| Literature DB >> 31167487 |
Donna Niemistö1, Taija Finni2, Eero A Haapala3,4, Marja Cantell5, Elisa Korhonen6, Arja Sääkslahti7.
Abstract
Environment, physical activity (PA) and motor development are tightly interwoven during childhood. We examined the associations of environmental factors with motor competence (MC) in children. Children (N = 945, 50.1% boys, age = 3-7 years, mean = 5.4 years) from 37 childcare centres in the Southern (n = 17), Central (n = 13) and Northern Finland (n = 7) participated. The environmental factors comprised the geographical location (Southern, Central and Northern Finland) and residential density (metropolitan area, city, rural area and countryside) of the childcare centres' based on postal codes and the national population density registry. MC was measured using the Test of Gross Motor Development (TGMD)-3, as well as by quantifying time spent outdoors and participation in organised sports via parental questionnaire. It was found that children from the countryside had better MC and spent most time outdoors, while children from the metropolitan area most frequently engaged in organised sports. Gender comparisons revealed that girls outperformed boys in locomotor skills, while boys were better in object control skills, had higher TGMD-3 score and spent more time outdoors. Time spent outdoors and participation in organised sports were associated positively with MC, but not in children from the countryside. In conclusion, higher population density was associated with lower MC and less time spent outdoors. The findings suggest that versatile outdoor environments may support motor development through PA.Entities:
Keywords: children; environment; geographical location; motor competence; outdoor time; participation in sports; residential density
Mesh:
Year: 2019 PMID: 31167487 PMCID: PMC6604002 DOI: 10.3390/ijerph16111989
Source DB: PubMed Journal: Int J Environ Res Public Health ISSN: 1660-4601 Impact factor: 3.390
Geographical location, residential density and characteristic of living environment of study sample.
| Physical Environment | Localities | Childcare Centres | Educational Level | Income Mean | Children ( | Age in Years (SD) | % of the Study Sample | ||||||
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| Southern | 10 | 17 | 2.90 | 4.58 | 449 | 224 | 225 | 5.30 | 5.24 | 5.35 | 47.5 | 47.4 | 47.5 |
| Central | 10 | 13 | 2.63 | 4.00 | 335 | 163 | 172 | 5.59 | 5.57 | 5.62 | 35.4 | 34.5 | 36.4 |
| Northern | 4 | 7 | 2.48 | 4.30 | 161 | 85 | 76 | 5.40 | 5.41 | 5.38 | 17.1 | 18.1 | 16.1 |
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| Metropolitan | 2 | 6 | 3.17 | 4.91 | 189 | 94 | 95 | 5.17 | 5.09 | 5.25 | 20.0 | 19.9 | 20.0 |
| Cities | 13 | 17 | 2.69 | 4.15 | 421 | 211 | 210 | 5.60 | 5.53 | 5.66 | 44.5 | 44.7 | 44.4 |
| Rural areas | 5 | 7 | 2.56 | 4.31 | 183 | 98 | 85 | 5.48 | 5.49 | 5.47 | 19.4 | 20.8 | 18.0 |
| Countryside | 4 | 7 | 2.53 | 4.13 | 152 | 69 | 83 | 5.15 | 5.18 | 5.12 | 16.1 | 14.6 | 17.5 |
| In total sample | 24 | 37 | 2.73 | 4.33 | 945 | 472 | 473 | 5.42 | 5.38 | 5.45 | 100 | 49.9 | 50.1 |
Educational level (1 = comprehensive school; 2 = high school/vocational school; 3 = polytechnic; 4 = university). Income mean (1 = 0 to 13,999 €/year, 2 = 14,000 to 19,999 €; 3 = 20,000 to 39,999 €; 4 = 40,000 to 69,999 €; 5 = 70,000 to 99,999 €; 6 = 100,000 to 119,000 €; 7 = 120,000 to 139,000 €; 8 = over 140,000 €). Values are reported as mean (standard deviation) scores or percentages (%). 1 Mean temperature in February (coldest month) and in July (warmest month). 2 The amount of daylight in 21st of December (least daylight; winter solstice) and 21st of June (most daylight; summer solstice).
