Correlation of BMI and Postural Balance Using Functional Stability Tests

Main Article Content

Nimra Aslam
Sana Arif
Muhmmad Mahmood Alam
M Waseem Akhtar

Abstract

Background: Body mass index (BMI) is a widely used indicator of weight status and may influence postural control through altered body alignment, joint loading, proprioception, and neuromuscular coordination. Functional stability is essential for safe mobility, yet evidence regarding the relationship between BMI and balance performance in young adults remains limited. Objective: This study aimed to determine the correlation between BMI and postural balance among young adults using functional stability tests. Methods: A cross-sectional observational study was conducted at Akhtar Saeed Medical and Dental College, Lahore, over six months. A total of 140 participants aged 20–25 years, including 70 males and 70 females, were recruited through non-probability convenience sampling. Height and weight were measured to calculate BMI. Static balance was assessed using the Single-Leg Stance test, while dynamic balance and functional mobility were assessed using the Timed Up and Go test. Results: Participants with higher BMI demonstrated reduced functional stability. Mean Single-Leg Stance time decreased from 28.5 seconds in the normal-BMI group to 18.2 seconds in the higher-BMI group, while Timed Up and Go completion time increased from 8.4 seconds to 12.7 seconds. Both associations were statistically significant (p < 0.001). Conclusion: Higher BMI was significantly associated with poorer static and dynamic balance among young adults, supporting the need for early screening and targeted interventions to improve postural control.

Article Details

Section

Articles

How to Cite

1.
Nimra Aslam, Sana Arif, Muhmmad Mahmood Alam, M Waseem Akhtar. Correlation of BMI and Postural Balance Using Functional Stability Tests. JHWCR [Internet]. 2026 May 19 [cited 2026 May 20];4(10):1-9. Available from: https://jhwcr.com/index.php/jhwcr/article/view/1655

References

1. Mierau A, Pester B, Hülsdünker T, Schiecke K, Strüder HK, Witte H. Cortical correlates of human balance control. Brain Topogr. 2017;30(4):434-46.

2. Yanovich E, Bar-Shalom S. Static and dynamic balance indices among kindergarten children: a short-term intervention program during COVID-19 lockdowns. Children (Basel). 2022;9(7).

3. Waer FB, Sahli S, Alexe CI, Man MC, Alexe DI, Burchel LO. The effects of listening to music on postural balance in middle-aged women. Sensors. 2024;24:202. doi:10.3390/s24010202.

4. Xia Q, Zhou P, Li X, Li X, Zhang L, Fan X, et al. Factors associated with balance impairments in the community-dwelling elderly in urban China. BMC Geriatr. 2023;23(1):545.

5. Gubbels JS, Kremers SPJ, Stafleu A, Goldbohm RA, de Vries NK, Thijs C. Clustering of energy balance-related behaviors in 5-year-old children: lifestyle patterns and their longitudinal association with weight status development in early childhood. Int J Behav Nutr Phys Act. 2012;9(1):77.

6. Morasso P. Integrating ankle and hip strategies for the stabilization of upright standing: an intermittent control model. Front Comput Neurosci. 2022;16:956932.

7. Xu JC, Silvano AP, Keller A, Krašna S, Thomson R, Klug C, et al. Identifying and characterizing types of balance recovery strategies among females and males to prevent injuries in free-standing public transport passengers. Front Bioeng Biotechnol. 2021;9:670498.

8. Onofrei RR, Amaricai E. Postural balance in relation with vision and physical activity in healthy young adults. Int J Environ Res Public Health. 2022;19(9).

9. Angyán L, Téczely T, Angyán Z. Factors affecting postural stability of healthy young adults. Acta Physiol Hung. 2007;94(4):289-99.

10. Cancela Carral JM, Ayán C, Sturzinger L, Gonzalez G. Relationships between body mass index and static and dynamic balance in active and inactive older adults. J Geriatr Phys Ther. 2019;42(4):E85-90.

11. Guzmán-Muñoz E, Mendez-Rebolledo G, Núñez-Espinosa C, Valdés-Badilla P, Monsalves-Álvarez M, Delgado-Floody P, et al. Anthropometric profile and physical activity level as predictors of postural balance in overweight and obese children. Behav Sci (Basel). 2023;13(1).

12. Pagnotti GM, Haider A, Yang A, Cottell KE, Tuppo CM, Tong KY, et al. Postural stability in obese preoperative bariatric patients using static and dynamic evaluation. Obes Facts. 2020;13(5):499-513.

13. Huxham FE, Goldie PA, Patla AE. Theoretical considerations in balance assessment. Aust J Physiother. 2001;47(2):89-100.

14. Bouillon LE, Baker JL. Dynamic balance differences as measured by the Star Excursion Balance Test between adult-aged and middle-aged women. Sports Health. 2011;3(5):466-9.

15. Coughlan GF, Fullam K, Delahunt E, Gissane C, Caulfield BM. A comparison between performance on selected directions of the Star Excursion Balance Test and the Y Balance Test. J Athl Train. 2012;47(4):366-71.

16. Bronstein AM, Pavlou M. Balance. In: Handbook of Clinical Neurology. Vol 110. Amsterdam: Elsevier; 2013. p. 189-208.

17. Espinoza-Araneda J, Bravo-Carrasco V, Álvarez C, Marzuca-Nassr GN, Muñoz-Mendoza CL, Muñoz J, et al. Postural balance and gait parameters of independent older adults: a sex difference analysis. Int J Environ Res Public Health. 2022;19(7).

18. Azevedo N, Ribeiro JC, Machado L. Balance and posture in children and adolescents: a cross-sectional study. Sensors (Basel). 2022;22(13).

19. do Nascimento JA, Silva CC, Dos Santos HH, de Almeida Ferreira JJ, de Andrade PR. A preliminary study of static and dynamic balance in sedentary obese young adults: the relationship between BMI, posture and postural balance. Clin Obes. 2017;7(6):377-83. doi:10.1111/cob.12209.

20. Thiamwong L, Xie R, Conner NE, Renziehausen JM, Ojo EO, Stout JR. Body composition, fear of falling and balance performance in community-dwelling older adults. Transl Med Aging. 2023;7:80-6. doi:10.1016/j.tma.2023.06.002.

21. Caparrós-Manosalva C, Marzuca-Nassr GN, Muñoz-Mendoza CL, Espinoza-Araneda J, Bravo-Carrasco V, Muñoz J, et al. Postural balance and body mass index in older adults: a descriptive and associative study testing traditional risk factors. Rev Med Chil. 2023;151(7):813-22. doi:10.4067/S0034-98872023000700813.

22. Yoon SW, Park WS, Lee JW. Effects of body mass index on plantar pressure and balance. J Phys Ther Sci. 2016;28(11):3095-8. doi:10.1589/jpts.29.3095.

23. Pereira C, Silva RAD, de Oliveira MR, Souza RDN, Borges RJ, Vieira ER. Effect of body mass index and fat mass on balance force platform measurements during a one-legged stance in older adults. Aging Clin Exp Res. 2018;30(5):441-7. doi:10.1007/s40520-017-0796-6.