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Published in: Sports Medicine 8/2018

01-08-2018 | Systematic Review

Exploring the Relationship Between Fundamental Motor Skill Interventions and Physical Activity Levels in Children: A Systematic Review and Meta-analysis

Authors: Alexander C. Engel, Carolyn R. Broderick, Nancy van Doorn, Louise L. Hardy, Belinda J. Parmenter

Published in: Sports Medicine | Issue 8/2018

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Abstract

Background

Physical activity provides many health benefits, yet few children meet the physical activity recommendations. In school-age children, low proficiency in fundamental movement skills (FMS) is associated with low physical activity (PA). It is unknown if the same relationship exists in pre-schoolers (aged 3–5 years).

Objectives

The aims of this review were to firstly evaluate interventions for improving FMS and PA levels in children aged 3–5 years and 5–12 years, and secondly to determine, where possible, if there is a similar relationship between change in FMS and change in PA across both age groups.

Methods

A systematic search of electronic databases was conducted up until 20 July 2017. Controlled trials that implemented an FMS/PA intervention and measured PA levels (objective/subjective) and FMS (objective) in healthy children between the ages of 3 and 12 years were included. Sub-analysis was conducted based on the type of intervention (teacher-led [TL] or teacher educated), sessions per week (< 3 or ≥ 3) and age group.

Results

Search terms yielded 17,553 articles, of which 18 met the inclusion criteria. There was significant improvement in FMS with TL interventions of three or more sessions per week (standardised mean difference = 0.23 [0.11–0.36]; p = 0.0002). In TL interventions, there was a strong negative correlation between moderate–vigorous physical activity (MVPA) and sedentary behaviour (SB) (r = − 0.969; p = 0.031).