The descriptive data of the study sample.
| Child Factors |
| Mean (SD) | Min | Max | Mean (SD) Girls | Mean (SD) Boys | Gender Differences |
|---|---|---|---|---|---|---|---|
| Age (years) | 945 | 5.42 (1.12) | 3.08 | 7.75 | 5.38 (1.13) | 5.45 (1.11) | 0.36 |
| BMI SDS (%) | 943 | 0.19 (1.05) | −4.55 | 3.45 | 0.21 (1.13) | 0.17 (0.98) | 0.56 |
| Significantly underweight | 15 | 1.6 | 2.5 | 0.6 | 0.66 | ||
| Underweight | 22 | 2.3 | 2.2 | 2.5 | 0.12 | ||
| Normal weight | 687 | 72.9 | 77.1 | 68.6 | <0.001 | ||
| Overweight | 178 | 18.9 | 14.4 | 23.4 | <0.001 | ||
| Obesity | 41 | 4.3 | 3.8 | 4.9 | 0.001 | ||
| Height (cm) | 943 | 113.52 (9.73) | 86.30 | 137.30 | 112.64 (10.05) | 114.40 (9.33) | 0.001 |
| Weight (kg) | 943 | 21.19 (4.47) | 11.30 | 41.60 | 21.04 (4.73) | 21.34 (4.19) | 0.62 |
| TGMD-3 locomotor skills (0–46 p.) | 945 | 27.52 (8.07) | 0 | 46 | 28.89 (7.78) | 26.16 (8.13) | <0.001 |
| TGMD-3 object control skills (0–54 p.) | 945 | 24.87 (9.06) | 3 | 50 | 22.43 (7.91) | 27.29 (9.49) | <0.001 |
| TGMD-3 total score (0–100 p.) | 945 | 52.39 (15.16) | 4 | 88 | 51.32 (14.11) | 53.46 (16.08) | 0.030 |
| Time spent outdoors (%) | 938 | 100 | 0.001 | ||||
| Less than 1 h/day | 94 | 10.0 | 12.8 | 7.2 | |||
| Approximately 1 h/day | 493 | 52.6 | 52.2 | 52.9 | |||
| 1 to 2 h/day | 351 | 37.4 | 35.0 | 39.9 | |||
| Participation in organised sports (mins/week) | 902 | 49.50 (65.28) | 0 | 421.00 | 48.34 (59.84) | 50.65 (70.27) | 0.97 |
BMI, Body mass index; SDS, standard deviation scores. Motor competence was measured using the Test of Gross Motor Development (TGMD)-3. Time spent outdoors and participation in organised sports were asked via parental questionnaire. Values are reported as mean and standard deviation (SD) scores or percentages (%) and adjusted for age.
Geographic location: differences in girls.
| Child Factors | Total Sample | Southern | Central | Northern | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Overall |
| Mean (SD) | Adj. Age |
| Mean (SD) | Adj. Age |
| Mean (SD) | Adj. Age | |
| LM skills (max.46p.) | 0.93 | 224 | 28.40 | 28.99 | 163 | 29.47 | 28.71 | 85 | 29.05 | 28.93 |
| OC skills (max. 54p.) | 0.27 | 224 | 20.83 | 21.48 | 163 | 24.23 | 23.41 | 85 | 23.21 | 23.08 |
| TGMD-3 total (max. 100p.) | 0.58 | 224 | 49.23 | 50.48 | 163 | 53.71 | 52.12 | 85 | 52.26 | 52.00 |
| Time spent outdoors (scale 1–7) |
| 222 | 4.82 |
| 162 | 5.14 |
| 85 | 5.08 | 5.08 |
| Participation in organised sports (mins/week) |
| 208 | 54.68 |
| 160 | 38.23 |
| 80 | 52.10 | 51.82 |
Motor competence was measured using the Test of Gross Motor Development (TGMD)-3. Time spent outdoors and participation in organised sports were asked via parental questionnaire. The time spent outdoors was a sum from the time spent outdoors on weekdays and weekends. The scale for the weekdays ranged from 0 to 3 (0 = not at all, 1 = under 30 min/d, 2 = approximately 30–60 min/d and 3 = over 60 min/d), and the scale for the weekends ranged from 0 to 4 (0 = not at all, 1 = under 30 min/d, 2 = approximately 30–60 min/d, 3 = 1–2 h/d and 4 = over 2 h/d). Values are reported as mean and standard deviation (SD) scores. LM skills= locomotor skills, OC skills= object control skills. * Statistically significant difference (adjusted for age, random effect of childcare centre) between geographical locations groups at the level of p < 0.05. Statistically significant differences in bold. In time spent outdoors difference between Central and Southern: 1 p = 0.03 *. Participation in organised sports, difference between Southern and Central: 1 p = 0.012 *.
