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一项幼儿期干预的三年随访:身体活动和体重状况如何?

Three-year follow-up of an early childhood intervention: what about physical activity and weight status?

作者信息

Barnett Lisa M, Zask Avigdor, Rose Lauren, Hughes Denise, Adams Jillian

机构信息

School of Health and Social Development, Deakin University, Faculty of Health, Melbourne, VIC, Australia.

出版信息

J Phys Act Health. 2015 Mar;12(3):319-21. doi: 10.1123/jpah.2013-0419. Epub 2014 May 6.

DOI:10.1123/jpah.2013-0419
PMID:24809753
Abstract

BACKGROUND

Fundamental movement skills are a correlate of physical activity and weight status. Children who participated in a preschool intervention had greater movement skill proficiency and improved anthropometric measures (waist circumference and BMI z scores) post intervention. Three years later, intervention girls had retained their object control skill advantage. The study purpose was to assess whether at 3-year follow up a) intervention children were more physically active than controls and b) the intervention effect on anthropometrics was still present.

METHODS

Children were assessed at ages 4, 5, and 8 years for anthropometric measures and locomotor and object control proficiency (Test of Gross Motor Development-2). At age 8, children were also assessed for moderate to vigorous physical activity (MVPA) (using accelerometry). Several general linear models were run, the first with MVPA as the outcome, intervention/control, anthropometrics, object control and locomotor scores as predictors, and age and sex as covariates. The second and third models were similar, except baseline to follow-up anthropometric differences were the outcome.

RESULTS

Overall follow-up rate was 29% (163/560), with 111 children having complete data. There were no intervention control differences in either MVPA or anthropometrics.

CONCLUSION

Increased skill competence did not translate to increased physical activity.

摘要

背景

基本运动技能与身体活动及体重状况相关。参与学前干预的儿童在干预后运动技能熟练度更高,人体测量指标(腰围和BMI z评分)也有所改善。三年后,干预组女孩仍保持其物体控制技能优势。本研究的目的是评估在3年随访时:a)干预组儿童是否比对照组儿童身体活动更多;b)干预对人体测量指标的影响是否仍然存在。

方法

在儿童4岁、5岁和8岁时评估其人体测量指标以及运动和物体控制熟练度(粗大运动发育测试-2)。在8岁时,还使用加速度计评估儿童的中度至剧烈身体活动(MVPA)。运行了几个一般线性模型,第一个模型以MVPA为结果变量,干预/对照、人体测量指标、物体控制和运动得分作为预测变量,年龄和性别作为协变量。第二个和第三个模型类似,只是结果变量是基线到随访期间人体测量指标的差异。

结果

总体随访率为29%(163/560),111名儿童有完整数据。在MVPA或人体测量指标方面,干预组与对照组没有差异。

结论

技能能力的提高并未转化为身体活动的增加。

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