Conclusions

There are limited studies measuring both FMS and PA following an FMS intervention, especially in school-aged children. Results indicate that training pre-schoolers at least three times a week in FMS can improve proficiency, increase intensity of PA, and reduce SB, possibly helping to reduce the burden of childhood obesity and its associated health risks.
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Literature
2.
go back to reference Ng M, Fleming T, Robinson M, Thomson B, Graetz N, Margono C, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2014;384(9945):766–81.CrossRefPubMedPubMedCentral Ng M, Fleming T, Robinson M, Thomson B, Graetz N, Margono C, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2014;384(9945):766–81.CrossRefPubMedPubMedCentral
4.
go back to reference Tremblay MS, Gray CE, Akinroye K, Harrington DM, Katzmarzyk PT, Lambert EV, et al. Physical activity of children: a global matrix of grades comparing 15 countries. J Phys Act Health. 2014;11(s1):S113–25.CrossRefPubMed Tremblay MS, Gray CE, Akinroye K, Harrington DM, Katzmarzyk PT, Lambert EV, et al. Physical activity of children: a global matrix of grades comparing 15 countries. J Phys Act Health. 2014;11(s1):S113–25.CrossRefPubMed
5.
go back to reference Janssen I, Katzmarzyk PT, Boyce WF, Vereecken C, Mulvihill C, Roberts C, et al. Comparison of overweight and obesity prevalence in school-aged youth from 34 countries and their relationships with physical activity and dietary patterns. Obes Rev. 2005;6(2):123–32.CrossRefPubMed Janssen I, Katzmarzyk PT, Boyce WF, Vereecken C, Mulvihill C, Roberts C, et al. Comparison of overweight and obesity prevalence in school-aged youth from 34 countries and their relationships with physical activity and dietary patterns. Obes Rev. 2005;6(2):123–32.CrossRefPubMed
6.
go back to reference Timmons BW, LeBlanc AG, Carson V, Connor Gorber S, Dillman C, Janssen I, et al. Systematic review of physical activity and health in the early years (aged 0–4 years). Appl Physiol Nutr Metab. 2012;37(4):773–92.CrossRefPubMed Timmons BW, LeBlanc AG, Carson V, Connor Gorber S, Dillman C, Janssen I, et al. Systematic review of physical activity and health in the early years (aged 0–4 years). Appl Physiol Nutr Metab. 2012;37(4):773–92.CrossRefPubMed
7.
go back to reference Guo SS, Wu W, Chumlea WC, Roche AF. Predicting overweight and obesity in adulthood from body mass index values in childhood and adolescence. Am J Clin Nutr. 2002;76(3):653–8.CrossRefPubMed Guo SS, Wu W, Chumlea WC, Roche AF. Predicting overweight and obesity in adulthood from body mass index values in childhood and adolescence. Am J Clin Nutr. 2002;76(3):653–8.CrossRefPubMed
8.
go back to reference Hills AP, King NA, Armstrong TP. The contribution of physical activity and sedentary behaviours to the growth and development of children and adolescents. Sports Med. 2007;37(6):533–45.CrossRefPubMed Hills AP, King NA, Armstrong TP. The contribution of physical activity and sedentary behaviours to the growth and development of children and adolescents. Sports Med. 2007;37(6):533–45.CrossRefPubMed
9.
go back to reference Hills AP, Okely AD, Baur LA. Addressing childhood obesity through increased physical activity. Nat Rev Endocrinol. 2010;6(10):543–9.CrossRefPubMed Hills AP, Okely AD, Baur LA. Addressing childhood obesity through increased physical activity. Nat Rev Endocrinol. 2010;6(10):543–9.CrossRefPubMed
10.
go back to reference Strong WB, Malina RM, Blimkie CJ, Daniels SR, Dishman RK, Gutin B, et al. Evidence based physical activity for school-age youth. J Pediatr. 2005;146(6):732–7.CrossRefPubMed Strong WB, Malina RM, Blimkie CJ, Daniels SR, Dishman RK, Gutin B, et al. Evidence based physical activity for school-age youth. J Pediatr. 2005;146(6):732–7.CrossRefPubMed
11.
go back to reference Trost SG, Kerr L, Ward DS, Pate RR. Physical activity and determinants of physical activity in obese and non-obese children. Int J Obes. 2001;25(6):822.CrossRef Trost SG, Kerr L, Ward DS, Pate RR. Physical activity and determinants of physical activity in obese and non-obese children. Int J Obes. 2001;25(6):822.CrossRef
12.
