الفهرس | Only 14 pages are availabe for public view |
Abstract SUMMARY hildhood obesity is a worldwide challenging condition with multifaceted aetiology and implies ongoing health risks on many aspects. Physical fitness has been shown to be a major health factor in both children and adolescents. One of the most widely applied physical fitness test batteries in Europe is the Alpha-fit Test. The higher levels of muscular strength may have a positive influence on psychological distress (i.e negative affect and stress) and psychological well-being indicators (i.e self-esteem and optimism), as well as higher levels of cardio respiratory fitness, in overweight/obese children and adolescents. Co morbid psychological and emotional disorders of obesity generally act as causal or maintaining factors of obesity and thus significantly affect the treatment outcome. These disorders comprise a wide range of conditions as depression, anxiety, eating disorder, stress, body shape concerns, low selfesteem. In this study, we aimed to assess physical fitness i.e (cardio-respiratory fitness, muscular strength and speed-agility) in children with simple obesity as well as the association of physical fitness with behaviour problems and health related quality of life. CSummary 65 This Cross-sectional case control study was conducted at tertiary care hospital at Obesity Clinic, Pediatric Hospital, Ain Shams University, from October 2021 till August 2022 and performed on 101 Patient with simple obesity aged (5-17) years old following up regularly in Obesity Clinic and 53 age and sex matched normal children as a control group. Psychometric evaluation as Child behaviour checklist (CBCL) to assess behavioural changes and Health related Quality of life measure were done. Physical fitness assessment including 20m endurance shuttle run, Handgrip test, Sit & reach flexibility test, Flamingo balance test and Alpha fitness test were measured. Cases group had more females and less paternal consanguinity history with statistically significant difference between two studied groups as p-Value was <0.05. The anthropometry as child BMI and Waist/Hip ratio were increased in cases with statistically significant difference between two studied groups. The percentage of metabolic cases were increased in cases group with statistically significant difference between two studied groups in acanthosis negricans only. Regarding the alpha health related fitness test, hand grip strength, 20m run, skin fold (Tri) and skin fold (S.scap) were increased in cases group, while standing long jump was decreased with statistical significant difference between two studied groups as p-Value was <0.05.Summary 66 As regards psychiatric assessment, Clinical cases of affective, anxiety and somatic were increased in cases group. Borderline cases in attention, opposition and conduction were also increased in cases group without statistically significant difference between two studied groups in any of them. We concluded that Obesity has a negative impact on the children’s daily life. Obese children reported poorer quality of life as regards the physical, emotional, social, school functioning domains and total quality of life than normal children. Management of obesity should include health related quality of life measurements as a parameter of overweight and obesity outcome. |