O'Malley Grace, Hussey Juliette, Roche Edna
Physiotherapy Department, Children's University Hospital, Dublin, Ireland.
Pediatr Phys Ther. 2012 Fall;24(3):292-8. doi: 10.1097/PEP.0b013e31825c14f8.
: Evidence suggests a negative effect of obesity on musculoskeletal health in children. A pilot study was undertaken to investigate the presence of musculoskeletal impairments in children with obesity and to explore the relationships among body mass index, physical activity, and musculoskeletal measures.
: Lower limb musculoskeletal health (pain, power, balance, flexibility, and range of motion), physical activity, and screen time were assessed using standardized methods.
: Seventeen children (mean age = 12.21 years) participated. Mean values for lower limb musculoskeletal measures are presented. Moderate negative correlations were found between body composition and range of motion, flexibility, and strength. Genu valgum deformity was moderately positively correlated to body mass index.
: The results of this pilot study suggest that children who are obese may present with musculoskeletal impairments of the lower limb. Clinicians working with children who are obese should conduct a thorough musculoskeletal assessment and consider the presence of impairments when promoting physical activity.
有证据表明肥胖对儿童肌肉骨骼健康有负面影响。开展了一项试点研究，以调查肥胖儿童肌肉骨骼损伤的情况，并探讨体重指数、身体活动与肌肉骨骼测量指标之间的关系。
采用标准化方法评估下肢肌肉骨骼健康状况（疼痛、力量、平衡、柔韧性和活动范围）、身体活动及屏幕使用时间。
17名儿童（平均年龄 = 12.21岁）参与研究。列出了下肢肌肉骨骼测量指标的平均值。身体成分与活动范围、柔韧性和力量之间存在中度负相关。膝外翻畸形与体重指数呈中度正相关。
这项试点研究的结果表明，肥胖儿童可能存在下肢肌肉骨骼损伤。治疗肥胖儿童的临床医生应进行全面的肌肉骨骼评估，并在促进身体活动时考虑到损伤的存在。
