Adding Weight Shift Training to Weight Reduction Decreases the Risk of Falling in Obese Women

Abstract

OBJECTIVE: The aim of this study was to examine the effect of adding weight shift training to a weight loss program on the risk of falling, fear of falling, overall stability, anteroposterior stability, mediolateral stability, and isometric knee torque in young obese women. DESIGN: A single-blinded, randomized controlled study was performed. Sixty women, 18 to 46 yrs old, were randomly assigned either to the study or the control group. The participants in the study group were given weight-shifting training plus a weight reduction program; the control group received only a weight-reduction program. The interventions were performed for 12 wks. At baseline and after 12 wks of training, the risk of falling, fear of falling, overall stability, anteroposterior stability, mediolateral stability, and isometric knee torque were all examined. RESULTS: There were statistically significant differences in risk of falling, fear of falling, isometric knee torque, and overall, anteroposterior, and mediolateral stability indices, in favor of the study group, after 3 mos of training ( P < 0.001). CONCLUSIONS: Weight shift training combined with weight reduction was more beneficial than weight reduction alone in decreasing the risk of falling and fear of falling and improving isometric knee torque and overall, anteroposterior, and mediolateral stability indices. It could be used for treating balance problems and weakness around the knee joint in obese women. TO CLAIM CME CREDITS: Complete the self-assessment activity and evaluation online at http://www.physiatry.org/JournalCME. CME OBJECTIVES: Upon completion of this article, the reader should be able to: (1) Determine the impact of weight shift training on risk of falling and postural stability in obese women; (2) Identify the effect of weight shift training on fear of falling in adult women with obesity; and (3) Verify the additive effect of weight shift training to weight reduction program vs. weight reduction program alone on muscle strength in young obese women. LEVEL: Advanced. ACCREDITATION: The Association of Academic Physiatrists is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.The Association of Academic Physiatrists designates this Journal-based CME activity for a maximum of 1.0 AMA PRA Category 1 Credit(s) ™. Physicians should only claim credit commensurate with the extent of their participation in the activity.