Sports Medicine

, Volume 48, Issue 8, pp 1845–1857 | Cite as

Exploring the Relationship Between Fundamental Motor Skill Interventions and Physical Activity Levels in Children: A Systematic Review and Meta-analysis

  • Alexander C. EngelEmail author
  • Carolyn R. Broderick
  • Nancy van Doorn
  • Louise L. Hardy
  • Belinda J. Parmenter
Systematic Review



Physical activity provides many health benefits, yet few children meet the physical activity recommendations. In school-age children, low proficiency in fundamental movement skills (FMS) is associated with low physical activity (PA). It is unknown if the same relationship exists in pre-schoolers (aged 3–5 years).


The aims of this review were to firstly evaluate interventions for improving FMS and PA levels in children aged 3–5 years and 5–12 years, and secondly to determine, where possible, if there is a similar relationship between change in FMS and change in PA across both age groups.


A systematic search of electronic databases was conducted up until 20 July 2017. Controlled trials that implemented an FMS/PA intervention and measured PA levels (objective/subjective) and FMS (objective) in healthy children between the ages of 3 and 12 years were included. Sub-analysis was conducted based on the type of intervention (teacher-led [TL] or teacher educated), sessions per week (< 3 or ≥ 3) and age group.


Search terms yielded 17,553 articles, of which 18 met the inclusion criteria. There was significant improvement in FMS with TL interventions of three or more sessions per week (standardised mean difference = 0.23 [0.11–0.36]; p = 0.0002). In TL interventions, there was a strong negative correlation between moderate–vigorous physical activity (MVPA) and sedentary behaviour (SB) (r = − 0.969; p = 0.031).


There are limited studies measuring both FMS and PA following an FMS intervention, especially in school-aged children. Results indicate that training pre-schoolers at least three times a week in FMS can improve proficiency, increase intensity of PA, and reduce SB, possibly helping to reduce the burden of childhood obesity and its associated health risks.


Compliance with Ethical Standards


No sources of funding were used to assist in the preparation of this article.

Conflict of Interest

Alexander Engel, Carolyn Broderick, Nancy van Doorn, Louise Hardy and Belinda Parmenter declare that they have no conflicts of interest relevant to the content of this review.

Supplementary material

40279_2018_923_MOESM1_ESM.docx (118 kb)
Supplementary material 1 (DOCX 118 kb)


