Associations between physical activity and development in preschool-aged children born <30 weeks' gestation: A cohort study

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dc.contributor.authorFitzgerald, T.L.
dc.contributor.authorCameron, K.L.
dc.contributor.authorAlbesher, R.A.
dc.contributor.authorMentiplay, B.F.
dc.contributor.authorMainzer, R.M.
dc.contributor.authorBurnett, A.C.
dc.contributor.authorTreyvaud, K.
dc.contributor.authorClark, R.A.
dc.contributor.authorAnderson, P.J.
dc.contributor.authorCheong, J.L.Y.
dc.contributor.authorDoyle, L.W.
dc.contributor.authorSpittle, A.J.
dc.date.issued2024
dc.descriptionPublished Online First 26 February 2024
dc.description.abstractObjective: To investigate the effect of physical activity (PA) on development (motor, cognitive, social-emotional) in children 4–5 years old born <30 weeks’ gestation, and to describe subgroups of children at risk of low PA in this cohort. Design: Longitudinal cohort study. Patients: 123 children born <30 weeks were recruited at birth and assessed between 4 and 5 years’ corrected age. Main outcome measures: Development was assessed using the Movement Assessment Battery for Children, Second Edition (MABC-2), Little Developmental Coordination Disorder Questionnaire (L-DCDQ), Wechsler Preschool and Primary Scale of Intelligence (Fourth Edition; WPPSI-IV), and Strengths and Difficulties Questionnaire (SDQ). To measure PA, children wore an accelerometer and parents completed a diary for 7 days. Effects of PA on developmental outcomes, and associations between perinatal risk factors and PA, were estimated using linear regression. Results: More accelerometer-measured PA was associated with better MABC-2 aiming and catching scores (average standard score increase per hour increase in PA: 0.54, 95% CI 0.11, 0.96; p=0.013), and lower WPPSI-IV processing speed index scores (average composite score decrease per hour increase in PA: −2.36, 95% CI −4.19 to –0.53; p=0.012). Higher accelerometer-measured PA was associated with better SDQ prosocial scores. Major brain injury in the neonatal period was associated with less moderate-vigorous and less unstructured PA at 4–5 years. Conclusions: Higher levels of PA are associated with aspects of motor, cognitive and social-emotional skill development in children 4–5 years old born <30 weeks. Those with major brain injury in the neonatal period may be more vulnerable to low PA at preschool age.
dc.description.statementofresponsibilityTara L FitzGerald, Kate L Cameron, Reem A Albesher, Benjamin F Mentiplay, Rheanna M Mainzer, Alice C Burnett, Karli Treyvaud, Ross A Clark, Peter J Anderson, Jeanie LY Cheong, Lex W Doyle, Alicia J Spittle
dc.identifier.citationArchives of Disease in Childhood: Fetal and Neonatal Edition, 2024; 109(6):602-608
dc.identifier.doi10.1136/archdischild-2023-326045
dc.identifier.issn1359-2998
dc.identifier.issn1468-2052
dc.identifier.orcidAnderson, P.J. [0000-0002-3730-4652]
dc.identifier.urihttps://hdl.handle.net/2440/142338
dc.language.isoen
dc.publisherBMJ Publishing Group
dc.relation.granthttp://purl.org/au-research/grants/nhmrc/1060733
dc.relation.granthttp://purl.org/au-research/grants/nhmrc/2016390
dc.relation.granthttp://purl.org/au-research/grants/nhmrc/1108714
dc.relation.granthttp://purl.org/au-research/grants/nhmrc/1090415
dc.relation.granthttp://purl.org/au-research/grants/nhmrc/1176077
dc.rights© Author(s) (or their employer(s)) 2024. No commercial re-use. See rights and permissions. Published by BMJ.
dc.source.urihttp://dx.doi.org/10.1136/archdischild-2023-326045
dc.subjectChild Development
dc.subjectChild Health
dc.subjectPaediatrics
dc.titleAssociations between physical activity and development in preschool-aged children born <30 weeks' gestation: A cohort study
dc.typeJournal article
pubs.publication-statusPublished

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