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Role of Motor Competence and Executive Functioning in Weight Loss: A Study in Children with Obesity
Mireille J C M Augustijn1,2, Eva DʼHondt3, Lore Van Acker4
1Department of Movement and Sports Sciences, Ghent University, Gent, Belgium.
Insights
Children with obesity show poorer motor skills and executive functioning (EF). These abilities predict weight loss, highlighting their importance in childhood obesity treatment.
Area of Science:
- Pediatric Obesity Research
- Developmental Psychology
- Behavioral Medicine
Background:
- Childhood obesity is a significant public health concern.
- Motor competence and executive functioning (EF) are crucial for overall development and health.
- The interplay between obesity, motor skills, and EF in children requires further investigation.
Purpose of the Study:
- To compare motor competence and EF in children with obesity versus healthy-weight peers.
- To assess the predictive value of motor competence and EF for weight loss following a multidisciplinary treatment program.
Main Methods:
- Thirty-two children with obesity and 32 healthy-weight controls (ages 7-11) were assessed.
- Motor skills and EF were evaluated at baseline.
- Anthropometric measurements were taken at baseline and after a 5-month treatment program.
Main Results:
- Children with obesity exhibited lower motor competence and reduced EF (updating, inhibition, planning) compared to controls.
- Better general motor competence and balance skills correlated with improved EF.
- Ball skills, balance, and inhibition/updating predicted 14-17% of weight loss variance.
Conclusions:
- Motor competence and EF are significantly associated with childhood obesity.
- These factors are important predictors of weight loss success in treatment programs.
- Further research is needed to explore the impact of motor and EF interventions on obesity management.
Objective:
This study aimed to compare motor competence and executive functioning (EF) between children with obesity and peers with healthy weight. Additionally, the predictive value of motor competence and EF in weight loss after a 5-month multidisciplinary residential treatment program was examined.
Methods:
Thirty-two children with obesity (7-11 years, 14 boys) and 32 age-matched controls (18 boys) performed 8 motor skill tasks and 4 tasks of EF (only at baseline). In the group of children with obesity, anthropometric measurements were performed at baseline and 5 months after the start of their treatment program. Also in control children, there was a time span of 5 months in between anthropometric measurements.
Results:
Lower levels of motor competence and reduced updating abilities, inhibition control, and planning skills were observed in children with obesity compared with healthy-weight controls. Within the total group, better general motor competence and balance skills were significantly associated with better updating, inhibition control, and planning. Finally, hierarchical regression analyses revealed that ball skills, balance skills, and inhibition/updating at baseline predicted 14% to 17% of the variance in weight loss after a 5-month treatment program in children with obesity.
Conclusion:
These results suggest that motor competence and EF are both relevant factors associated with childhood obesity. Moreover, these factors seem to be significant predictors of weight loss. Future (intervention) studies are needed to understand the impact of the difficulties in motor and EF on obesity-related behaviors as well as on short-term and, especially, long-term weight loss and maintenance.
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