Title

Impaired physical function associated with childhood obesity: How should we intervene?

Date of this Version

3-23-2016

Document Type

Journal Article

Grant Number

Physiotherapy Research Foundation (grant no. S08-002)

Publication Details

Citation only

Tsiros M.D., Buckley, J.D., Olds, T., Howe, P.R.C., Hills, A.P., Walkley, J., Wood, R., Kagawa, M., Shield, A., Taylor, L., Shultz, S.P., Grimshaw, P.N., Grigg, K., & Coates, A.M. (2016). Impaired physical function associated with childhood obesity: How should we intervene? Childhood Obesity, 12(2), 126-134 .

Access the journal

© Copyright 2016, Mary Ann Liebert, Inc. 2016.

ISSN

2153-2168

Abstract

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.

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This document has been peer reviewed.