Physical activity of children with developmental coordination disorder in the presence of attention deficit hyperactivity disorder : does gender matter?

Baerg, S., Cairney, J., Hay, J., Rempel, L. and Faught, B.E. (2009). Physical Activity of Children with Developmental Coordination Disorder in the Presence of Attention Deficit Hyperactivity Disorder: Does Gender Matter? Brock University, St. Catharines, Ontario, CANADA. Children with Developmental Coordination Disorder (DCD) have difficulties in motor coordination. Attention-deficit hyperactive disorder (ADHD) is considered the condition most co-morbid with DCD at approximately 50%. Children with DCD are generally less physically active (PA) than their peers, while children with ADHD are often considered more physically active. It is not known if the physical activity patterns of children with DCD-ADHD resemble those of children with primarily DCD or that of their healthy peers. The primary objective of this research was to contrast physical activity patterns between children with DCD, DCD-ADHD, and healthy controls. Since boys are generally reported as more physically active than girls, a secondary objective was to determine if gender moderated the association between groups and physical activity. A sample of males (n=66) and females (n=44) were recruited from the Physical Health Activity Study Team (PHAST) longitudinal study. The Movement Assessment Battery for Children (2nd Ed.) was used to identify probable cases of DCD, and Connor's Revised Parent Rating Scale- Short Version to identify ADHD. Subjects (mean age=12.8±.4 yrs) were allocated to three groups; DCD (n=32), DCD-ADHD (n=30) and control (n=48). Physical activity was monitored for seven days with the Actical® accelerometer (activity count, step count and energy expenditure). Children completed the Participation Questionnaire (PQ) during the in-school session of data collection for the PHAST study. Height, weight and body mass index (BMI) were also determined. Analysis of variance showed significant group differences for activity count (F(2,56)=5.36, p=.007) and PQ (F(2,44 )=6. 71, p=.003) in males, while a significant group difference for step count (F(2,37)=3.55, p=.04) was found in females. Post hoc comparison tests (Tukey) identified significantly lower PQ and activity count between males with OCD and controls (p=.004) and males with DCD-ADHD and controls (p=.003). Conversely, females with DCD-ADHD had significantly more step counts than their controls (p=.01). Analysis of covariance demonstrated a gender by DCD groups negative interaction for males (activity count) (F(2,92):;:3.11, p=.049) and a positive interaction for females (step count) (F(1,92)=4.92, p=.009). Hyperactivity in females with DCD-ADHD appears to contribute to more physical activity, whereas DCD may contribute to decreased activity in males with DCD and DCDADHD. Further research is needed to examine gender differences in physical activity within the context of DCD and ADHD.

HG 186.55-186.75-1

Domain boundaries observed between the fine grained and coarse grained sediment. The coarse grained sediment contains lineations.

HG 186.55-186.75-2

Fine grained sediment, quite structure-less.

HG 195.45-195.55 Thin Section

Dark brown sediment with clasts ranging from small to large. The grains are sub-angular. Two main domains can be seen. Both are coarse grained, but one contains larger grains and potentially more clay material. Lineations are present throughout the sample in multiple directions. Minor rotation around a few larger clasts can be seen, as well as comet structures.

HG 244.40-244.55-B Thin Section

Coarse grained sample with sub-angular to sub-rounded clasts ranging from small-large in size. Rotation structures, grain crushing and lineations were seen throughout the sample.

HG 249.40-249.55 Thin Section

Coarse grained sample with clasts ranging from small to medium. Clast shape ranges from angular to sub-angular. Lineations and rotation structures seen. Clay material and fine grained domains (darker colour) also seen.

HG 251.55-251.70

Coarse grained sample with clay stained domains. Grains range from small to medium in size and are sub-angular. Lineations, weathered grains, and minor grain stacking.

HG 257.55-257.75 Thin Section

Dark brown sediment with clasts that range from small to large. The clast shape ranges from sub-angular to sub-rounded. Lineations are abundant in this sample. Edge-to-edge grain crushing can also be seen. Darker organic rich domains are also present throughout the sample.

HG 268.40-268.55 Thin Section

This is a coarse grained sample with some very fine grained domains throughout the sample. The clast shape and size range from small to large, as well as angular to sub-rounded. Grain crushing is the most prevalent in this sample. It also contains some rotation structures and minor necking structures. Lineations and grain stacking can also be seen.

HG 290.45-290.55 Thin Section

Two main domains can be seen in this sample. One is coarse grained with clasts ranging from small to medium in size. The other is very fine grained, and a very dark brown, potentially influenced by organic material. Grain crushing and lineations can be seen in the coarser domain.

HG 291.40-291.55 Thin Section

Coarse grained sample with inclusions of finer grained sediment. Clasts are small to large in size and angular to sub-rounded in shape. Grain crushing is abundant in this sample, and lineations and minor grain stacks can also be seen.

HG 359.55-359.70

Dark brown sediment with mainly small clasts. The clasts range from sub-angular to sub-rounded. Lineations are abundant throughout the sample. Comet structures are also present throughout the sample. Minor amounts of grain crushing and stacking can also be seen.

HG 364.45-364.55

Dark grey sediment with clasts that are large in size. The shape of the clasts range from angular to sub-rounded. Grain stacking can be seen throughout the sample. Minor amounts of rotation structures can also be seen.