Tsiros, MD and Buckley, JD and Olds, T and Howe, PR and Hills, AP and Walkley, J and Wood, R and Kagawa, M and Shield, A and Taylor, L and Shultz, SP and Grimshaw, PN and Grigg, K and Coates, AM, Impaired physical function associated with childhood obesity: how should we intervene?, Childhood Obesity, 12, (2) pp. 126-134. ISSN 2153-2168 (2016) [Refereed Article]
Copyright 2016 Mary Ann Liebert, Inc
Background: This study examined relationships between adiposity, physical functioning, and physical activity.
Methods: Obese (N = 107) and healthy-weight (N = 132) children aged 10–13 years underwent assessments of percent body fat (%BF, dual energy X-ray absorptiometry); knee extensor strength (KE, isokinetic dynamometry); cardiorespiratory fitness (CRF, peak oxygen uptake by cycle ergometry); physical health-related quality of life (HRQOL); and worst pain intensity and walking capacity [six-minute walk (6MWT)]. Structural equation modelling was used to assess relationships between variables.
Results: Moderate relationships were observed between %BF and (1) 6MWT, (2) KE strength corrected for mass, and (3) CRF relative to mass (r −0.36 to −0.69, p ≤ 0.007). Weak relationships were found between %BF and physical HRQOL (r −0.27, p = 0.008); CRF relative to mass and physical HRQOL (r −0.24, p = 0.003); physical activity and 6MWT (r 0.17, p = 0.004). Squared multiple correlations showed that 29.6% variance in physical HRQOL was explained by %BF, pain, and CRF relative to mass; while 28.0% variance in 6MWT was explained by %BF and physical activity.
Conclusions: It appears that children with a higher body fat percentage have poorer KE strength, CRF, and overall physical functioning. Reducing percent fat appears to be the best target to improve functioning. However, a combined approach to intervention, targeting reductions in body fat percentage, reductions in pain, and improvements in physical activity and CRF may assist physical functioning.
|Item Type:||Refereed Article|
|Research Division:||Health Sciences|
|Research Group:||Public health|
|Research Field:||Community child health|
|Objective Group:||Specific population health (excl. Indigenous health)|
|Objective Field:||Neonatal and child health|
|UTAS Author:||Hills, AP (Professor Andrew Hills)|
|Web of Science® Times Cited:||14|
|Deposited By:||Health Sciences|
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