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Physical fitness and overweight in Israeli children with and without developmental coordination disorder: gender
N Lifshitz1, S Raz-Silbiger2, N Weintraub3
1Department of Occupational Therapy, Faculty of Health Professions, Ono Academic College, Israel.
Insights
Children with developmental coordination disorder (DCD) show lower physical fitness and higher rates of overweight compared to typical peers. This study highlights significant gender differences in body composition among these children.
Area of Science:
- Pediatric Health
- Developmental Disorders
- Exercise Science
Background:
- Physical fitness and overweight are growing concerns in the pediatric population.
- Children with developmental coordination disorder (DCD) often exhibit poorer physical fitness and higher prevalence of overweight.
- Understanding these associations is crucial for targeted interventions.
Purpose of the Study:
- To investigate the relationship between physical fitness and overweight in Israeli children with DCD compared to typically developing children.
- To examine potential gender differences in physical fitness and overweight status within these groups.
- To identify correlations between fitness levels, body mass index (BMI), and body fat percentage.
Main Methods:
- Children with DCD were identified using the Movement Assessment Battery for Children 2 (MABC-2) and parental reports.
- Participants included children with DCD (n=22) and a control group of typical children (n=47).
- Physical fitness was assessed using the Bruininks-Oseretsky test of motor proficiency (BOT-2) and the six-minute walk test (6MWT); BMI and body fat percentage were measured.
Main Results:
- Children with DCD demonstrated significantly poorer physical fitness and higher BMI and body fat percentage compared to typical children.
- Significant interactions between group (DCD vs. typical) and gender were found for BMI and body fat percentage.
- Girls exhibited higher body weight and body fat percentage than boys in the study sample.
Conclusions:
- Children with DCD are less physically fit and more overweight than their typically developing peers.
- Fitness levels are inversely associated with obesity indicators (BMI and body fat percentage).
- Further research is needed to understand the interplay of obesity, physical fitness, and gender in children with and without DCD.
Abstract:
Physical fitness and overweight among children has become paramount in the general population and more so in children with developmental coordination disorder (DCD). The purpose of the current study was to examine the association between physical fitness and overweight in a sample of Israeli children in comparison to typical children, and to examine gender differences. DCD was identified through total scores on the movement assessment battery for children 2 (MABC-2) equal to or less than the 16th percentile as well as parents' report that the child's deficits in motor skills interfered with at least two daily life activities. The sample included a group of children with DCD (n=22, M age=8.70 [SD=1.36], 16 boys [73%]) and a control group of typical children (n=47, M age=8.90 [SD=1.52], 34 boys [72%]). Measures included the strength subtest of the Bruininks-Oseretsky test of motor proficiency (BOT-2), the six minutes' walk test (6MWT) with heart rate measure, BMI and the percentage of body fat. Significant differences between DCD and typical children were found on all variables of physical fitness and weight. A two-way analysis of variance (ANOVA) analysis (group/gender) also revealed significant interactions for the percentage of body fat (F=8.51, p<.005) and BMI (F=4.50, p<.038) meaning that less fit children are more obese. The current study supports previous findings that children with DCD are less physically fit and more overweight compared to typically developing children. Moreover, in comparing between the genders, the girls in the study sample weighed more and had a significantly higher percentage of body fat than boys, it is essential to further our understanding of the relationships between obesity, physical fitness and gender among children with and without DCD.
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