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Lower Extremity Pain Is Associated With Reduced Function and Psychosocial Health in Obese Children.

Lower Extremity Pain Is Associated With Reduced Function and Psychosocial Health in Obese Children.

Authors :
Bout-Tabaku, Sharon
Briggs, Matthew
Schmitt, Laura
Source :
Clinical Orthopaedics & Related Research®. Apr2013, Vol. 471 Issue 4, p1236-1244. 9p.
Publication Year :
2013

Abstract

Background: Childhood obesity is associated with reduced quality of life, physical fitness, and a higher prevalence of lower extremity (LE) pain; however, it is unclear whether and how these factors are related. Questions/purposes: For this study we asked if obese children with LE pain (LE+) had higher BMI-Z scores, lower physical function and psychosocial health, and lower physical fitness compared with obese children without LE pain (LE−). We determined the association of BMI-Z score with physical function, psychosocial health, or physical fitness in obese children. Methods: Medical charts of 183 obese children were reviewed. Recorded data included anthropometrics, demographics, reports of musculoskeletal pain, Pediatric Quality of Life (PedsQL)-Physical Function score, PedsQL-Psychosocial Health score, and physical fitness levels. Data from 175 individuals were included in the analysis, with 51 in the LE+ group and 124 in the LE− group. Statistical analysis included Mann-Whitney U tests and Spearman's rank order correlations. Results: Between the LE+ and LE− groups, BMI-Z and physical fitness scores were not different. The LE+ group scored worse on the PedsQL-Physical Function scale (LE+: 72.4 [17.1], LE−: 79.5 [15.0]) and PedsQL-Psychosocial Health scale (LE+: 70.0 [16.1], LE−: 75.8 [16.3]). BMI-Z scores negatively correlated with PedsQL-Physical Function scores, PedsQL-Psychosocial Health scores, and physical fitness scores. Conclusions: Our findings indicate that LE pain should be considered in the evaluation and management of children who are obese. Level of Evidence: Level III, prognostic study. See Guidelines for Authors for a complete description of levels of evidence. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
0009921X
Volume :
471
Issue :
4
Database :
Academic Search Index
Journal :
Clinical Orthopaedics & Related Research®
Publication Type :
Academic Journal
Accession number :
85859335
Full Text :
https://doi.org/10.1007/s11999-012-2620-0