go back to reference Hinkley T, Teychenne M, Downing KL, Ball K, Salmon J, Hesketh KD. Early childhood physical activity, sedentary behaviors and psychosocial well-being: a systematic review. Prev Med. 2014;62:182–92.CrossRefPubMed Hinkley T, Teychenne M, Downing KL, Ball K, Salmon J, Hesketh KD. Early childhood physical activity, sedentary behaviors and psychosocial well-being: a systematic review. Prev Med. 2014;62:182–92.CrossRefPubMed
13.
go back to reference Janssen I, LeBlanc AG. Systematic review of the health benefits of physical activity and fitness in school-aged children and youth. Int J Behav Nutr Phys Act. 2010;7(1):40.CrossRefPubMedPubMedCentral Janssen I, LeBlanc AG. Systematic review of the health benefits of physical activity and fitness in school-aged children and youth. Int J Behav Nutr Phys Act. 2010;7(1):40.CrossRefPubMedPubMedCentral
14.
go back to reference Lubans DR, Morgan PJ, Cliff DP, Barnett LM, Okely AD. Fundamental movement skills in children and adolescents. Sports Med. 2010;40(12):1019–35.CrossRefPubMed Lubans DR, Morgan PJ, Cliff DP, Barnett LM, Okely AD. Fundamental movement skills in children and adolescents. Sports Med. 2010;40(12):1019–35.CrossRefPubMed
15.
go back to reference Ulrich DA. Test of gross motor development. Examiner’s Manual. 2nd ed. Austin: Pro-ED Inc; 2000. Ulrich DA. Test of gross motor development. Examiner’s Manual. 2nd ed. Austin: Pro-ED Inc; 2000.
16.
go back to reference Ulrich DA. The test of gross motor development-3 (TGMD-3): administration, scoring, and international norms. Spor Bilim Derg. 2013;24(2):27–33. Ulrich DA. The test of gross motor development-3 (TGMD-3): administration, scoring, and international norms. Spor Bilim Derg. 2013;24(2):27–33.
18.
go back to reference Logan SW, Robinson LE, Wilson AE, Lucas WA. Getting the fundamentals of movement: a meta-analysis of the effectiveness of motor skill interventions in children. Child Care Health Dev. 2012;38(3):305–15.CrossRefPubMed Logan SW, Robinson LE, Wilson AE, Lucas WA. Getting the fundamentals of movement: a meta-analysis of the effectiveness of motor skill interventions in children. Child Care Health Dev. 2012;38(3):305–15.CrossRefPubMed
19.
go back to reference Veldman SL, Jones RA, Okely AD. Efficacy of gross motor skill interventions in young children: an updated systematic review. BMJ Open Sport Exerc Med. 2016;2(1):e000067.CrossRefPubMedPubMedCentral Veldman SL, Jones RA, Okely AD. Efficacy of gross motor skill interventions in young children: an updated systematic review. BMJ Open Sport Exerc Med. 2016;2(1):e000067.CrossRefPubMedPubMedCentral
20.
go back to reference Lloyd M, Saunders TJ, Bremer E, Tremblay MS. Long-term importance of fundamental motor skills: a 20-year follow-up study. Adapt Phys Act Q. 2014;31(1):67–78.CrossRef Lloyd M, Saunders TJ, Bremer E, Tremblay MS. Long-term importance of fundamental motor skills: a 20-year follow-up study. Adapt Phys Act Q. 2014;31(1):67–78.CrossRef
21.
go back to reference Cliff DP, Okely AD, Smith LM, McKeen K. Relationships between fundamental movement skills and objectively measured physical activity in preschool children. Pediatr Exerc Sci. 2009;21(4):436–49.CrossRefPubMed Cliff DP, Okely AD, Smith LM, McKeen K. Relationships between fundamental movement skills and objectively measured physical activity in preschool children. Pediatr Exerc Sci. 2009;21(4):436–49.CrossRefPubMed
22.
go back to reference Logan SW, Kipling Webster E, Getchell N, Pfeiffer KA, Robinson LE. Relationship between fundamental motor skill competence and physical activity during childhood and adolescence: a systematic review. Kinesiol Rev (Champaign). 2015;4(4):416–26.CrossRef Logan SW, Kipling Webster E, Getchell N, Pfeiffer KA, Robinson LE. Relationship between fundamental motor skill competence and physical activity during childhood and adolescence: a systematic review. Kinesiol Rev (Champaign). 2015;4(4):416–26.CrossRef
24.
go back to reference Van Capelle A, Broderick CR, van Doorn N. R EW, Parmenter BJ. Interventions to improve fundamental motor skills in pre-school aged children: a systematic review and meta-analysis. J Sci Med Sport. 2017;20(7):658–66.CrossRefPubMed Van Capelle A, Broderick CR, van Doorn N. R EW, Parmenter BJ. Interventions to improve fundamental motor skills in pre-school aged children: a systematic review and meta-analysis. J Sci Med Sport. 2017;20(7):658–66.CrossRefPubMed
25.
