Differences in spinal postures and mobility among adults with Prader-Willi syndrome, essential obesity, and normal-weight individuals

Bayartai, Munkh-Erdene; Luomajoki, Hannu; Tringali, Gabriella; De Micheli, Roberta; Grugni, Graziano; Sartorio, Alessandro

doi:10.3389/fendo.2023.1235030

Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-28948

Publication type:	Article in scientific journal
Type of review:	Peer review (publication)
Title:	Differences in spinal postures and mobility among adults with Prader-Willi syndrome, essential obesity, and normal-weight individuals
Authors:	Bayartai, Munkh-Erdene Luomajoki, Hannu Tringali, Gabriella De Micheli, Roberta Grugni, Graziano Sartorio, Alessandro
et. al:	No
DOI:	10.3389/fendo.2023.1235030 10.21256/zhaw-28948
Published in:	Frontiers in Endocrinology
Volume(Issue):	14
Issue:	1235030
Issue Date:	Sep-2023
Publisher / Ed. Institution:	Frontiers Research Foundation
ISSN:	1664-2392
Language:	English
Subjects:	Prader-Willi syndrome; Adults; Mobility; Spinal posture; Syndromic obesity
Subject (DDC):	616: Internal medicine and diseases
Abstract:	Introduction: Spinal kinematics/motion are reported to be altered in adolescents and adults with essential obesity, while no information is available in patients with Prader-Willi syndrome so far. The aim of this study was to examine cross-sectionally the characteristics of spinal postures and mobility in 34 patients with PWS, in 35 age- and sex-matched adults with essential obesity, and in 37 normal-weight individuals. Methods: Spinal posture and mobility were assessed using a radiation-free back scan, the Idiag M360 (Idiag, Fehraltorf, Switzerland). Differences in spinal posture and mobility between the three groups were determined using a two-way analysis of variance. Results: Adults with Prader-Willi syndrome had greater thoracic kyphosis [difference between groups (Δ) = 9.60, 95% CI 3.30 to 15.60, p = 0.001], less lumbar lordosis (Δ = -6.50, 95% CI -12.70 to -0.30, p = 0.03) as well as smaller lumbar and hip mobility than those with normal weight. Discussion: Although the characteristics of the spine in patients with Prader-Will syndrome appear to be similar to that found in subjects with essential obesity, Prader-Willi syndrome was found to influence lumbar movements more than thoracic mobility. These results provide relevant information about the characteristics of the spine in adults with Prader-Willi syndrome to be taken into careful consideration in the management of spinal conditions. These findings also highlight the importance of considering the musculoskeletal assessment of spinal postures and approaches targeting spinal and hip flexibility in adults with Prader-Willi syndrome.
URI:	https://digitalcollection.zhaw.ch/handle/11475/28948
Fulltext version:	Published version
License (according to publishing contract):	CC BY 4.0: Attribution 4.0 International
Departement:	School of Health Sciences
Organisational Unit:	Institute of Physiotherapy (IPT)
Appears in collections:	Publikationen Gesundheit

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Bayartai, M.-E., Luomajoki, H., Tringali, G., De Micheli, R., Grugni, G., & Sartorio, A. (2023). Differences in spinal postures and mobility among adults with Prader-Willi syndrome, essential obesity, and normal-weight individuals. Frontiers in Endocrinology, 14(1235030). https://doi.org/10.3389/fendo.2023.1235030

Bayartai, M.-E. et al. (2023) ‘Differences in spinal postures and mobility among adults with Prader-Willi syndrome, essential obesity, and normal-weight individuals’, Frontiers in Endocrinology, 14(1235030). Available at: https://doi.org/10.3389/fendo.2023.1235030.

M.-E. Bayartai, H. Luomajoki, G. Tringali, R. De Micheli, G. Grugni, and A. Sartorio, “Differences in spinal postures and mobility among adults with Prader-Willi syndrome, essential obesity, and normal-weight individuals,” Frontiers in Endocrinology, vol. 14, no. 1235030, Sep. 2023, doi: 10.3389/fendo.2023.1235030.

BAYARTAI, Munkh-Erdene, Hannu LUOMAJOKI, Gabriella TRINGALI, Roberta DE MICHELI, Graziano GRUGNI und Alessandro SARTORIO, 2023. Differences in spinal postures and mobility among adults with Prader-Willi syndrome, essential obesity, and normal-weight individuals. Frontiers in Endocrinology. September 2023. Bd. 14, Nr. 1235030. DOI 10.3389/fendo.2023.1235030

Bayartai, Munkh-Erdene, Hannu Luomajoki, Gabriella Tringali, Roberta De Micheli, Graziano Grugni, and Alessandro Sartorio. 2023. “Differences in Spinal Postures and Mobility among Adults with Prader-Willi Syndrome, Essential Obesity, and Normal-Weight Individuals.” Frontiers in Endocrinology 14 (1235030). https://doi.org/10.3389/fendo.2023.1235030.

Bayartai, Munkh-Erdene, et al. “Differences in Spinal Postures and Mobility among Adults with Prader-Willi Syndrome, Essential Obesity, and Normal-Weight Individuals.” Frontiers in Endocrinology, vol. 14, no. 1235030, Sept. 2023, https://doi.org/10.3389/fendo.2023.1235030.