使用成分数据分析法探究婴儿运动行为与发育之间的纵向关联
Longitudinal Associations Between Movement Behaviours and Development Among Infants Using Compositional Data Analysis.
作者信息
Carson Valerie, Zhang Zhiguang, Boyd Madison, Pritchard Lesley, Hesketh Kylie D
机构信息
Faculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, Alberta, Canada.
Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Alberta, Canada.
出版信息
Child Care Health Dev. 2025 Jan;51(1):e70025. doi: 10.1111/cch.70025.
BACKGROUND
The study examined the longitudinal associations of sleep time, restrained time, back time and tummy time with development in a sample of infants using compositional data analysis.
METHODS
Participants were a subsample of 93 parent-infant dyads from the Early Movers project in Edmonton, Canada. Parents completed a 3-day time-use diary at 2, 4 and 6 months of age. Time spent in four mutually exclusive movement behaviours were calculated representing sleep (i.e., sleep time), sedentary behaviour (i.e., restrained time and back time) and physical activity (i.e., tummy time). Communication, fine motor, gross motor, personal-social, problem solving and total development were measured at 2, 4 and 6 months of age with the Ages and Stages Questionnaire (ASQ-3). Gross motor development was also measured by a physiotherapist using the Alberta Infant Motor Scale (AIMS) at 6 months. The age six major gross motor milestones (i.e., independent sitting, crawling, assisted standing, assisted walking, independent standing, independent walking) were achieved according to World Health Organization criteria, in the first 18 months of life, were calculated.
RESULTS
The composition of movement behaviours across time points was significantly associated with: ASQ-3 gross motor, problem solving and total development scores over time, total and percentile AIMS scores at 6 months and independent standing and walking milestones (ilr model p-value: < 0.001-0.045; model R: 0.02-0.15). More sleep time or tummy time relative to other movement behaviours was associated with more advanced development and earlier achievement of some milestones. The opposite was observed for back time. Associations with restrained time were mixed. The optimal movement behaviour durations (minutes/day) for AIMS and WHO milestone outcomes, were 38-43 of tummy time, 51-54 of back time, 43-96 of restrained time and 845-900 of sleep time.
CONCLUSIONS
Targeting healthy movement behaviour patterns in infants may be a promising health promotion strategy.
背景
本研究采用成分数据分析方法，在一组婴儿样本中考察睡眠时间、限制时间、仰卧时间和俯卧时间与发育之间的纵向关联。
方法
参与者是来自加拿大埃德蒙顿“早期行动者”项目的93对母婴二元组的子样本。父母在婴儿2、4和6个月大时完成一份为期3天的时间使用日记。计算在四种相互排斥的运动行为中花费的时间，分别代表睡眠（即睡眠时间）、久坐行为（即限制时间和仰卧时间）和身体活动（即俯卧时间）。在2、4和6个月大时，使用《年龄与阶段问卷》（ASQ - 3）测量沟通、精细运动、大运动、个人社交、问题解决和总体发育情况。在6个月时，物理治疗师还使用《艾伯塔婴儿运动量表》（AIMS）测量大运动发育情况。根据世界卫生组织标准，计算在生命的前18个月内达到六个主要大运动里程碑（即独立坐、爬、扶站、扶走、独立站、独立走）的情况。
结果
各时间点运动行为的构成与以下指标显著相关：随时间变化的ASQ - 3大运动、问题解决和总体发育得分，6个月时的AIMS总分和百分位数得分，以及独立站和走的里程碑（ilr模型p值：< 0.001 - 0.045；模型R：0.02 - 0.15）。相对于其他运动行为，更多的睡眠时间或俯卧时间与更高级的发育以及更早达到某些里程碑相关。仰卧时间则相反。与限制时间的关联较为复杂。AIMS和世界卫生组织里程碑结果的最佳运动行为持续时间（分钟/天）分别为：俯卧时间38 - 43分钟、仰卧时间51 - 54分钟、限制时间43 - 96分钟、睡眠时间845 - 900分钟。
结论
针对婴儿的健康运动行为模式可能是一种有前景的健康促进策略。
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