Asociaciones entre la competencia motora y el riesgo de obesidad en adolescentes brasileños (Associations between motor competence and the risk of obesity in Brazilian adolescents)
DOI:
https://doi.org/10.47197/retos.v56.104130Palabras clave:
Desarollo motor, estado de peso, excesso de peso, actividad fisica, niñosResumen
Objetivo: Evaluar si la competencia motora se asocia con el riesgo de obesidad en adolescentes. Métodos: La muestra estuvo compuesta por 296 adolescentes (56,1% niñas) de 12 a 15 años reclutados en Río de Janeiro, Brasil. La competencia motora se evaluó mediante el Körperkoordinationtest fur kinder (KTK). Se utilizaron medidas del índice de masa corporal (IMC) para clasificar el estado de peso de los participantes. La actividad física se determinó mediante un validado cuestionario autoadministrado. Se ejecutaron modelos de regresión logística multinomial y binaria, ajustando los posibles factores de confusión (es decir, edad, sexo y actividad física), para examinar la asociación entre la competencia motora y el riesgo de obesidad. Resultados: Casi la mitad de los participantes (48%) presentó baja competencia motora. Entre los adolescentes con obesidad, el 92,9% presentó baja competencia motora. Además, la baja competencia motora se asoció con un mayor riesgo de tener sobrepeso (OR: 2,940, p=0,006) y obesidad (OR: 18,366, p<0,001), incluso después de ajustar por posibles factores de confusión. Por el contrario, los adolescentes con competencia motora adecuada tenían menos probabilidades de tener sobrepeso (OR: 0,340, p = 0,006) y obesidad (OR: 0,054, p<0,001). Conclusión: Tener una baja competencia motora puede ser un factor de riesgo para la obesidad, mientras que una adecuada competencia motora demostró ser un factor protector contra esta enfermedad. La obesidad pediátrica es multifactorial, incluidos los aspectos ambientales; sin embargo, este estudio demostró que la competencia motora parece ser importante para mantener un peso saludable en los jóvenes.
Palabras clave: desarrollo motor; estado de peso; exceso de peso; actividad física; adolescentes.
Abstract. Purpose: To assess whether motor competence is associated with the risk of obesity in adolescents. Methods: The sample consisted of 296 adolescents (56.1% girls) aged 12 to 15 years recruited from Rio de Janeiro, Brazil. Motor competence was assessed using the Körperkoordinationtest fur kinder (KTK). Body mass index (BMI) measures were used to classify the participants’ weight status. Physical activity was determined through a validated self-administered questionnaire. Multinomial and binary logistic regression models, adjusted for potential confounders (i.e. age, sex and physical activity), were executed to examine the association between motor competence and risk of obesity. Results: Almost half of participants (48%) presented low motor competence. Among adolescents with obesity, 92.9% showed low motor competence. In addition, low motor competence was associated with a higher risk to be overweight (OR: 2.940, p=.006) and obese (OR: 18.366, p<.001), even after adjusting for potential confounders. Conversely, adolescents with adequate motor competence were less likely to be overweight (OR: .340, p = .006) and obese (OR: .054, p<.001). Conclusion: Having low motor competence can be a risk factor for obesity, while adequate motor competence was a protective factor against this disease. Pediatric obesity is multifactorial, including environmental aspects, yet this study showed that motor competence seems to be important to maintaining a healthy weight status in youth.
Keywords: motor development; weight status; overweight; physical activity; children.
