Milne Nikki, M Leong Gary, Hing Wayne
Faculty of Health Sciences and Medicine, Bond Institute of Health and Sport, Bond University, Gold Coast 4226, Australia.
Department of Paediatrics, Nepean Blue Mountains Family Metabolic Health and Paediatric Diabetes Services, Nepean Hospital and the Nepean Charles Perkins Centre Research Hub, Kingswood 2747, Australia.
Int J Environ Res Public Health. 2020 Feb 5;17(3):995. doi: 10.3390/ijerph17030995.
Child obesity is associated with poor health and reduced motor skills. This study aimed to assess the diagnostic accuracy of the KidFit Screening Tool for identifying children with overweight/obesity, reduced motor skills and reduced cardiorespiratory fitness. Fifty-seven children (mean age: 12.57 ± 1.82 years; male/female: 34/23) were analysed. The Speed and Agility Motor Screen (SAMS) and the Modified Shuttle Test-Paeds (MSTP) made up the KidFit Screening Tool. Motor Proficiency (BOT2) (Total and Gross) was also measured. BMI, peak-oxygen-uptake (VO2peak) were measured with a representative sub-sample (n = 25). Strong relationships existed between the independent variables included in the KidFit Screening Tool and; BMI (R = 0.779, < 0.001); Gross Motor Proficiency (R = 0.612, < 0.001) and VO2peak (mL/kg/min) (R = 0.754, < 0.001). The KidFit Screening Tool has a correct classification rate of 0.84 for overweight/obesity, 0.77 for motor proficiency and 0.88 for cardiorespiratory fitness. The sensitivity and specificity of the KidFit Screening Tool for identifying children with overweight/obesity was 100% (SE = 0.00) and 78.95%, respectively (SE = 0.09), motor skills in the lowest quartile was 90% (SE = 0.095) and 74.47% (SE = 0.064), respectively, and poor cardiorespiratory fitness was 100% (SE = 0.00) and 82.35% (SE = 0.093), respectively. The KidFit Screening Tool has a strong relationship with health- and performance-related fitness, is accurate for identifying children with health- and performance-related fitness impairments and may assist in informing referral decisions for detailed clinical investigations.
儿童肥胖与健康状况不佳及运动技能下降有关。本研究旨在评估儿童健康体能筛查工具（KidFit Screening Tool）在识别超重/肥胖、运动技能下降和心肺适能下降儿童方面的诊断准确性。对57名儿童（平均年龄：12.57±1.82岁；男/女：34/23）进行了分析。儿童健康体能筛查工具由速度与敏捷运动筛查（SAMS）和改良往返跑测试-儿童版（MSTP）组成。还测量了运动能力（BOT2）（总分和粗大运动分）。对一个具有代表性的子样本（n = 25）测量了体重指数（BMI）、峰值摄氧量（VO2peak）。儿童健康体能筛查工具中包含的自变量与BMI（R = 0.779，P < 0.001）、粗大运动能力（R = 0.612，P < 0.001）和VO2peak（毫升/千克/分钟）（R = 0.754，P < 0.001）之间存在强相关性。儿童健康体能筛查工具对超重/肥胖的正确分类率为0.84，对运动能力的正确分类率为0.77，对心肺适能的正确分类率为0.88。儿童健康体能筛查工具识别超重/肥胖儿童的敏感性和特异性分别为100%（标准误 = 0.00）和78.95%（标准误 = 0.09），运动技能处于最低四分位数的儿童分别为90%（标准误 = 0.095）和74.47%（标准误 = 0.064），心肺适能差的儿童分别为100%（标准误 = 0.00）和82.35%（标准误 = 0.093）。儿童健康体能筛查工具与健康和运动表现相关的体能有很强的相关性，在识别有健康和运动表现相关体能损害的儿童方面是准确的，可能有助于为详细的临床检查提供转诊决策依据。
