Paediatric obesity, physical activity and the musculoskeletal system

Obesity Reviews - Tập 10 Số 5 - Trang 576-582 - 2009
Sarah P. Shultz1, Jessica Anner, Andrew P. Hills
1School of Human Movement Studies, Institute of Health and Biomedical Innovation, ATN Centre for Metabolic Fitness, Queensland University of Technology, Brisbane, QLD, Australia.

Tóm tắt

SummaryThe current epidemic of paediatric obesity is consistent with a myriad of health‐related comorbid conditions. Despite the higher prevalence of orthopaedic conditions in overweight children, a paucity of published research has considered the influence of these conditions on the ability to undertake physical activity. As physical activity participation is directly related to improvements in physical fitness, skeletal health and metabolic conditions, higher levels of physical activity are encouraged, and exercise is commonly prescribed in the treatment and management of childhood obesity. However, research has not correlated orthopaedic conditions, including the increased joint pain and discomfort that is commonly reported by overweight children, with decreases in physical activity. Research has confirmed that overweight children typically display a slower, more tentative walking pattern with increased forces to the hip, knee and ankle during ‘normal’ gait. This research, combined with anthropometric data indicating a higher prevalence of musculoskeletal malalignment in overweight children, suggests that such individuals are poorly equipped to undertake certain forms of physical activity. Concomitant increases in obesity and decreases in physical activity level strongly support the need to better understand the musculoskeletal factors associated with the performance of motor tasks by overweight and obese children.

Từ khóa


Tài liệu tham khảo

10.1097/00005768-200203000-00016

10.1111/j.1467-789X.2004.00133.x

10.1001/jama.295.13.1549

10.1093/eurpub/ckm099

10.1097/00005768-199911001-00004

10.1111/j.1467-789X.2006.00216.x

10.1542/peds.101.S2.518

Garn SM, 1975, Nutrition, growth, development, and maturation: findings from the Ten‐State Nutrition Survey of 1968–1970, Pediatrics, 56, 306, 10.1542/peds.56.2.306

10.1038/oby.2002.8

10.2214/ajr.162.2.8310936

10.1038/sj.ijo.0801207

10.1542/peds.2005-1832

10.1301/002966402760240327

10.1097/01.PEP.0000145911.83738.C6

10.1007/s001980200116

10.1097/00007632-200001150-00015

10.1067/mpd.2001.116297

10.1210/jc.2002-021682

10.1359/jbmr.2001.16.7.1337

10.1359/jbmr.1998.13.1.143

10.2106/00004623-198971080-00016

10.1359/jbmr.1997.12.9.1453

10.1111/j.1467-789X.2006.00234.x

10.1046/j.1467-789x.2001.00017.x

Chung SMK, 1981, Hip Disorders in Infants and Children, 173

10.1097/01241398-198807000-00001

10.1097/00003086-199601000-00003

10.1016/S0022-3476(82)80305-3

10.2106/00004623-199308000-00003

10.1097/01241398-199607000-00008

Bout‐Tabaku S, 2008, Obesity and knee alignment in children, Obesity, 16, S215

10.1157/13043558

Pretkiewicz‐Abacjew E, 2003, Knock knee and the gait of six‐year‐old children, J Sports Med Phys Fitness, 43, 156

10.1097/01241398-198707000-00019

10.1038/oby.2006.227

10.1038/ijo.2008.52

Dowling AM, 2001, Proceedings of the 5th Symposium on Footwear Biomechanics, 30

Bordin D, 2001, Flat and cavus foot, indexes of obesity and overweight in a population of primary school children, Minerva Pediatr, 53, 7

10.1007/s00431-008-0789-8

10.1542/peds.2005-2126

10.1046/j.1467-789X.2002.00054.x

10.1038/sj.ijo.0801192

10.1038/sj.ijo.0801598

Shultz SP, 2008, Lower Extremity Biomechanical Assessment of Overweight and Normal‐Weight Children during Self‐Selected and Fast Walking Speeds. Kinesiology

Sutherland DH, 1988, The Development of Mature Walking

Hills AP, 1991, Gait characteristics of obese children, Arch Phys Med Rehabil, 72, 403

10.1097/00004356-199112000-00010

10.1097/01.bpo.0000176163.17098.f4

10.1016/S0966-6362(02)00161-3

10.1097/00007632-199904150-00009

10.1115/1.1470171

10.1007/s00421-002-0654-9

10.1038/oby.2006.206

McCracken M, 2007, Health behaviors of the young adult U.S. population; behavioural risk factor surveillance system, 2003, Prev Chronic Dis, 4, A25

10.1249/mss.0b013e31815a51b3

10.2165/00007256-200636120-00005

Currie C, 2004, Young People's Health in Context. Health Behaviour in School‐aged Children (HBSC) Study: International Report from the 2001/2002 Survey

Biddle S, 1998, Young and Active? Young People and Health‐Enhancing Physical Activity‐Evidence and Implications

10.1007/s11136-008-9312-y

10.1542/peds.75.5.807

10.1038/sj.ijo.0803078

10.1016/j.beem.2005.04.003

10.1136/bmj.322.7282.326

10.1016/j.jada.2004.11.023

10.1542/peds.2007-2329C

10.1111/j.1365-2214.2005.00529.x

10.1038/oby.2007.188

10.1038/sj.ijo.0803693

10.2337/diacare.27.9.2141

10.1542/peds.111.2.332

10.1038/sj.ijo.0803693

10.1007/s004210000197

10.2165/00007256-200535050-00002

10.1016/S0005-7894(05)80371-5

10.1542/peds.106.4.e50

10.1038/sj.ijo.0801223

10.1111/j.1651-2227.2008.00724.x

10.1111/j.1440-1754.2006.00869.x

10.1097/00002281-200309000-00009

Beunen G, 1983, Fatness, growth and motor fitness of Belgian boys 12 through 20 years of age, Hum Biol, 55, 599

10.1038/oby.2003.59

10.1002/j.1550-8528.1995.tb00142.x

Bar‐Or O, 1995, Sports and Exercise for Children with Chronic Health Conditions, 335

Bar‐Or O, 1993, Physical activity and physical training in childhood obesity, J Sports Med Phys Fitness, 33, 323

10.1016/S0031-3955(05)70353-9

10.1097/00007611-199906000-00006

Thông tin
Thông tin xuất bản

Obesity Reviews

Tập 10 Số 5

576-582

Thông tin tác giả