Citas
-Bardid, F., Rudd, J. R., Lenoir, M., Polman, R., & Barnett, L. M. (2015). Cross-cultural comparison of motor competence in children from Australia and Belgium. Frontiers in Psychology, 6, 964. doi.org/10.3389/fpsyg.2015.00964
Barnett, L. M., Webster, E. K., Hulteen, R. M., De Meester, A., Valentini, N. C., Lenoir, M., Pesce, C., Getchell, N., Lopes, V. P., Robinson, L. E., Brian, A., & Rodrigues, L. P. (2022). Through the Looking Glass: A Systematic Review of Longitudinal Evidence, Providing New Insight for Motor Competence and Health. Sports Medicine, 52(4), 875–920. doi.org/10.1007/s40279-021-01516-8
Battaglia, G., Giustino, V., Tabacchi, G., Lanza, M., Schena, F., Biino, V., Giuriato, M., Gallotta, M. C., Guidetti, L., Baldari, C., Gennaro, A., Palma, A., & Bellafiore, M. (2021). Interrelationship Between Age, Gender, and Weight Status on Motor Coordination in Italian Children and Early Adolescents Aged 6-13 Years Old. Frontiers in Pediatrics, 9, 738294. doi.org/10.3389/fped.2021.738294
Britton, U., Issartel, J., Symonds, J., Belton, S. (2020). What Keeps Them Physically Active? Predicting Physical Activity, Motor Competence, Health-Related Fitness, and Perceived Competence in Irish Adolescents after the Transition from Primary to Second-Level School. International Journal of Environmental Research and Public Health, 17(8), 2874. doi: 10.3390/ijerph17082874.
Carpensen, C.J., Powell, K.E., Christenson, G.M. (1985). Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public Health Reports, 100(2):126–131.
Chagas, D.V., Araújo, D.V., Gama, D., Gama, D., Macedo, L., Deslandes, A.C., Batista, L.A. (2020). Translation and cross-cultural adaptation of the Physical Activity Questionnaire for older children into a Brazilian Portuguese version. Human Movement, 21, 32–39.
Chagas, D.V., & Barnett, L.M. (2023). Adolescents' Flexibility Can Affect Motor Competence: The Pathway from Health Related Physical Fitness to Motor Competence. Perceptual and Motor Skills, 130(1), 94–111. https://doi.org/10.1177/00315125221128638
Chagas, D.V., & Batista, L.A. (2019). Relationships among motor coordination, body mass index and physical activity in adolescents with different weight status. Archivos de Medicina del Deporte, 36(2):69-73.
Chagas, D.V., Coutinho, A, Joia, M.C., Marinho, B., Ribeiro, M., & Michel, C. (2021a). Do Adolescents with Low Motor Competence Have Increased Risk for Overweight and Obesity? Childhood Obesity, 17(5), 322-328. doi: 10.1089/chi.2020.0344.
Chagas, D.V., & Marinho, B. (2021). Exploring the Importance of Motor Competence for Behavioral and Health Outcomes in Youth. Perceptual and Motor Skills, 2021, 128(6):2544-2560. doi: 10.1177/00315125211050631.
Chagas D.V., Mohebbi, M, & Barnett, L.M. (2021b). How Important is Motor Competence for Healthy Weight Status across Adolescence? Childhood Obesity, 17(3):220-227. doi:10.1089/chi.2020.0353
De Onis, A., Onyango, A., Borghi, E., Siyam, A., Nishida, C., Siekmann, J. (2007). Development of a WHO growth reference for school-aged children and adolescents. Bulletin of the World Health Organization, 85, 660-7.
Dos Santos, F. K., Moura Dos Santos, M. A., Almeida, M. B., Nobre, I. G., Nobre, G. G., Silva, W. T., Gomes, T. N., Maia, J., & Leandro, C. G. (2018). Biological and behavioral correlates of body weight status among rural Northeast Brazilian schoolchildren. American Journal of Human Biology, 30(3), e23096. doi.org/10.1002/ajhb.23096
Draghi, T., Neto, J., & Tudella, E. (2021). Evaluation of motor performance of Brazilian children with Developmental Coordination Disorder through the Movement Assessment Battery for Children and the Körperkoordinationstest Für Kinder. Physical Education and Sport Pedagogy, 26:2, 155-166. doi: 10.1080/17408989.2020.1789574.
