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Assessment of physical fitness and exercise tolerance in children with developmental coordination disorder
Institution:1. Neuropediatry UR.0805, Hedi Chaker Hôpital, Faculty of Medicine, Sfax, Tunisia;2. UR EM2S: Education, Motricité, Sport et Santé, ISSEP, Sfax, Tunisia;3. Departments of Family Medicine and Kinesiology, The Infant Child Health (INCH) Research Lab, and The CanChild Centre for Studies in Childhood Disability, McMaster University, Hamilton, ON, Canada;4. Service de Pseudo Psychiatrie, Hôpital Hedi Chaker, Faculté de Médicine, Sfax, Tunisia;5. Service d’Explorations Fonctionnelles, Unité d’Effort Cardio-pulmonaire, Hôpital Habib Bourguiba, Sfax, Tunisia;6. Research Laboratory “Sports Performance Optimisation” National Center of Medicine and Science in Sports (CNMSS), Tunis, Tunisia;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. University of Cape Town, Faculty of Health Sciences, Department of Health and Rehabilitation Sciences, Suite F45: Old Main Building, Groote Schuur Hospital, Main Road, Observatory 7925, Cape Town, 8000, South Africa;2. Katholieke Universiteit Leuven, Faculty of Kinesiology and Rehabilitation Sciences, Department of Kinesiology, Movement Control and Neuroplasticity Research Group, Tervuursevest 101, Postbox 1501, B-3001 Heverlee, Belgium;1. Avansplus, University for Professionals, Breda, The Netherlands;2. Department of Health and Rehabilitation Sciences, Division of Physiotherapy, Faculty of Health Sciences, University of Cape Town, South Africa;1. Bachelor Program Cesar Kinetics Therapy, University of Applied Sciences, Department of Child, Family & Education Studies, Utrecht University, the Netherlands;2. Department of Child, Family & Education Studies, Utrecht University, the Netherlands;1. University Medical Center Utrecht, The Netherlands;2. Bachelor Program Cesar Kinetics Therapy, University of Applied Sciences Utrecht, The Netherlands;3. University Medical Center Groningen, The Netherlands;4. University of Groningen, The Netherlands;5. Rehabilitation Center ‘Revalidatie Friesland’, Beesterzwaag, The Netherlands;6. Roessingh Center for Rehabilitation, Enschede, The Netherlands;1. Department of Psychology, Nottingham Trent University, Burton Street, Nottingham, NG1 1BU, UK;2. Collaborative Innovation Centre of Assessment for Basic Education Quality, Beijing Normal University, China;3. State Key Laboratory of Cognitive Neuroscience and Learning, Beijng Normal University, China;4. Shanghai First Maternity and Infant Hospital, Tongji University School of Medicine, China;5. Department of Psychology, Health and Professional Development, Oxford Brookes University, UK
Abstract:Children with developmental coordination disorder (DCD) have been shown to be less physically fit when compared to their typically developing peers. The purpose of the present study was to examine the relationships among body composition, physical fitness and exercise tolerance in children with and without DCD. Thirty-seven children between the ages of 7 and 9 years participated in this study. Participants were classified according to results obtained on the Movement Assessment Battery for Children (MABC) and were divided in 2 groups: 19 children with DCD and 18 children without DCD. All children performed the following physical fitness tests: The five-jump test (5JT), the triple-hop distance (THD) and the modified agility test (MAT). Walking distance was assessed using the 6-min walking test (6MWT). Children with DCD showed higher scores than children without DCD in all MABC subscale scores, as well as in the total score (p < 0.001). Participants with DCD were found to perform significantly worse on the MAT (p < 0.001), the THD (p < 0.001) and 5JT (p < 0.05). Moreover, children with DCD had poorer performance on the 6MWT than children without DCD (p < 0.01). Our results found significant correlations among body mass index (BMI), THD (r = 0.553, p < 0.05), 5JT (r = 0.480, p < 0.05) and 6MWT (r = 0.544, p < 0.05) only in DCD group. A significant correlation between MAT and 5JT (r = ?0.493, p < 0.05) was found. Similarly, THD and 5JT (r = 0.611, p < 0.01) was found to be correlated in children with DCD. We also found relationships among 6MWT and MAT (r = ?0.522, p < 0.05) and the 6MWT and 5JT (r = 0.472, p < 0.05) in DCD group. In addition, we found gender specific patterns in the relationship between exercise tolerance, explosive strength, power, DCD, and BMI. In conclusion, the present study revealed that BMI was indicative of poorer explosive strength, power and exercise tolerance in children with DCD compared to children without DCD probably due to a limited coordination on motor control.
Keywords:Children  Developmental coordination disorder  BMI  Physical fitness  Exercise tolerance
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