Associations Between Sedentary Behaviour and Fine and Gross Motor Skills in 3- to 4-Year-Olds: A Secondary Data Analysis From Sunrise International Study Pilot Studies

IF 1.8 4区医学 Q2 PEDIATRICS

Child Care Health and Development Pub Date : 2025-05-12 DOI:10.1111/cch.70092

Nana A. Kwofie, Adang Suherman, Alex A. Florindo, Amanda Staiano, Amy S. HA, Anthony D. Okely, Asmaa El Hamdouchi, Bang Nguyen Pham, Catherine E. Draper, Chiaki Tanaka, Denise Koh, Dong Hoon Kim, E. Kipling Webster, Hongyan Guan, Hong Kim Tang, John J. Reilly, Kar Hau Chong, Marie Löf, Mark S. Tremblay, Mohammad Sorowar Hossain, Nyaradzai Munambah, Penny L. Cross, Pujitha Wickramasinghe, Thanh Van Kim, Xanne Janssen

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引用次数: 0

Abstract

Background

The evidence on associations between sedentary behaviour (SB) and motor skills in 3- to 4-year-olds is unclear and mostly from high-income countries.

Objective

The objective of this study is to examine associations between (1) screen time (h/day) and total daily SB (h/day), and gross and fine motor skills, and (2) meeting the restraint, screen time and overall SB (restraint and screen time) guidelines and fine and gross motor skills.

Methods

Cross-sectional study of 1394 3- to 4-year-olds from the pilot phase of the SUNRISE International study. Time spent in SB was measured using the activPAL accelerometer, whereas screen time and restraint were measured using a parent questionnaire. Fine and gross motor skills were measured using parent-reported Ages and Stages Questionnaire (ASQ-3). Associations between SB and motor skills were determined using linear and logistic regression, adjusting for sex and socioeconomic status.

Results

Every additional 1 h of screen time was associated with 0.50-point reduction in gross motor skills scores (p = 0.008). More screen time was associated with decreased odds of being on track for fine and gross motor skill development (p < 0.001 and p = 0.017, respectively). Meeting the screen time (p = 0.009) and overall SB guidelines (p = 0.006) were favourably associated with fine motor skills scores. Meeting the screen time, restraint and overall SB guidelines were favourably associated with gross motor skills scores (p = 0.007, p < 0.001 and p < 0.001, respectively), higher odds of being on track for fine (p = 0.033, p = 0.015 and p < 0.001, respectively) and gross motor skills (p = 0.006, p < 0.001 and p < 0.001, respectively) development.

Conclusion

The present study adds to the evidence on the importance of sedentary behaviour for the motor development of 3- to 4-year-olds. It is important that policy makers and health educators develop strategies that will encourage and promote adherence to sedentary behaviour guidelines among 3- and 4-year-olds.

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3至4岁儿童久坐行为与精细和大肌肉运动技能之间的联系：来自Sunrise国际研究试点研究的二次数据分析

背景：关于3- 4岁儿童久坐行为（SB）与运动技能之间关系的证据尚不清楚，且大多来自高收入国家。目的本研究的目的是检验(1)屏幕时间（h/天）和每日总SB （h/天）与粗大运动技能之间的关系，以及(2)满足约束、屏幕时间和总体SB（约束和屏幕时间）指南与精细和粗大运动技能之间的关系。方法对来自SUNRISE国际研究试点阶段的1394名3- 4岁儿童进行横断面研究。使用激活pal加速计测量在SB上花费的时间，而使用父母问卷测量屏幕时间和约束。采用家长报告的年龄和阶段问卷（ASQ-3）测量精细运动技能和粗大运动技能。在调整性别和社会经济地位后，使用线性和逻辑回归来确定SB和运动技能之间的关联。结果每增加1小时的屏幕时间，大运动技能得分降低0.50分（p = 0.008）。屏幕时间越长，精细和粗大运动技能发展的几率越低（p <； 0.001和p = 0.017）。满足屏幕时间（p = 0.009）和总体SB指南（p = 0.006）与精细运动技能得分呈正相关。遵守屏幕时间、约束和总体SB指南与大运动技能得分（p = 0.007, p <； 0.001和p <； 0.001）、良好发展（p = 0.033, p = 0.015和p <； 0.001）和大运动技能（p = 0.006, p <； 0.001和p <； 0.001）的几率较高相关。结论：本研究进一步证明了久坐行为对3- 4岁儿童运动发育的重要性。重要的是，决策者和健康教育工作者制定战略，鼓励和促进3至4岁儿童遵守久坐行为准则。

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

Child Care Health and Development 医学-小儿科

CiteScore

3.40

自引率

5.30%

发文量

136

审稿时长

4-8 weeks

期刊介绍： Child: care, health and development is an international, peer-reviewed journal which publishes papers dealing with all aspects of the health and development of children and young people. We aim to attract quantitative and qualitative research papers relevant to people from all disciplines working in child health. We welcome studies which examine the effects of social and environmental factors on health and development as well as those dealing with clinical issues, the organization of services and health policy. We particularly encourage the submission of studies related to those who are disadvantaged by physical, developmental, emotional and social problems. The journal also aims to collate important research findings and to provide a forum for discussion of global child health issues.