Elhakeem Ahmed, Hardy Rebecca, Bann David, Kuh Diana, Cooper Rachel
MRC Unit for Lifelong Health and Ageing at UCL, London, UK.
MRC Integrative Epidemiology Unit at University of Bristol, Bristol, UK.
Paediatr Perinat Epidemiol. 2018 Jul;32(4):327-334. doi: 10.1111/ppe.12467. Epub 2018 Apr 17.
This study examined associations between motor performance in early life and leisure-time physical activity (LTPA) participation across adulthood, and whether these changed with age.
Data were from 2526 participants from the Medical Research Council National Survey of Health and Development. Motor indicators were mother-reported ages at first standing and walking, teacher-rated games ability at age 13, and finger- and foot-tapping speed at age 15. LTPA was reported at ages 36, 43, 53, 60-64, and 68 years and classed at each age as none, moderate (1-4/mo), or regular (≥5/mo). Associations were examined using mixed-effects Poisson regression models with robust error variance.
Better ability at games and faster tapping speed were associated with more frequent participation in LTPA across adulthood, for example, fully adjusted relative risk of regular LTPA across adulthood (vs none) for above-average ability (vs below average or average) = 1.46 (95% CI 1.32, 1.61); and per 10-unit higher number of finger-taps/15 seconds = 1.04 (95% CI 1.02, 1.07). These associations did not vary by age (P ≥ .33 for interactions with age at LTPA). Ages at reaching motor milestones were not associated with LTPA (eg, fully adjusted relative risk of regular LTPA across adulthood for walking ≤10 and ≥18 months (vs 11-17 months) were 1.01 (95% CI 0.86, 1.20) and 0.89 (95% CI 0.75, 1.06) respectively.
Better ability at games and faster tapping speed in adolescence were associated with greater participation in LTPA throughout adult life; from age 36 up to age 68. Childhood motor skill interventions may therefore have the potential to promote lifelong LTPA.
本研究调查了生命早期的运动能力与成年期休闲体育活动(LTPA)参与之间的关联,以及这些关联是否随年龄变化。
数据来自医学研究理事会全国健康与发展调查的2526名参与者。运动指标包括母亲报告的首次站立和行走年龄、13岁时教师评定的游戏能力,以及15岁时手指和足部敲击速度。在36岁、43岁、53岁、60 - 64岁和68岁时报告LTPA情况,并在每个年龄将其分类为无、中度(每月1 - 4次)或规律(每月≥5次)。使用具有稳健误差方差的混合效应泊松回归模型检验关联。
游戏能力越强和敲击速度越快与成年期更频繁参与LTPA相关,例如,成年期规律LTPA(相对于无)的完全调整相对风险,高于平均能力(相对于低于平均或平均)为1.46(95%可信区间1.32, 1.61);每15秒手指敲击次数每增加10次 = 1.04(95%可信区间1.02, 1.07)。这些关联不随年龄变化(LTPA时与年龄的交互作用P≥0.33)。达到运动里程碑的年龄与LTPA无关(例如,成年期规律LTPA的完全调整相对风险,行走≤10个月和≥18个月(相对于11 - 17个月)分别为1.01(95%可信区间0.86, 1.2)和0.89(95%可信区间0.75, 1.06))。
青少年时期更好的游戏能力和更快的敲击速度与成年期直至68岁更积极参与LTPA相关。因此,儿童运动技能干预可能有促进终身LTPA的潜力。