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. 2022 Jan 20;12:759165. doi: 10.3389/fendo.2021.759165

Table 2.

Descriptions of the studies included in the systematic review.

Author, Year Country Total population Variables analyzed (Tests) Results of body composition and motor performance
(23) Spain 694 children BMI (body weight and stature); CPA GIRLS: Laterality: ↓ Childhood with malnutrition; dynamic coordination: ↓ Obesity Childhood; ↑ BMI worse results in motor execution; tonic postural control: ↓ Childhood with overweight/obesity; balance: ↑ Childhood with low weight; ↑ BMI ↓ respiratory control; visual-motor coordination between normal weight and Obesity/overweight childhood: ↑ Childhood with normal weight; spatial orientation: ↑ Childhood with normal weight versus overweight. BOYS: ↑ BMI ↑ Laterality; respiratory control ↓ and visual-motor coordination ↑ in Obesity/overweight childhood.
(41) Germany 997 children Height, body weight, BMI, SES, migratory background, motor skills: KTK and 6-min run, questionnaire on levels of daily and leisure activity, determination of sedentary activities SES group ↓: ↑% obesity childhood, followed by the medium SES group and the high; obesity childhood group: ↑ migration history; overweight and obesity: ↓ gross motor development and resilience; how much ↑ SES, ↑ gross motor development; ↑ socioeconomic level, ↓ BMI and boys ↑ engine testing performance↑ computer/video game time: ↑ probability highest level of sports activity; history of migration: ↓ probability of participating in organized sports or being physically active at leisure
(42) Portugal 156 children %GM e IMC (dobras cutâneas, peso e altura); teste Bruininks-Oseretsky de Proficiência Motora - Forma Curta ↑ Cardiovascular disease risk: 27.5% girls and 24.4% boys excess body weight: 40% girls and 30.3% boys obesity childhood: ↓ gross motor skills and general motor proficiency;
(47) Chile 668 children BMI (height and weight); Motor skills: BOTMP-SF test 5 years: 20.4% overweight and 21.7% obesity; 10 years: 22.9% overweight and 18.1% obesity. Boys: ↑ total motor scores. Obesity childhood: ↓ gross and total motor skills (5 and 10 years) 5 obesity childhood years: ↓ performance in fine motor precision task (drawing lines). Childhood with obesity: ↓ motor skills from 5 to 10 years; ↓ motor proficiency at 5 years did not predict obesity or ↑ BMI. Overweight at 5 years was not enough to produce ↓ motor skills from 5 to 10 years; ↓ motor skill was associated with being overweight at 5 years
(48) Peru 5193 adolescents sea level, n = 1299 altitude, n = 1292 jungle, n = 2602 BMI (height and weight); gross motor coordination: KTK; Physical fitness: Four EUROFIT battery tests (static and explosive muscle strength, flexibility, and speed/agility), abdominal muscle resistance of the Fitness gram battery and cardiorespiratory resistance of the American Alliance for Health, Physical Education, Recreation and Dance test battery; peak growth speed Height, weight, and all motor performance test: ↑ with age except for sitting and reaching the boys outperform the girls in all tests. Girls: have 5 times + chances of ↓ gross motor coordination ↑ gross motor deficit with ↑ age; more mature girls and children: ↓ prone coordination deficits; ↑ BMI: ↑ prone to gross motor deficit. Children living at sea level or altitude: ↑ prone to gross motor deficit↑ flexible and ↑ strength: ↓ the probability of being diagnosed with deficit of gross motor coordination.
