Health-related motor testing of children in primary school: A systematic review of criterion-referenced standards

Being physically fit in younger years prevents several diseases in the presence as well as in the life course. Therefore, monitoring physical fitness and motor competence through motor testing is essential for determining developmental status and identifying health-related risks. The main objectives of this systematic review were (1) to identify currently available health-related criterion-referenced standards and cut-off points for physical fitness and motor competence test items, (2) to frame the methodological background on setting health-related criterion-referenced standards and (3) to give implications for a health-related evaluation system for physical fitness and motor competence tests. The electronic data base search (PubMed, Web of Science and SURF) yielded 2062 records in total and identified six empirical studies reporting cut-off points of motor test items for children (7–10 years), as well as 30 methodological papers discussing determination approaches to health-related criterion-referenced standards. Data collection, selection and analyses followed the PRISMA guidelines. Health-related motor test standards need to be gender- and age-specific but should refer to an absolute cut-off point rather than to relative performance in the reference group. Due to the lack of data on health-related criterion referenced standards, receiver-operating-characteristic (ROC) curves provide a tool for the determination of cut-off points and criterion referenced standards for physical fitness and motor competence tests. A standardized approach forms the fundamental base for a globally applicable evaluation of health-related fitness tests

RigidFusion: RGB-D Scene Reconstruction with Rigidly-movie Objects

Although surface reconstruction from depth data has made significant advances in the recent years, handling changing environments remains a major challenge. This is unsatisfactory, as humans regularly move objects in their environments. Existing solutions focus on a restricted set of objects (e.g., those detected by semantic classifiers) possibly with template meshes, assume static camera, or mark objects touched by humans as moving. We remove these assumptions by introducing RigidFusion. Our core idea is a novel asynchronous moving-object detection method, combined with a modified volumetric fusion. This is achieved by a model-to-frame TSDF decomposition leveraging free-space carving of tracked depth values of the current frame with respect to the background model during run-time. As output, we produce separate volumetric reconstructions for the background and each moving object in the scene, along with its trajectory over time. Our method does not rely on the object priors (e.g., semantic labels or pre-scanned meshes) and is insensitive to the motion residuals between objects and the camera. In comparison to state-of-the-art methods (e.g., Co-Fusion, MaskFusion), we handle significantly more challenging reconstruction scenarios involving moving camera and improve moving-object detection (26% on the miss-detection ratio), tracking (27% on MOTA), and reconstruction (3% on the reconstruction F1) on the synthetic dataset. Please refer the supplementary and the project website for the video demonstration (geometry.cs.ucl.ac.uk/projects/2021/rigidfusion)

Influence of socioeconomic variables on physical activity and screen time of children and adolescents during the COVID‑19 lockdown in Germany: the MoMo study [Einfluss sozioökonomischer Variablen auf die körperlich-sportliche Aktivität und Bildschirmmediennutzung von Kindern und Jugendlichen während des COVID‑19-Lockdowns in Deutschland: die MoMo-Studie]

The COVID‑19 (coronavirus disease 2019) pandemic created a multitude of natural experiments about the change of human behavior in a widely unfamiliar situation. Besides physical and mental health, physical activity (PA) and people’s movement behaviors were of particular interest to researchers all over the world. In a recent study, we found that among youth in Germany, sports activity declined, whereas recreational screen time and habitual activity increased during the first COVID‑19 lockdown. In the present study, we analyze the influence of the socioeconomic status and the housing situation on the changes in PA behavior and recreational screen-time before and during the first COVID‑19 lockdown among children and adolescents living in Germany. We found an alignment of PA behavior among youth from families with different socioeconomic backgrounds during the first lockdown and identified the housing situation to be a meaningful predictor of the increase in habitual activity. We conclude that restriction policies, communities, and in the last instance parents need to enable access to nonorganized PA to all children and adolescents every day and especially during potential future lockdowns

Indicators to assess physical health of children and adolescents in activity research—A scoping review

Sufficient physical activity can help promote and maintain health, while its lack can jeopardize it. Since health and physical activity lay their foundation for later life in childhood and adolescence, it is important to examine this relationship from the beginning. Therefore, this scoping review aims to provide an overview of physical health indicators in children and adolescents in research on the effects of physical activity and sedentary behavior. We identified the indicators used to quantify or assess physical health and summarized the methods used to measure these indicators. We systematically searched Scopus, Pubmed, and Web of Science databases for systematic reviews. The search yielded 4595 records from which 32 records were included in the review. The measurements for physical health reported in the reviews contained measures of body composition, cardiometabolic biomarkers, physical fitness, harm/injury, or bone health. Body composition was the most used indicator to assess and evaluate physical health in children, whereas information on harm and injury was barely available. In future research longitudinal studies are mandatory to focus on the prospective relationships between physical activity or sedentary behavior, and physical health

