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Health-related physical fitness in Dutch children with developmental coordination disorder
Frouwien D van der Hoek1, Ilse Stuive, Heleen A Reinders-Messelink
1Center for Rehabilitation, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands. f.d.van.der.hoek@cvr.umcg.nl
Insights
Children with developmental coordination disorder (DCD) have lower cardiorespiratory fitness and muscle strength compared to typically developing children (TDC). Poor balance is linked to reduced cardiorespiratory fitness in these children.
Area of Science:
- Pediatric physical therapy
- Developmental pediatrics
- Exercise science
Background:
- Developmental Coordination Disorder (DCD) affects motor skills in children.
- Health-related physical fitness components are crucial for overall child development.
- Limited research exists on the physical fitness of children with DCD.
Purpose of the Study:
- Compare health-related physical fitness between Dutch children with DCD and typically developing children (TDC).
- Investigate the relationship between motor performance issues and physical fitness in children with DCD.
Main Methods:
- A multicenter case-control study involved 38 children with DCD (ages 7-12) and matched TDC.
- Motor coordination was assessed using the Movement Assessment Battery for Children.
- Health-related physical fitness included cardiorespiratory fitness, muscle strength, and BMI.
Main Results:
- Children with DCD exhibited significantly lower cardiorespiratory fitness (6.7% lower maximal capacity).
- Muscle strength was significantly reduced in DCD children, particularly elbow and knee flexion.
- A strong negative association was observed between cardiorespiratory fitness and balance performance.
Conclusions:
- Children with DCD demonstrate poorer cardiorespiratory fitness and muscle strength than TDC.
- These findings highlight the need to assess and train cardiorespiratory fitness and muscle strength in children with DCD.
- Interventions should complement motor coordination training with fitness-focused exercises.
Objective:
To compare components of health-related physical fitness between Dutch children with clinically diagnosed developmental coordination disorder (DCD) and typically developing children (TDC), and to examine associations between motor performance problems and components of health-related fitness in children with DCD.
Methods:
A multicenter case-control study was used to compare health-related physical fitness in children with DCD (N = 38; age, 7-12 years; 10 girls and 28 boys) with that in age- and gender-matched TDC. Motor coordination problems (manual dexterity, ball and balance skills) were assessed using the movement assessment battery for children. Health-related physical fitness was indicated by (1) cardiorespiratory fitness, (2) muscle strength, and (3) body mass index.
Results:
Significantly lower values of cardiorespiratory fitness (6.7% lower maximal cardiorespiratory fitness) were found in children with DCD compared with TDC. Extension and flexion of the elbow and flexion of the knee were also significantly lower (by 15.3%, 16.7%, and 18.4%, respectively) in DCD children compared with TDC. A significant negative and large association was found between cardiorespiratory fitness and balance performance.
Conclusion:
Lower cardiorespiratory fitness and muscle strength in children with clinically diagnosed DCD compared with TDC support the importance of examining and training cardiorespiratory fitness and muscle strength, besides the regular attention for motor coordination problems.
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