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Clinical Utility and Validity of Exercise Vital Sign in Children

Abstract We reviewed charts of 14,446 sports medicine patients, children aged 5 to 18 years, over a 3-year period to determine the discriminant validity of Exercise Vital Sign (EVS) questions. A logistic regression analyzed factors related to any moderate to vigorous physical activity (MVPA). A linear regression analyzed factors related to amount of MVPA for those who participated in any weekly MVPA. Overall, 48% of children reported meeting physical activity guidelines for 420 min·wk−1. Overall, children reported 400.36 ± 280.04 min·wk−1 of MVPA. Those with depression had significantly less MVPA than those without (95% confidence interval [CI], −96.65 to −26.31). Girls had significantly less MVPA than boys (95% CI, −59.15 to −40.31). Overweight and obese children reported less MVPA compared with normal weight children (95% CIs, −42.65 to −17.29 and −91.61 to −65.50, respectively). EVS demonstrates strong discriminant validity to detect differences between groups as a function of sex, body mass index, and depression.