Associations between physical activity and development in preschool-aged children born <30 weeks' gestation: a cohort study.

IF 3.9 2区 医学 Q1 PEDIATRICS
Tara L FitzGerald, Kate L Cameron, Reem A Albesher, Benjamin F Mentiplay, Rheanna M Mainzer, Alice C Burnett, Karli Treyvaud, Ross A Clark, Peter J Anderson, Jeanie Ly Cheong, Lex W Doyle, Alicia J Spittle
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Abstract

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.

孕期小于 30 周的学龄前儿童体育锻炼与发育之间的关系:一项队列研究。
目的研究体力活动(PA)对 4-5 岁儿童发育(运动、认知、社会情感)的影响。 设计:纵向队列研究:纵向队列研究:主要结果测量:使用儿童运动评估电池第二版(MABC-2)、小儿发育协调障碍问卷(L-DCDQ)、韦氏学前和小学智能量表(第四版;WPPSI-IV)以及优势和困难问卷(SDQ)对发育情况进行评估。为了测量活动量,儿童佩戴了加速度计,家长则填写了为期 7 天的日记。采用线性回归法估算了运动量对发育结果的影响以及围产期风险因素与运动量之间的关联:加速度计测量的更多 PA 与更好的 MABC-2 瞄准和捕捉得分相关(PA 每增加一小时,平均标准分增加:0.54,95% CI 0.11,0.96;p=0.013),与更低的 WPPSI-IV 处理速度指数得分相关(PA 每增加一小时,平均综合得分减少:-2.36,95% CI -4.19 至 -0.53;p=0.012)。加速度计测量的较高PA与较好的SDQ亲社会得分相关。新生儿期的重大脑损伤与4-5岁时较少的中等强度和较少的非结构化PA有关:结论:较高水平的 PA 与 4-5 岁出生儿童的运动、认知和社会情感技能发展有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
9.00
自引率
4.50%
发文量
90
审稿时长
6-12 weeks
期刊介绍: Archives of Disease in Childhood is an international peer review journal that aims to keep paediatricians and others up to date with advances in the diagnosis and treatment of childhood diseases as well as advocacy issues such as child protection. It focuses on all aspects of child health and disease from the perinatal period (in the Fetal and Neonatal edition) through to adolescence. ADC includes original research reports, commentaries, reviews of clinical and policy issues, and evidence reports. Areas covered include: community child health, public health, epidemiology, acute paediatrics, advocacy, and ethics.
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