الفهرس 
O BESITYOnly 14 pages are availabe for public view
 |  | from | 95 |  |  |
| | | from | 95 | | |
Abstract
ABSTRACT
Background: Childhood obesity implies ongoing health risks on many aspects. Physical fitness has been shown to be a major health factor in both children and adolescents. Co morbid psychological aspects of obesity generally act as causal or maintaining factors of obesity and thus significantly affect the treatment outcome.
Objective: To assess physical fitness & psychological assessment & health related quality of life in children with simple obesity.
Patients and Methods: This Cross-sectional case control study was conducted at Obesity Clinic, Pediatric Hospital, Ain Shams University . and performed on 101 Patient with simple obesity aged (5-17) years old and 53 age and sex matched normal children as a control group. Psychometric assessment was done using Child behaviour checklist (CBCL) and Health related Quality of life. Physical fitness assessment was done using Alpha battery test for the subjects in the study .
Results : most of our cases were females 70% . BMI and Waist/Hip ratio were significant among cases. P-value < 0.05 . Regarding the metabolic comorbidities, lipid profile & insulin resistance were impaired in our cases . p equal < 0.05. Regarding the alpha battery test , skin fold thickness were increased among cases , while standing long jump was decreased p < 0.05. psychiatric assessment, Clinical cases of affective, anxiety and somatic were increased among cases . p value < 0.05. physical fitness was impaired among all cases regardless metabolic profile & anthropometry. P < 0.05 .
Conclusion: 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. Physical fittness was impaired among cases & has negative association with obesity . This cardio respiratory fittness provides necessary information regarding cardiovascular status of the child and helps in preventing future hazardous health complications. The problem of increase in body fat can be overcome by making it compulsory to implement physical education programs in schools and eating healthy diet and leading an active life style.