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Objectively Measured Physical Activity in Children With Developmental Coordination Disorder: A Systematic Review and
Huynh-Truc Tran1, Wen-Chao Ho1, Li-Wei Chou2
1Department of Public Health, China Medical University, Taichung.
Insights
Children with developmental coordination disorder (DCD) engage in less moderate-to-vigorous physical activity (MVPA). This is especially true for school-aged children, highlighting a need for greater awareness and intervention.
Area of Science:
- Pediatrics
- Developmental Psychology
- Sports Medicine
Background:
- Developmental Coordination Disorder (DCD) affects motor skills in children.
- Objective measurement of physical activity (PA) is crucial for understanding health behaviors.
- Limited research exists on PA differences between children with and without DCD.
Purpose of the Study:
- To systematically review and meta-analyze objective physical activity (PA) data.
- To compare PA levels between children with and without DCD.
- To identify age-specific differences in PA for children with DCD.
Main Methods:
- Systematic literature search across four major databases (PubMed, Science Direct, Web of Science, Cochrane Library).
- Inclusion of studies with DSM-diagnosed DCD, objective PA measures, and typically developing control groups.
- Data extraction included study design, sample size, PA measures, intensity, and findings.
Main Results:
- Twelve articles were included in the review; ten contributed to the meta-analysis.
- Children with DCD showed significantly lower moderate-to-vigorous physical activity (MVPA) (mean difference = -0.17).
- A subgroup analysis revealed significantly lower MVPA in school-aged children (6-14 years) with DCD (SMD = -0.27).
Conclusions:
- Children with DCD participate less in MVPA, particularly those aged 6-14 years.
- Findings underscore the importance of recognizing and addressing reduced PA in children with DCD.
- Increased awareness among healthcare providers and parents is recommended to promote PA in this population.
Objective:
To conduct a systematic review and meta-analysis to understand the difference in objectively measured physical activities (PAs) between children with and without developmental coordination disorder (DCD).
Data Sources:
A systematic literature search of 4 databases (PubMed, Science Direct, Web of Science, and Cochrane library) was conducted in July 2023.
Study Selection:
Studies that met the following criteria were considered classified children with DCD based on Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV), DSM-IV-Text Revision, or DSM-V diagnosis criteria, evaluated PA using objective measurements and provided the amount of time spent in PA and/or sedentary behavior, included a control group of typically developing children, and written in English.
Data Extraction:
Data extracted from all included studies were: first author's surname and publication year, study design, country, total sample size, the measure of PA, the intensity of PA, categories of PA level, and main finding(s).
Data Synthesis:
Twelve articles met the inclusion criteria for the systematic review, 10 of which were included in the meta-analysis. The overall mean difference in moderate-to-vigorous PA (MVPA) between 2 groups was -0.17 (95% CI, -0.25 to -0.09), (I2=48.7%, P=.029). A subgroup analysis by age (ie, school-aged vs. preschool) showed a significant pooled effect size with no heterogeneity in school-aged children (ie, 6-14y) (standardized mean difference=-0.27, 95% CI, -0.38 to -0.16, I2=43.1%, P=.08).
Conclusions:
Children with DCD spent significantly less time participating in MVPA, particularly those aged between 6 and 14 years. These findings highlight the need for increased awareness among parents and physicians regarding insufficient participation in PA among children with DCD.
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