Diversity of activity participation determines bone mineral content in the lower limbs of pre-pubertal children with developmental coordination disorder

S. S.M. Fong, D. Vackova, A. W.M. Choi, Y. T.Y. Cheng, T. T.T. Yam, Xia Guo

Research output: Journal article publicationJournal articleAcademic researchpeer-review

4 Citations (Scopus)


Summary: This study examined the relationships between activity participation and bone mineralization in children with developmental coordination disorder. Limited participation in physical, recreational, social, and skill-based and self-improvement activities contributed to lower bone mineral content. For improved bone health, these children should participate in a variety of activities, not only physical activities. Introduction: Limited activity participation in children with developmental coordination disorder (DCD) may have a negative impact on bone mineral accrual. The objectives of this study were to compare bone mineralization and activity participation patterns of pre-pubertal children with DCD and those with typical development, and to determine the association between activity participation patterns and bone mineralization in children with DCD. Methods: Fifty-two children with DCD (mean age = 7.51 years) and 61 children with typical development (mean age = 7.22 years) participated in the study. Appendicular and total body (less head) bone mineral content (BMC) and bone mineral density (BMD) were evaluated by a whole-body dual-energy X-ray absorptiometry scan. Activity participation patterns were assessed using the Children’s Assessment of Participation and Enjoyment (CAPE) questionnaire. Results: Children with DCD had lower appendicular and total body BMCs and BMDs than children with typical development overall (p < 0.05). They also had lower CAPE total activity and physical activity diversity scores (p < 0.05). After accounting for the effects of age, sex, height, lean mass, and fat mass, the total activity diversity score remained independently associated with leg BMC in children with DCD, explaining 5.1% of the variance (p = 0.030). However, the physical activity diversity score was no longer associated with leg BMC (p = 0.090). Conclusions: Diversity of activity participation and bone mineralization were lower in pre-pubertal children with DCD. Decreased total activity participation diversity was a contributing factor to lower BMC in the legs of children with DCD.

Original languageEnglish
Pages (from-to)917-925
Number of pages9
JournalOsteoporosis International
Issue number4
Publication statusPublished - 1 Apr 2018


  • Activity participation variety
  • Bone mineralization
  • Clumsy children
  • Skeletal development

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism

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