Influence of physical activity on balance in children: a cross-sectional study

Authors

DOI:

https://doi.org/10.47197/retos.v63.107203

Keywords:

Sports, Balance, Child, Physical activity

Abstract

Objective: The objective of this work is to evaluate differences in the balance of children who perform physical activity compared to those who do not.

Methodology: A cross-sectional observational study was conducted in a child population (N=130). Two study groups were established: non-physical activity group (n=68) and physical activity group (n=62). Outcome measures were Romberg test (with eyes open and eyes closed), one-legged support test (with eyes open and eyes closed) and unstable surface test (with eyes open and eyes closed). The ability and the time that they held in balance were valued. A 95% confidence interval (95% CI) was employed, and all values with a p-value lower than 0.05 were considered to be statistically significant.

Results: T-Student test revealed statistically significant results in favor of the group of children who performed physical activity for measures of the ability to perform the Romberg test with eyes closed (p<0.001); unstable surface ability with eyes open and eyes closed (p=0.03 and p<0.001 respectively); ability for the one-leg stand test with eyes open and with eyes closed (p<0.002 and p<0.001, respectively); and time in one-legged support with eyes closed (p<0.004).

Conclusions: Children who perform physical activity have a better ability to maintain balance compared to children who do not perform physical activity.

References

Barnett, L. M., Lai, S. K., Veldman, S. L. C., Hardy, L. L., Cliff, D. P., Morgan, P. J., Zask, A., Lubans, D. R., Shultz, S. P., Ridgers, N. D., Rush, E., Brown, H. L., & Okely, A. D. (2016). Correlates of Gross Motor Competence in Children and Adolescents: A Systematic Review and Meta-Analysis. Sports Medicine, 46(11), 1663–1688. https://doi.org/10.1007/s40279-016-0495-z

Bayles, M. P. (2023). ACSM's exercise testing and prescription. Lippincott Williams & Wilkins.

Bhati, P., Cheung, T. C., Sithamparanathan, G., & Schmuckler, M. A. (2022). Striking a balance in sports: the interrelation between children's sports experience, body size, and posture. AIMS Neuroscience, 9(2), 288. https://doi.org/10.3934/Neuroscience.2022016

Boonsinsukh, R., Khumnonchai, B., Saengsirisuwan, V., & Chaikeeree, N. (2020). The effect of the type of foam pad used in the modified Clinical Test of Sensory Interaction and Balance (mCTSIB) on the accuracy in identifying older adults with fall history. Hong Kong Physiotherapy Journal, 40(2), 133–143. https://doi.org/10.1142/S1013702520500134

Brzek, A., Knapik, A., Soltys, J., Gallert-Kopyto, W., Famula-Waz, A., & Plinta, R. (2019). Body posture and physical activity in children diagnosed with asthma and allergies symptoms: A report from randomized observational studies. Medicine, 98(7), e14449. https://doi.org/10.1097/MD.0000000000014449

Brzęk, A., Knapik, A., Brzęk, B., Niemiec, P., Przygodzki, P., Plinta, R., & Szyluk, K. (2022). Evaluation of Posturometric Parameters in Children and Youth Who Practice Karate: Prospective Cross-Sectional Study. BioMed Research International, 2022, 1–11. https://doi.org/10.1155/2022/5432743

Bürgi, F., Meyer, U., Granacher, U., Schindler, C., Marques-Vidal, P., Kriemler, S., & Puder, J. J. (2011). Relationship of physical activity with motor skills, aerobic fitness and body fat in preschool children: a cross-sectional and longitudinal study (Ballabeina). International Journal of Obesity (2005), 35(7), 937–944. https://doi.org/10.1038/ijo.2011.54

Cano-de-la-Cuerda, R., Molero-Sánchez, A., Carratalá-Tejada, M., Alguacil-Diego, I. M., Molina-Rueda, F., Miangolarra-Page, J. C., & Torricelli, D. (2015). Teorías y modelos de control y aprendizaje motor. Aplicaciones clínicas en neurorrehabilitación. Neurología, 30(1), 32–41. https://doi.org/10.1016/j.nrl.2011.12.010

