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台湾地区发展性协调障碍儿童与非发展性协调障碍儿童的肥胖与动作协调能力。

Obesity and motor coordination ability in Taiwanese children with and without developmental coordination disorder.

机构信息

Department of Physical Therapy, Graduate Institute of Rehabilitation Science, China Medical University, Taichung City 404, Taiwan.

出版信息

Res Dev Disabil. 2011 Mar-Apr;32(2):801-7. doi: 10.1016/j.ridd.2010.10.020. Epub 2010 Nov 24.

Abstract

The purpose of this study was to investigate the associations between obesity and motor coordination ability in Taiwanese children with and without developmental coordination disorder (DCD). 2029 children (1078 boys, 951 girls) aged nine to ten years were chosen randomly from 14 elementary schools across Taiwan. We used bioelectrical impedance analysis to measure percentage of body fat (PBF) and the Movement Assessment Battery for Children test (MABC test) to evaluate the motor coordination ability. Using cut-off points based on PBF from past studies, boys and girls were divided into obese, overweight and normal-weight groups, respectively. In boys, total impairment scores and scores on balance subtest in the MABC were significantly higher in the obese and overweight groups when compared against the normal-weight group. Girls in the obese and the overweight groups had higher balance impairment scores than those of the normal-weight group. Among boys, the prevalence of obesity was highest in the DCD group, when compared to the borderline DCD and TD boys. A higher percentage of DCD girls were overweight and obese than TD girls. Obesity may be associated with poor motor coordination ability among boys and girls, and particularly in relation to balance ability. Children with DCD may have a higher risk to be overweight or obese in Taiwan.

摘要

本研究旨在探讨台湾地区有无发展性协调障碍(DCD)的儿童中,肥胖与动作协调能力之间的关联。从台湾 14 所小学中随机抽取 2029 名 9 至 10 岁的儿童(男 1078 名,女 951 名)。我们采用生物电阻抗分析法测量体脂肪百分比(PBF),并使用儿童运动评估测试(MABC 测试)评估动作协调能力。根据过去研究中的 PBF 切点值,我们将男孩和女孩分别分为肥胖、超重和正常体重组。在男孩中,与正常体重组相比,肥胖和超重组的 MABC 总损伤评分和平衡分测验评分明显更高。超重和肥胖组的女孩平衡损伤评分高于正常体重组。在男孩中,与边缘型 DCD 和 TD 男孩相比,DCD 男孩的肥胖患病率最高。超重和肥胖的 DCD 女孩比例高于 TD 女孩。肥胖可能与男孩和女孩的动作协调能力差有关,特别是与平衡能力有关。台湾地区的 DCD 儿童超重或肥胖的风险可能更高。

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