Impact of 24 h movement behaviors on fundamental motor skills in preschool children
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摘要:
目的 探究24 h活动行为(身体活动、睡眠和屏幕时间)与幼儿基本运动技能(FMS)之间的关系,为保证儿童动作技能的长期发展提供参考和依据。 方法 于2022年3月,采用方便抽样和分层整群随机抽样相结合的方法从太原市6个城区中6所幼儿园抽取607名3~5岁幼儿作为研究对象,进行基线测试收集幼儿24 h活动行为和FMS数据;于2023年3月进行1年后的随访测试,收集幼儿FMS数据。采用第3版基本动作技能测试(TGMD-3)测量幼儿FMS水平;采用ActiGraph GT3X+加速度计测量幼儿的身体活动和睡眠时间,由家长报告屏幕时间。采用皮尔逊相关性分析、分层回归分析和二元Logistic回归分析24 h活动行为对幼儿FMS的影响。 结果 基线结果显示,基线身体活动总量(TPA)与基线操控技能、移动技能和TGMD-3总分均呈正相关(β值分别为0.40,3.87,4.27,P值均 < 0.01)。1年后随访结果显示,基线低强度身体活动(LPA)和屏幕时间与1年后的TGMD-3总分增加均呈负相关(β值分别为-1.93,-0.79);基线中高强度身体活动(MVPA)、TPA和睡眠时间与1年后的TGMD-3总分增加均呈正相关(β值分别为4.62,4.51,3.19)(P值均 < 0.01)。1年后随访结果显示,与不满足任何1项24 h活动行为指南相比,满足任意2项和3项指南的幼儿动作技能合格率均升高(OR值分别为2.31,3.32,P值均 < 0.01)。 结论 MVPA和充足的睡眠可对幼儿1年后的FMS提高产生积极影响,而LPA与较长的屏幕时间对幼儿1年后的FMS提高产生消极影响。学校和家庭应保证幼儿满足24 h活动行为指南推荐标准,促进其FMS的长期发展。 Abstract:Objective To investigate the association between 24 h movement behaviors (physical activity, sleep, and screen time) and fundamental motor skills (FMS) in preschool children, in order to provide the reference and basis for ensuring the long-term development of children's motor skills. Methods A total of 607 children aged 3 to 5 years old were selected from 6 kindergartens of 6 urban districts in Taiyuan in March 2022, through a combination of convenient sampling and stratified cluster random sampling method, and the baseline test was conducted to collect data on the children's 24 h movement behaviors and FMS; the follow-up test after one year was carried out in March 2023 to collect FMS data. The test of gross motor development-3rd was used to assess the children's FMS levels. Physical activity and sleep duration were measured using ActiGraph GT3X+ accelerometers, while screen time was reported by parents. Pearson correlation analysis, hierarchial and binary Logistic regression analyses were used to analyze the association of 24 h movement behavior with FMS. Results The results of baseline showed that total of physical activity (TPA) at baseline was positively associated with manipulation skills, mobility skills and total score of TGMD-3 (β=0.40, 3.87, 4.27, P < 0.01). The follow-up results after one year indicated that low-intensity physical activity (LPA) and screen time at baseline were negatively associated with increased TGMD-3 scores one year later (β=-1.93, -0.79, P < 0.01). Conversely, baseline moderate-to-vigorous-intensity physical activity (MVPA), TPA and sleep duration were positively associated with increased TGMD-3 scores after one year (β=4.62, 4.51, 3.19, P < 0.01). The follow-up results showed that meeting 2 or 3 items of the 24 h movement behavior guidelines was significantly associated with an increased likelihood of achieving motor skill proficiency (OR=2.31, 3.32, P < 0.01) compared to not meeting any 24 h movement behavior guideline after one year. Conclusions MVPA and enough sleep could positively affect FMS improvement, whereas LPA and long screen time could negatively affect FMS improvement at one year follow-up. Schools and families should ensure that preschool children meet the recommended standards of the 24 h movement behavioral guidelines to promote long-term development of FMS. -
Key words:
- Motor activity /
- Motor skills /
- Growth and development /
- Regression analysis /
- Child, preschool
1) 利益冲突声明 所有作者声明无利益冲突。 -
表 1 幼儿24 h活动行为与FMS相关性分析(r值,n=493)
Table 1. Correlation analysis between 24 h movement behaviors and FMS in preschool children (r, n=493)
24 h活动行为 基线 1年后随访 操控技能 移动技能 TGMD-3总分 操控技能 移动技能 TGMD-3总分 LPA -0.14 -0.18 -0.15 -0.06 -0.07 -0.07 MVPA 0.51** 0.59** 0.56** 0.55** 0.56** 0.55* TPA 0.51** 0.54** 0.53** 0.59** 0.63** 0.60 睡眠 0.63* 0.50* 0.58* 0.60** 0.66* 0.68** 屏幕时间 -0.62** -0.50* -0.52** -0.68* -0.63** -0.65** 注: *P < 0.05,**P < 0.01。 表 2 幼儿24 h活动行为与基线FMS之间的关联(n=607)
