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High risk for obesity in children with a subtype of developmental coordination disorder
Affiliation:1. Graduate Institute of Clinical Medical Science, China Medical University, Taichung City 404, Taiwan;2. CanChild Centre for Childhood Disability Research, Departments of Family Medicine, Psychiatry & Behavioural Neurosciences & Kinesiology, McMaster University, Hamilton, ON, Canada;3. School of Psychology, The University of Sydney, Sydney, NSW 2006, Australia;4. Department of Recreation Sport & Health Promotion, National Pingtung University of Science & Technology, Taiwan;5. Institute of Sport Performance, National Taiwan University of Physical Education & Sport, Taichung City 404, Taiwan;1. Shanghai First Maternity and Infant Hospital, Tongji University School of Medicine, Shanghai, China;2. Pediatrics Research Institution of Suzhou University, Suzhou 215003, China;3. Public Health School of Fudan University, Shanghai, China;1. Sint Maartenskliniek, Afdeling Research Development and Education, Nijmegen, The Netherlands;2. Avansplus, University for Professionals, Heerbaan 14-40, 4817 NL Breda, The Netherlands;3. Ghent University and Arteveldehogeschool, Campus Heymans 2B3, De Pintelaan 185, 9000 Gent, Belgium;4. Motor Control Laboratory, Research Center for Movement Control and Neuroplasticity, Dep. of Kinesiology, University of Leuven, De Nayer kamer 02.11, Tervuurse Vest 101, 3001 Leuven, Belgium;1. McMaster University, Hamilton, Ontario, Canada;2. CanChild, Centre for Childhood Disability Research, Hamilton, Ontario, Canada;3. McGill University, Montreal, Quebec, Canada;4. Centre for Addiction and Mental Health, Toronto, Ontario, Canada;1. Faculty of Health Sciences, McMaster University, 1280 Main St. W., Hamilton, Ontario L8S 4K1, Canada;2. Faculty of Applied Health Sciences, Brock University, 500 Glenridge Avenue, St. Catharines, Ontario L2S 3A1, Canada;1. University Nilton Lins, Manaus, AM, Brazil;2. Laboratory Motor of Behavior, Physical Education and Sport School of University of São Paulo, Brazil;3. Child Institute, Faculty of Medicine of University of São Paulo, Brazil;1. Department of Occupational Therapy, Faculty of Health Professions, Ono Academic College, Israel;2. School of Occupational Therapy, Hebrew University Jerusalem, Israel;3. Alyn Hospital, Pediatric & Adolescent Rehabilitation Center, Jerusalem, Israel;4. Division of Occupational Science and Occupational Therapy, College of Health Professions, University of Southern California, LA, USA;5. Research Institute for Health and Medical Professions, Ono Academic College, Israel
Abstract:The purpose of this study was to compare the prevalence of overweight and obesity in typically developing (TD) children, children with developmental coordination disorder (DCD) and balance problems (DCD-BP), and children with DCD without balance problems (DCD-NBP). Two thousand and fifty-seven children (1095 boys, 962 girls) ages 9–12 years were recruited from 18 elementary schools in Taiwan. The Movement Assessment Battery for Children was used to assess motor coordination ability. International cut-off points for body mass index were used to classify participants into the following groups: normal-weight, overweight or obese. Compared with TD children, children in the DCD-BP group were more than twice as likely to be obese (OR = 2.28; 95% CI = 1.41–3.68). DCD-BP children were also more likely to be obese compared to DCD-NBP children (OR = 1.79; 95% CI = 1.02–3.16). Boys in the DCD-BP group were more likely to be obese when compared to DCD-BP girls (OR = 3.12; 95% CI = 1.28–7.57). Similarly, DCD-NBP boys were more likely to be obese when compared to DCD-NBP girls (OR = 2.67; 95% CI = 1.21–5.89). Children with both DCD and BP were significantly more likely to be obese when compared to TD and DCD-NBP children. From an intervention perspective, the inclusion of regular physical activity, including activities that encourage development of both balance and energy expenditure, may be required to prevent obesity in this population.
Keywords:Obesity  Children  Developmental coordination disorder  Balance  Taiwan
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