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Type: Journal article
Title: Obesity: the new childhood disability?
Author: Tsiros, M.
Coates, A.
Howe, P.
Grimshaw, P.
Buckley, J.
Citation: Obesity Reviews, 2011; 12(1):26-36
Publisher: Blackwell Publishing Ltd.
Issue Date: 2011
ISSN: 1467-7881
Statement of
M. D. Tsiros, A. M. Coates, P. R. C. Howe, P. N. Grimshaw and J. D. Buckley
Abstract: This review addresses the impact of obesity on paediatric physical functioning utilizing the World Health Organization International Classification of Functioning, Disability and Health Framework (ICF). The ICF encompasses functioning (as it relates to all body functions and structures), activities (undertaking a particular task) and participation (in a life situation) with disability referring to impairments in body functions/structures, activity restrictions or participation limitations. Electronic databases were searched for peer-reviewed studies published in English prior to May 2009 that examined aspects of physical functioning in children (_18 years). Eligible studies (N = 104) were ranked by design and synthesized descriptively. Childhood obesity was found to be associated with deficits in function, including impaired cardiorespiratory fitness and performance of motor tasks; and there was some limited evidence of increased musculoskeletal pain and decrements in muscle strength, gait and balance. Health-related quality of life and the subset of physical functioning was inversely related to weight status. However, studies investigating impacts of obesity on wider activity and participation were lacking. Further research utilizing the ICF is required to identify and better characterize the effects of paediatric obesity on physical function, activity and participation, thereby improving targets for intervention to reduce disability in this population.
Keywords: Body mass index
Rights: © 2010 The Authors obesity reviews © 2010 International Association for the Study of Obesity
DOI: 10.1111/j.1467-789X.2009.00706.x
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