School of Nursing, Midwifery, Health Sciences & Physiotherapy, University of Notre Dame Australia, Fremantle, Australia; Western Australian Bone Research Collaboration, Perth, WA, Australia.
School of Nursing, Midwifery, Health Sciences & Physiotherapy, University of Notre Dame Australia, Fremantle, Australia; Western Australian Bone Research Collaboration, Perth, WA, Australia; School of Medical and Health Science, Edith Cowan University, Joondalup, Australia.
Res Dev Disabil. 2022 Oct;129:104324. doi: 10.1016/j.ridd.2022.104324. Epub 2022 Aug 12.
Individuals with developmental coordination disorder (DCD) and low motor competence (LMC) may be at increased risk of low bone health due to their lifetime physical activity patterns. Impaired bone health increases an individual's risk of osteoporosis and fracture; therefore, it is necessary to determine whether a bone health detriment is present in this group. Accordingly, this systematic review explores the association between DCD/LMC and bone health.
Studies were included with assessment of bone health in a DCD/LMC population. Study bias was assessed using the JBI critical appraisal checklist. Due to heterogeneity, meta-analysis was not possible and narrative synthesis was performed with effect size and direction assessed via harvest plots.
A total of 16 (15 paediatric/adolescent) studies were included. Deficits in bone measures were reported for the DCD/LMC group and were more frequent in weight-bearing sites. Critical appraisal indicated very low confidence in the results, with issues relating to indirectness and imprecision relating to comorbidities.
Individuals with DCD or LMC are at increased risk of bone health deficits. Bone impairment locations indicate insufficient loading via physical activity as a potential cause of bone deficits. Results indicate a potential for earlier osteoporosis onset.
由于终生的身体活动模式，患有发育性协调障碍（DCD）和运动能力低下（LMC）的个体可能面临较低的骨骼健康风险。骨骼健康受损会增加个体患骨质疏松症和骨折的风险；因此，有必要确定该群体是否存在骨骼健康受损的情况。因此，本系统评价探讨了 DCD/LMC 与骨骼健康之间的关系。
纳入了评估 DCD/LMC 人群骨骼健康的研究。使用 JBI 批判性评估清单评估研究偏倚。由于存在异质性，因此无法进行荟萃分析，而是通过收获图评估效应大小和方向进行叙述性综合。
共纳入 16 项（15 项为儿科/青少年）研究。DCD/LMC 组的骨骼测量值存在缺陷，且在负重部位更为常见。批判性评估表明，结果的可信度非常低，与间接性和与合并症有关的不准确性有关。
患有 DCD 或 LMC 的个体骨骼健康受损的风险增加。骨骼损伤部位表明通过体力活动的负荷不足可能是骨骼缺陷的潜在原因。结果表明骨质疏松症发病较早的潜在风险。