Table 2. Association between 24 h movement behaviors and baseline FMS in preschool children(n=607)
自变量 操控技能 移动技能 TGMD-3总分 β值 标准误 P值 β值 标准误 P值 β值 标准误 P值 LPA -1.61 1.35 0.31 -2.05 1.31 0.11 -3.79 -3.66 0.08 MVPA 0.81 2.91 < 0.01 3.50 1.10 < 0.01 4.31 1.87 < 0.01 TPA 0.40 2.43 < 0.01 3.87 1.15 < 0.01 4.27 1.57 < 0.01 睡眠 1.18 1.51 0.15 1.96 1.52 0.21 3.14 2.42 0.84 屏幕时间 -0.33 0.21 0.85 -0.36 0.21 0.08 -0.35 0.33 0.23 表 3 幼儿24 h活动行为与1年后FMS之间的关联(n=493)
Table 3. Association between 24-hour movement behaviors and FMS one year later in preschoolers(n=493)
自变量 操控技能 移动技能 TGMD-3总分 β值 标准误 P值 β值 标准误 P值 β值 标准误 P值 LPA -1.73 1.71 0.32 -2.18 1.62 < 0.01 -1.93 1.79 < 0.01 MVPA 1.31 1.26 0.42 4.11 2.91 < 0.01 4.62 1.03 < 0.01 TPA 0.67 1.24 0.58 3.87 1.25 < 0.01 4.51 1.97 < 0.01 睡眠 0.51 2.13 0.81 3.68 1.94 < 0.01 3.19 1.64 < 0.01 屏幕时间 -0.29 0.28 < 0.01 -0.42 0.26 0.11 -0.79 0.36 < 0.01 -
[1] WILLUMSEN J, BULL F. Development of WHO guidelines on physical activity, sedentary behavior, and sleep for children less than 5 years of age[J]. J Phys Act Health, 2020, 17(1): 96-100. doi: 10.1123/jpah.2019-0457 [2] ZHU X H, HEALY S, HAEGELE J A, et al. Twenty-four-hour movement guidelines and body weight in youth[J]. J Pediatr, 2020, 218: 204-209. doi: 10.1016/j.jpeds.2019.11.031 [3] DEL POZO-CRUZ B, PERALES F, PARKER P, et al. Joint physical-activity/screen-time trajectories during early childhood: socio-demographic predictors and consequences on health-related quality-of-life and socio-emotional outcomes[J]. Int J Behav Nutr Phys Act, 2019, 16(1): 55. doi: 10.1186/s12966-019-0816-3 [4] LOGAN S W, ROBINSON L E, WILSON A E, et al. Getting the fundamentals of movement: a Meta-analysis of the effectiveness of motor skill interventions in children[J]. Child Care Health Dev, 2012, 38(3): 305-315. doi: 10.1111/j.1365-2214.2011.01307.x [5] 王珽珽. 学龄前儿童体力活动、身体素质和动作技能的发展特征以及作用机制的研究[J]. 中国体育科技, 2022, 58(8): 49-61. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGTY202208007.htmWANG T T. Research on the development characteristics and mechanism of physical activity, physical fitness and motor skills of preschoolers[J]. China Sport Sci Technol, 2022, 58(8): 49-61. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGTY202208007.htm [6] BARNETT L M, SALMON J, HESKETH K D. More active pre-school children have better motor competence at school starting age: an observational cohort study[J]. BMC Public Health, 2016, 16(1): 1068. doi: 10.1186/s12889-016-3742-1 [7] HARDY L L, DING D, PERALTA L R, et al. Association between sitting, screen time, fitness domains, and fundamental motor skills in children aged 5-16 years: cross-sectional population study[J]. J Phys Act Health, 2018, 15(12): 933-940. doi: 10.1123/jpah.2017-0620 [8] KRACHT C L, WEBSTER E K, STAIANO A E. Relationship between the 24-hour movement guidelines and fundamental motor skills in preschoolers[J]. J Sci Med Sport, 2020, 23(12): 1185-1190. doi: 10.1016/j.jsams.2020.06.021 [9] CHEN B Z, BERNARD J Y, PADMAPRIYA N, et al. Socio-demographic and maternal predictors of adherence to 24-hour movement guidelines in singaporean children[J]. Int J Behav Nutr Phys Act, 2019, 16(1): 70. doi: 10.1186/s12966-019-0834-1 [10] 常振亚. 学龄前儿童24 h运动指南推荐量的实证探索: 以长沙市为例[J]. 体育科学, 2021, 41(5): 80-87. https://www.cnki.com.cn/Article/CJFDTOTAL-TYKX202105009.htmCHANG Z Y. An empirical study of the recommendations on physical activity for preschoolers: take changsha as an example[J]. China Sport Sci, 2021, 41(5): 80-87. