Abstract

Although prior studies have suggested that overweight and obesity in childhood are associated with poorer functional movement performance, no study appears to have examined this issue in a pediatric population. The relations between BMI, ambulatory physical activity and functional movement screen (FMS) performance were compared in 58, 10-11-year-old children. Total FMS score was significantly, negatively correlated with BMI (P = .0001) and positively related to PA (P = .029). Normal weight children scored significantly better for total FMS score compared to children classified as overweight/obese (P = .0001). Mean ± S.D. of FMS scores were 15.5 ± 2.2 and 10.6 ± 2.1 in normal weight and overweight/obese children, respectively. BMI and PA were also significant predictors of functional movement (P = .0001, Adjusted R2 = .602) with BMI and PA predicting 52.9% and 7.3% of the variance in total FMS score, respectively. The results of this study highlight that ambulatory physical activity and weight status are significant predictors of functional movement in British children. Scientists and practitioners therefore need to consider interventions which develop functional movement skills alongside physical activity and weight management strategies in children in order to reduce the risks of orthopaedic abnormality arising from suboptimal movement patterns in later life.

Highlights

  • Overweight and obesity in childhood are recognised as a major health problem worldwide [1] and while considerable data have been published relating to influences such as sedentary behaviour and nutritional habits on weight status, there is a dearth of information pertaining to the structural and functional limitations of excess weight in adults [2, 3], with even less data in children

  • BMI was a stronger predictor (β = −.712, P = .0001) of functional movement predicting 52.9% of the variance in total functional movement screen (FMS) score in comparison to physical activity (β = 1200.0, P = .03) where average steps/day predicted 7.3% of the variance in FMS score

  • Results of this study suggest that functional movement is related to weight status and habitual physical activity, with weight status having a stronger association with functional movement in this population

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Summary

Introduction

Overweight and obesity in childhood are recognised as a major health problem worldwide [1] and while considerable data have been published relating to influences such as sedentary behaviour and nutritional habits on weight status, there is a dearth of information pertaining to the structural and functional limitations of excess weight in adults [2, 3], with even less data in children. This is despite authors noting that children display alterations to their functional movement as a consequence of excessive weight [2] and suboptimal movement patterns found in overweight and obesity can seriously impede daily physical activity level and limit functional performance [3, 4]. The aim of this study was to examine relations between habitual physical activity, functional movement patterns, and weight status in children

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