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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.
Abstract:
Primary health prevention in at-risk children is receiving increased attention while less information is available on cardiovascular profile and response to exercise in healthy children. Our study examined the effects of a gross motor skill-based exercise intervention on micro- and macro-vascular health in preschoolers. This is a sub-study of a five-armed clinical trial with six kindergartens and 68 children. Four kindergartens were assigned to the intervention group (INT) and two to control groups (CON). We performed gross motor skill assessment (TGMD-2), static retinal vessel analysis, and measurements of central hemodynamics before and after the intervention. INT received one weekly exercise session for 25 weeks, while CON received no intervention. We calculated linear regressions correcting for age, sex, BMI-percentile, and baseline. We observed favorable effects in TGMD-2 for INT over CON (Cohen's d = 0.52 95% CI [0.15; 0.90]). Trivial between-group differences were observed in retinal vessel diameters (0.08 < d ≤ 0.29) and trivial to moderate differences in all other arterial stiffness parameters (-0.55 < d ≤ 0.31). Motor-skill based interventions are sensible measures to incorporate physical activity in pre-schools and improve gross motor proficiency at a very young age. The potential of motor skill-based interventions as primordial prevention strategy in healthy preschoolers needs to be further investigated.
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