Duncan, M.J., Hall, C., Eyre, E., Barnett, L.M., & James, R.S. (2021). Pre-schoolers fundamental movement skills predict BMI, physical activity, and sedentary behavior: A longitudinal study. Scandinavian Journal of Medicine and Science in Sports, 31 (Suppl 1), 8-14. doi: 10.1111/sms.13746
Garcia-Marin, P., & Fernández-López, N. (2020). Asociación de la competencia en las habilidades motrices básicas con las actividades físico-deportivas extracurriculares y el índice de masa corporal en preescolares. Retos, 38, 33–39. https://doi.org/10.47197/retos.v38i38.71896
Goodway, J.D., Robinson, L.E., Crowe, H. (2010). Gender differences in schoolers from two geographical regions. Research Quarterly for Exercise and Sport, 81, 17–24
Hardy, L. L., Barnett, L., Espinel, P., & Okely, A. D. (2013). Thirteen-year trends in child and adolescent fundamental movement skills: 1997-2010. Medicine and Science in Sports and Exercise, 45(10), 1965–1970. doi.org/10.1249/MSS.0b013e318295a9fc
Henrique, R. S., Stodden, D. F., Fransen, J., Feitoza, A. H. P., Ré, A. H. N., Martins, C. M. L., Dos Prazeres, T. M. P., & Cattuzzo, M. T. (2020). Is motor competence associated with the risk of central obesity in preschoolers? American Journal of Human Biology, 32(3), e23364. doi.org/10.1002/ajhb.23364
Herlitz, M.J., Rodriguez, J., David, G., Carrasco-Lopez, S., Gomez-Campos, R., Urra-Albornoz, C., Campos, L.F., Vega-Novoa, S., Cossio-Bolaños, M.A. (2021). Relación entre coordinación motora con indicadores de adiposidad corporal en niños. Retos, 39, 125-8.
Kiphard, E., & Shilling, F. (2007) Körperkoordinationstest für Kinder: Manual. Weinheim, Germany: Beltz Test.
Koeppel, M., Eckert, K., & Huber, G. (2022). Trends in gross body coordination and cardiorespiratory fitness-a hierarchical Bayesian Analysis of 35 000 2nd Graders. Scandinavian Journal of Medicine & Science in Sports, 32(6), 1026–1040. doi.org/10.1111/sms.14146
Kowalski, K., Crocker, P., Faulkner, R. (2020). Validation of the Physical Activity Questionnaire for Older Children. Pediatric Exercise Science, 9, 174–186.
Kumari, S., Shukla, S., & Acharya, S. (2022). Childhood Obesity: Prevalence and Prevention in Modern Society. Cureus, 14(11), e31640.
Lima, R. A., Bugge, A., Ersbøll, A. K., Stodden, D. F., & Andersen, L. B. (2019). The longitudinal relationship between motor competence and measures of fatness and fitness from childhood into adolescence. Jornal de Pediatria, 95(4), 482–488. doi.org/10.1016/j.jped.2018.02.010
Lima, R.A., Drenowatz, C., Pfeiffer, K.A. (2022). Expansion of Stodden et al.'s Model. Sports Medicine, 52(4), 679-683. doi:10.1007/s40279-021-01632-5
Lopes, L., Santos, R., Coelho-E-Silva, M., Jidovtseff, B., Clark, C., Schmidt, M., et al. (2020). A Narrative Review of Motor Competence in Children and Adolescents: What We Know and What We Need to Find Out. Int J Environ Res Public Health,18(1):18. doi:10.3390/ijerph18010018
Lopes, V.P., Stodden, D.F., & Rodrigues, L.P. (2014). Weight status is associated with cross-sectional trajectories of motor co-ordination across childhood. Childhood Care and Health Development, 40(6):891-9. doi: 10.1111/cch.12127.
Lopes, V.P., Utesch, T., Rodrigues, L.P. (2020). Classes of developmental trajectories of body mass index: Differences in motor competence and cardiorespiratory fitness. Journal of Sports Sciences, 38(6):619-625. doi: 10.1080/02640414.2020.1722024.
