Obesity and motor skills among 4 to 6-year-old children in the united states: nationally-representative surveys

BMC Pediatrics

Tatiana Andreyeva²  Katia Castetbon¹ 

[1] Unité de surveillance et d'épidémiologie nutritionnelle, Institut de veille sanitaire, Université Paris 13, Bobigny, France;Rudd Center for Food Policy and Obesity, Yale University, New Haven, CT, USA

关键词: BMI references;    National Survey;    Fine Motor Skills;    Gross Motor Skills;    Childhood Obesity;    Child Development;   

Others  :  1170822
DOI  :  10.1186/1471-2431-12-28

 received in 2011-06-24, accepted in 2012-03-15,  发布年份 2012

【 摘 要 】

Background

Few population-based studies have assessed relationships between body weight and motor skills in young children. Our objective was to estimate the association between obesity and motor skills at 4 years and 5-6 years of age in the United States. We used repeated cross-sectional assessments of the national sample from the Early Childhood Longitudinal Survey-Birth Cohort (ECLS-B) of preschool 4-year-old children (2005-2006; n = 5 100) and 5-6-year-old kindergarteners (2006-2007; n = 4 700). Height, weight, and fine and gross motor skills were assessed objectively via direct standardized procedures. We used categorical and continuous measures of body weight status, including obesity (Body Mass Index (BMI) ≥ 95^th percentile) and BMI z-scores. Multivariate logistic and linear models estimated the association between obesity and gross and fine motor skills in very young children adjusting for individual, social, and economic characteristics and parental involvement.

Results

The prevalence of obesity was about 15%. The relationship between motor skills and obesity varied across types of skills. For hopping, obese boys and girls had significantly lower scores, 20% lower in obese preschoolers and 10% lower in obese kindergarteners than normal weight counterparts, p < 0.01. Obese girls could jump 1.6-1.7 inches shorter than normal weight peers (p < 0.01). Other gross motor skills and fine motor skills of young children were not consistently related to BMI z-scores and obesity.

Conclusions

Based on objective assessment of children's motor skills and body weight and a full adjustment for confounding covariates, we find no reduction in overall coordination and fine motor skills in obese young children. Motor skills are adversely associated with childhood obesity only for skills most directly related to body weight.

【 授权许可】

   
2012 Castetbon and Andreyeva; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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