Community participation, physical activity, and quality of life for children born very preterm

Kate L Cameron; Rheanna M Mainzer; Joy E Olsen; Ross A Clark; Jeanie L Y Cheong; Tara L FitzGerald; Alicia J Spittle

doi:10.1111/dmcn.16295

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Community participation, physical activity, and quality of life for children born very preterm

Journal article

Open access

Peer reviewed

Community participation, physical activity, and quality of life for children born very preterm

Kate L Cameron, Rheanna M Mainzer, Joy E Olsen, Ross A Clark, Jeanie L Y Cheong, Tara L FitzGerald and Alicia J Spittle

Developmental Medicine and Child Neurology, Vol.67(10), pp.1331-1339

2025

DOI: https://doi.org/10.1111/dmcn.16295

PMCID: PMC12426303

PMID: 40114385

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Abstract

Aim To investigate the effects of community environment on physical activity and quality of life (QoL) and to describe the relationship between community participation with physical activity and QoL, in children born very preterm and at term. Method Participants in this cross-sectional study were 45 children aged 4 to 5 years old, born before 30 weeks' gestation and 89 term-born children. Measures were community participation (Young Children's Participation and Environment Measure; frequency, involvement, environmental helpfulness, environmental resources), QoL (Pediatric Quality of Life Inventory 4.0; PedsQL), and physical activity (7-day accelerometry). Effects of environmental helpfulness and resources on physical activity and QoL were estimated using g-computation. Relationships between participation frequency and involvement with physical activity and QoL were estimated using linear regression. Results Environmental helpfulness increased physical activity (average minute increase per percentage point environmental helpfulness score increase; 3, 95% confidence interval [CI] 0.1–7), reduced stationary time (−2, 95% CI −5 to −0.2) and improved QoL (average PedsQL social functioning score increase; 0.7, 95% CI 0.1–1.2). Greater community involvement was associated with better QoL (average PedsQL total score increase per unit involvement score increase; 5.8, 95% CI 0.7–10.9). Interpretation Improving environmental helpfulness may improve physical activity and QoL for 4- to 5-year-old children. Greater community involvement is associated with better QoL.

Details

Title: Community participation, physical activity, and quality of life for children born very preterm
Authors: Kate L Cameron (Corresponding Author) - The University of Melbourne
Rheanna M Mainzer - Murdoch Children's Research Institute
Joy E Olsen - Murdoch Children's Research Institute
Ross A Clark - University of the Sunshine Coast, Queensland, School of Health - Sports & Exercise Science
Jeanie L Y Cheong - Murdoch Children's Research Institute
Tara L FitzGerald - Murdoch Children's Research Institute
Alicia J Spittle - The University of Melbourne
Publication details: Developmental Medicine and Child Neurology, Vol.67(10), pp.1331-1339
Publisher: Wiley-Blackwell Publishing Ltd.
Date published: 2025
DOI: 10.1111/dmcn.16295
ISSN: 1469-8749
PMID: 40114385; PMC12426303
Copyright note: © 2025 The Author(s). Developmental Medicine & Child Neurology published by John Wiley & Sons Ltd on behalf of Mac Keith Press. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Data Availability: Data available on request from the authors.
Grants: Bridging the gap between laboratory and clinic using low cost, high tech physical function assessment tools (APP1090415), 1090415, National Health and Medical Research Council (Australia, Canberra) - NHMRC
Optimising lifelong health and development for our most immature newborns, 2016390, National Health and Medical Research Council (Australia, Canberra) - NHMRC
Early detection and intervention for infants at high risk of motor impairments, 1108714, National Health and Medical Research Council (Australia, Canberra) - NHMRC
Motor trajectories of children born <30 weeks' gestation from birth to 5 years: early predictors and functional implications, 1101035, National Health and Medical Research Council (Australia, Canberra) - NHMRC
Neurobehaviour between birth and 40 weeks in infants born <30 weeks’ gestation: predictors of brain development and later neurodevelopmental outcome, 1024516, National Health and Medical Research Council (Australia, Canberra) - NHMRC
Organisation Unit: Healthy Ageing Research Cluster; School of Health - Sports & Exercise Science
Language: English
Record Identifier: 991113850102621
Output Type: Journal article

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Collaboration types: Domestic collaboration
Web Of Science research areas: Clinical Neurology; Pediatrics

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