Physical Activity and Recurrent Pain in Children and Adolescents in Germany—Results from the MoMo Study

Recurrent pain can be a significant disruption in the activities of daily life, and is not only a health problem in adults but also in children and adolescents. This study analyzed the prevalence of recurrent pain in the current sample (n = 1516; 11–17 years (mean$_{age}$ = 14.4 ± 2.0 years); 50.8% female) of a nationwide study in Germany, evaluated the association of participants’ device-based physical activity (PA) with the prevalence of recurrent pain, and assessed whether children and adolescents who reported pain for the last three months accumulated less PA than those who did not. A higher prevalence was found in girls for recurrent headaches (42.2% vs. 28.7%), abdominal pain (28.2% vs. 20.1%), and back pain (26.9% vs. 19.5%). We found higher odds for recurrent headaches in girls (OR = 1.54) and in participants that did not reach at least 60 min of moderate to vigorous PA (MVPA) per day (OR = 2.06). Girls who reported recurrent headaches accumulated 4.7 min less MVPA per day than those without. The prevalence of pain remains at a high level in the German youth and underscores the need for interventions to improve the health situations of children and adolescents

Relating outdoor play to sedentary behavior and physical activity in youth - results from a cohort study

Background Outdoor play, sedentary behavior (SB), and moderate-to-vigorous physical activity (MVPA) are related to youth’s health, however, there are research gaps regarding 1) associations between outdoor play, SB, and MVPA across a broad pediatric age range (6–17 years), and 2) longitudinal associations between outdoor play, SB, and MVPA across childhood and adolescence. Two studies were conducted to address those research gaps: Study 1 aimed to investigate relationships between outdoor play and accelerometer-assessed SB and MVPA in a cross-sectional nationwide sample of children and adolescents in Germany. Study 2 aimed to investigate prospective associations between outdoor play and self-reported screen-time SB and MVPA and in a sample of children with three measurement timepoints across 11 years. Methods Data were obtained of the German national representative Motorik-Modul (MoMo) Study and the German Health Interview and Examination Survey for Children and Adolescents (KiGGS). In Study 1, N = 2278 participants (6–17 years) were included with self-reported outdoor play and accelerometer-assessed SB and MVPA. Associations were examined via multiple linear regressions. In Study 2, N = 570 participants (baseline: 4–7 years) were included in the longitudinal analysis with follow-ups six and 11 years later. Screen-time SB (TV watching and PC/Gaming), MVPA, and outdoor play were self-reported. Associations were investigated through a path prediction model. Results Study 1 showed that compared to <1 h outdoor play, higher engagement in daily outdoor play was related to lower SB (1-2 h: − 9.75 min/day, P = 0.017; ≥2 h: − 17.78 min/day, P < 0.001) and higher MVPA (≥2 h: + 3.87 min/day, P = 0.001). The cross-sectional relationship between MVPA and outdoor play was moderated by sex (in favor of males) and age (in favor of younger children). Study 2 showed that outdoor play in early childhood negatively predicted PC use/Gaming in later childhood, but was unrelated to MVPA. Conclusion In Study 1, outdoor play was negatively related to SB cross-sectionally. In Study 2, outdoor play in early childhood was negatively related to PC and Gaming time in later childhood. Thus, providing outdoor play opportunities, especially during early childhood, has potential to prevent SB. Future research should investigate longitudinal relationships using device-based assessments for SB and MVPA

Social Support and Modelling in Relation to Physical Activity Participation and Outdoor Play in Preschool Children

Physical activity during early childhood is a prerequisite for healthy development in many cases. The aim of this study was to assess the relationships of social modelling and support from parents, peers, and siblings and domain-specific physical activity participation in a nationwide sample of preschool boys and girls from Germany. 519 preschool children aged 4–6 and one of their parents participated in the ‘MoMo’ Wave 1 Study between 2009 and 2012. Participants and their parents provided self-reported data on social support modelling, and domain-specific physical activity participation (physical activity in sports clubs, physical activity outside of sports clubs, and outdoor play). Parental, peer, and sibling support and modelling were related to domain-specific physical activity: Parental support was particularly relevant for physical activity in sports clubs, and peer support for outdoor play. Parental modelling was only related to physical activity outside of sports clubs: Maternal modelling was a positive correlate in girls and paternal modelling in boys, respectively. Sibling and peer modelling were especially relevant for physical activity in sports clubs. The results were heterogeneous regarding types and providers of support and modelling. Thus, different providers and types of support should be targeted in physical activity promotion programs for preschool children

