Volume 45 Issue 9
Sep.  2024
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LIANG Wei, HE Yuxiu, SU Ning, CAI Wenfei, JING Biao, ZHOU Lin. Analysis of social-ecological factors influencing the development of fundamental motor skills among overweight and obese children[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(9): 1328-1333. doi: 10.16835/j.cnki.1000-9817.2024287
Citation: LIANG Wei, HE Yuxiu, SU Ning, CAI Wenfei, JING Biao, ZHOU Lin. Analysis of social-ecological factors influencing the development of fundamental motor skills among overweight and obese children[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(9): 1328-1333. doi: 10.16835/j.cnki.1000-9817.2024287

Analysis of social-ecological factors influencing the development of fundamental motor skills among overweight and obese children

doi: 10.16835/j.cnki.1000-9817.2024287
  • Received Date: 2024-05-10
  • Rev Recd Date: 2024-07-30
  • Available Online: 2024-10-08
  • Publish Date: 2024-09-25
  •   Objective  To identify the social-ecological factors of individual, family, and physical environments for affecting the development of fundamental motor skills (FMS) among overweight and obese children, so as to provide a basis for the future intervention design and policy-making.  Methods  From March to April 2022, one public primary school was recruited from each of the 4 main urban areas in Shijiazhuang, and a total of 425 children in schools were recruited for data collection including individual, family, physical environmental factors, by using a stratified cluster random sampling approach.Test of Gross Motor Development-Third Edition (TGMD-3) was used to evaluate children's FMS.Hierarchical linear regression model was employed to analysis the associations between the 18 factors for individual, family, and physical environments, and the FMS of overweight and obese children.  Results  Individual level including the child's age, gender and sleep duration, and family level including high family economic level, parental support for physical activity, and the physical activity environment surrounding the family and community were consistent predictors of movement skills (B=0.422, -1.972, 0.014, 0.045, 1.042, 0.827, 1.898), ball skills (B=0.858, 3.953, 0.013, 0.092, 2.141, 1.173, 1.954), and composite skills (B=1.305, 1.915, 0.028, 0.142, 3.091, 1.962, 3.879) among overweight and obese children (P < 0.05).Furthermore, child's body mass index (BMI), moderate to vigorous physical activity, perceived motor competence, pleasure of exercise, as well as BMI and physical activity levels of their primary caregiver, were associated with different types of FMS (P < 0.05).Individual, family, and physical environmental factors had moderate to high predictive explanatory power for FMS among overweight and obese children (f2=0.69, 0.75, 0.93, P < 0.01).  Conclusions  The factors influencing the development of FMS in overweight and obese children are multifaceted, with individual, family, and physical environment factors all playing significant roles.Corresponding measures should be actively taken to improve FMS in overweight and obese children.
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