go back to reference Moher D, Shamseer L, Clarke M, Ghersi D, Liberati A, Petticrew M, et al. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Syst Rev. 2015;4(1):1.CrossRefPubMedPubMedCentral Moher D, Shamseer L, Clarke M, Ghersi D, Liberati A, Petticrew M, et al. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Syst Rev. 2015;4(1):1.CrossRefPubMedPubMedCentral
26.
go back to reference Maher CG, Sherrington C, Herbert RD, Moseley AM, Elkins M. Reliability of the PEDro scale for rating quality of randomized controlled trials. Phys Ther. 2003;83(8):713–21.PubMed Maher CG, Sherrington C, Herbert RD, Moseley AM, Elkins M. Reliability of the PEDro scale for rating quality of randomized controlled trials. Phys Ther. 2003;83(8):713–21.PubMed
27.
28.
go back to reference Jones RA, Okely AD, Hinkley T, Batterham M, Burke C. Promoting gross motor skills and physical activity in childcare: a translational randomized controlled trial. J Sci Med Sport. 2016;19(9):744–9.CrossRefPubMed Jones RA, Okely AD, Hinkley T, Batterham M, Burke C. Promoting gross motor skills and physical activity in childcare: a translational randomized controlled trial. J Sci Med Sport. 2016;19(9):744–9.CrossRefPubMed
29.
go back to reference Cohen KE, Morgan PJ, Plotnikoff RC, Callister R, Lubans DR. Physical activity and skills intervention: SCORES cluster randomized controlled trial. Med Sci Sports Exerc. 2015;47(4):765–74.CrossRefPubMed Cohen KE, Morgan PJ, Plotnikoff RC, Callister R, Lubans DR. Physical activity and skills intervention: SCORES cluster randomized controlled trial. Med Sci Sports Exerc. 2015;47(4):765–74.CrossRefPubMed
30.
go back to reference Reilly JJ, Kelly L, Montgomery C, Williamson A, Fisher A, McColl JH, et al. Physical activity to prevent obesity in young children: cluster randomised controlled trial. BMJ. 2006;333(7577):1041–3.CrossRefPubMedPubMedCentral Reilly JJ, Kelly L, Montgomery C, Williamson A, Fisher A, McColl JH, et al. Physical activity to prevent obesity in young children: cluster randomised controlled trial. BMJ. 2006;333(7577):1041–3.CrossRefPubMedPubMedCentral
31.
go back to reference Adamo KB, Wilson S, Harvey A, Grattan KP, Naylor P-J, Temple VA, et al. Does intervening in childcare settings impact fundamental movement skill development? Med Sci Sports Exerc. 2016;48(5):926–32.CrossRefPubMed Adamo KB, Wilson S, Harvey A, Grattan KP, Naylor P-J, Temple VA, et al. Does intervening in childcare settings impact fundamental movement skill development? Med Sci Sports Exerc. 2016;48(5):926–32.CrossRefPubMed
32.
go back to reference Roth K, Kriemler S, Lehmacher W, Ruf KC, Graf C, Hebestreit H. Effects of a physical activity intervention in preschool children. Med Sci Sports Exerc. 2015;47(12):2542–51.CrossRefPubMed Roth K, Kriemler S, Lehmacher W, Ruf KC, Graf C, Hebestreit H. Effects of a physical activity intervention in preschool children. Med Sci Sports Exerc. 2015;47(12):2542–51.CrossRefPubMed
33.
go back to reference Cliff DP, Okely AD, Morgan PJ, Steele JR, Jones RA, Colyvas K, et al. Movement skills and physical activity in obese children: randomized controlled trial. Med Sci Sports Exerc. 2011;43(1):90–100.CrossRefPubMed Cliff DP, Okely AD, Morgan PJ, Steele JR, Jones RA, Colyvas K, et al. Movement skills and physical activity in obese children: randomized controlled trial. Med Sci Sports Exerc. 2011;43(1):90–100.CrossRefPubMed
34.
go back to reference Grillich L, Kien C, Takuya Y, Weber M, Gartlehner G. Effectiveness evaluation of a health promotion programme in primary schools: a cluster randomised controlled trial. BMC Public Health. 2016;16(1):679.CrossRefPubMedPubMedCentral Grillich L, Kien C, Takuya Y, Weber M, Gartlehner G. Effectiveness evaluation of a health promotion programme in primary schools: a cluster randomised controlled trial. BMC Public Health. 2016;16(1):679.CrossRefPubMedPubMedCentral
35.
go back to reference Miller A, Christensen E, Eather N, Gray S, Sproule J, Keay J, et al. Can physical education and physical activity outcomes be developed simultaneously using a game-centered approach? Eur Phys Educ Rev. 2016;22(1):113–33.CrossRef Miller A, Christensen E, Eather N, Gray S, Sproule J, Keay J, et al. Can physical education and physical activity outcomes be developed simultaneously using a game-centered approach? Eur Phys Educ Rev. 2016;22(1):113–33.CrossRef
