Longitudinal Associations Between Movement Behaviours and Development Among Infants Using Compositional Data Analysis

IF 1.8 4区医学 Q2 PEDIATRICS Child Care Health and Development Pub Date : 2024-12-20 DOI:10.1111/cch.70025

Valerie Carson, Zhiguang Zhang, Madison Boyd, Lesley Pritchard, Kylie D. Hesketh

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Abstract

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 R²: 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.

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来源期刊

Child Care Health and Development 医学-小儿科

CiteScore

3.40

自引率

5.30%

发文量

136

审稿时长

4-8 weeks

期刊介绍： Child: care, health and development is an international, peer-reviewed journal which publishes papers dealing with all aspects of the health and development of children and young people. We aim to attract quantitative and qualitative research papers relevant to people from all disciplines working in child health. We welcome studies which examine the effects of social and environmental factors on health and development as well as those dealing with clinical issues, the organization of services and health policy. We particularly encourage the submission of studies related to those who are disadvantaged by physical, developmental, emotional and social problems. The journal also aims to collate important research findings and to provide a forum for discussion of global child health issues.