Machine learning derived physical activity in preschool children with developmental coordination disorder

IF 4.3 2区 医学 Q1 CLINICAL NEUROLOGY Developmental Medicine and Child Neurology Pub Date : 2024-12-22 DOI:10.1111/dmcn.16223
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Abstract

Developmental coordination disorder (DCD) is a condition where children have a harder time developing motor skills (e.g. balancing, catching). It is known that school-aged children with DCD get less physical activity than their peers. What isn't known is if this starts even earlier in preschool-aged children. The goal of this study was to compare the physical activity of preschoolers with typical motor development to those with probable DCD (pDCD) and those at risk for DCD (DCDr).

To test this, 497 preschoolers (4–5 years) joined the Coordination and Activity Tracking in CHildren study. They had repeated motor tests and wore an activity monitor for 1 week. Using the activity monitor, the authors looked at their physical activity using a machine learning tool. From the tool, they could tell how much time the children spent being sedentary (e.g. sitting, lying), doing light physical activity (e.g. floor games), doing moderate-to-vigorous physical activity (e.g. running, hopping), walking, and running.

The authors found that preschoolers with and without motor impairment spent the same amount of time each day in sedentary, light, and moderate-to-vigorous physical activity. However, preschoolers with motor impairment (pDCD and DCDr) spent less time walking and running.

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机器学习衍生学龄前儿童发育协调障碍的身体活动。
发展性协调障碍(DCD)是指儿童在发展运动技能(如平衡、抓球)方面遇到困难。众所周知,患有DCD的学龄儿童的体育活动比同龄人少。目前尚不清楚的是,这种情况是否在学龄前儿童中开始得更早。本研究的目的是比较具有典型运动发育的学龄前儿童与可能的DCD (pDCD)和有DCD风险(DCDr)的儿童的身体活动。为了验证这一点,497名学龄前儿童(4-5岁)参加了儿童协调和活动跟踪研究。他们反复进行运动测试,并佩戴活动监测器1周。使用活动监测器,作者使用机器学习工具查看他们的身体活动。通过这个工具,他们可以知道孩子们坐着(比如坐着、躺着)、做轻体力活动(比如地板游戏)、做中高强度体力活动(比如跑、跳)、走路和跑步的时间。作者发现,有和没有运动障碍的学龄前儿童每天花在久坐、轻度和中度到剧烈体育活动上的时间是一样的。然而,患有运动障碍(pDCD和DCDr)的学龄前儿童走路和跑步的时间较少。
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来源期刊
CiteScore
7.80
自引率
13.20%
发文量
338
审稿时长
3-6 weeks
期刊介绍: Wiley-Blackwell is pleased to publish Developmental Medicine & Child Neurology (DMCN), a Mac Keith Press publication and official journal of the American Academy for Cerebral Palsy and Developmental Medicine (AACPDM) and the British Paediatric Neurology Association (BPNA). For over 50 years, DMCN has defined the field of paediatric neurology and neurodisability and is one of the world’s leading journals in the whole field of paediatrics. DMCN disseminates a range of information worldwide to improve the lives of disabled children and their families. The high quality of published articles is maintained by expert review, including independent statistical assessment, before acceptance.
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