Association of developmental coordination disorder and low motor competence with impaired bone health: A systematic review

Jocelyn Tan; Myles Murphy; Nicolas H Hart; Timo Rantalainen; Ranila Bhoyroo; Paola Chivers

doi:10.1016/j.ridd.2022.104324

Association of developmental coordination disorder and low motor competence with impaired bone health: A systematic review

Res Dev Disabil. 2022 Oct:129:104324. doi: 10.1016/j.ridd.2022.104324. Epub 2022 Aug 12.

Authors

Jocelyn Tan¹, Myles Murphy², Nicolas H Hart³, Timo Rantalainen⁴, Ranila Bhoyroo⁵, Paola Chivers⁶

Affiliations

¹ School of Nursing, Midwifery, Health Sciences & Physiotherapy, University of Notre Dame Australia, Fremantle, Australia; Western Australian Bone Research Collaboration, Perth, WA, Australia. Electronic address: jocelyn.tan@my.nd.edu.au.
² School of Nursing, Midwifery, Health Sciences & Physiotherapy, University of Notre Dame Australia, Fremantle, Australia; Western Australian Bone Research Collaboration, Perth, WA, Australia; School of Medical and Health Science, Edith Cowan University, Joondalup, Australia.
³ Western Australian Bone Research Collaboration, Perth, WA, Australia; Institute for Health Research, University of Notre Dame Australia, Fremantle, Australia; School of Medical and Health Science, Edith Cowan University, Joondalup, Australia; School of Nursing, Queensland University of Technology, Brisbane, Australia; Caring Futures Institute, Flinders University, Adelaide, Australia.
⁴ Western Australian Bone Research Collaboration, Perth, WA, Australia; Institute for Health Research, University of Notre Dame Australia, Fremantle, Australia; School of Medical and Health Science, Edith Cowan University, Joondalup, Australia; Gerontology Research Center, University of Jyväskylä, Jyväskylä, Finland.
⁵ School of Population Health, Curtin University, Perth, Australia; Disciplines of Psychology and Exercise Health, Murdoch University, Perth, Australia.
⁶ Western Australian Bone Research Collaboration, Perth, WA, Australia; Institute for Health Research, University of Notre Dame Australia, Fremantle, Australia; School of Medical and Health Science, Edith Cowan University, Joondalup, Australia.

PMID: 35970085
DOI: 10.1016/j.ridd.2022.104324

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.

Keywords: Bone; Developmental disabilities; Falls; Fracture; Inactivity; Movement.

Publication types

Review
Systematic Review

MeSH terms

Adolescent
Bone Density
Child
Exercise
Humans
Motor Skills Disorders*
Osteoporosis*
Weight-Bearing