Clinical outcome measures for monitoring physical function in pediatric obesity: An integrative review

Article


Mahaffey, R., Morrison, S., Stephensen, David and Drechsler, Wendy I. 2016. Clinical outcome measures for monitoring physical function in pediatric obesity: An integrative review. Obesity. 24 (5), pp. 993-1017.
AuthorsMahaffey, R., Morrison, S., Stephensen, David and Drechsler, Wendy I.
Abstract

Objective: Measuring physical function in children with 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‐based measures of
physical function in overweight and obese children.
Methods: An integrative review of literature published in Cochrane reviews, SPORTDiscus, CINAHL,
Plos, Medline and Scopus was conducted.
Results: Twenty‐eight 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 minute‐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, but findings were
inconsistent across all performance‐based measures. Multi‐item tests of physical function
demonstrated acceptable construct validity and responsiveness, but internal consistency was not
determined.
Conclusions: There is moderate evidence 6MTW is suitable for measurement of physical function in
children with obesity. But, evidence is low for use of aerobic and anaerobic performance, muscle
strength, MABC and BOT2 multi‐item performance instruments and, very low for flexibility, coordination
and balance tests. Based on this review, measurement of physical function utilising
6MTW is recommended.

JournalObesity
Journal citation24 (5), pp. 993-1017
ISSN1930-7381
Year2016
PublisherWiley
Accepted author manuscript
Digital Object Identifier (DOI)doi:10.1002/oby.21468
Publication dates
Print25 Apr 2016
Publication process dates
Deposited14 Apr 2016
Accepted04 Jan 2016
FunderWilliam M. Scholl Endowment Fund
William M. Scholl Endowment Fund
Copyright informationThis is the peer reviewed version of the following article: Clinical outcome measures for monitoring physical function in pediatric obesity: An integrative review, which has been published in final form at http://dx.doi.org/10.1002/oby.21468. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.
LicenseWiley Terms and Conditions for Use of Self-Archived Versions
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