Nutritional Physiology Research Centre, Sansom Institute for Health Research, University of South Australia, Adelaide, Australia.
Obes Rev. 2011 Jan;12(1):26-36. doi: 10.1111/j.1467-789X.2009.00706.x.
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.
本综述利用世界卫生组织国际功能、残疾和健康分类（ICF）框架探讨肥胖对儿科身体功能的影响。ICF 包括功能（与所有身体功能和结构有关）、活动（进行特定任务）和参与（生活状况），而残疾是指身体功能/结构受损、活动受限或参与受限。检索了截至 2009 年 5 月之前发表的、以英语撰写的、探讨儿童（≤18 岁）身体功能方面的同行评议研究，共 104 项研究符合纳入标准。根据设计对合格研究进行了分级，并进行了描述性综合分析。研究发现，儿童肥胖与功能缺陷有关，包括心肺功能受损和运动任务表现下降；并且有一些有限的证据表明肌肉骨骼疼痛增加、肌肉力量、步态和平衡能力下降。健康相关生活质量和身体功能的一部分与体重状况呈负相关。然而，缺乏研究肥胖对更广泛的活动和参与的影响。需要进一步利用 ICF 进行研究，以确定和更好地描述儿童肥胖对身体功能、活动和参与的影响，从而改善针对该人群减少残疾的干预目标。