  1. 1.
    World Health Organisation. Global strategy on diet, physical activity and health: childhood overweight and obesity. http://www.whoint/dietphysicalactivity/childhood/en/. 2017.
  2. 2.
    Ng M, Fleming T, Robinson M, Thomson B, Graetz N, Margono C, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2014;384(9945):766–81.CrossRefPubMedPubMedCentralGoogle Scholar
  3. 3.
    World Health Organisation. Global strategy on diet, physical activity and health: what are the causes? 2017. http://www.whoint/dietphysicalactivity/childhood_why/en/.
  4. 4.
    Tremblay MS, Gray CE, Akinroye K, Harrington DM, Katzmarzyk PT, Lambert EV, et al. Physical activity of children: a global matrix of grades comparing 15 countries. J Phys Act Health. 2014;11(s1):S113–25.CrossRefPubMedGoogle Scholar
  5. 5.
    Janssen I, Katzmarzyk PT, Boyce WF, Vereecken C, Mulvihill C, Roberts C, et al. Comparison of overweight and obesity prevalence in school-aged youth from 34 countries and their relationships with physical activity and dietary patterns. Obes Rev. 2005;6(2):123–32.CrossRefPubMedGoogle Scholar
  6. 6.
    Timmons BW, LeBlanc AG, Carson V, Connor Gorber S, Dillman C, Janssen I, et al. Systematic review of physical activity and health in the early years (aged 0–4 years). Appl Physiol Nutr Metab. 2012;37(4):773–92.CrossRefPubMedGoogle Scholar
  7. 7.
    Guo SS, Wu W, Chumlea WC, Roche AF. Predicting overweight and obesity in adulthood from body mass index values in childhood and adolescence. Am J Clin Nutr. 2002;76(3):653–8.CrossRefPubMedGoogle Scholar
  8. 8.
    Hills AP, King NA, Armstrong TP. The contribution of physical activity and sedentary behaviours to the growth and development of children and adolescents. Sports Med. 2007;37(6):533–45.CrossRefPubMedGoogle Scholar
  9. 9.
    Hills AP, Okely AD, Baur LA. Addressing childhood obesity through increased physical activity. Nat Rev Endocrinol. 2010;6(10):543–9.CrossRefPubMedGoogle Scholar
  10. 10.
    Strong WB, Malina RM, Blimkie CJ, Daniels SR, Dishman RK, Gutin B, et al. Evidence based physical activity for school-age youth. J Pediatr. 2005;146(6):732–7.CrossRefPubMedGoogle Scholar
  11. 11.
    Trost SG, Kerr L, Ward DS, Pate RR. Physical activity and determinants of physical activity in obese and non-obese children. Int J Obes. 2001;25(6):822.CrossRefGoogle Scholar
  12. 12.
    Hinkley T, Teychenne M, Downing KL, Ball K, Salmon J, Hesketh KD. Early childhood physical activity, sedentary behaviors and psychosocial well-being: a systematic review. Prev Med. 2014;62:182–92.CrossRefPubMedGoogle Scholar
  13. 13.
    Janssen I, LeBlanc AG. Systematic review of the health benefits of physical activity and fitness in school-aged children and youth. Int J Behav Nutr Phys Act. 2010;7(1):40.CrossRefPubMedPubMedCentralGoogle Scholar
  14. 14.
    Lubans DR, Morgan PJ, Cliff DP, Barnett LM, Okely AD. Fundamental movement skills in children and adolescents. Sports Med. 2010;40(12):1019–35.CrossRefPubMedGoogle Scholar
  15. 15.
    Ulrich DA. Test of gross motor development. Examiner’s Manual. 2nd ed. Austin: Pro-ED Inc; 2000.Google Scholar
  16. 16.
    Ulrich DA. The test of gross motor development-3 (TGMD-3): administration, scoring, and international norms. Spor Bilim Derg. 2013;24(2):27–33.Google Scholar
  17. 17.
    Hardy LL, King L, Farrell L, Macniven R, Howlett S. Fundamental movement skills among Australian preschool children. J Sci Med Sport. 2010;13(5):503–8. Scholar
  18. 18.
    Logan SW, Robinson LE, Wilson AE, Lucas WA. Getting the fundamentals of movement: a meta-analysis of the effectiveness of motor skill interventions in children. Child Care Health Dev. 2012;38(3):305–15.CrossRefPubMedGoogle Scholar
  19. 19.
    Veldman SL, Jones RA, Okely AD. Efficacy of gross motor skill interventions in young children: an updated systematic review. BMJ Open Sport Exerc Med. 2016;2(1):e000067.CrossRefPubMedPubMedCentralGoogle Scholar
  20. 20.
    Lloyd M, Saunders TJ, Bremer E, Tremblay MS. Long-term importance of fundamental motor skills: a 20-year follow-up study. Adapt Phys Act Q. 2014;31(1):67–78.CrossRefGoogle Scholar
  21. 21.
    Cliff DP, Okely AD, Smith LM, McKeen K. Relationships between fundamental movement skills and objectively measured physical activity in preschool children. Pediatr Exerc Sci. 2009;21(4):436–49.CrossRefPubMedGoogle Scholar
  22. 22.
    Logan SW, Kipling Webster E, Getchell N, Pfeiffer KA, Robinson LE. Relationship between fundamental motor skill competence and physical activity during childhood and adolescence: a systematic review. Kinesiol Rev (Champaign). 2015;4(4):416–26.CrossRefGoogle Scholar
  23. 23.
    Morgan PJ, Barnett LM, Cliff DP, Okely AD, Scott HA, Cohen KE, et al. Fundamental movement skill interventions in youth: a systematic review and meta-analysis. Pediatrics. 2013;132(5):e1361–83. Epub 2013 Oct 28.CrossRefPubMedGoogle Scholar
  24. 24.
