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运动能力对青少年健康体重状况有多重要?

How Important is Motor Competence for Healthy Weight Status across Adolescence?

机构信息

Institute of Physical Education and Sports, Rio de Janeiro State University, Rio de Janeiro, Brazil.

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

出版信息

Child Obes. 2021 Apr;17(3):220-227. doi: 10.1089/chi.2020.0353. Epub 2021 Mar 19.

Abstract

Although evidence supports that motor competence is negatively associated with adiposity levels in children, less is known about how motor competence and weight status relate in adolescence. Adolescence is a critical period to study this relationship because the associations between these elements are expected to strengthen over developmental time. The aim of this study was to analyze the relationship between motor competence and weight status across adolescence. A longitudinal study (2-year follow-up) was conducted with 122 participants (59.8% girls) aged 12-13 years at baseline. They were assessed annually at three time points. Body fatness, motor competence, physical activity, and musculoskeletal fitness levels were determined through skinfold thickness, Körperkoordinationstest für Kinder (KTK), Physical Activity Questionnaire for Older Children (PAQ-C), and sit-up tests. Generalized Estimating Equation (GEE) models were conducted adjusting for potential confounders (age, gender, anthropometry, physical activity, and fitness). Motor competence and body fat showed moderate-to-high negative correlations ( = -0.65 to -0.69,  < 0.001) across time. Furthermore, motor competence significantly predicted body fat over time ( = -0.05,  = 0.05), even after adjusting for potential confounders. There is a lot of emphasis in the literature on increasing physical activity to maintain a healthy weight status or to prevent unhealthy weight gain, but this study has highlighted the role of motor competence on these aspects across the critical period of adolescence. Therefore, it seems plausible to recommend initiatives that foster the development of motor competence in early adolescence with the aim to prevent obesity.

摘要

尽管有证据表明运动能力与儿童肥胖水平呈负相关,但对于运动能力和体重状况在青春期的关系知之甚少。青春期是研究这种关系的关键时期,因为预计这些因素之间的关联会随着发育时间的推移而加强。本研究旨在分析整个青春期运动能力与体重状况之间的关系。一项纵向研究(2 年随访)对 122 名参与者(59.8%为女孩)进行了研究,他们在基线时的年龄为 12-13 岁。他们每年在三个时间点进行评估。通过皮褶厚度、儿童身体协调测试(KTK)、大龄儿童体力活动问卷(PAQ-C)和仰卧起坐测试来确定体脂肪、运动能力、体力活动和肌肉骨骼健康水平。通过广义估计方程(GEE)模型,调整了潜在混杂因素(年龄、性别、人体测量学、体力活动和健康)。运动能力和体脂肪在整个时间内呈中度至高度负相关( = -0.65 至-0.69, < 0.001)。此外,即使在调整了潜在混杂因素后,运动能力仍能显著预测体脂肪随时间的变化( = -0.05, = 0.05)。

文献中非常强调增加体力活动以保持健康的体重状况或预防不健康的体重增加,但这项研究强调了运动能力在整个青春期关键时期对这些方面的作用。因此,似乎可以建议在青少年早期采取措施促进运动能力的发展,以预防肥胖。

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