Effects of a cluster-randomized exercise intervention on cardiovascular health in preschoolers

Alice Minghetti1, Oliver Faude1, Lars Donath2

  • 1Department of Sport, Exercise and Health, University of Basel, Switzerland.

Insights

Gross motor skill interventions in preschoolers improve movement abilities. While effects on vascular health were minimal, these programs offer a valuable way to integrate physical activity and enhance motor skills in early childhood education.

Area of Science:

  • Pediatric Exercise Science
  • Developmental Pediatrics
  • Preventive Cardiology

Background:

  • Limited data exists on cardiovascular health and exercise response in healthy children.
  • Primary health prevention in at-risk children is gaining attention, highlighting a research gap in healthy populations.
  • Understanding the impact of physical activity interventions on preschoolers' vascular health is crucial for long-term well-being.

Purpose of the Study:

  • To investigate the effects of a gross motor skill-based exercise intervention on micro- and macro-vascular health in preschoolers.
  • To assess changes in cardiovascular parameters following a structured physical activity program.
  • To evaluate the efficacy of motor skill interventions for primordial prevention in healthy young children.

Main Methods:

  • A sub-study of a clinical trial involving 68 preschoolers across intervention (INT) and control (CON) groups.
  • Intervention group received weekly exercise sessions for 25 weeks; control group received no intervention.
  • Evaluated gross motor skills (TGMD-2), retinal vessel analysis, and central hemodynamics pre- and post-intervention, with statistical analysis correcting for covariates.

Main Results:

  • Significant improvements in gross motor skills (TGMD-2) were observed in the intervention group compared to controls (Cohen's d = 0.52).
  • Retinal vessel diameters showed trivial between-group differences (0.08 < d ≤ 0.29).
  • Arterial stiffness parameters exhibited trivial to moderate between-group differences (-0.55 < d ≤ 0.31).

Conclusions:

  • Motor-skill based interventions are effective in enhancing gross motor proficiency in preschoolers.
  • These programs represent a practical approach to incorporating physical activity into early childhood settings.
  • Further research is warranted to explore the long-term potential of motor skill interventions as a primordial prevention strategy in healthy preschoolers.

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