Influence of Body Composition on Gait Kinetics throughout Pregnancy and Postpartum Period
Marco Branco
Neuromechanics of Human Movement Research Group, Interdisciplinary Centre for the Study of Human Performance (CIPER), Faculty of Human Kinetics, Estrada da Costa, 1499-002 Cruz Quebrada-Dafundo, Portugal
Polytechnic Institute of Santarém-Sport Sciences School of Rio Maior (IPS-ESDRM), Avenida Dr. Mário Soares 110, 2040-413 Rio Maior, Portugal
Search for more papers by this authorCorresponding Author
Rita Santos-Rocha
Neuromechanics of Human Movement Research Group, Interdisciplinary Centre for the Study of Human Performance (CIPER), Faculty of Human Kinetics, Estrada da Costa, 1499-002 Cruz Quebrada-Dafundo, Portugal
Polytechnic Institute of Santarém-Sport Sciences School of Rio Maior (IPS-ESDRM), Avenida Dr. Mário Soares 110, 2040-413 Rio Maior, Portugal
Search for more papers by this authorFilomena Vieira
Neuromechanics of Human Movement Research Group, Interdisciplinary Centre for the Study of Human Performance (CIPER), Faculty of Human Kinetics, Estrada da Costa, 1499-002 Cruz Quebrada-Dafundo, Portugal
Faculty of Human Kinetics, University of Lisbon (UL-FMH), Estrada da Costa, 1499-002 Cruz Quebrada-Dafundo, Portugal ul.pt
Search for more papers by this authorMaria-Raquel Silva
Faculty of Health Sciences, University Fernando Pessoa, Rua Carlos da Maia 296, 4200-150 Porto, Portugal ufp.pt
Research Centre for Anthropology and Health, University of Coimbra, Calçada Martim de Freitas, 3000-456 Coimbra, Portugal uc.pt
Institute of Environmental Health, University of Lisbon (UL-FML), Avenida Professor Egas Moniz, 1649-028 Lisboa, Portugal ul.pt
Search for more papers by this authorLiliana Aguiar
Neuromechanics of Human Movement Research Group, Interdisciplinary Centre for the Study of Human Performance (CIPER), Faculty of Human Kinetics, Estrada da Costa, 1499-002 Cruz Quebrada-Dafundo, Portugal
Faculty of Human Kinetics, University of Lisbon (UL-FMH), Estrada da Costa, 1499-002 Cruz Quebrada-Dafundo, Portugal ul.pt
Search for more papers by this authorAntónio P. Veloso
Neuromechanics of Human Movement Research Group, Interdisciplinary Centre for the Study of Human Performance (CIPER), Faculty of Human Kinetics, Estrada da Costa, 1499-002 Cruz Quebrada-Dafundo, Portugal
Faculty of Human Kinetics, University of Lisbon (UL-FMH), Estrada da Costa, 1499-002 Cruz Quebrada-Dafundo, Portugal ul.pt
Search for more papers by this authorMarco Branco
Neuromechanics of Human Movement Research Group, Interdisciplinary Centre for the Study of Human Performance (CIPER), Faculty of Human Kinetics, Estrada da Costa, 1499-002 Cruz Quebrada-Dafundo, Portugal
Polytechnic Institute of Santarém-Sport Sciences School of Rio Maior (IPS-ESDRM), Avenida Dr. Mário Soares 110, 2040-413 Rio Maior, Portugal
Search for more papers by this authorCorresponding Author
Rita Santos-Rocha
Neuromechanics of Human Movement Research Group, Interdisciplinary Centre for the Study of Human Performance (CIPER), Faculty of Human Kinetics, Estrada da Costa, 1499-002 Cruz Quebrada-Dafundo, Portugal
Polytechnic Institute of Santarém-Sport Sciences School of Rio Maior (IPS-ESDRM), Avenida Dr. Mário Soares 110, 2040-413 Rio Maior, Portugal
Search for more papers by this authorFilomena Vieira
Neuromechanics of Human Movement Research Group, Interdisciplinary Centre for the Study of Human Performance (CIPER), Faculty of Human Kinetics, Estrada da Costa, 1499-002 Cruz Quebrada-Dafundo, Portugal
Faculty of Human Kinetics, University of Lisbon (UL-FMH), Estrada da Costa, 1499-002 Cruz Quebrada-Dafundo, Portugal ul.pt
Search for more papers by this authorMaria-Raquel Silva
Faculty of Health Sciences, University Fernando Pessoa, Rua Carlos da Maia 296, 4200-150 Porto, Portugal ufp.pt
Research Centre for Anthropology and Health, University of Coimbra, Calçada Martim de Freitas, 3000-456 Coimbra, Portugal uc.pt
Institute of Environmental Health, University of Lisbon (UL-FML), Avenida Professor Egas Moniz, 1649-028 Lisboa, Portugal ul.pt
Search for more papers by this authorLiliana Aguiar
Neuromechanics of Human Movement Research Group, Interdisciplinary Centre for the Study of Human Performance (CIPER), Faculty of Human Kinetics, Estrada da Costa, 1499-002 Cruz Quebrada-Dafundo, Portugal
Faculty of Human Kinetics, University of Lisbon (UL-FMH), Estrada da Costa, 1499-002 Cruz Quebrada-Dafundo, Portugal ul.pt
Search for more papers by this authorAntónio P. Veloso
Neuromechanics of Human Movement Research Group, Interdisciplinary Centre for the Study of Human Performance (CIPER), Faculty of Human Kinetics, Estrada da Costa, 1499-002 Cruz Quebrada-Dafundo, Portugal