Chambonnière, C., Metz, L., Fillon, A., Demonteix, P., Fearnbach, N., Bailly, M., ... & Duclos, M. (2023). The Effects of Using a Cycling Desk at School on Executive Function, Physical Fitness, and Body Composition in Primary School Children: Impact of Socioeconomic Status. Pediatric Exercise Science, 1(aop), 1-9. https://doi.org/10.1123/pes.2023-0046

Cyr, J. P., Anctil, N., & Simoneau, M. (2019). Balance control mechanisms do not benefit from successive stimulation of different sensory systems. PLoS one, 14(12), e0226216. https://doi.org/10.1371/journal.pone.0226216

Dapp, L. C., Gashaj, V., & Roebers, C. M. (2021). Physical activity and motor skills in children: A differentiated approach. Psychology of Sport and Exercise, 54, 101916. https://doi.org/10.1016/j.psychsport.2021.101916

Donahoe-Fillmore, B., & Grant, E. (2019). The effects of yoga practice on balance, strength, coordination and flexibility in healthy children aged 10–12 years. Journal of Bodywork and Movement Therapies, 23(4), 708-712. https://doi.org/10.1016/j.jbmt.2019.02.007

Forbes, J., Munakomi, S., & Cronovich, H. (2023). Romberg test. StatPearls.

Friello, P., Silver, N., Sangi-Haghpeykar, H., & Cohen, H. S. (2022). Screening for balance in children and adults in a community science education setting: Normative data, influence of age, sex, and body mass index, and feasibility. PLOS ONE, 17(5), e0268030. https://doi.org/10.1371/journal.pone.0268030

García-Liñeira, J., Leiros-Rodríguez, R., Romo-Perez, V., & García-Soidan, J. L. (2021). Sex differences in postural control under unstable conditions in schoolchildren with accelerometric assessment. Gait & Posture, 87, 81-86. https://doi.org/10.1016/j.gaitpost.2021.04.027

García-Soidán, J. L., García-Liñeira, J., Leirós-Rodríguez, R., & Soto-Rodríguez, A. (2020). Physical activity practice and optimal development of postural control in school children: are they related? Journal of Clinical Medicine, 9(9), 2919. https://doi.org/10.3390/jcm9092919

Górna, S., Pazdro-Zastawny, K., Basiak-Rasała, A., Krajewska, J., Kolator, M., Cichy, I., ... & Zatoński, T. (2023). Physical activity and sedentary behaviors in Polish children and adolescents. Archives de Pédiatrie, 30(1), 42-47. https://doi.org/10.1016/j.arcped.2022.11.010

Guzmán-Muñoz, E., Mendez-Rebolledo, G., Núñez-Espinosa, C., Valdés-Badilla, P., Monsalves-Álvarez, M., Delgado-Floody, P., & Herrera-Valenzuela, T. (2023). Anthropometric profile and physical activity level as predictors of postural balance in overweight and obese children. Behavioral Sciences, 13(1), 73. https://doi.org/10.3390/bs13010073

Hammami, R., Aliani, L., Gargallo, P., Rebai, H., Gene-Morales, J., & Colado, J. C. (2024). The effects of three types of balance training programs on measures of balance and muscle power in prepubertal children: A randomized controlled trial. Journal of Science and Medicine in Sport, 27(1), 45-56. https://doi.org/10.1016/j.jsams.2023.10.004

Han, A., Fu, A., Cobley, S., & Sanders, R. H. (2018). Effectiveness of exercise intervention on improving fundamental movement skills and motor coordination in overweight/obese children and adolescents: A systematic review. Journal of Science and Medicine in Sport, 21(1), 89-102. https://doi.org/10.1016/j.jsams.2017.07.001

Horak, F. B., Nutt, J. G., & Nashner, L. M. (1992). Postural inflexibility in parkinsonian subjects. Journal of the Neurological Sciences, 111(1), 46–58. https://doi.org/10.1016/0022-510x(92)90111-w