Geographic location: differences in boys.
| Child Factors | Total Sample | Southern | Central | Northern | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Overall |
| Mean (SD) | Adj. Age |
| Mean (SD) | Adj. Age |
| Mean (SD) | Adj. Age | |
| LM skills (max.46p.) | 0.61 | 225 | 26.12 | 26.58 | 172 | 26.33 | 25.57 | 76 | 25.93 | 26.28 |
| OC skills (max. 54p.) | 0.46 | 225 | 26.27 | 26.83 | 172 | 29.02 | 28.10 | 76 | 26.42 | 26.84 |
| TGMD-3 total (max. 100p.) | 0.94 | 225 | 52.39 | 53.42 | 172 | 55.35 | 53.67 | 76 | 52.36 | 53.13 |
| Time spent outdoors (scale 1–7) |
| 223 | 4.82 |
| 170 | 5.55 |
| 76 | 5.36 |
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| Participation in organised sports (mins/week) | 0.26 | 219 | 55.87 | 58.11 | 163 | 46.43 | 42.32 | 72 | 44.34 | 46.85 |
Motor competence was measured using the Test of Gross Motor Development (TGMD)-3. Time spent outdoors and participation in organised sports were asked via parental questionnaire. The time spent outdoors was a sum from the time spent outdoors on weekdays and weekends. The scale for the weekdays ranged from 0 to 3 (0 = not at all, 1 = under 30 min/d, 2 = approximately 30–60 min/d and 3 = over 60 min/d), and the scale for the weekends ranged from 0 to 4 (0 = not at all, 1 = under 30 min/d, 2 = approximately 30–60 min/d, 3 = 1–2 h/d and 4 = over 2 h/d). Values are reported as mean and standard deviation (SD) scores. LM skills= locomotor skills, OC skills= object control skills. * Statistically significant difference (adjusted for age, random effect of childcare centre) between geographical locations groups at the level of p < 0.05. Statistically significant differences in bold. Time spent outdoors, difference between Central and Southern: 1 p = 0.028 * and Northern and Southern: 2 p = 0.031 *.
Residential density: differences in girls.
| Child Factors | Total Sample | Metropolitan | Cities | Rural Areas | Countryside | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall |
| Mean (SD) | Adj. Age |
| Mean (SD) | Adj. Age |
| Mean (SD) | Adj. Age |
| Mean (SD) | Adj. Age | |
| LM skills (max.46p.) | 0.076 | 94 | 27.46 |
| 211 | 29.24 |
| 98 | 28.74 |
| 69 | 29.94 |
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| OC skills (max. 54p.) |
| 94 | 19.70 |
| 211 | 22.73 |
| 98 | 22.86 |
| 69 | 24.64 |
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| TGMD-3 total (max. 100p.) | 0.036 | 94 | 47.16 |
| 211 | 51.98 |
| 98 | 51.60 |
| 69 | 54.58 |
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| Time spent outdoors (scale 1–7) | 0.032 | 93 | 4.77 |
| 211 | 5.03 | 5.02 | 96 | 4.81 |
| 69 | 5.30 |
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| Participation in organised sports (mins/week) | 0.118 | 88 | 61.08 |
| 204 | 44.69 |
| 89 | 43.16 |
| 67 | 49.64 |
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Motor competence was measured using the Test of Gross Motor Development (TGMD)-3. Time spent outdoors and participation in organised sports were asked via parental questionnaire. The time spent outdoors was a sum from the time spent outdoors on weekdays and weekends. The scale for the weekdays ranged from 0 to 3 (0 = not at all, 1 = under 30 min/d, 2 = approximately 30–60 min/d and 3 = over 60 min/d), and the scale for the weekends ranged from 0 to 4 (0 = not at all, 1 = under 30 min/d, 2 = approximately 30–60 min/d, 3 = 1–2 h/d and 4 = over 2 h/d). Values are reported as mean and standard deviation (SD) scores. LM skills= locomotor skills, OC skills= object control skills. * Statistically