Clinical Bottom Line
“How should I apply this information?”
* “An obese child is an obese adult” with all the clinical implications of the obesity epidemic, and it is not just that motor skills are impaired but it may also lead to an unwanted future clinical outcome (the metabolic syndrome, the diabetic epidemic, cardiovascular morbidity and mortality)-–personally and epidemiologically, with all the aspects of a public health burden.
* This interesting and important study showed that girls and boys with obesity displayed lower gross motor skill levels than children of healthy weight. What does it mean and how can these data affect our health policy? The authors suggested, “Clinicians should consider adjusting gross motor expectations for locomotor or stability tasks in young children with obesity.”
* Dietary interventional studies have shown that a healthier diet in children improved body mass index and blood pressure in children with obesity1 and also improved the lipid profile of children who participated in a dietary interventional program.2
“What should I be mindful of when reading this article?”
* Children with obesity have impaired gross motor functions, and this observation should be considered whenever a child with obesity is tested.
* There could be a gender effect, and girls who are underweight could also have impaired locomotor skills.
Childhood obesity is a complicated social public health problem that affects individuals' health and the whole population's health and socioeconomic welfare. Interventions should start at a young age, before elementary school and during the school years, as part of an educational program that has a national significance for the future of both individuals' health and overall public health.3
Nava Blum, BPT, M.Occ.H, PhD
Department of Health Care Systems Management
Max Stern Academic College of Yezrael Valley, Israel
Arnon Blum, MD
Interdisciplinary Stem Cell Institute
University of Miami, Florida
The authors declare no conflicts of interest.
1. Angelopoulos PD, Millonis HJ, Grammatikaki E, Moschonis G, Manlos Y. Changes in BMI and blood pressure after a school based intervention: the children study. Eur J Public Health. 2009;19(3):319–325.
2. Rask-Nissila L, Jokinen E, Ronnemaa T, et al. Prospective, randomized, infancy-onset trial of the effects of a low-saturated-fat, low-cholesterol diet on serum lipids and lipoproteins before school age. Circulation. 2000;102:1477–1483.
3. Mozaffarian D, Appel LJ, Van Horn L. Recent advances in preventive cardiology and lifestyle medicine. Circulation. 2011;123:2870–2891.