Associations between physical activity and development in preschool-aged children born <30 weeks' gestation : a cohort study
© Author(s) (or their employer(s)) 2024. No commercial re-use. See rights and permissions. Published by BMJ..
OBJECTIVE: To investigate the effect of physical activity (PA) on development (motor, cognitive, social-emotional) in children 4-5 years old born <30 weeks' gestation, and to describe subgroups of children at risk of low PA in this cohort.
DESIGN: Longitudinal cohort study.
PATIENTS: 123 children born <30 weeks were recruited at birth and assessed between 4 and 5 years' corrected age.
MAIN OUTCOME MEASURES: Development was assessed using the Movement Assessment Battery for Children, Second Edition (MABC-2), Little Developmental Coordination Disorder Questionnaire (L-DCDQ), Wechsler Preschool and Primary Scale of Intelligence (Fourth Edition; WPPSI-IV), and Strengths and Difficulties Questionnaire (SDQ). To measure PA, children wore an accelerometer and parents completed a diary for 7 days. Effects of PA on developmental outcomes, and associations between perinatal risk factors and PA, were estimated using linear regression.
RESULTS: More accelerometer-measured PA was associated with better MABC-2 aiming and catching scores (average standard score increase per hour increase in PA: 0.54, 95% CI 0.11, 0.96; p=0.013), and lower WPPSI-IV processing speed index scores (average composite score decrease per hour increase in PA: -2.36, 95% CI -4.19 to -0.53; p=0.012). Higher accelerometer-measured PA was associated with better SDQ prosocial scores. Major brain injury in the neonatal period was associated with less moderate-vigorous and less unstructured PA at 4-5 years.
CONCLUSIONS: Higher levels of PA are associated with aspects of motor, cognitive and social-emotional skill development in children 4-5 years old born <30 weeks. Those with major brain injury in the neonatal period may be more vulnerable to low PA at preschool age.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - year:2024 |
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| Enthalten in: |
Archives of disease in childhood. Fetal and neonatal edition - (2024) vom: 26. Feb. |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
FitzGerald, Tara L [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Revised 26.02.2024 published: Print-Electronic Citation Status Publisher |
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| doi: |
10.1136/archdischild-2023-326045 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM368987515 |
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| 100 | 1 | |a FitzGerald, Tara L |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Associations between physical activity and development in preschool-aged children born <30 weeks' gestation |b a cohort study |
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| 500 | |a Date Revised 26.02.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status Publisher | ||
| 520 | |a © Author(s) (or their employer(s)) 2024. No commercial re-use. See rights and permissions. Published by BMJ. | ||
| 520 | |a OBJECTIVE: To investigate the effect of physical activity (PA) on development (motor, cognitive, social-emotional) in children 4-5 years old born <30 weeks' gestation, and to describe subgroups of children at risk of low PA in this cohort | ||
| 520 | |a DESIGN: Longitudinal cohort study | ||
| 520 | |a PATIENTS: 123 children born <30 weeks were recruited at birth and assessed between 4 and 5 years' corrected age | ||
| 520 | |a MAIN OUTCOME MEASURES: Development was assessed using the Movement Assessment Battery for Children, Second Edition (MABC-2), Little Developmental Coordination Disorder Questionnaire (L-DCDQ), Wechsler Preschool and Primary Scale of Intelligence (Fourth Edition; WPPSI-IV), and Strengths and Difficulties Questionnaire (SDQ). To measure PA, children wore an accelerometer and parents completed a diary for 7 days. Effects of PA on developmental outcomes, and associations between perinatal risk factors and PA, were estimated using linear regression | ||
| 520 | |a RESULTS: More accelerometer-measured PA was associated with better MABC-2 aiming and catching scores (average standard score increase per hour increase in PA: 0.54, 95% CI 0.11, 0.96; p=0.013), and lower WPPSI-IV processing speed index scores (average composite score decrease per hour increase in PA: -2.36, 95% CI -4.19 to -0.53; p=0.012). Higher accelerometer-measured PA was associated with better SDQ prosocial scores. Major brain injury in the neonatal period was associated with less moderate-vigorous and less unstructured PA at 4-5 years | ||
| 520 | |a CONCLUSIONS: Higher levels of PA are associated with aspects of motor, cognitive and social-emotional skill development in children 4-5 years old born <30 weeks. Those with major brain injury in the neonatal period may be more vulnerable to low PA at preschool age | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Child Development | |
| 650 | 4 | |a Child Health | |
| 650 | 4 | |a Paediatrics | |
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| 700 | 1 | |a Albesher, Reem A |e verfasserin |4 aut | |
| 700 | 1 | |a Mentiplay, Benjamin F |e verfasserin |4 aut | |
| 700 | 1 | |a Mainzer, Rheanna M |e verfasserin |4 aut | |
| 700 | 1 | |a Burnett, Alice C |e verfasserin |4 aut | |
| 700 | 1 | |a Treyvaud, Karli |e verfasserin |4 aut | |
| 700 | 1 | |a Clark, Ross A |e verfasserin |4 aut | |
| 700 | 1 | |a Anderson, Peter J |e verfasserin |4 aut | |
| 700 | 1 | |a Cheong, Jeanie Ly |e verfasserin |4 aut | |
| 700 | 1 | |a Doyle, Lex W |e verfasserin |4 aut | |
| 700 | 1 | |a Spittle, Alicia J |e verfasserin |4 aut | |
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