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Purcell C, Schott N, Rapos V, Zwicker JG, Wilmut K. Understanding factors that influence physical activity behavior in people with developmental coordination disorder (DCD): a mixed-methods convergent integrated systematic review. Front Hum Neurosci 2023; 17:1274510. [PMID: 38152480 PMCID: PMC10751368 DOI: 10.3389/fnhum.2023.1274510] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2023] [Accepted: 11/15/2023] [Indexed: 12/29/2023] Open
Abstract
This systematic review synthesizes the literature on physical activity amongst people with DCD using the COM-B framework. The review questions were: (1) what is the Capability (C), Opportunity (O) and Motivation (M) for physical activity and (2) what does physical activity behavior (B) look like? A mixed-methods systematic review was conducted by searching eight databases (PubMed, APA PsycINFO, EMBASE, Scopus, Child Development and Adolescent Studies, Cochrane Library, Web of Science, CINAHL) up to July 2023. Data were extracted, thematically analyzed, and mapped to the COM-B model. The quality of studies was assessed with the Joanna Briggs Institute (JBI) critical appraisal tool. The protocol was registered with PROSPERO (CRD42022319127). Forty-three papers, 42 of which related to children, were included. Fifteen aligned with physical activity behavior, nine with physical capability, thirteen with psychological capability, one with social opportunity, one with physical opportunity, one with reflective motivation and three with automatic motivation. Pre-school-aged children with DCD engage in comparable levels of physical activity behavior, but differences emerge from 6 years of age. Characteristics of DCD result in reduced physical capability and less varied participation in physical activity. This impacts psychological capability, whereby lower self-perceptions result in a negative feedback loop and reduce the motivation to participate. Barriers relating to social opportunities may result in poor reflective and automatic motivation, although there is evidence that interventions can enhance enjoyment in the short term.
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Affiliation(s)
- Catherine Purcell
- School of Healthcare Sciences, Cardiff University, Cardiff, United Kingdom
| | - Nadja Schott
- Institute of Sport and Movement Science, University of Stuttgart, Stuttgart, Germany
| | - Victoria Rapos
- Rehabilitation Sciences, The University of British Columbia, Vancouver, BC, Canada
- Brain, Behavior, and Development, British Columbia Children’s Hospital Research Institute, Vancouver, BC, Canada
| | - Jill G. Zwicker
- Brain, Behavior, and Development, British Columbia Children’s Hospital Research Institute, Vancouver, BC, Canada
- Department of Occupational Science and Occupational Therapy, The University of British Columbia, Vancouver, BC, Canada
| | - Kate Wilmut
- Centre for Psychological Research, Oxford Brookes University, Oxford, United Kingdom
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Tan J, Ng CA, Hart NH, Rantalainen T, Sim M, Scott D, Zhu K, Hands B, Chivers P. Reduced Peak Bone Mass in Young Adults With Low Motor Competence. J Bone Miner Res 2023; 38:665-677. [PMID: 36795323 DOI: 10.1002/jbmr.4788] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/14/2022] [Revised: 01/10/2023] [Accepted: 02/12/2023] [Indexed: 02/17/2023]
Abstract
Although suboptimal bone health has been reported in children and adolescents with low motor competence (LMC), it is not known whether such deficits are present at the time of peak bone mass. We examined the impact of LMC on bone mineral density (BMD) in 1043 participants (484 females) from the Raine Cohort Study. Participants had motor competence assessed using the McCarron Assessment of Neuromuscular Development at 10, 14, and 17 years, and a whole-body dual-energy X-ray absorptiometry (DXA) scan at 20 years. Bone loading from physical activity was estimated from the International Physical Activity Questionnaire at the age of 17 years. The association between LMC and BMD was determined using general linear models that controlled for sex, age, body mass index, vitamin D status, and prior bone loading. Results indicated LMC status (present in 29.6% males and 21.9% females) was associated with a 1.8% to 2.6% decrease in BMD at all load-bearing bone sites. Assessment by sex showed that the association was mainly in males. Osteogenic potential of physical activity was associated with increased BMD dependent on sex and LMC status, with males with LMC showing a reduced effect from increasing bone loading. As such, although engagement in osteogenic physical activity is associated with BMD, other factors involved in physical activity, eg, diversity, movement quality, may also contribute to BMD differences based upon LMC status. The finding of lower peak bone mass for individuals with LMC may reflect a higher risk of osteoporosis, especially for males; however, further research is required. © 2023 The Authors. Journal of Bone and Mineral Research published by Wiley Periodicals LLC on behalf of American Society for Bone and Mineral Research (ASBMR).
