003; left p=0.008) and swing time (right p=0.032, left p=0.022). When comparing the obese groups, there was no significant difference in TSPG (p>0.016). It was found that the step width was higher in android obese than in normal individuals (p<0.001). It was observed that the step width (bilaterally p=0.001) was higher, deceleration (right p=0.001; left p=0.003) and swing time (bilaterally p=0.009) were less in gynoid obese compared to the normal individuals. In addition, it was observed that step length, cadence, acceleration, stance time and double support time were not significant (p>0.05). Conclusion: Our study shows that step width increases in both obesity phenotypes compared to normal individuals, swing time and deceleration decrease only in gynoid obese and total body fat ratio affects this. Our results revealed that obesity affects the temporal-spatial parameters of gait, but different obesity phenotypes have similar characteristics in terms of these parameters.