Journal article
Associations between physical activity and development in preschool-aged children born <30 weeks’ gestation: a cohort study
Archives of Disease in Childhood. Fetal and Neonatal Edition, Vol.109(6), pp.602-608
2024
PMID: 38408793
Abstract
Objective
To investigate the effect of physical activity (PA) on development (motor, cognitive, social-emotional) in children 4–5 years old born <30 weeks’ gestation, and to describe subgroups of children at risk of low PA in this cohort.
Design
Longitudinal cohort study.
Patients
123 children born <30 weeks were recruited at birth and assessed between 4 and 5 years’ corrected age.
Main outcome measures
Development was assessed using the Movement Assessment Battery for Children, Second Edition (MABC-2), Little Developmental Coordination Disorder Questionnaire (L-DCDQ), Wechsler Preschool and Primary Scale of Intelligence (Fourth Edition; WPPSI-IV), and Strengths and Difficulties Questionnaire (SDQ). To measure PA, children wore an accelerometer and parents completed a diary for 7 days. Effects of PA on developmental outcomes, and associations between perinatal risk factors and PA, were estimated using linear regression.
Results
More accelerometer-measured PA was associated with better MABC-2 aiming and catching scores (average standard score increase per hour increase in PA: 0.54, 95% CI 0.11, 0.96; p=0.013), and lower WPPSI-IV processing speed index scores (average composite score decrease per hour increase in PA: −2.36, 95% CI −4.19 to –0.53; p=0.012). Higher accelerometer-measured PA was associated with better SDQ prosocial scores. Major brain injury in the neonatal period was associated with less moderate-vigorous and less unstructured PA at 4–5 years.
Conclusions
Higher levels of PA are associated with aspects of motor, cognitive and social-emotional skill development in children 4–5 years old born <30 weeks. Those with major brain injury in the neonatal period may be more vulnerable to low PA at preschool age.
Details
- Title
- Associations between physical activity and development in preschool-aged children born <30 weeks’ gestation: a cohort study
- Authors
- Tara L FitzGerald (Corresponding Author) - University of MelbourneKate L Cameron (Author) - University of MelbourneReem A Albesher (Author) - Princess Nourah bint Abdulrahman UniversityBenjamin F Mentiplay (Author) - La Trobe UniversityRheanna M Mainzer (Author) - Murdoch Children's Research InstituteAlice C Burnett (Author) - Murdoch Children's Research InstituteKarli Treyvaud (Author) - Murdoch Children's Research InstituteRoss A Clark (Author) - University of the Sunshine Coast, Queensland, School of Health - Public HealthPeter J Anderson (Author) - Monash UniversityJeanie LY Cheong (Author) - Royal Women's HospitalLex W Doyle (Author) - Royal Women's HospitalAlicia J Spittle (Author) - Royal Women's Hospital
- Publication details
- Archives of Disease in Childhood. Fetal and Neonatal Edition, Vol.109(6), pp.602-608
- Publisher
- BMJ Group
- Date published
- 2024
- DOI
- 10.1136/archdischild-2023-326045
- ISSN
- 1468-2052
- PMID
- 38408793
- Data Availability
- Data are available upon reasonable request. Data available upon reasonable request to the corresponding author.
- Organisation Unit
- Healthy Ageing Research Cluster; School of Health - Public Health
- Language
- English
- Record Identifier
- 991003190802621
- Output Type
- Journal article
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- Domestic collaboration
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- Pediatrics
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