背景:生命早期的身体活动具有积极的健康影响,但很少有孩子符合体育活动的建议。基本运动技能(FMS)与身体活动有关,根据理论,体力活动在早期驱动他们,反之亦然。然而,尚未有研究对中等至剧烈强度体力活动(MVPA)与早期FMS之间的关系进行荟萃分析.这项荟萃分析研究了学龄前儿童MVPA与特定领域FMS之间的双向相关性。
方法:我们搜索了PubMed,Embase,和Cochrane图书馆数据库,用于截至2023年8月发表的文章。如果以儿童(3-6岁)为研究人群,则包括横断面和纵向研究。评估了客观测量的MVPA和FMS之间的关联。
结果:我们发现了445个标题和摘要。共有10项研究(11项数据集)和2514名儿童符合纳入标准,包括8项横断面研究和3项纵向研究。当使用MVPA作为曝光时,运动技能(β=0.83,95%CI:-0.08,1.74,p=0.07)与粗大运动技能(β=2.72,95%CI:-0.28,5.72,p=0.08)无相关性,但发现与对象管理技能相关(β=0.18,95%CI:0.06,0.30,p=0.001)。当MVPA被用作结果时,运动技能之间未观察到关联(β=0.06,95%CI:-0.35,0.47,p=0.79),但发现与对象管理技能(β=0.15,95%CI:0.02,0.27,p=0.02)和粗大运动技能(β=0.56,95%CI:0.38,0.75,p=0.001)相关。敏感性分析表明,必须谨慎对待结果。
结论:我们发现学龄前儿童的粗大运动技能(暴露)与MVPA(结果)呈正相关。学龄前儿童的对象管理技能与MVPA(暴露)和MVPA(结果)呈正相关。相比之下,MVPA作为暴露与运动技能和粗大运动技能无关。结果可能表明,促进FMS对学龄前儿童的MVPA很重要。
BACKGROUND: Physical activity in early life has positive health effects, but few children meet the physical activity recommendations. Fundamental motor skills (FMS) are related to physical activity and according to the theory, physical activity drives them in the early years and vice versa. However, no study has conducted a meta-analysis of the association between moderate-to-vigorous intensity physical activity (MVPA) and early FMS. This meta-analysis examined the bidirectional correlation between MVPA and domain-specific FMS in preschool children.
METHODS: We searched PubMed, Embase, and Cochrane Library databases for articles published up to August 2023. Cross-sectional and longitudinal studies were included if they targeted children (3-6 years old) as the study population. The association between objectively measured MVPA and FMS was evaluated.
RESULTS: We found 445 titles and abstracts. A total of ten studies (eleven datasets) and 2514 children met the inclusion criteria, including eight cross-sectional studies and three longitudinal studies. When using MVPA as the exposure, no associations were found with locomotor skills (β = 0.83, 95% CI: -0.08, 1.74, p = 0.07) and gross motor skills (β = 2.72, 95% CI: -0.28, 5.72, p = 0.08), but an association with object management skills was found (β = 0.18, 95% CI: 0.06, 0.30, p = 0.001). When MVPA was used as the outcome, no associations were observed between locomotor skills (β = 0.06, 95% CI: -0.35, 0.47, p = 0.79), but associations with object management skills (β = 0.15, 95% CI: 0.02, 0.27, p = 0.02) and gross motor skill were found (β = 0.56, 95% CI: 0.38, 0.75, p = 0.001). The sensitivity analysis showed that the results must be treated with caution.
CONCLUSIONS: We found that gross motor skill (exposure) was positively associated with MVPA (outcome) in preschoolers. Object management skills were positively associated with MVPA (exposure) and MVPA (outcome) in preschoolers. In contrast, MVPA as an exposure was not associated with locomotor skills and gross motor skills. The results may suggest that promoting FMS is important for preschool children\'s MVPA.