(43) Finland 512 children Fat body mass,% body fat, and lean mass; weight and height; physical activity: heart rate and movement sensor, PANIC Physical Activity questionnaire; 50-m shuttle test: running speed and agility; 15-m running test; Martin vigorimeter: handgrip strength; test of standing distance jump: explosive strength of the lower limbs; abdominal test; modified flamingo balance test; box and block test: manual dexterity and speed of movement of the upper limb; sit and reach test: flexibility of the lumbar and hamstring muscles; pubertal status. Boys: more active, ↓ fat mass and% body fat, ↓ 50-m run time and 15-m run test time, ↑ absolute handgrip power, ↑ jump test standing jump, ↑ test errors balance of the modified flamingo, ↓ cubes moved in the box and block test and ↓ distance achieved in the sit and reach test. Children ↑% body fat and levels ↓ moderate to vigorous physical activity: ↓ neuromuscular performance running and jumping tests. Children ↑ body fat content and ↑ MVPA levels: surpass overweight and ↓ children active in the 15-m sprint and the long jump test. Children ↑% of body fat and levels ↓ of physical activity: ↓ neuromuscular performance
(54) Croatia 333 children Motor skills: polygon back - coordination, forward bending on a bench - flexibility, 15 ‘‘ manual touch - simple movement speed, long jump - explosive leg strength, flexed and static arm strength, abdominals - repetitive strength and high jump - MMII explosive force; % body fat (sum of subscapular skinfolds and triceps); body fat and fat-free mass; BMI (weight and height). Obesity girls: between 9% and 13%. Obesity boys: range from 17% with age.7–9 years and 23% 10–11 years. Boys 7–9 years: N/S in motor skills when classified according to body weight. Boys 10–11 years old eutrophic: ↑ coordination, static, explosive and repetitive force. Girls 7–9 years old eutrophic: ↑ static strength and explosive power. Girls 10–11 years old eutrophic: ↑ static strength, explosive power, and coordination
(24) Italy 231 children Anthropometric measurements (height, weight, BMI) and motor skills: Sit & Reach test, Forward Roll Test, Forward Throw 2 kg Medicine-ball test, long jump test, 20-m running speed test. Beginning of the study: 35.8% of children ↑ weight (23.4% overweight childhood; 12.4% obesity childhood); after intervention: ↓ to 29.3% (25.3% overweight childhood; 4% obesity childhood). N/S in the various motor skills. There was an association between BMI and flexibility of the hips and lower back (Sit & Reach Test) or total dynamic body coordination (Advance Test). Overweight childhood: ↑ segmental movements (positive association with BMI), ↓ overall movement performance.
(49) Portugal 1,276 children Gross motor coordination (MC): KTK; anthropometry: height and body mass; physical activity: Baecke’s questionnaire; and socioeconomic status (SES) Overweight and obesity: 17.69% and 7.47%, respectively, for boys, and 20.70% and 5.02% for girls. Eutrophic children: overcome childhood with obesity in all tests of gross motor coordination. Gross scores when walking backwards and moving sideways: ↑ with age and performance boys ↑ when moving sideways
(26) Taiwan 2,057 children MABC test; anthropometry: height, body weight, waist and hip circumference, BMI Manual dexterity and ball skills in girls: scores ↑ mastery of manual dexterity; most anthropometric data (weight, waist circumference): ↑ group with developmental coordination disorder and balance deficits; children in the group with developmental coordination disorder and balance deficits: 2× ↑ probability of being obese
(27) Belgium 2,517 children initially n = 754 in the second evaluation BMI, gross motor coordination: KTK, total physical activity: questionnaire Performance ↓ in KTK at baseline predicted ↑ BMI z score; ↑ baseline BMI z score predicted ↓ KTK performance
(20) Australia 666 children and adolescents Evaluated at 10 and 14 years old Anthropometric measurements: height, weight, BMI; engine performance: MAND 14 years old eutrophic children group: ↑ general motor performance scores. 14 years: ↑ prevalence obesity childhood with mild motor difficulties. ↓ motor performance and BMI ratio; tasks + affected by BMI: those that involved a change in the center of mass; morphological restrictions of overweight and obesity affect the performance of motor tasks in tasks involving changes in the center of mass, but not static measures of strength
