, Volume 472, Issue 7, pp 2287-2289
Date: 26 Mar 2014

CORR Insights®: Hospital for Special Surgery Pediatric Functional Activity Brief Scale Predicts Physical Fitness Testing Performance

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Where Are We Now?

That obesity remains a national health concern is not a new revelation. That it can lead to morbid conditions such as diabetes, cardiovascular disease, and arthritis is, likewise, well known. What is particularly troublesome is the estimated number of children and adolescents with early onset obesity. Presently, 17% of all children and adolescents in the United States are considered obese, according to Weiss and colleagues [17]. Severe obesity estimates range from 4% to 6% [7].

There are several clinical abnormalities that can accompany childhood obesity, which are likely antecedents to fulminant cardiovascular disease and diabetes. These include high triglyceride levels, low high-density lipoprotein to low-density lipoprotein ratio, high blood pressure, and insulin resistance. Along with a large waist circumference, these clinical and physical findings are the hallmark of so-called metabolic syndrome in adults. Given transient insulin resistance during adolescence and

This CORR Insights® is a commentary on the article “Hospital for Special Surgery Pediatric Functional Activity Brief Scale Predicts Physical Fitness Testing Performance” by Fabricant and colleagues available at: DOI: 10.1007/s11999-013-3429-1
The author certifies that he, or any member of his immediate family, has no funding or commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article.
All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research ® editors and board members are on file with the publication and can be viewed on request.
The opinions expressed are those of the writers, and do not reflect the opinion or policy of CORR ® or the Association of Bone and Joint Surgeons®.
This CORR Insights® comment refers to the article available at DOI: 10.1007/s11999-013-3429-1.
This comment refers to the article available at: http://dx.doi.org/10.1007/s11999-013-3429-1.