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The impact of body mass index on the spinopelvic parameters in asymptomatic young adults

Author: 
The impact of body mass index on the spinopelvic parameters in asymptomatic young adults
Subject Area: 
Health Sciences
Abstract: 

Objective: Obesity is recognized as a major public health problem and is associated with various musculoskeletal disorders including impairment of the spine. The initial aim of this work was to investigate the correlations between body mass index (BMI) and spinopelvic parameters (pelvic tilt, sacral slope, and pelvic incidence) in a large population of healthy young adults. Materials and Methods: This study analysed a total of 156(105 male and 51 female), healthy adult adults. For each subject, a record was made of age, gender and BMI (weight in kilograms divided by the square of height in meters). Standing lateral radiographs of the lumbosacral region were taken to obtain the spinopelvic parameters of pelvictilt, sacralslope, and pelvic incidence. The correlations between BMI and spinopelvic parameters were analysed. Results: The intra observer concordance was calculated for each measured parameter and was found to be excellent, giving an intra class correlation coefficient of 0.97. The mean age of the patients was 26.8 ± 5.2 years. The mean BMI was25.80 ± 4.02 kg/m2. Sixty three (40.4 %) patients were normal weight, 72 (46.2%) patients were overweight, and21(13.4 %) patients were obese (BMI >30). A statistically significant difference was found between the pelvictilt, pelvicincidence and sacralslope measurements and BMI measurements (p<0.01). Conclusion: Obesity is associated with a statistically significant increase in the spinopelvic parameters that reach statistically significant difference. Preventing obesity may also prevent the degenerative problems associated with excessive loading on the lumbosacral junction.

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DR. M. ARUNA
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Anam Bhatti
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