(28) Australia 239 children Obese n = 107 Normal weight n = 132 Anthropometry: height, weight, BMI; body composition: dual-energy absorptiometry by x-rays; physical activity: uniaxial accelerometers; demographic/background information; activity capacity restrictions: TUDS; 6MWT, TUG; limitation of participation (performance): Multimedia Activity Recall for Children and Adolescents, QVRS Obesity childhood: ↓ average accelerometry count, maternal education, and family income. Obesity childhood: ↑ mass, BMI, % fat and fat-free mass; obese group: restrictions on the ability to perform the TUG, the 6MWT and the TUDS; Obesity childhood: ↓ time in self-care activities and without physical difficulty in daily activities; obese: impaired quality of life
(29) Canada 590 children and adolescents Height, weight (BMI), and % body fat by bioelectrical impedance analysis; BOTMP-SF; active game participation: participation questionnaire Youth with Developmental Coordination Disorder: ↑% body fat. Boys with Developmental Coordination Disorder: ↑ BMI of all young people. Boys with Developmental Coordination Disorder: ↑ active play participation associated with ↑ BMI and% body fatBoys with Developmental Coordination Disorder: opposite relationship is observed
(44) Belgium 108 children Anthropometry: body height, body weight, BMI, % body fat; level of gross motor coordination: KTK; FPAQ Progression level of gross motor coordination over a period of 2 years was different, depending on the children’s weight status; eutrophic childhood group: ↑ progress; in addition to BMI (negative predictor), participation in sports organized within a sports club (positive predictor) determines the gross performance of motor coordination 2 years later
(30) Australia 175 children Anthropometry: height, weight, BMI; fundamental movement skills: TGMD-2 age groups: 7–8 years and 9–10 years; all other SFM: 6 to 7 years and 8 to 10 years 77% obesity childhood; boys: ↑ BMI and performance in object control skills; girls: ↑ proficiency in locomotor skills; all 12 skills in all age groups: domain prevalence was ↓ among overweight/Obesity childhood
(31) Taiwan 2,029 children Height, weight, % body fat; coordination: MABC Boys and girls with obesity: ↓ general motor coordination, mainly in static and dynamic balance; boys: ↑ developmental coordination disorder (DCD) in the obesity group
(32) Canada 2,278 children 1,979 performed the motor tests Height, weight, BMI, waist circumference; identification of developmental coordination disorder: BOTMP-SF Balance and total impairment score: ↑ obesity and overweight; girls: ↑ balance impairment score in obesity and overweight groups
(33) Italy 260 children Anthropometry: height, weight, BMI; self-physical description questionnaire: perceived coordination, body fat and sports competence; drawings of Collins Children’s Figures: body image; Perceived Physical Capacity Scale: strength, speed and agility and tests involving standing long jump, 2 kg medicinal ball toss, 10 × 5 m shuttle race and 20- and 30-m sprints. Overweight and obesity girls: ↓ perceived and real physical competence, ↑ perceived body fat and ↑ body dissatisfaction eutrophic children: ↑ standing long jump performance, 20-m shuttle run and 30-m run. Obesity childhood: ↑ pitch performance
(34) Italy 210 children Normal weight n = 105 Overweight n = 105 Height, weight, BMI; motor performance tests: 3 explosion tests (standing long jump, medicine ball throw, basketball throw; 2 speed tests: 10- and 20-m sprint; body image: children’s drawings of Collins; scale of perception of physical ability for children Scale of perception of physical ability for children: overweight childhood showed ↑ average body discrepancy; overweight childhood explosion tests: ↑ ball and basketball performance; long jump and 10- and 20-m sprint: eutrophic childhood ↑ performance
(45) Germany 615 children Antropometria: altura, peso e IMC; testes motores: TC6; coordenação motora: KTK Intervention schools: Overweight and Obesity childhood: ↓ motor test results on all tasks
(50) Belgium 540 children Anthropometry: height, weight, and BMI; fine motor control: MABC in two postural conditions different: sitting and standing in a tandem position on a balance beam (BB) Tandem position on balance beam: ↓ obese score in seated condition: N/S between overweight and eutrophic scores performance in placing obese pins: ↓ when seated.