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-TYKX202105009.htm [11] TUDOR-LOCKE C, BARREIRA T V, SCHUNA J M, et al. Fully automated waist-worn accelerometer algorithm for detecting children's sleep-period time separate from 24 h physical activity or sedentary behaviors[J]. Appl Physiol Nutr Metab, 2014, 39(1): 53-57. doi: 10.1139/apnm-2013-0173 [12] GUAN H Y, ZHANG Z G, WANG B, et al. Proportion of kindergarten children meeting the WHO guidelines on physical activity, sedentary behaviour and sleep and associations with adiposity in urban Beijing[J]. BMC Pediatr, 2020, 20(1): 70. doi: 10.1186/s12887-020-1969-6 [13] WHO. Guidelines on physical activity and sedentary behavior[M]. Geneva: WHO, 2021. [14] 李兴盈, 汪晓赞, ULRICH D A, 等. TGMD-3在中国3~12岁儿童基本运动技能测试中的信效度研究[J]. 武汉体育学院学报, 2022, 56(3): 86-92. doi: 10.3969/j.issn.1000-520X.2022.03.011LI X Y, WANG X Z, ULRICH D A, et al. Reliability and validity of TGMD-3 in fundamental movement skills test for children aged 3-12 in china[J]. J Wuhan Sports Univ, 2022, 56(3): 86-92. (in Chinese) doi: 10.3969/j.issn.1000-520X.2022.03.011 [15] 邱艳平, 王丽娟, 周玉兰, 等. 基于成分数据分析的24 h活动与儿童基本动作技能的关系[J]. 体育学刊, 2023, 30(1): 137-144. https://www.cnki.com.cn/Article/CJFDTOTAL-TYXK202301021.htmQIU Y P, WANG L J, ZHOU Y L, et al. The association between 24 h movement behaviors and fundamental motor skills of children based on compositional data analyses[J]. J Phys Educ, 2023, 30(1): 137-144. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-TYXK202301021.htm [16] SMITH E, FAZELI F, WILKINSON K, et al. Physical behaviors and fundamental movement skills in British and Iranian children: an isotemporal substitution analysis[J]. Scand J Med Sci Sports, 2021, 31(2): 398-404. doi: 10.1111/sms.13837 [17] NILSEN A K O, ANDERSSEN S A, LOFTESNES J M, et al. The multivariate physical activity signature associated with fundamental motor skills in preschoolers[J]. J Sport Sci, 2019, 38(3): 264-272. [18] ROSCOE C M P, DUNCAN M J, CLARK C C T. The 24-h movement compositions in weekday, weekend day or four-day periods differentially associate with fundamental movement skills[J]. Children(Basel), 2021, 8(10): 828. [19] NILSEN A K O, ANDERSSEN S A, LOFTESNES J M, et al. The multivariate physical activity signature associated with fundamental motor skills in preschoolers[J]. J Sports Sci, 2020, 38(3): 264-272. doi: 10.1080/02640414.2019.1694128 [20] PALMER K K, CHINN K M, ROBINSON L E. The effect of the champ intervention on fundamental motor skills and outdoor physical activity in preschoolers[J]. J Sport Health Sci, 2019, 8(2): 98-105. [21] SCHMUTZ E A, LEEGER-ASCHMANN C S, KAKEBEEKE T H, et al. Motor competence and physical activity in early childhood: stability and relationship[J]. Front Public Health, 2020, 8: 39. [22] BEZERRA T A, BANDEIRA P F R, DE SOUZA A N, et al. A network perspective on the relationship between moderate to vigorous physical activity and fundamental motor skills in early childhood[J]. J Phys Act Health, 2021, 18(7): 774-781. [23] HE Q, NG J Y Y, CAIRNEY J, et al. Association between physical activity and fundamental movement skills in preschool-aged children: does perceived movement skill competence mediate this relationship?[J]. Int J Environ Res Public Health, 2021, 18(3): 1289. [24] GRAHAM M, AZEVEDO L, WRIGHT M, et al. The effectiveness of fundamental movement skill interventions on moderate to vigorous physical activity levels in 5 to 11-year-old children: a systematic review and Meta-analysis[J]. Sports Med, 2022, 52(5): 1067-1090. [25] PAGE J, LUSTENBERGER C, FROHLICH F. Social, motor, and cognitive development through the lens of sleep network dynamics in infants and toddlers between 12 and 30 months of age[J]. Sleep, 2018, 41(4): zsy024. [26] SUGAWARA S K, TANAKA S, TANAKA D, et al. Sleep is associated with offline improvement of motor sequence skill in children[J]. PLoS One, 2014, 9(11): e111635. [27] WEBSTER E K, MARTIN C K, STAIANO A E. Fundamental motor skills, screen-time, and physical activity in preschoolers[J]. J Sport Health Sci, 2019, 8(2): 114-121. -

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