Long-term effect of migration background on the development of physical fitness among primary school children

摘要

Background Children with a low socioeconomic status and migration background are more likely to exhibit unfavorable health behavior patterns and higher BMI scores as well as lower physical activity and physical fitness. Aim To evaluate the effect of migration background on the development of physical fitness among primary school children from first to third grade. Methods In this longitudinal study, height, weight, and physical fitness of primary school children from Tyrol/Austria were measured five times over a period of 2.5 years using the German motor performance test DMT 6-18 consisting of eight items testing different subdomains of physical fitness. Results A total of 266 children (45% girls) participated in all five tests, of which 69 (26%) children reported to have a migration background (MB). Mixed-model ANOVA did not reveal a significantly different development of physical fitness (according to the mean total Z-score of DMT 6-18) over time, P = 0.883, partial n(2) < 0.01. However, children with MB showed significantly lower physical fitness compared to children without MB, P < 0.001, partial n(2) = 0.06. Controlling for BMI and age did not alter the interpretation of the results. Analyses of the single test items revealed significant differences in motor tests involving strength and endurance. Conclusion Primary school children with and without MB significantly increased their physical fitness over time in a comparable manner. However, children with MB showed a significantly lower physical fitness at all test time points, which was only partly explained by a higher mean BMI in children with MB. Children with MB outreached the mean baseline fitness level of children without MB not until the fourth test time point, that is after two years. Therefore, a special focus on physical fitness particularly including strength and endurance capacities should be directed to children with MB already in young ages.