Obesity Impact on the Attentional Cost for Controlling Posture 英文参考文献.docVIP

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Obesity Impact on the Attentional Cost for Controlling Posture 英文参考文献.doc

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Obesity Impact on the Attentional Cost for Controlling Posture 英文参考文献

ObesityImpactontheAttentionalCostforControlling Posture Jean-BaptisteMignardot1,2*,IsabelleOlivier1,EmmanuelPromayon2,VincentNougier1 1LaboratoireTIMC-IMAG,TeamSPM(Sante′ –Plasticite′ –Motricite′),UMRUJF-CNRS5525,LaTronche,France,2LaboratoireTIMC-IMAG,TeamGMCAO(GesteMe′dicaux ChirurgicauxAssiste′s parOrdinateur),UMRUJF-CNRS5525,LaTronche,France Abstract Background:Thisstudyinvestigatedtheeffectsofobesityonattentionalresourcesallocatedtoposturalcontrolinseating andunipedalstanding. Methods: Ten non obese adults (BMI=22.461.3, age=42.4615.1) and 10 obese adult patients (BMI=35.262.8, age=46.2619.6) maintained postural stability on a force platform in two postural tasks (seated and unipedal). The two posturaltaskswereperformed(1)aloneand(2)inadual-taskparadigmincombinationwithanauditoryreactiontimetask (RT). Performing the RT task together with the postural one was supposed to require some attentional resources that allowedestimatingtheattentionalcostofposturalcontrol.4trialswereperformedineachconditionforatotalof16trials. Findings:(1)Whereasseatednonobeseandobesepatientsexhibitedsimilarcentreoffootpressureoscillations(CoP),in the unipedal stance only obese patients strongly increased their CoP sway in comparison to controls. (2) Whatever the posturaltask,theadditionalRTtaskdidnotaffectposturalstability.(3)Seated,RTdidnotdifferbetweenthetwogroups.(4) RTstronglyincreasedbetweenthetwoposturalconditionsintheobesepatientsonly,suggestingthatbodyschemaand theuseofinternalmodelswasalteredwithobesity. Interpretation:Obesepatientsneededmoreattentionalresourcestocontrolposturalstabilityduringunipedalstancethan nonobeseparticipants.Thiswasnotthecaseinamoresimpleposturesuchasseating.Toreducetheriskoffallasindicated bythecriticalvaluesofCoPdisplacement,obesepatientsmustdedicateastronglargepartoftheirattentionalresourcesto posturalcontrol,tothedetrimentofnon-posturalevents.Obesepatientswerenotabletoeasilyperformmultitaskingas healthyadultsdo,reflectingweakenedpsycho-motorabili