Hornsby, E. A., & Johnston, L. M. (2024). Impact of a Pilates intervention on physical function in children with generalised joint hypermobility and chronic musculoskeletal pain: A single-case experimental design. Journal of Bodywork and Movement Therapies, 40, 30-41. https://doi.org/10.1016/j.jbmt.2024.02.012

Hu, D., Zhou, S., Crowley-McHattan, Z. J., & Liu, Z. (2021). Factors that influence participation in physical activity in school-aged children and adolescents: a systematic review from the social ecological model perspective. International Journal of Environmental Research and Public Health, 18(6), 3147. https://doi.org/10.3390/ijerph18063147

Ismail, F. Y., Fatemi, A., & Johnston, M. V. (2017). Cerebral plasticity: Windows of opportunity in the developing brain. European journal of paediatric neurology, 21(1), 23-48. https://doi.org/10.1016/j.ejpn.2016.07.007

Jaakkola, T., Huhtiniemi, M., Salin, K., Seppälä, S., Lahti, J., Hakonen, H., & Stodden, D. F. (2019). Motor competence, perceived physical competence, physical fitness, and physical activity within Finnish children. Scandinavian journal of medicine & science in sports, 29(7), 1013-1021. https://doi.org/10.1111/sms.13412

Jung, H.-K., Chung, E., & Lee, B.-H. (2017). A comparison of the balance and gait function between children with Down syndrome and typically developing children. Journal of Physical Therapy Science, 29(1), 123–127. https://doi.org/10.1589/jpts.29.123

Kiefer, A. W., Armitano-Lago, C. N., Cone, B. L., Bonnette, S., Rhea, C. K., Cummins-Sebree, S., & Riley, M. A. (2021). Postural control development from late childhood through young adulthood. Gait & Posture, 86, 169-173. https://doi.org/10.1016/j.gaitpost.2021.02.030

Læssøe, U. (2007). Assessment of postural control in relation to balance and falls. Center for Sensory-Motor Interaction (SMI), Department of Health Science and Technology, Aalborg University. https://vbn.aau.dk/en/publications/assessment-of-postural-control-in-relation-to-balance-and-falls

Lermanda, C. R., Martínez, N. L., Villarroel, F. H., Tapia, C. G., & Gómez-Álvarez, N. (2023). Efectos de programas de ejercicio físico basados en un entorno escolar para mejorar el disfrute de la actividad física, desarrollo motor y condición física en niños y adolescentes con trastorno del desarrollo de la coordinación: Una revisión sistemática (Effects of school-based physical exercise programs to improve enjoyment of physical activity, motor development, and physical fitness in children and adolescents with developmental coordination disorder: A systematic review). Retos, 47, 302–310. https://doi.org/10.47197/retos.v47.92305

Lima, R. A., Bugge, A., Ersbøll, A. K., Stodden, D. F., & Andersen, L. B. (2019). The longitudinal relationship between motor competence and measures of fatness and fitness from childhood into adolescence. Jornal de Pediatria, 95(4), 482–488. https://doi.org/10.1016/J.JPED.2018.02.010

Martínez-Córcoles, V., Nieto-Gil, P., Ramos-Petersen, L., & Ferrer-Torregrosa, J. (2022). Balance performance analysis after the COVID-19 quarantine in children aged between 8 and 12 years old: Longitudinal study. Gait & Posture, 94, 203-209. https://doi.org/10.1016/j.gaitpost.2022.03.019

Merino-Andrés, J., Garcia de Mateos-Lopez, A., Damiano, D. L., & Sánchez-Sierra, A. (2022). Effect of muscle strength training in children and adolescents with spastic cerebral palsy: A systematic review and meta-analysis. Clinical Rehabilitation, 36(1), 4-14. https://doi.org/10.1177/02692155211040199

Ministerio de Sanidad, Consumo y Bienestar Social - Portal Estadístico del SNS. (2018). Encuesta Nacional de Salud de España 2017. https://www.sanidad.gob.es/estadEstudios/estadisticas/encuestaNacional/encuesta2017.htm

