title: [Motor Skills of Extremely Obese Children and Adolescents Based on the Multicentre Longitudinal Obesity Database (APV)].
abstract: BACKGROUND
  Obese children and adolescents often exhibit progressively declining motor skills. To support young obese patients adequately, it is necessary to assess their individual physical and motor abilities, taking the degree of obesity into account.
  
  
  METHODS
  A total of 5 924 children and adolescents (mean age: 12.7±2.5 years, range 6.0-18.0 years, 3 195 girls) were examined in a standardised multicentre evaluation survey (APV). Fitness parameters were correlated with age- and gender-specific BMI-SDS (Standard Deviation Score) Methods: Anthropometric data were collected and patients performed the modified Munich fitness test (mMFT: maximal power, coordination, trunk flexibility) and a 6-min walk-test (aerobic endurance capacity).
  
  
  RESULTS
  33% of patients were extremely obese (BMI>99.5th percentile). Mean BMI-SDS was + 2.32±0.53 (♀-Δ=+ 0.06; p<0.001). The data indicated significant negative correlations between BMI-SDS and selected components of motor performance, especially maximal power (r=- 0,134), and particularly aerobic endurance capacity (r=- 0,214; all p<0.001). Motor performance was significantly below average (n=27 473, 6-18 years), especially among extremely obese patients. Performance in all motor tasks was lower in girls compared to boys, except for trunk flexibility (p<0.001).
  
  
  CONCLUSIONS
  Correlations were found between BMI-SDS and motor performance. Extremely obese patients and obese girls showed the most pronounced motor deficits. These results emphasize the importance of standardized evaluation of individual motor performance in children and adolescents with obesity.
authors.affiliation: Zentrum für Adipositasschulung Bremen-Stadt (ZABS), Bremen.
authors.forename: B
authors.initials: B
authors.lastname: Koch
authors.affiliation: Deutsche Sporthochschule Köln, Institut für Bewegungs- und Neurowissenschaft, Köln.
authors.forename: C
authors.initials: C
authors.lastname: Graf
authors.affiliation: Zentrum für Innere Medizin, Klinik für Innere Medizin II, Universitätsklinikum Ulm, Ulm.
authors.forename: U
authors.initials: U
authors.lastname: Hoffmeister
authors.affiliation: Deutsche Sporthochschule Köln, Institut für Bewegungs- und Neurowissenschaft, Köln.
authors.forename: A-M
authors.initials: AM
authors.lastname: Platschek
authors.affiliation: Sportwissenschaft Sportberatung Sportpädagogik, Stahnsdorf.
authors.forename: W
authors.initials: W
authors.lastname: Gruber
authors.affiliation: Zentralinstitut für Biomedizinische Technik, Universität Ulm, Ulm.
authors.forename: R
authors.initials: R
authors.lastname: Holl
mesh_terms: D000293:Adolescent; D015992:Body Mass Index; D002648:Child; D016208:Databases, Factual; D005260:Female; D005858:Germany; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D019957:Motor Skills Disorders / Q000175:diagnosis / Q000453:epidemiology*; D063766:Pediatric Obesity / Q000175:diagnosis / Q000453:epidemiology*; D010809:Physical Fitness; D013223:Statistics as Topic