Related Experiment Video
Updated: Feb 16, 2026

A Familiarization Protocol Facilitates the Participation of Children with ASD in Electrophysiological Research
Published on: July 31, 2017
Diversity of activity participation determines bone mineral content in the lower limbs of pre-pubertal children with
S S M Fong1, D Vackova2, A W M Choi3
1School of Public Health, University of Hong Kong, Pokfulam, Hong Kong. smfong@hku.hk.
Insights
Children with developmental coordination disorder (DCD) show lower bone mineralization. Engaging in diverse activities, not just physical ones, is crucial for improving bone health in these children.
Area of Science:
- Pediatric Health
- Bone Metabolism
- Developmental Disorders
Background:
- Children with developmental coordination disorder (DCD) often exhibit limited participation in various activities.
- This limited engagement may negatively impact bone mineral accrual and overall bone health.
Purpose of the Study:
- To compare bone mineralization and activity participation in children with DCD versus typically developing peers.
- To determine the association between activity participation patterns and bone mineralization in children with DCD.
Main Methods:
- Evaluated bone mineral content (BMC) and bone mineral density (BMD) using dual-energy X-ray absorptiometry in 52 children with DCD and 61 controls.
- Assessed activity participation patterns using the Children's Assessment of Participation and Enjoyment (CAPE) questionnaire.
Main Results:
- Children with DCD had significantly lower BMC and BMD compared to controls.
- Lower total activity and physical activity diversity scores were observed in children with DCD.
- Total activity diversity independently predicted leg BMC in children with DCD, accounting for 5.1% of variance.
Conclusions:
- Pre-pubertal children with DCD demonstrate reduced diversity in activity participation and lower bone mineralization.
- Limited diversity in overall activity participation is a contributing factor to lower bone mineral content in the legs of children with DCD.
Abstract:
This study examined the relationships between activity participation and bone mineralization in children with developmental coordination disorder. Limited participation in physical, recreational, social, and skill-based and self-improvement activities contributed to lower bone mineral content. For improved bone health, these children should participate in a variety of activities, not only physical activities.
Introduction:
Limited activity participation in children with developmental coordination disorder (DCD) may have a negative impact on bone mineral accrual. The objectives of this study were to compare bone mineralization and activity participation patterns of pre-pubertal children with DCD and those with typical development, and to determine the association between activity participation patterns and bone mineralization in children with DCD.
Methods:
Fifty-two children with DCD (mean age = 7.51 years) and 61 children with typical development (mean age = 7.22 years) participated in the study. Appendicular and total body (less head) bone mineral content (BMC) and bone mineral density (BMD) were evaluated by a whole-body dual-energy X-ray absorptiometry scan. Activity participation patterns were assessed using the Children's Assessment of Participation and Enjoyment (CAPE) questionnaire.
Results:
Children with DCD had lower appendicular and total body BMCs and BMDs than children with typical development overall (p < 0.05). They also had lower CAPE total activity and physical activity diversity scores (p < 0.05). After accounting for the effects of age, sex, height, lean mass, and fat mass, the total activity diversity score remained independently associated with leg BMC in children with DCD, explaining 5.1% of the variance (p = 0.030). However, the physical activity diversity score was no longer associated with leg BMC (p = 0.090).
Conclusions:
Diversity of activity participation and bone mineralization were lower in pre-pubertal children with DCD. Decreased total activity participation diversity was a contributing factor to lower BMC in the legs of children with DCD.
Related Concept Videos
Bone Disorders
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Essential Minerals for Bone Health
Calcium and Phosphorus
Calcium is a critical component of bones, especially in the form of calcium phosphate and calcium carbonate. Since the body cannot make calcium, it must be obtained from the diet. However, calcium cannot be absorbed from the small intestine without...
Bones of the Upper Limb: Ulna
Bones of the Upper Limb: Radius
The radius has a nail-shaped head, and a...
Bones of the Lower Limb: Tibia and Fibula
Bones of the Upper Limb: Humerus