36.
go back to reference Bellows LL, Davies PL, Anderson J, Kennedy C. Effectiveness of a physical activity intervention for head start preschoolers: a randomized intervention study [with consumer summary]. Am J Occup Ther. 2013;67(1):28–36.CrossRefPubMedPubMedCentral Bellows LL, Davies PL, Anderson J, Kennedy C. Effectiveness of a physical activity intervention for head start preschoolers: a randomized intervention study [with consumer summary]. Am J Occup Ther. 2013;67(1):28–36.CrossRefPubMedPubMedCentral
37.
go back to reference Bonvin A, Barral J, Kakebeeke TH, Kriemler S, Longchamp A, Schindler C, et al. Effect of a governmentally-led physical activity program on motor skills in young children attending child care centers: a cluster randomized controlled trial. Int J Behav Nutr Phys Act. 2013;10(1):1.CrossRef Bonvin A, Barral J, Kakebeeke TH, Kriemler S, Longchamp A, Schindler C, et al. Effect of a governmentally-led physical activity program on motor skills in young children attending child care centers: a cluster randomized controlled trial. Int J Behav Nutr Phys Act. 2013;10(1):1.CrossRef
38.
go back to reference Jones RA, Riethmuller A, Hesketh K, Trezise J, Batterham M, Okely AD. Promoting fundamental movement skill development and physical activity in early childhood settings: a cluster randomized controlled trial. Pediatr Exerc Sci. 2011;23(4):600–15.CrossRefPubMed Jones RA, Riethmuller A, Hesketh K, Trezise J, Batterham M, Okely AD. Promoting fundamental movement skill development and physical activity in early childhood settings: a cluster randomized controlled trial. Pediatr Exerc Sci. 2011;23(4):600–15.CrossRefPubMed
39.
go back to reference Van Beurden E, Barnett LM, Zask A, Dietrich UC, Brooks LO, Beard J. Can we skill and activate children through primary school physical education lessons? “Move it Groove it”—a collaborative health promotion intervention. Prev Med. 2003;36(4):493–501.CrossRefPubMed Van Beurden E, Barnett LM, Zask A, Dietrich UC, Brooks LO, Beard J. Can we skill and activate children through primary school physical education lessons? “Move it Groove it”—a collaborative health promotion intervention. Prev Med. 2003;36(4):493–501.CrossRefPubMed
40.
go back to reference Alhassan S, Nwaokelemeh O, Ghazarian M, Roberts J, Mendoza A, Shitole S. Effects of locomotor skill program on minority preschoolers’ physical activity levels. Pediatr Exerc Sci. 2012;24(3):435–49.CrossRefPubMed Alhassan S, Nwaokelemeh O, Ghazarian M, Roberts J, Mendoza A, Shitole S. Effects of locomotor skill program on minority preschoolers’ physical activity levels. Pediatr Exerc Sci. 2012;24(3):435–49.CrossRefPubMed
41.
go back to reference Froehlich Chow A, Leis A, Humbert L, Muhajarine N, Engler-Stringer R. Healthy Start–Depart Sante: a pilot study of a multilevel intervention to increase physical activity, fundamental movement skills and healthy eating in rural childcare centres. Can J Public Health. 2016;107(3):e312–8.CrossRefPubMed Froehlich Chow A, Leis A, Humbert L, Muhajarine N, Engler-Stringer R. Healthy Start–Depart Sante: a pilot study of a multilevel intervention to increase physical activity, fundamental movement skills and healthy eating in rural childcare centres. Can J Public Health. 2016;107(3):e312–8.CrossRefPubMed
42.
go back to reference Boyle-Holmes T, Grost L, Russell L, Laris BA, Robin L, Haller E, et al. Promoting elementary physical education: results of a school-based evaluation study. Health Educ Behav. 2010;37(3):377–89.CrossRefPubMed Boyle-Holmes T, Grost L, Russell L, Laris BA, Robin L, Haller E, et al. Promoting elementary physical education: results of a school-based evaluation study. Health Educ Behav. 2010;37(3):377–89.CrossRefPubMed
43.
go back to reference Bryant ES, Duncan MJ, Birch SL, James RS. Can fundamental movement skill mastery be increased via a six week physical activity intervention to have positive effects on physical activity and physical self-perception? Sports. 2016;4(1):10.CrossRefPubMedCentral Bryant ES, Duncan MJ, Birch SL, James RS. Can fundamental movement skill mastery be increased via a six week physical activity intervention to have positive effects on physical activity and physical self-perception? Sports. 2016;4(1):10.CrossRefPubMedCentral
44.