Faculty of Human Kinetics, University of Lisbon (UL-FMH), Estrada da Costa, 1499-002 Cruz Quebrada-Dafundo, Portugal ul.pt
Search for more papers by this authorAbstract
Pregnancy leads to several changes in body composition and morphology of women. It is not clear whether the biomechanical changes occurring in this period are due exclusively to body composition and size or to other physiological factors. The purpose was to quantify the morphology and body composition of women throughout pregnancy and in the postpartum period and identify the contribution of these parameters on the lower limb joints kinetic during gait. Eleven women were assessed longitudinally, regarding anthropometric, body composition, and kinetic parameters of gait. Body composition and body dimensions showed a significant increase during pregnancy and a decrease in the postpartum period. In the postpartum period, body composition was similar to the 1st trimester, except for triceps skinfold, total calf area, and body mass index, with higher results than at the beginning of pregnancy. Regression models were developed to predict women’s internal loading through anthropometric variables. Four models include variables associated with the amount of fat; four models include variables related to overall body weight; three models include fat-free mass; one model includes the shape of the trunk as a predictor variable. Changes in maternal body composition and morphology largely determine kinetic dynamics of the joints in pregnant women.
References
- 1 Tenenbaum-Gavish K. and Hod M., Impact of maternal obesity on fetal health, Fetal Diagnosis and Therapy. (2013) 34, no. 1, 1–7, https://doi.org/10.1159/000350170, 2-s2.0-84880571038.
- 2 Leddy M. A., Power M. L., and Schulkin J., The impact of maternal obesity on maternal and fetal health, Reviews in Obstetrics & Gynecology. (2008) 1, no. 4, 170–178.
- 3 Institute of Medicine and National Research Council of the National Academies, Weight Gain During Pregnancy: Reexamining the Guidelines, 2009, The National Academies Press, Washington, DC, USA, Edited by K. M. Rasmussen and A. L. Yaktine.
- 4 Silva M.-R. G. and Bellotto M. L., Nutritional requirements for maternal and newborn health, Current Women′s Health Reviews. (2015) 11, no. 1, 41–50.
- 5 Kopp-Hoolihan L. E., Van Loan M. D., Wong W. W., and King J. C., Fat mass deposition during pregnancy using a four-component model, Journal of Applied Physiology. (1999) 87, no. 1, 196–202, 2-s2.0-0032779826.
- 6 Soltani H. and Fraser R. B., A longitudinal study of maternal anthropometric changes in normal weight, overweight and obese women during pregnancy and postpartum, British Journal of Nutrition. (2000) 84, no. 1, 95–101, https://doi.org/10.1017/S0007114500001276, 2-s2.0-0033861810.
- 7 Larciprete G., Valensise H., Vasapollo B., Altomare F., Sorge R., Casalino B., De Lorenzo A., and Arduini D., Body composition during normal pregnancy: reference ranges, Acta Diabetologica. (2003) 40, no. 1, S225–S232, https://doi.org/10.1007/s00592-003-0072-4, 2-s2.0-0142240198.
- 8 Thame M., Trotman H., Osmond C., Fletcher H., and Antoine M., Body composition in pregnancies of adolescents and mature women and the relationship to birth anthropometry, European Journal of Clinical Nutrition. (2007) 61, no. 1, 47–53, https://doi.org/10.1038/sj.ejcn.1602484, 2-s2.0-33845527929.
- 9 Straughen J. K., Trudeau S., and Misra V. K., Changes in adipose tissue distribution during pregnancy in overweight and obese compared with normal weight women, Nutrition and Diabetes. (2013) 3, article e84, https://doi.org/10.1038/nutd.2013.25, 2-s2.0-84883480515.
- 10 Pérez A., Murillo C., Hernández R., and Herrera H. A., Circumferences to evaluate changes in body mass and amount of total fat of women in second and third trimester of pregnancy, Nutricion Hospitalaria. (2010) 25, no. 4, 662–668, https://doi.org/10.3305/nh.2010.25.4.4467, 2-s2.0-77954779022.
- 11 Piperata B. A., Dufour D. L., Reina J. C., and Spurr G. B., Anthropometric characteristics of pregnant women in Cali, Colombia and relationship to birth weight, American Journal of Human Biology. (2002) 14, no. 1, 29–38, https://doi.org/10.1002/ajhb.10001, 2-s2.0-0036141821.
- 12 López L. B., Calvo E. B., Poy M. S., del Valle Balmaceda Y., and Cámera K., Changes in skinfolds and mid-upper arm circumference during pregnancy in Argentine women, Maternal and Child Nutrition. (2011) 7, no. 3, 253–262, https://doi.org/10.1111/j.1740-8709.2009.00237.x, 2-s2.0-79959458022.
