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Reprint of "Relationship between BMI, waist circumference, physical activity and probable developmental coordination
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, particularly in boys. Physical activity did not mediate this relationship but was independently linked to better body composition.
Area of Science:
- Pediatric Health
- Developmental Disorders
- Body Composition Research
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 these changes differ by sex.
- To investigate if physical activity levels explain differences in body composition between children with and without pDCD 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 body composition changes.
Main Results:
- Children with pDCD exhibited higher BMI and waist circumference than typically developing peers, with this gap widening over time.
- The association between pDCD and BMI progression varied by sex, with boys showing a faster increase.
- Physical activity did not mediate or moderate the pDCD-body composition link but was independently associated with lower BMI and waist circumference.
Conclusions:
- Probable DCD is linked to elevated body mass and waist circumference, key risk factors for serious health issues.
- These findings highlight the importance of monitoring body composition in children with pDCD.
- Interventions targeting physical activity may benefit children's body composition independently of DCD status.
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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