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Affiliation(s)
- Jocelyn Tan
- School of Health Sciences and Physiotherapy, University of Notre Dame Australia, Fremantle, Australia.,Western Australian Bone Research Collaboration, Perth, Australia
| | - Carrie-Anne Ng
- Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, Australia
| | - Nicolas H Hart
- Western Australian Bone Research Collaboration, Perth, Australia.,School of Medical and Health Sciences, Edith Cowan University, Joondalup, Australia.,Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, Australia.,Institute for Health Research, University of Notre Dame Australia, Fremantle, Australia.,School of Sport, Exercise and Rehabilitation, University of Technology Sydney, Sydney, Australia
| | - Timo Rantalainen
- Western Australian Bone Research Collaboration, Perth, Australia.,School of Medical and Health Sciences, Edith Cowan University, Joondalup, Australia.,Institute for Health Research, University of Notre Dame Australia, Fremantle, Australia.,Gerontology Research Center, University of Jyväskylä, Jyväskylä, Finland.,Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
| | - Marc Sim
- Western Australian Bone Research Collaboration, Perth, Australia.,Nutrition & Health Innovation Research Institute, School of Medical and Health Sciences, Edith Cowan University, Joondalup, Australia.,Medical School, The University of Western Australia, Perth, Australia
| | - David Scott
- Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, Australia.,Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Deakin University, Burwood, Australia
| | - Kun Zhu
- Nutrition & Health Innovation Research Institute, School of Medical and Health Sciences, Edith Cowan University, Joondalup, Australia.,Department of Endocrinology and Diabetes, Sir Charles Gairdner Hospital, Nedlands, Australia
| | - Beth Hands
- Institute for Health Research, University of Notre Dame Australia, Fremantle, Australia
| | - Paola Chivers
- Western Australian Bone Research Collaboration, Perth, Australia.,Institute for Health Research, University of Notre Dame Australia, Fremantle, Australia
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Tan J, Murphy M, Hart NH, Rantalainen T, Bhoyroo R, Chivers P. Association of developmental coordination disorder and low motor competence with impaired bone health: A systematic review. RESEARCH IN DEVELOPMENTAL DISABILITIES 2022; 129:104324. [PMID: 35970085 DOI: 10.1016/j.ridd.2022.104324] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/20/2021] [Revised: 07/10/2022] [Accepted: 08/08/2022] [Indexed: 06/15/2023]
Abstract
AIMS Individuals with developmental coordination disorder (DCD) and low motor competence (LMC) may be at increased risk of low bone health due to their lifetime physical activity patterns. Impaired bone health increases an individual's risk of osteoporosis and fracture; therefore, it is necessary to determine whether a bone health detriment is present in this group. Accordingly, this systematic review explores the association between DCD/LMC and bone health. METHODS AND PROCEDURES Studies were included with assessment of bone health in a DCD/LMC population. Study bias was assessed using the JBI critical appraisal checklist. Due to heterogeneity, meta-analysis was not possible and narrative synthesis was performed with effect size and direction assessed via harvest plots. OUTCOMES AND RESULTS A total of 16 (15 paediatric/adolescent) studies were included. Deficits in bone measures were reported for the DCD/LMC group and were more frequent in weight-bearing sites. Critical appraisal indicated very low confidence in the results, with issues relating to indirectness and imprecision relating to comorbidities. CONCLUSIONS AND IMPLICATIONS Individuals with DCD or LMC are at increased risk of bone health deficits. Bone impairment locations indicate insufficient loading via physical activity as a potential cause of bone deficits. Results indicate a potential for earlier osteoporosis onset.
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Affiliation(s)
- Jocelyn Tan
- School of Nursing, Midwifery, Health Sciences & Physiotherapy, University of Notre Dame Australia, Fremantle, Australia; Western Australian Bone Research Collaboration, Perth, WA, Australia.