- 13 Ganley K. J. and Powers C. M., Determination of lower extremity anthropometric parameters using dual energy X-ray absorptiometry: the influence on net joint moments during gait, Clinical Biomechanics. (2004) 19, no. 1, 50–56, https://doi.org/10.1016/j.clinbiomech.2003.08.002, 2-s2.0-0344514658.
- 14 Rao G., Amarantini D., Berton E., and Favier D., Influence of body segments′ parameters estimation models on inverse dynamics solutions during gait, Journal of Biomechanics. (2006) 39, no. 8, 1531–1536, https://doi.org/10.1016/j.jbiomech.2005.04.014, 2-s2.0-33646414792.
- 15 Silva M. P. T. and Ambrósio J. A. C., Sensitivity of the results produced by the inverse dynamic analysis of a human stride to perturbed input data, Gait and Posture. (2004) 19, no. 1, 35–49, https://doi.org/10.1016/S0966-6362(03)00013-4, 2-s2.0-0346671106.
- 16 Jensen R. K., Doucet S., and Treitz T., Changes in segment mass and mass distribution during pregnancy, Journal of Biomechanics. (1996) 29, no. 2, 251–256, https://doi.org/10.1016/0021-9290(95)00042-9, 2-s2.0-0030087833.
- 17 Stewart A., Marfell-Jones M., Olds T., and de Ridder H., International Standards for Anthropometric Assessment, 2011, ISAK, Lower Hutt, New Zealand.
- 18 Durnin J. V. G. A. and Womersley J., Body fat assessed from total body density and its estimation from skinfold thickness: measurements on 481 men and women aged from 16 to 72 years, British Journal of Nutrition. (1974) 32, no. 1, 79–97, 2-s2.0-0016176101.
- 19 Frisancho A. R., Anthropometric Standards: An Interactive Nutritional Reference of Body Size and Body Composition for Children and Adults, 2011, 4th edition, The University of Michigan Press, Ann Arbor, Mich, USA.
- 20
Hamill J.,
Selbie W. S., and
Kepple T. M., D. G. E. Robertson, G. E. Caldwell, J. Hamill, G. Kamen, and S. N. Whittlesey, Three-dimensional kinematics, Research Methods in Biomechanics, 2014, 2nd edition, Human Kinetics, Champaign, Ill, USA, 35–59.
10.5040/9781492595809.ch-002 Google Scholar
- 21 Branco M., Santos-Rocha R., Aguiar L., Vieira F., and Veloso A., Kinematic analysis of gait in the second and third trimesters of pregnancy, Journal of Pregnancy. (2013) 2013, 9, 718095, https://doi.org/10.1155/2013/718095, 2-s2.0-84874597673.
- 22 Branco M., Santos-Rocha R., Aguiar L., Vieira F., and Veloso A. P., Kinetic analysis of gait in the second and third trimesters of pregnancy, Journal of Mechanics in Medicine and Biology. (2015) 1650055, https://doi.org/10.1142/s021951941650055x.
- 23 Stevens J., Applied Multivariate Statistics for the Social Sciences, 2009, 5th edition, Routledge, New York, NY, USA.
- 24 Guedes D. P. and Guedes J. E. R. P., Manual Prático para Avaliação em Educação Física, 2006, Editora Manole, S. Paulo, Brazil.
- 25 Branco M., Santos-Rocha R., Vieira F., Aguiar L., and Veloso A. P., Three-dimensional kinetic adaptations of gait throughout pregnancy and postpartum, Scientifica. (2015) 2015, 14, 580374, https://doi.org/10.1155/2015/580374.
- 26 Berggren E. K., Presley L., Amini S. B., Hauguel-de Mouzon S., and Catalano P. M., Are the metabolic changes of pregnancy reversible in the first year postpartum?, Diabetologia. (2015) 58, no. 7, 1561–1568, https://doi.org/10.1007/s00125-015-3604-x.
- 27 Widen E. M., Factor-Litvak P. R., Gallagher D., Paxton A., PiersonR. N.Jr., Heymsfield S. B., and Lederman S. A., The pattern of gestational weight gain is associated with changes in maternal body composition and neonatal size, Maternal and Child Health Journal. (2015) 19, no. 10, 2286–2294, https://doi.org/10.1007/s10995-015-1747-5.
- 28 Andres A., Hull H. R., Shankar K., Casey P. H., Cleves M. A., and Badger T. M., Longitudinal body composition of children born to mothers with normal weight, overweight, and obesity, Obesity. (2015) 23, no. 6, 1252–1258, https://doi.org/10.1002/oby.21078.
- 29 Gunderson E. P., Hurston S. R., Dewey K. G., Faith M. S., Charvat-Aguilar N., Khoury V. C., Nguyen V. T., and Quesenberry C. P., The study of women, infant feeding and type 2 diabetes after GDM pregnancy and growth of their offspring (SWIFT Offspring study): prospective design, methodology and baseline characteristics, BMC Pregnancy & Childbirth. (2015) 15, article 150, https://doi.org/10.1186/s12884-015-0587-z.