Association of developmental coordination disorder and low motor competence with impaired bone health: A systematic review. (October 2022)

• Record Type: Journal Article
• Authors: Tan, Jocelyn; Murphy, Myles; Hart, Nicolas H.; Rantalainen, Timo; Bhoyroo, Ranila; Chivers, Paola
• Is Part Of: Research in developmental disabilities. Volume 129(2022)
• Publication Date: 2022-10
• Subjects: Developmental disabilities -- Fracture -- Movement -- Inactivity -- Falls -- Bone; DCD Developmental Coordination Disorder -- LMC Low Motor Competence -- JBI Joanna Briggs Institute -- DXA Dual-Energy X-ray Absorptiometry -- pQCT Peripheral Quantitative Computed Tomography; Developmental disabilities -- Periodicals; Developmentally disabled -- Research -- United States -- Periodicals; Developmentally disabled children -- Education -- Research -- United States -- Periodicals; Developmental Disabilities -- Periodicals; Disabled -- Periodicals; Mental Retardation -- rehabilitation -- Periodicals; Personnes atteintes de troubles du développement -- Recherche -- États-Unis -- Périodiques; Enfants atteints de troubles du développement -- Éducation -- Recherche -- États-Unis -- Périodiques; Développement, Troubles du -- Recherche -- États-Unis -- Périodiques; 616.858800
• DOI: 10.1016/j.ridd.2022.104324
• Languages: English
• ISSNs: 0891-4222

Abstract

Abstract: Aims: Individuals with developmental coordination disorder (DCD) and low motor competence (LMC) may be at increased risk of low bone health due to their lifetime physical activity patterns. Impaired bone health increases an individual's risk of osteoporosis and fracture; therefore, it is necessary to determine whether a bone health detriment is present in this group. Accordingly, this systematic review explores the association between DCD/LMC and bone health. Methods and Procedures: Studies were included with assessment of bone health in a DCD/LMC population. Study bias was assessed using the JBI critical appraisal checklist. Due to heterogeneity, meta-analysis was not possible and narrative synthesis was performed with effect size and direction assessed via harvest plots. Outcomes and Results: A total of 16 (15 paediatric/adolescent) studies were included. Deficits in bone measures were reported for the DCD/LMC group and were more frequent in weight-bearing sites. Critical appraisal indicated very low confidence in the results, with issues relating to indirectness and imprecision relating to comorbidities. Conclusions and Implications: Individuals with DCD or LMC are at increased risk of bone health deficits. Bone impairment locations indicate insufficient loading via physical activity as a potential cause of bone deficits. Results indicate a potential for earlier osteoporosis onset. Highlights: Individuals with Low Motor Competence may have bone health deficits. Bone health deficits may be greater in those with Developmental Coordination Disorder. Bone health deficits are likely due to insufficient physical activity. Clinical implications include increased risk of fracture. Studies in this area are concentrated in childhood and adolescence.