| | - Myles Murphy
- School of Nursing, Midwifery, Health Sciences & Physiotherapy, University of Notre Dame Australia, Fremantle, Australia; Western Australian Bone Research Collaboration, Perth, WA, Australia; School of Medical and Health Science, Edith Cowan University, Joondalup, Australia
| | - Nicolas H Hart
- Western Australian Bone Research Collaboration, Perth, WA, Australia; Institute for Health Research, University of Notre Dame Australia, Fremantle, Australia; School of Medical and Health Science, Edith Cowan University, Joondalup, Australia; School of Nursing, Queensland University of Technology, Brisbane, Australia; Caring Futures Institute, Flinders University, Adelaide, Australia
| | - Timo Rantalainen
- Western Australian Bone Research Collaboration, Perth, WA, Australia; Institute for Health Research, University of Notre Dame Australia, Fremantle, Australia; School of Medical and Health Science, Edith Cowan University, Joondalup, Australia; Gerontology Research Center, University of Jyväskylä, Jyväskylä, Finland
| | - Ranila Bhoyroo
- School of Population Health, Curtin University, Perth, Australia; Disciplines of Psychology and Exercise Health, Murdoch University, Perth, Australia
| | - Paola Chivers
- Western Australian Bone Research Collaboration, Perth, WA, Australia; Institute for Health Research, University of Notre Dame Australia, Fremantle, Australia; School of Medical and Health Science, Edith Cowan University, Joondalup, Australia
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Tan J, Hart NH, Rantalainen T, Chivers P. Association between developmental coordination disorder or low motor competence, and risk of impaired bone health across the lifespan: protocol for a systematic review and meta-analysis. JBI Evid Synth 2020; 19:1202-1210. [PMID: 33165174 DOI: 10.11124/jbies-20-00112] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
OBJECTIVE This systematic review will assess the association between developmental coordination disorder or low motor competence and impairments in bone health across the lifespan. INTRODUCTION Individuals with developmental coordination disorder tend to have a pattern of physical activity associated with bone health impairments. Preliminary studies have found impairments in bone health measures, including fractures, throughout the lifespan with potential public health ramifications. As studies in this area are of small samples across wide age ranges, no comprehensive picture of bone health in this group has been formed, hindering action. A systematic review is needed to determine the potential risk of bone impairment in this population. INCLUSION CRITERIA Studies that assess the relationship between developmental coordination disorder/low motor competence and bone health, regardless of measures used, will be included in the review. There will be no exclusions based on region, study design, or participant demographic characteristics. METHODS Published studies and gray literature will be searched, with no limits on publication date or language. Assessment of studies for inclusion, as well as data extraction, will be performed by two reviewers, with data cross checked for accuracy. Studies will be appraised using the appropriate JBI tool for the study design. Data to be extracted include unadjusted results and effect sizes for bone health measures. A narrative synthesis will be performed and if there is a sufficient number of studies, a meta-analysis using the same outcome measures will be performed on odds ratios of abnormal bone phenotype and fracture in this population. SYSTEMATIC REVIEW REGISTRATION NUMBER PROSPERO CRD42020167301.
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Affiliation(s)
- Jocelyn Tan
- School of Health Sciences, University of Notre Dame Australia, Fremantle, WA, Australia.,Western Australian Bone Research Collaboration, Perth, WA, Australia
| | - Nicolas H Hart
- Western Australian Bone Research Collaboration, Perth, WA, Australia.,Exercise Medicine Research Institute, Edith Cowan University, Joondalup, WA, Australia.,Institute for Health Research, University of Notre Dame Australia, Fremantle, WA, Australia.,School of Medical and Health Science, Edith Cowan University, Joondalup, Perth, WA, Australia
| | - Timo Rantalainen
- Western Australian Bone Research Collaboration, Perth, WA, Australia.,Exercise Medicine Research Institute, Edith Cowan University, Joondalup, WA, Australia.,Institute for Health Research, University of Notre Dame Australia, Fremantle, WA, Australia.,School of Medical and Health Science, Edith Cowan University, Joondalup, Perth, WA, Australia.,Gerontology Research Center, University of Jyväskylä, Jyväskylä, Finland
| | - Paola Chivers
- School of Health Sciences, University of Notre Dame Australia, Fremantle, WA, Australia.,Western Australian Bone Research Collaboration, Perth, WA, Australia.,Exercise Medicine Research Institute, Edith Cowan University, Joondalup, WA, Australia.,Institute for Health Research, University of Notre Dame Australia, Fremantle, WA, Australia.,School of Medical and Health Science, Edith Cowan University, Joondalup, Perth, WA, Australia
