title: Motor coordination difficulties and physical fitness of extremely-low-birthweight children.
abstract: Motor coordination difficulties and poor fitness exist in the extremely low birthweight (ELBW) population. This study investigated the relative impact of motor coordination on the fitness of ELBW children aged 11 to 13 years. One hundred and nine children were recruited to the study: 54 ELBW participants (mean age at assessment 12y 6mo; 31 male, 23 female; mean birthweight 769g, SD 148g; mean gestational age 26.6 weeks, SD 2.1 weeks) and 55 comparison children (mean age at assessment 12y 5mo; 28 males, 27 females; at least 37 weeks' gestation). All children completed the Movement Assessment Battery for Children (MABC), functional tests of postural stability and strength, growth measures, and tests of respiratory function. Maximal oxygen uptake (VO(2)max) was calculated from a 20m shuttle run test as a measure of fitness. The ELBW group had greater problems with postural stability (p=0.001) and motor coordination (p=0.001), with 70% rated as having a definite motor problem on the MABC brackets (those who scored less than the 5(th) centile on the MABC). The ELBW was also less fit than the comparison group (p=0.001), with 45% below the 10th centile for VO(2)max. There were differences between the groups for growth, strength, and particularly respiratory function. However, respiratory function did not significantly correlate with VO(2)max in the ELBW group. Motor coordination was the most powerful predictor of VO(2)max in both the ELBW (p=0.001) and the comparison groups (p=0.001).
authors.affiliation: Growth and Development Unit, Mater Health Services, Brisbane, Australia.
authors.forename: Yvonne R
authors.initials: YR
authors.lastname: Burns
authors.forename: Marcella
authors.initials: M
authors.lastname: Danks
authors.forename: Michael J
authors.initials: MJ
authors.lastname: O'Callaghan
authors.forename: Peter H
authors.initials: PH
authors.lastname: Gray
authors.forename: David
authors.initials: D
authors.lastname: Cooper
authors.forename: Leith
authors.initials: L
authors.lastname: Poulsen
authors.forename: Pauline
authors.initials: P
authors.lastname: Watter
mesh_terms: D000293:Adolescent; D002320:Cardiovascular Physiological Phenomena; D002648:Child; D002657:Child Development; D005260:Female; D005865:Gestational Age; D006801:Humans; D052577:Infant, Extremely Low Birth Weight / Q000502:physiology*; D007231:Infant, Newborn; D008297:Male; D019957:Motor Skills Disorders / Q000503:physiopathology*; D009142:Musculoskeletal Physiological Phenomena; D010101:Oxygen Consumption; D010807:Physical Endurance; D010809:Physical Fitness / Q000502:physiology*; D012044:Regression Analysis; D012119:Respiration