significant difference between residential density areas (adjusted for age, random effect of childcare centre) at the level of p < 0.05. Statistically significant differences in bold. In LM skills difference between countryside and metropolitan area: 1 p = 0.05 *, countryside and cities: 2 p = 0.025 *, countryside and rural areas: 3 p = 0.015 * and metropolitan area and rural areas: 4 p = 0.025 *. In OC skills difference between countryside and metropolitan area: 1 p = 0.013 *, countryside and cities: 2 p = 0.015 *, countryside and rural areas: 3 p = 0.002 **, and rural areas and metropolitan area: 4 p = 0.015 *. In TGMD-3 total skills difference between countryside and metropolitan area: 1 p = 0.011 *, countryside and cities: 2 p = 0.010 **, countryside and rural areas: 3 p = 0.024 * and rural areas and metropolitan area: 4 p = 0.010 **. Time spent outdoors, difference between countryside and metropolitan: 1 p = 0.011 *, and countryside and rural areas: 2 p = 0.010 **. In participation in organised sports difference between metropolitan and cities: 1 p = 0.030 *, metropolitan area and rural areas: 2 p = 0.032 * and countryside and rural areas: 3 p = 0.030 *.
Residential density: differences in boys.
| Child Factors | Total Sample | Metropolitan | Cities | Rural Areas | Countryside | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall |
| Mean (SD) | Adj. Age |
| Mean (SD) | Adj. Age |
| Mean (SD) | Adj. Age |
| Mean (SD) | Adj. Age | |
| LM skills (max.46p.) | 0.094 | 95 | 25.68 | 26.61 | 210 | 27.29 | 26.30 | 85 | 24.41 |
| 83 | 25.67 |
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| OC skills (max. 54p.) | 0.179 | 95 | 24.39 |
| 210 | 29.06 | 27.85 | 85 | 26.60 | 26.49 | 83 | 26.86 |
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| TGMD-3 total (max. 100p.) | 0.110 | 95 | 50.07 | 52.13 | 210 | 56.35 | 54.15 | 85 | 51.01 |
| 83 | 52.53 |
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| Time spent outdoors (scale 1–7) | 0.020 | 94 | 4.80 |
| 210 | 5.40 |
| 83 | 5.16 |
| 83 | 5.33 |
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| Participation in organised sports (mins/week) | 0.939 | 92 | 52.49 | 57.16 | 200 | 55.25 | 50.43 | 83 | 46.47 | 46.14 | 79 | 41.27 | 48.38 |
Motor competence was measured using the Test of Gross Motor Development (TGMD)-3. Time spent outdoors and participation in organised sports were asked via parental questionnaire. The time spent outdoors was a sum from the time spent outdoors on weekdays and weekends. The scale for the weekdays ranged from 0 to 3 (0 = not at all, 1 = under 30 min/d, 2 = approximately 30–60 min/d and 3 = over 60 min/d), and the scale for the weekends ranged from 0 to 4 (0 = not at all, 1 = under 30 min/d, 2 = approximately 30–60 min/d, 3 = 1–2 h/d and 4 = over 2 h/d). Values are reported as mean and standard deviation (SD) scores. LM skills= locomotor skills, OC skills= object control skills. * Statistically significant difference between residential density areas (adjusted for age, random effect of childcare centre) at the level of p < 0.05. Statistically significant differences in bold. In LM skills difference between countryside and rural areas: 1 p = 0.014 *. In OC skills difference between countryside and metropolitan area: 1 p = 0.048 *. In TGMD-3 total skills difference between countryside and rural areas: 1 p = 0.030 *. In time spent outdoors, difference between cities and metropolitan area: 1 p = 0.006 **, countryside and metropolitan area: 2 p = 0.012 * and countryside and rural areas: 3 p = 0.006 **.