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Sit CHP, Yu JJ, Huang WY, Wong MCS, Sum RKW, Tremblay MS, Wong SHS. Results from Hong Kong's 2019 report card on physical activity for children and youth with special educational needs. J Exerc Sci Fit 2020; 18:177-182. [PMID: 32641926 PMCID: PMC7334608 DOI: 10.1016/j.jesf.2020.05.004] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2020] [Revised: 05/22/2020] [Accepted: 05/23/2020] [Indexed: 11/26/2022] Open
Abstract
BACKGROUND /Objective: The Active Healthy Kids 2019 Hong Kong Report Card on Physical Activity for Children and Youth with Special Educational Needs (SEN) provides evidence-based assessments for nine indicators of physical activity behaviors and related sources of influence for 6- to 17-year-olds with SEN in Hong Kong. This is the first Report Card for this population group in Hong Kong. METHODS The best available data between 2008 and 2019 were reviewed by a panel of experts. Following the Active Healthy Kids Global Alliance (AHKGA) development process, letter grades were assigned to nine indicators (Overall Physical Activity, Organized Sport Participation, Active Play, Active Transportation, Sedentary Behaviors, Family & Peers, School, Community & Environment, and Government Strategies & Investments). RESULTS Two behavior indicators (Overall Physical Activity: F; Sedentary Behaviors: D+) and two contextual indicators (School: B; Government Strategies & Investments: C-) were assigned a letter grade. The remaining indicators including Organized Sport Participation, Active Play, Active Transportation, Family & Peers, and Community & Environment were not graded due to insufficient data. CONCLUSIONS A majority of children and youth with SEN in Hong Kong are physically inactive and have a high level of sedentary behaviors. Schools are ideal settings to promote physical activity for this population. There is a need to develop a comprehensive surveillance system to monitor this population, assess efforts to improve the grades, and promote physical activity opportunities for children and youth with SEN.
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Affiliation(s)
- Cindy Hui-Ping Sit
- Department of Sports Science and Physical Education, The Chinese University of Hong Kong, Hong Kong
| | - Jane Jie Yu
- Department of Sports Science and Physical Education, The Chinese University of Hong Kong, Hong Kong
| | - Wendy Yajun Huang
- Department of Sport and Physical Education, Hong Kong Baptist University, Hong Kong
| | - Martin Chi-Sang Wong
- The Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong
| | - Raymond Kim-Wai Sum
- Department of Sports Science and Physical Education, The Chinese University of Hong Kong, Hong Kong
| | - Mark S. Tremblay
- Children’s Hospital of Eastern Ontario Research Institute, Ottawa, Canada
| | - Stephen Heung-Sang Wong
- Department of Sports Science and Physical Education, The Chinese University of Hong Kong, Hong Kong
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Delgado-Lobete L, Santos-Del-Riego S, Pértega-Díaz S, Montes-Montes R. Prevalence of suspected developmental coordination disorder and associated factors in Spanish classrooms. RESEARCH IN DEVELOPMENTAL DISABILITIES 2019; 86:31-40. [PMID: 30654220 DOI: 10.1016/j.ridd.2019.01.004] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/31/2018] [Revised: 01/09/2019] [Accepted: 01/09/2019] [Indexed: 06/09/2023]
Abstract
BACKGROUND Developmental Coordination Disorder (DCD) is a multifactorial, neurodevelopmental motor disorder that severely affects the activities of a child's daily life and classroom performance. The aim of this study was to determine the prevalence of suspected DCD in a sample of Spanish schoolchildren and its association with socio-demographic factors. METHODS We conducted a cross-sectional study including a random sample of 460 children attending mainstream schools in northwest Spain in 2017. A Developmental Coordination Disorder Questionnaire-European Spanish was used to evaluate suspected DCD prevalence. We performed multivariate logistic and linear regression analysis to determine the socio-demographic variables associated with suspected DCD and problematic motor coordination performance. RESULTS The prevalence of suspected DCD was 12.2%. According to the multivariate analysis, DCD symptoms were significantly associated with males (OR = 3.0), ages above 10 years old (OR = 5.0) and low participation in out-of-school physical activities (OR = 2.3). Preterm birth children were twice as likely to show suspected DCD, although this association was not statistically significant (OR = 2.1). CONCLUSIONS A high percentage of Spanish schoolchildren are at risk for developing DCD. There is a strong connection between suspected DCD and socio-demographic factors. Protocols aimed to detect DCD and intervention programmes in classrooms designed to promote motor coordination skills need to take these factors into consideration.
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Affiliation(s)
- Laura Delgado-Lobete
- University of A Coruña, Faculty of Health Sciences, Campus de Oza S/N, A Coruña, Spain.
| | | | - Sonia Pértega-Díaz
- University of A Coruña, Faculty of Health Sciences, Campus de Oza S/N, A Coruña, Spain
| | - Rebeca Montes-Montes
- University of A Coruña, Faculty of Health Sciences, Campus de Oza S/N, A Coruña, Spain
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