Comparison of self-reported & device-based, measured physical activity among children in Germany

As children show a more complex but less structured movement behavior than adults, assessment of their many spontaneous and impulsive movements is a challenge for physical activity (PA) assessment. Since neither questionnaires nor accelerometers enable optimal detection of all facets of PA, a multimodal, combined approach of self-reported and device-based methods is recommended. Based on the number of days on which the participants reached the physical activity (PA) values given in the WHO guideline, this study examines 1) the difference between self-reported and device-based, measured PA and 2) whether PA differences between age and gender groups obtained by two methods are comparable.Peer Reviewe

Impact of weekdays versus weekend days on accelerometer measured physical behavior among children and adolescents: results from the MoMo study = Einfluss des Wochentages auf das mit Beschleunigungsmessern erfasste Bewegungsverhalten von Kindern und Jugendlichen: Ergebnisse der MoMo-Studie

Structured activities, in which children participate for example at school, are consistent and limited in scope. After-school or weekend activities, by contrast, involve a wider range of behaviors. Studies have shown that physical activity (PA), as measured by accelerometers, is lower on weekends compared to weekdays or school days, whereas PA does not differ between weekdays. In the present study, we examined accelerometer data of children and adolescents living in Germany for the different weekdays and weekend days. The current analysis used cross-sectional data of participants (n = 2743) aged 6–17 years collected between 2014 and 2017. The final valid sample consisted of 2278 children and adolescents divided into three age groups (6–10 years, n = 713; 11–13 years, n = 706; 14–17 years, n = 859) and two gender groups (1072 boys, 1206 girls). Physical behavior, including sedentary behavior, as well as light, moderate, vigorous PA, and wear time were analyzed. Absolute and percentage intensity distributions were evaluated daily. The average wear time was 807 min daily from Monday–Thursday with significant deviations from the mean on Friday (+38 min), Saturday (−76 min), and Sunday (−141 min). Absolute moderate to vigorous PA times were lower on weekends than during the week. However, the percentage intensity distribution remained constant over all days. Girls were less physically active and more sedentary than boys (F$_{1,2272}$ = 38.3; p < 0.01) and adolescents were significantly less active than younger children (F$_{2,2272}$ = 138.6; p < 0.01). Waking times increased with age (F$_{2,2272}$ = 138.6; p < 0.01). Shorter awake periods limit possible active times on weekends, resulting in lower PA and sedentary behavior compared to weekdays. The percentage distributions of the different physical behavior intensity categories are similar over all weekdays and weekend days. We could not find a justification for specific weekend interventions. Instead, interventions should generally try to shift activity away from sedentary behavior towards a more active lifestyle

How specific combinations of epoch length, non-wear time and cut-points influence physical activity – Processing accelerometer data from children and adolescents in the nationwide MoMo study = Einfluss spezifischer Kombinationen von Epochenlänge, Nichttragezeit und Cut-off-Werten auf die körperliche Aktivität – Signalverarbeitung von Akzelerometerdaten bei Kindern und Jugendlichen in der bundesweiten MoMo-Studie

This study assesses three factors that influence the quantification of children’s and adolescents’ physical activity (PA) using accelerometers: selection of (1) non-wear algorithm, (2) epoch length and (3) cut-points. A total of 1525 participants from MoMo wave 3 (2018–2022), aged 6–17 years, wore GT3X accelerometers (ActiGraph, LLC, Pensacola, FL, USA) during waking hours. Acceleration counts were reintegrated into lengths of 1, 5, 15, 30, and 60 s epochs. Two non-wear time algorithms and two sets of cut-points were applied to each epoch length. Differences were found in both the comparison of the non-wear time algorithms and the comparison of the cut-points when the different epoch lengths were considered. This may result in large differences in estimated sedentary behavior and PA values. We propose to pool the data by merging and combining multiple accelerometer datasets from different studies and evaluate them in a harmonized way in the future. In addition to the need for future validation studies using short epoch lengths for young children, we also propose to conduct meta-analyses. This allows the use of data from multiple studies to validate cut-points and to propose a consensual set of cut-points that can be used in different settings and projects. The high discrepancy between results when comparing different epoch lengths has to be considered when interpreting accelerometer data and is regarded a confounding variable when comparing levels of PA between studies