(53) Canada 578 children BOTMP-SF, % body fat, weight, height, and BMI Children with coordination and balance deficit disorder: + prone to being overweight and obesity childhood (analyzing% body fat)
(46) Germany 668 children Anthropometry; gross motor development: KTK; resistance: TC6; children’s leisure assessment questionnaires Boys with coordination and balance deficit disorder: risk factor for overweight and obesity in childhood and early adolescence
(52) Egypt 676 children Anthropometry: body height, body weight and BMI; physical fitness: DMT 6-18 Overweight childhood: 11.24%; obese: 12.28% running and strength skills: negatively + affected by ↓ body weight balance skills affected by ↑ body mass; weight and endurance skills: affected by abnormal ↑ or ↓ body weight
(36) Áustria 213 classmates Height, weight, and BMI; DMT 6–18: resistance, power, speed, coordination, and agility; 6MWT questionnaire participation in sports and use of media; migration status Eutrophic childhood: 83% adolescents overweight/obesity participants: ↓ motor skills development Participants who lost weight or maintained normal weight: ↑ overall motor skill score over 4 years of follow-up + time using media eutrophic adolescents: ↑ performance in various tests of motor skills motor skills during the 4-year observation period: ↑ absolute performance more pronounced in eutrophic adolescents at baseline
(55) Portugal 596 children Anthropometry: weight, % fat, height, waist circumference and BMI; motor coordination: KTK; 20-m shuttle-run test: assess cardiorespiratory fitness Girls: ↓ CM and ↑% body fat BMI, waist circumference, % body fat and waist/height ratio: related to ↓ CM in both sexes, except for the waist/height ratio after adjustments for girls
(38) Switzerland 656 children Coordinating and conditional skills: lateral jump, touch, standing jump, 20 m and shuttle run; weight, height, and BMI; nutritional research Eutrophic childhood: ↑ running performance, side jump, long jump, and shuttle run. Low weight group: ↑ shuttle race performance. Obesity and overweight group: ↓ performance on 4 items of the motor functional tests (lateral jump, standing long jump, 20 m speed and shuttle run)
(39) Brazil 380 children Motor performance: MABC-2—manual dexterity, throw receive skills and static and dynamic balance skills. Antrhropometry: weight, height, and BMI Male: ↑ movement difficulty. Between ages: association N/S; age ranges by skill compared: significant difference between age range and static and dynamic balance skills (between ages 7 and 9 and between ages 7 and 10) motor classification and nutritional status by sex: N/S, which neutralizes any influence of nutritional status on motor classification
(40) Australia 6917 children Demographic information: socioeconomic status (SES); fundamental movement skills: sprinting, vertical jumping side canter and jumping and object control skills (catching, throwing by the arm and kicking); cardiorespiratory endurance fitness: 20-m shuttle race test, parents reports of physical activities organized or not; validated physical activity recovery for adolescents questionnaire Girls: ↑ low competence skills object control association with functional movement screen and inadequate cardiorespiratory fitness. There was no association between low competence and object control skills and overweight students/obesity. Motor skills: ↑ low overweight. Competence association/obesity; consistent associations for most individual motor skills

BMI, body mass index; CPA, Checklist of Psychomotor Activities; SES, socioeconomic status; KTK, Body coordination test for children, Koërper Koordination Test für Kinder); N/S, not significant; BOTMP-SF, Bruininks–Oseretsky Test of Motor Proficiency—Short Form; MABC, Movement Assessment Battery Test for Children; MAND, McCarron Assessment of Neuromuscular Development; TUDS, timed ascent and descent test; 6MWT, six-minute walk test; TUG, timed up and go; HRQoL, related quality of life; FPAQ, Flemish Physical Activity Questionnaire; TGMD-2, gross motor development test 2; DMT 6–18, German engine test/Deutscher Motorik Test; MLG, Fat-free mass; SLJ, standing long jump; MVPA, moderate to vigorous physical activity; MT, Hand movement time.