Muehlbauer, T., & Schedler, S. (2022). No sex-specific effects of balance training on dynamic balance performance in healthy children. Frontiers in Sports and Active Living, 4, 1019093. https://doi.org/10.3389/fspor.2022.1019093

Ojie, O. D., & Saatchi, R. (2021). Kohonen neural network investigation of the effects of the visual, proprioceptive and vestibular systems to balance in young healthy adult subjects. Healthcare, 9(9), 1219). https://doi.org/10.3390/healthcare9091219

Mamani Ramos, A. A., Dextre Mendoza, C. W., Lava Gálvez, J. J., Ticona Flores, G., Quispe Cruz, L. M., Torres Cruz, F., Quisocala Mamani, J. A., & Fuentes López, J. D. (2021). Desarrollo motor grueso en preescolares de las islas del lago Titicaca (3810 m s. n. m.), Puno, Perú (Gross motor development in preschoolers on the islands of Lake Titicaca (3810 m.a.s.l.), Puno, Peru). Retos, 39, 592–597. https://doi.org/10.47197/retos.v0i39.79522

Romberg, M. H. (1846). Lehrbuch der Nervenkrankheiten des Menschen.

Shumway-Cook, A., & Horak, F. B. (1986). Assessing the influence of sensory interaction on balance: Suggestion from the field. Physical Therapy, 66(10), 1548-1550. https://doi.org/10.1093/ptj/66.10.1548

Springer, B. A., Marin, R., Cyhan, T., Roberts, H., & Gill, N. W. (2007). Normative values for the unipedal stance test with eyes open and closed. Journal of Geriatric Physical Therapy, 30(1), 8–15. https://doi.org/10.1519/00139143-200704000-00003

Téllez Tinjacá, L. A., Samaca Medina, J. S., Acevedo Sánchez, J. C., Ovalle Cañón, L. C., Jiménez Barón, N. A., Gil Gonzáles, N. X., ... & Peña Ibagon, J. C. (2024). Perfil psicomotor en infantes escolarizados entre los 6 y los 11 años en Tunja, Boyacá. Retos: Nuevas Perspectivas de Educación Física, Deporte y Recreación, 53. https://doi.org/10.47197/retos.v53.101208

Tjernström, F., Fransson, P. A., Hafström, A., & Magnusson, M. (2002). Adaptation of postural control to perturbations—a process that initiates long-term motor memory. Gait & posture, 15(1), 75-82. https://doi.org/10.1016/s0966-6362(01)00175-8

Tsiros, M. D., Brinsley, J., Mackintosh, S., & Thewlis, D. (2019). Relationships between adiposity and postural control in girls during balance tasks of varying difficulty. Obesity Research & Clinical Practice, 13(4), 358-364. https://doi.org/10.1016/j.orcp.2019.06.003

Wick, K., Kriemler, S., & Granacher, U. (2022). Associations between measures of physical fitness and cognitive performance in preschool children. BMC Sports Science, Medicine and Rehabilitation, 14(1), 80. https://doi.org/10.1186/s13102-022-00470-w

Wilczyńska, D., Łysak-Radomska, A., Podczarska-Głowacka, M., Krasowska, K., Perzanowska, E., Walentukiewicz, A., ... & Skrobot, W. (2021). Effect of workshops for coaches on the motor ability of balance in children practicing sports in late childhood. BMC Sports Science, Medicine and Rehabilitation, 13(1), 155. https://doi.org/10.1186/s13102-021-00388-9

Ziereis, S., & Jansen, P. (2015). Effects of physical activity on executive function and motor performance in children with ADHD. Research in Developmental Disabilities, 38, 181-191. https://doi.org/10.1016/j.ridd.2014.12.005

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Published

01-02-2025

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Original Research Article

How to Cite

Delfa-de-la-Morena, J. M., Pinheiro Paes, P., Priscila Lima de Oliveira, D., Mijarra-Murillo, J.-J., Camarotti Júnior, F., & Riquelme-Aguado, V. (2025). Influence of physical activity on balance in children: a cross-sectional study. Retos, 63, 420-432. https://doi.org/10.47197/retos.v63.107203