Roberts Dawn, Veneri Diana, Decker Robert, Gannotti Mary
Department of Physical Therapy, Springfield College, Springfield, Massachusetts 01109, USA.
Pediatr Phys Ther. 2012 Winter;24(4):353-60. doi: 10.1097/PEP.0b013e3182680f19.
Childhood obesity rates are increasing globally. Physical activity is one behavioral variable that influences weight status. Participation in physical activity requires basic gross motor proficiency in early childhood. The purpose of this study was to examine the relationship between gross motor skill level and weight status in a large national representative sample of kindergarten-aged children.
Body mass index percentile ranking was calculated for 4650 children from the Early Childhood Longitudinal Study-Birth Cohort. Children were classified into underweight, healthy, overweight, or obese categories according to the Centers for Disease Control and Prevention criteria. The Early Screening Inventory Revised was used to evaluate gross motor skill level.
Children with obesity displayed lower gross motor skill levels compared with peers of healthy weight. Largest differences were seen in locomotor and balance skills.
Clinicians should consider adjusting gross motor expectations for locomotor or stability tasks in young children with obesity.
全球儿童肥胖率正在上升。身体活动是影响体重状况的一个行为变量。参与身体活动需要在幼儿期具备基本的大肌肉动作技能。本研究的目的是在一个具有全国代表性的大型幼儿园儿童样本中，检验大肌肉动作技能水平与体重状况之间的关系。
根据儿童早期纵向研究出生队列中的4650名儿童计算体重指数百分位数排名。根据疾病控制与预防中心的标准，将儿童分为体重过轻、健康、超重或肥胖类别。使用修订后的早期筛查量表来评估大肌肉动作技能水平。
与健康体重的同龄人相比，肥胖儿童的大肌肉动作技能水平较低。在移动和平衡技能方面差异最为明显。
临床医生应考虑调整对肥胖幼儿在移动或稳定性任务方面的大肌肉动作期望。