Marcus, C., Danielsson, P., & Hagman, E. (2022). Pediatric obesity-Long-term consequences and effect of weight loss. Journal of Internal Medicine, 292(6), 870–891. https://doi.org/10.1111/joim.13547
Moreira, J. P. A., Lopes, M. C., Miranda-Júnior, M. V., Valentini, N. C., Lage, G. M., & Albuquerque, M. R. (2019). Körperkoordinationstest Für Kinder (KTK) for Brazilian Children and Adolescents: Factor Analysis, Invariance and Factor Score. Frontiers in Psychology, 10, 2524. doi.org/10.3389/fpsyg.2019.02524
Pate, R., Oria, M., & Pillsbury, L., Committee on Fitness Measures and Health Outcomes in Youth, Food and Nutrition Board, & Institute of Medicine (2012). Fitness measures and health outcomes in youth. National Academies Press (US).
Philpott, C., Donovan, B., Belton, S., Lester, D., Chambers, F., & O'Brien, W. (2023). Motor Competence Among Irish Adolescents: An Investigation of Sex Differences and Relatedness Between Fundamental Movement Skills and Functional Movement. Perceptual and Motor Skills, 130(1), 27–53. doi.org/10.1177/00315125221137182
Santos, J., Medeiros, P., Cardoso, F., Formiga, N., Souza, N., Gorla, J. (2020). Factorial structure validation of the Körperkoordination Test für Kinder (KTK) in school-age children between 8 and 10 years old. Revista Saúde e Desenvolvimento Humano, 8, 31-37.
Stodden, D. F., Goodway, J. D., Langendorfer, S. J., Roberton, M. A., Rudisill, M. E., Garcia, C., & Garcia, L. E. (2008). A developmental perspective on the role of motor skill competence in physical activity: An emergent relationship. Quest, 60, 290–306.
Valentini, N. C., Nobre, G. C., & Duarte, M. (2022). Gross motor skills trajectory variation between WEIRD and LMIC countries: A cross-cultural study. PloS One, 17(5), e0267665. https://doi.org/10.1371/journal.pone.0267665
World Health Organization (2020a). Childhood overweight and obesity. Accessed October 15, 2020, at https://www.who.int/dietphysicalactivity/childhood/en.
World Health Organization (2020b). Obesity and overweight. Accessed October 15, 2020, at https://www.who.int/en/news-room/fact-sheets/detail/obesity-and-overweight.
Descargas
Publicado
Cómo citar
Número
Sección
Licencia
Derechos de autor 2024 Retos
Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-SinDerivadas 4.0.
Los autores que publican en esta revista están de acuerdo con los siguientes términos:
- Los autores conservan los derechos de autor y garantizan a la revista el derecho de ser la primera publicación de su obra, el cuál estará simultáneamente sujeto a la licencia de reconocimiento de Creative Commons que permite a terceros compartir la obra siempre que se indique su autor y su primera publicación esta revista.
- Los autores pueden establecer por separado acuerdos adicionales para la distribución no exclusiva de la versión de la obra publicada en la revista (por ejemplo, situarlo en un repositorio institucional o publicarlo en un libro), con un reconocimiento de su publicación inicial en esta revista.
- Se permite y se anima a los autores a difundir sus trabajos electrónicamente (por ejemplo, en repositorios institucionales o en su propio sitio web) antes y durante el proceso de envío, ya que puede dar lugar a intercambios productivos, así como a una citación más temprana y mayor de los trabajos publicados (Véase The Effect of Open Access) (en inglés).
Esta revista sigue la "open access policy" de BOAI (1), apoyando los derechos de los usuarios a "leer, descargar, copiar, distribuir, imprimir, buscar o enlazar los textos completos de los artículos".
(1) http://legacy.earlham.edu/~peters/fos/boaifaq.htm#openaccess