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Volume 7, Issue 7 (Suppl)
J Obes Weight Loss Ther, an open access journal
ISSN:2165-7904
Obesity & Fitness Expo 2017
November 13-15, 2017
November 13-15, 2017 | Atlanta, USA
17
th
World Fitness Expo
16
th
International Conference and Exhibition on
Obesity & Weight Management
&
Clinical outcome measures for monitoring physical function in pediatric obesity: An integrative review
Ryan Mahaffey
St. Mary’s University Twickenham, UK
M
easuring physical function in childrenwith obesity is important to provide targets for clinical intervention to reduce impairments
and increase participation in activities. The objective of this integrative review was to evaluate measurement properties of
performance-basedmeasures of physical function in childrenwith overweight and obesity. An integrative reviewof literature published
between January 1990 to February 2014 in Cochrane Reviews, SPORTD iscus, CINAHL, PLoS, Medline and Scopus was conducted.
The consensus-based standards for the selection of health status measurement instruments (COSMIN) were utilized to determine
validity, reliability and responsiveness to evaluate the methodological quality of studies on measurement properties. Twenty-eight
(28) studies were eligible and represented 66 performance-based measures of physical function. Assessments of repeatability and
feasibility were not conducted in the majority of performance measures reported; only 6-min-timed walk (6MTW) was examined
for test-retest repeatability. Measures of flexibility, strength, aerobic performance, anaerobic performance, coordination and balance
demonstrated construct validity and responsiveness; however, findings were inconsistent across all performance-based measures.
Multi-item tests of physical function demonstrated acceptable construct validity and responsiveness; however, internal consistency
was not determined. There is moderate evidence that 6MTW is suitable for the measurement of physical function in children with
obesity. However, evidence is low for the use of aerobic and anaerobic performance, muscle strength, Movement Assessment Battery
for Children and Bruininks-Oseretsky Test of Motor Proficiency multi-item performance instruments and very low for flexibility,
coordination and balance tests. Based on this review, measurement of physical function using 6MTW is recommended.
ryan.mahaffey@stmarys.ac.ukJ Obes Weight Loss Ther 2017, 7:7 (Suppl)
DOI: 10.4172/2165-7904-C1-55