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Relationship between BMI, waist circumference, physical activity and probable developmental coordination disorder
Divya Joshi1, Cheryl Missiuna2, Steven Hanna1
1Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, ON, Canada.
Insights
Children with probable developmental coordination disorder (pDCD) show increased BMI and waist circumference over time, with boys experiencing a faster rise. Physical activity did not influence this relationship but was linked to better body composition independently.
Area of Science:
- Pediatric Health
- Developmental Disorders
- Body Composition Analysis
Background:
- Cross-sectional studies link developmental coordination disorder (DCD) to lower physical activity and higher weight.
- Longitudinal data on DCD's impact on body composition (BMI, waist circumference) over time is limited.
- The influence of sex and physical activity on the DCD-body composition relationship remains unclear.
Purpose of the Study:
- To assess changes in BMI and waist circumference in children with and without probable DCD (pDCD) as they age.
- To determine if sex influences the longitudinal relationship between pDCD and body composition.
- To investigate if physical activity mediates or moderates the association between pDCD and body composition over time.
Main Methods:
- Longitudinal analysis of Physical Health Activity Study Team (PHAST) data.
- Inclusion of 2,278 children (9-10 years old at baseline, 103 with pDCD).
- Five-year follow-up using mixed-effects modeling to analyze changes in body composition.
Main Results:
- Children with pDCD exhibited higher BMI and waist circumference than controls, with this gap widening over five years.
- The association between pDCD and BMI over time differed by sex, with boys showing a faster increase.
- Similar sex-based trends were observed for waist circumference; physical activity was not a mediator/moderator but independently associated with lower body composition measures.
Conclusions:
- Probable DCD is linked to elevated body mass and waist circumference, key risk factors for chronic diseases.
- These findings highlight the long-term health implications of DCD on body composition.
- Early identification and intervention for DCD may be crucial for managing associated health risks.
Background:
Cross-sectional studies have shown that children with developmental coordination disorder (DCD) are less likely to be physically active and have excess weight gain. However, longitudinal studies examining the relationship between DCD and measures of body composition (BMI and waist circumference) over time are lacking. It is not known if sex and physical activity affect the relationship between DCD and measures of body composition over time.
Objective:
(1) To examine if BMI and waist circumference in children with and without probable DCD (pDCD) remain constant over time or change as children age, and whether this relationship varies by sex. (2) To examine if differences in physical activity between children with and without pDCD account for differences in BMI and waist circumference over time.
Methods:
Physical Health Activity Study Team (PHAST) data were used for this longitudinal analysis. At baseline, a total of 2,278 (pDCD=103) children aged 9-10 years were included in the analysis. The total follow-up period was five years. Mixed-effects modeling was used to estimate change in body composition measures in children over time.
Results:
Children with pDCD have higher BMI and waist circumference compared to typically developing children, and this difference increased over the study period. The relationship between pDCD and BMI over time also varied by sex. A similar trend was observed for waist circumference. Boys with pDCD were found to have a more rapid increase in BMI and waist circumference compared to girls with pDCD. Physical activity had neither a mediating nor a moderating effect on the relationship between pDCD and measures of body composition. However, physical activity was independently and negatively associated with measures of body composition.
Conclusions:
pDCD is associated with higher body mass and waist circumference, both important risk factors for cardiovascular disease, type 2 diabetes, and psychological problems and other health conditions.
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