go back to reference Yin Z, Parra-Medina D, Cordova A, He M, Trummer V, Sosa E, et al. Miranos! Look at us, we are healthy! An environmental approach to early childhood obesity prevention. Child Obes. 2012;8(5):429–39.CrossRefPubMed Yin Z, Parra-Medina D, Cordova A, He M, Trummer V, Sosa E, et al. Miranos! Look at us, we are healthy! An environmental approach to early childhood obesity prevention. Child Obes. 2012;8(5):429–39.CrossRefPubMed
45.
go back to reference Nathan N, Sutherland R, Beauchamp MR, Cohen K, Hulteen RM, Babic M, et al. Feasibility and efficacy of the Great Leaders Active StudentS (GLASS) program on children’s physical activity and object control skill competency: a non-randomised trial. J Sci Med Sport. 2017;20(12):1081–6.CrossRefPubMed Nathan N, Sutherland R, Beauchamp MR, Cohen K, Hulteen RM, Babic M, et al. Feasibility and efficacy of the Great Leaders Active StudentS (GLASS) program on children’s physical activity and object control skill competency: a non-randomised trial. J Sci Med Sport. 2017;20(12):1081–6.CrossRefPubMed
46.
go back to reference Amercian College of Sports Medicine. ACSM’s guidelines for exercise testing and prescription. Philadelphia: Lippincott Williams & Wilkins; 2013. Amercian College of Sports Medicine. ACSM’s guidelines for exercise testing and prescription. Philadelphia: Lippincott Williams & Wilkins; 2013.
47.
go back to reference Bürgi F, Meyer U, Granacher U, Schindler C, Marques-Vidal P, Kriemler S, et al. Relationship of physical activity with motor skills, aerobic fitness and body fat in preschool children: a cross-sectional and longitudinal study (Ballabeina). Int J Obes. 2011;35(7):937–44.CrossRef Bürgi F, Meyer U, Granacher U, Schindler C, Marques-Vidal P, Kriemler S, et al. Relationship of physical activity with motor skills, aerobic fitness and body fat in preschool children: a cross-sectional and longitudinal study (Ballabeina). Int J Obes. 2011;35(7):937–44.CrossRef
48.
go back to reference Wrotniak BH, Epstein LH, Dorn JM, Jones KE, Kondilis VA. The relationship between motor proficiency and physical activity in children. Pediatrics. 2006;118(6):E1758–65.CrossRefPubMed Wrotniak BH, Epstein LH, Dorn JM, Jones KE, Kondilis VA. The relationship between motor proficiency and physical activity in children. Pediatrics. 2006;118(6):E1758–65.CrossRefPubMed
49.
go back to reference Kambas A, Michalopoulou M, Fatouros IG, Christoforidis C, Manthou E, Giannakidou D, et al. The relationship between motor proficiency and pedometer-determined physical activity in young children. Pediatr Exerc Sci. 2012;24(1):34–44.CrossRefPubMed Kambas A, Michalopoulou M, Fatouros IG, Christoforidis C, Manthou E, Giannakidou D, et al. The relationship between motor proficiency and pedometer-determined physical activity in young children. Pediatr Exerc Sci. 2012;24(1):34–44.CrossRefPubMed
50.
go back to reference Naylor P-J, Nettlefold L, Race D, Hoy C, Ashe MC, Wharf Higgins J, et al. Implementation of school based physical activity interventions: a systematic review. Prev Med. 2015;72:95–115.CrossRefPubMed Naylor P-J, Nettlefold L, Race D, Hoy C, Ashe MC, Wharf Higgins J, et al. Implementation of school based physical activity interventions: a systematic review. Prev Med. 2015;72:95–115.CrossRefPubMed
51.
go back to reference Salmon J, Ball K, Hume C, Booth M, Crawford D. Outcomes of a group-randomized trial to prevent excess weight gain, reduce screen behaviours and promote physical activity in 10-year-old children: switch-play. Int J Obes. 2008;32(4):601–12.CrossRef Salmon J, Ball K, Hume C, Booth M, Crawford D. Outcomes of a group-randomized trial to prevent excess weight gain, reduce screen behaviours and promote physical activity in 10-year-old children: switch-play. Int J Obes. 2008;32(4):601–12.CrossRef
Metadata
Title
Exploring the Relationship Between Fundamental Motor Skill Interventions and Physical Activity Levels in Children: A Systematic Review and Meta-analysis
Authors
Alexander C. Engel
Carolyn R. Broderick
Nancy van Doorn
Louise L. Hardy
Belinda J. Parmenter
Publication date
01-08-2018
Publisher
Springer International Publishing
Published in
Sports Medicine / Issue 8/2018
Print ISSN: 0112-1642
Electronic ISSN: 1179-2035
DOI
https://doi.org/10.1007/s40279-018-0923-3

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