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Exploring the Diagnostic Accuracy of the KidFit Screening Tool for Identifying Children with Health and Motor Performance-Related Fitness Impairments: A Feasibility Study

Author

Listed:
  • Nikki Milne

    (Faculty of Health Sciences and Medicine, Bond Institute of Health and Sport, Bond University, Gold Coast 4226, Australia)

  • Gary M Leong

    (Department of Paediatrics, Nepean Blue Mountains Family Metabolic Health and Paediatric Diabetes Services, Nepean Hospital and the Nepean Charles Perkins Centre Research Hub, Kingswood 2747, Australia)

  • Wayne Hing

    (Faculty of Health Sciences and Medicine, Bond Institute of Health and Sport, Bond University, Gold Coast 4226, Australia)

Abstract

Child obesity is associated with poor health and reduced motor skills. This study aimed to assess the diagnostic accuracy of the KidFit Screening Tool for identifying children with overweight/obesity, reduced motor skills and reduced cardiorespiratory fitness. Fifty-seven children (mean age: 12.57 ± 1.82 years; male/female: 34/23) were analysed. The Speed and Agility Motor Screen (SAMS) and the Modified Shuttle Test-Paeds (MSTP) made up the KidFit Screening Tool. Motor Proficiency (BOT2) (Total and Gross) was also measured. BMI, peak-oxygen-uptake (VO2peak) were measured with a representative sub-sample (n = 25). Strong relationships existed between the independent variables included in the KidFit Screening Tool and; BMI (R 2 = 0.779, p < 0.001); Gross Motor Proficiency (R 2 = 0.612, p < 0.001) and VO2peak (mL/kg/min) (R 2 = 0.754, p < 0.001). The KidFit Screening Tool has a correct classification rate of 0.84 for overweight/obesity, 0.77 for motor proficiency and 0.88 for cardiorespiratory fitness. The sensitivity and specificity of the KidFit Screening Tool for identifying children with overweight/obesity was 100% (SE = 0.00) and 78.95%, respectively (SE = 0.09), motor skills in the lowest quartile was 90% (SE = 0.095) and 74.47% (SE = 0.064), respectively, and poor cardiorespiratory fitness was 100% (SE = 0.00) and 82.35% (SE = 0.093), respectively. The KidFit Screening Tool has a strong relationship with health- and performance-related fitness, is accurate for identifying children with health- and performance-related fitness impairments and may assist in informing referral decisions for detailed clinical investigations.

Suggested Citation

  • Nikki Milne & Gary M Leong & Wayne Hing, 2020. "Exploring the Diagnostic Accuracy of the KidFit Screening Tool for Identifying Children with Health and Motor Performance-Related Fitness Impairments: A Feasibility Study," IJERPH, MDPI, vol. 17(3), pages 1-12, February.
  • Handle: RePEc:gam:jijerp:v:17:y:2020:i:3:p:995-:d:316718
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    References listed on IDEAS

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    1. Nikki Milne & Michael J. Simmonds & Wayne Hing, 2018. "A Cross-Sectional Pilot Study to Examine the Criterion Validity of the Modified Shuttle Test-Paeds as a Measure of Cardiorespiratory Fitness in Children," IJERPH, MDPI, vol. 15(10), pages 1-11, October.
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