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Physical Activity, Fitness and Obesity in Children with Coordination Disorders

协调障碍儿童的体力活动、健康和肥胖

基本信息

批准号：
7244059
负责人：
Sharon Andrea Cermak
金额：
$ 15.28万
依托单位：
BOSTON UNIVERSITY (CHARLES RIVER CAMPUS)
依托单位国家：
美国
项目类别：
财政年份：
2006
资助国家：
美国
起止时间：
2006-05-15 至 2009-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7244059
关键词：
5 year old Abnormal coordination Academic achievement Activities of Daily Living Address Adolescent Age Age-Years American Apraxias Arts Asperger Syndrome Attention deficit hyperactivity disorder Autistic Disorder Automobiles Behavior Body mass index Centers for Disease Control and Prevention (U.S.)Child Child Behavior Childhood Colon Carcinoma Computers Condition Development Developmental Coordination Disorders Diabetes Mellitus Disabled Children Discipline Disease Dyslexia Exclusion Exertion General Population Goals Health Health Benefit Healthy People 2010 Heart Rate High Blood Pressure High Prevalence Hour Interdisciplinary Study Intervention Joints Language Disorders Learning Disabilities Life Style Measures Methodology Moderate Exercise Motivation Motor Motor Skills Muscle Nature Numbers Obesity Occupational Therapy Outcome Overweight Pattern Performance Physical Fitness Physical activity Physical therapy exercises Population Prevalence Questionnaires Range Recruitment Activity Relative (related person)Research Research Personnel Risk School-Age Population Schools Science Sports Structure Surveys Testing Time Travel United States United States National Institutes of Health Video Games Weight Weight maintenance regimen Youth base bone comparison group developmental disease experience fitness health disparity heart disease risk named group nutrition obesity risk peer programs sedentary trend

项目摘要

DESCRIPTION (provided by applicant): The long-term goals of this project are to identify factors that contribute to inadequate physical activity in children with Developmental Coordination Disorder (DCD) and to develop interventions to promote physical activity and reduce health risk. Lack of adequate physical activity is a significant health problem in children in the United States. While considerable efforts are underway to understand and address the problem of low physical activity levels in the general population, there has been little research in children with disabilities. We propose that children with DCD are at particular risk for low activity, low levels of fitness and obesity due to the nature of their disorder. DCD is a neurologically-based developmental disorder characterized by impaired motor coordination that significantly interferes with academic achievement and activities of daily living. Because of poor coordination, children with DCD often are unable to participate in sports and physical activities with their peers. The goals of this study are to test our overarching hypothesis that children with DCD are less active, more sedentary, and thus are at greater risk for obesity and lower levels of fitness than children with adequate motor coordination. We will examine if the association of participation in physical activity and time spent in sedentary behavior with fitness and with weight status differs between children with DCD and with adequate motor coordination. We will use state-of-the-art methodology to measure activity level (accelerometry). We will determine whether children with DCD show significantly lower overall activity, spend less time in moderate-vigorous activity and more time in sedentary behavior, have significantly lower levels of physical fitness and significantly higher BMI z-scores and prevalence of risk for obesity (>85th percent), than children with average motor coordination. The relationship among measures will be examined to understand whether physical activity in children with DCD has the same effect on weight status and fitness as in children with adequate coordination. This project is responsive to Healthy People 2010 objectives which seek to increase physical activity among the nation's youth. Children with DCD represent a substantial number of children in the population who, due to their coordination disorders, are at even higher risk. The study has broader implications to other children with special needs such as those with learning disabilities and autism who also have been identified as having coordination deficits that may limit participation.

描述（由申请人提供）：该项目的长期目标是确定导致发育协调障碍（DCD）儿童身体活动不足的因素，并制定干预措施以促进身体活动并降低健康风险。缺乏足够的身体活动是美国儿童的一个重要健康问题。虽然正在做出相当大的努力来了解和解决一般人群身体活动水平低的问题，但对残疾儿童的研究却很少。我们认为，患有DCD的儿童由于其疾病的性质而具有低活动，低水平健身和肥胖的特殊风险。DCD是一种基于神经学的发育障碍，其特征是运动协调受损，显著干扰学业成绩和日常生活活动。由于协调性差，患有DCD的儿童通常无法与同龄人一起参加体育和身体活动。本研究的目的是检验我们的总体假设，即患有DCD的儿童活动较少，久坐不动，因此比运动协调性良好的儿童更容易患肥胖症和健康水平较低。我们将研究参与体力活动和久坐行为的时间与健身和体重状况之间的关联是否在患有DCD的儿童和具有足够运动协调的儿童之间存在差异。我们将使用最先进的方法来测量活动水平（加速度计）。我们将确定患有DCD的儿童是否表现出显著较低的整体活动，花费较少的时间在中等强度的活动中，更多的时间在久坐行为中，具有显著较低的身体健康水平和显著较高的BMI z评分和肥胖风险患病率（> 85%），比运动协调平均的儿童。将检查测量之间的关系，以了解患有DCD的儿童的身体活动是否对体重状况和健康具有与具有足够协调性的儿童相同的影响。该项目响应了“2010年健康人”的目标，该目标旨在增加全国青年的体育活动。患有DCD的儿童在人群中占相当大的比例，由于他们的协调障碍，他们的风险甚至更高。这项研究对其他有特殊需要的儿童有更广泛的影响，例如那些有学习障碍和自闭症的儿童，他们也被确定为有协调缺陷，可能会限制参与。