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Background <p>Although pathophysiological effects of high body mass have been widely studied, its impact on daily living activities and upper extremity performance remains unclear. The aim of this study was to compare activities of daily living (ADL), upper extremity exercise capacity, fatigue and pain perception in individuals with high and normal body mass index (BMI).</p> Methods <p>This cross-sectional study included 54 adults aged 18–65&#xa0;years who were classified into high BMI (BMI ≥ 25&#xa0;kg/m<sup>2</sup>, n = 27) and normal BMI (BMI 18.5–24.9&#xa0;kg/m<sup>2</sup>, n = 27) groups. Activities of daily living and upper extremity exercise capacity were assessed using the Glittre-ADL test and the 6-minute pegboard and ring test (6PBRT), respectively. Fatigue severity was measured with the Fatigue Severity Scale (FSS), and pain was assessed using the Visual Analogue Scale (VAS).</p> Results <p>The high BMI group performed significantly worse than normal BMI group in both Glittre-ADL test (p &lt; 0.05) and 6PBRT (p &lt; 0.001). However, there were no significant differences in FSS and VAS scores between the two groups (p &gt; 0.05).</p> Conclusion <p>Individuals with high BMI demonstrated poorer performance in activities of daily living and upper extremity exercise capacity compared with those with normal BMI, despite reporting similar levels of fatigue and pain. These findings suggest that functional limitations may be present even in the absence of increased symptom perception. Therefore, objective assessment of functional performance should be considered when evaluating individuals with high BMI and planning rehabilitation interventions.</p>

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Activities of daily living and upper extremity exercise capacity in individuals with high and normal body mass index

  • 期刊论文

  • 发表日期：

    2026年7月3日

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  • Merve Firat,
  • Gulhan Izbekler,
  • Iremsu Culcu

摘要

Background

Although pathophysiological effects of high body mass have been widely studied, its impact on daily living activities and upper extremity performance remains unclear. The aim of this study was to compare activities of daily living (ADL), upper extremity exercise capacity, fatigue and pain perception in individuals with high and normal body mass index (BMI).

Methods

This cross-sectional study included 54 adults aged 18–65 years who were classified into high BMI (BMI ≥ 25 kg/m2, n = 27) and normal BMI (BMI 18.5–24.9 kg/m2, n = 27) groups. Activities of daily living and upper extremity exercise capacity were assessed using the Glittre-ADL test and the 6-minute pegboard and ring test (6PBRT), respectively. Fatigue severity was measured with the Fatigue Severity Scale (FSS), and pain was assessed using the Visual Analogue Scale (VAS).

Results

The high BMI group performed significantly worse than normal BMI group in both Glittre-ADL test (p < 0.05) and 6PBRT (p < 0.001). However, there were no significant differences in FSS and VAS scores between the two groups (p > 0.05).

Conclusion

Individuals with high BMI demonstrated poorer performance in activities of daily living and upper extremity exercise capacity compared with those with normal BMI, despite reporting similar levels of fatigue and pain. These findings suggest that functional limitations may be present even in the absence of increased symptom perception. Therefore, objective assessment of functional performance should be considered when evaluating individuals with high BMI and planning rehabilitation interventions.