Association Between Age of Achieving Gross Motor Development Milestones During Infancy and Body Fat Percentage at 6 to 7 Years of Age.

Association Between Age of Achieving Gross Motor Development Milestones During Infancy and Body Fat Percentage at 6 to 7 Years of Age.
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DOI:
10.1007/s10995-021-03238-9
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发表时间:
2022-03
影响因子:
2.3
通讯作者:
Tanaka S
Tanaka S
中科院分区:
医学4区
文献类型:
--
作者:
Aoyama T;Hikihara Y;Watanabe M;Wakabayashi H;Hanawa S;Omi N;Takimoto H;Tanaka S

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婴儿期粗大运动里程碑的后期实现与幼儿期肥胖有关。然而,进入小学后,粗大运动发育和肥胖之间的联系尚不清楚。本研究探讨了六个粗大运动里程碑的年龄之间的关联实现和肥胖在早期的学年。这项回顾性研究于2012年和2013年进行。数据收集自225名小学一年级儿童(平均年龄6.9岁,39%为女孩)。采用双能X线吸收法评估肥胖,并以体脂百分比表示。描述实现6个粗大运动里程碑(抬头、坐、爬行、支撑站立、支撑行走和独立行走)的年龄的数据来自《妇幼健康手册》。平均体脂百分比为21.7%。多元线性回归分析显示,实现爬行(p <0.001 [95%置信区间:0.33-1.16]),站立支持(p <0.001 [95%置信区间:0.64-1.65])和步行支持[p = 0.013(95%置信区间:0.13-1.07)]的年龄较晚与脂肪增加相关。然而,达到抬头(p = 0.053),坐着(p = 0.175)和独立行走(p = 0.736)的年龄没有统计学意义。实现爬行,站立支持,步行支持后预测增加身体脂肪时,6-7岁。观察粗大运动里程碑成就的做法可能允许早期有针对性的干预措施,以优化入学前的身体成分,从而有可能预防儿童肥胖。
The later achievement of gross motor milestones during infancy is associated with adiposity in early childhood. However, the associations between gross motor development and adiposity after entering primary school are unclear. This study examined the associations between the ages at which six gross motor milestones were achieved and adiposity during early school years. This retrospective study was conducted in 2012 and 2013. Data were collected from 225 first-grade primary school children (mean age, 6.9 years; 39% girls). Adiposity was assessed using dual-energy X-ray absorptiometry and expressed as body fat percentage. Data describing the ages of achieving six gross motor milestones (holding head up, sitting, crawling, standing supported, walking supported, and independent walking) were obtained from the Maternal and Child Health Handbooks. Mean body fat percentage was 21.7%. Multiple linear regression analyses revealed that later ages of achieving crawling (p < .001 [95% confidence interval: 0.33–1.16]), standing supported (p < .001 [95% confidence interval: 0.64–1.65]), and walking supported [p = .013 (95% confidence interval: 0.13–1.07)] were associated with increased fat. However, the ages of achieving holding head up (p = .053), sitting (p = .175), and independent walking (p = .736) were not statistically significant. Achieving crawling, standing supported, and walking supported later predict increased body fat when aged 6–7 years. The practice of observing gross motor milestone achievements may allow early targeted interventions to optimize body composition before beginning school and thereby, potentially prevent childhood obesity.
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