    Van Capelle A, Broderick CR, van Doorn N. R EW, Parmenter BJ. Interventions to improve fundamental motor skills in pre-school aged children: a systematic review and meta-analysis. J Sci Med Sport. 2017;20(7):658–66.CrossRefPubMedGoogle Scholar
  25. 25.
    Moher D, Shamseer L, Clarke M, Ghersi D, Liberati A, Petticrew M, et al. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Syst Rev. 2015;4(1):1.CrossRefPubMedPubMedCentralGoogle Scholar
  26. 26.
    Maher CG, Sherrington C, Herbert RD, Moseley AM, Elkins M. Reliability of the PEDro scale for rating quality of randomized controlled trials. Phys Ther. 2003;83(8):713–21.PubMedGoogle Scholar
  27. 27.
    Hozo SP, Djulbegovic B, Hozo I. Estimating the mean and variance from the median, range, and the size of a sample. BMC Med Res Methodol. 2005;5(1):13.CrossRefPubMedPubMedCentralGoogle Scholar
  28. 28.
    Jones RA, Okely AD, Hinkley T, Batterham M, Burke C. Promoting gross motor skills and physical activity in childcare: a translational randomized controlled trial. J Sci Med Sport. 2016;19(9):744–9.CrossRefPubMedGoogle Scholar
  29. 29.
    Cohen KE, Morgan PJ, Plotnikoff RC, Callister R, Lubans DR. Physical activity and skills intervention: SCORES cluster randomized controlled trial. Med Sci Sports Exerc. 2015;47(4):765–74.CrossRefPubMedGoogle Scholar
  30. 30.
    Reilly JJ, Kelly L, Montgomery C, Williamson A, Fisher A, McColl JH, et al. Physical activity to prevent obesity in young children: cluster randomised controlled trial. BMJ. 2006;333(7577):1041–3.CrossRefPubMedPubMedCentralGoogle Scholar
  31. 31.
    Adamo KB, Wilson S, Harvey A, Grattan KP, Naylor P-J, Temple VA, et al. Does intervening in childcare settings impact fundamental movement skill development? Med Sci Sports Exerc. 2016;48(5):926–32.CrossRefPubMedGoogle Scholar
  32. 32.
    Roth K, Kriemler S, Lehmacher W, Ruf KC, Graf C, Hebestreit H. Effects of a physical activity intervention in preschool children. Med Sci Sports Exerc. 2015;47(12):2542–51.CrossRefPubMedGoogle Scholar
  33. 33.
    Cliff DP, Okely AD, Morgan PJ, Steele JR, Jones RA, Colyvas K, et al. Movement skills and physical activity in obese children: randomized controlled trial. Med Sci Sports Exerc. 2011;43(1):90–100.CrossRefPubMedGoogle Scholar
  34. 34.
    Grillich L, Kien C, Takuya Y, Weber M, Gartlehner G. Effectiveness evaluation of a health promotion programme in primary schools: a cluster randomised controlled trial. BMC Public Health. 2016;16(1):679.CrossRefPubMedPubMedCentralGoogle Scholar
  35. 35.
    Miller A, Christensen E, Eather N, Gray S, Sproule J, Keay J, et al. Can physical education and physical activity outcomes be developed simultaneously using a game-centered approach? Eur Phys Educ Rev. 2016;22(1):113–33.CrossRefGoogle Scholar
  36. 36.
    Bellows LL, Davies PL, Anderson J, Kennedy C. Effectiveness of a physical activity intervention for head start preschoolers: a randomized intervention study [with consumer summary]. Am J Occup Ther. 2013;67(1):28–36.CrossRefPubMedPubMedCentralGoogle Scholar
  37. 37.
    Bonvin A, Barral J, Kakebeeke TH, Kriemler S, Longchamp A, Schindler C, et al. Effect of a governmentally-led physical activity program on motor skills in young children attending child care centers: a cluster randomized controlled trial. Int J Behav Nutr Phys Act. 2013;10(1):1.CrossRefGoogle Scholar
  38. 38.
    Jones RA, Riethmuller A, Hesketh K, Trezise J, Batterham M, Okely AD. Promoting fundamental movement skill development and physical activity in early childhood settings: a cluster randomized controlled trial. Pediatr Exerc Sci. 2011;23(4):600–15.CrossRefPubMedGoogle Scholar
  39. 39.
    Van Beurden E, Barnett LM, Zask A, Dietrich UC, Brooks LO, Beard J. Can we skill and activate children through primary school physical education lessons? “Move it Groove it”—a collaborative health promotion intervention. Prev Med. 2003;36(4):493–501.CrossRefPubMedGoogle Scholar
  40. 40.
    Alhassan S, Nwaokelemeh O, Ghazarian M, Roberts J, Mendoza A, Shitole S. Effects of locomotor skill program on minority preschoolers’ physical activity levels. Pediatr Exerc Sci. 2012;24(3):435–49.CrossRefPubMedGoogle Scholar
  41. 41.
    Froehlich Chow A, Leis A, Humbert L, Muhajarine N, Engler-Stringer R. Healthy Start–Depart Sante: a pilot study of a multilevel intervention to increase physical activity, fundamental movement skills and healthy eating in rural childcare centres. Can J Public Health. 2016;107(3):e312–8.CrossRefPubMedGoogle Scholar
  42. 42.
    Boyle-Holmes T, Grost L, Russell L, Laris BA, Robin L, Haller E, et al. Promoting elementary physical education: results of a school-based evaluation study. Health Educ Behav. 2010;37(3):377–89.CrossRefPubMedGoogle Scholar
  43. 43.
    Bryant ES, Duncan MJ, Birch SL, James RS. Can fundamental movement skill mastery be increased via a six week physical activity intervention to have positive effects on physical activity and physical self-perception? Sports. 2016;4(1):10.CrossRefPubMedCentralGoogle Scholar
  44. 44.
    Yin Z, Parra-Medina D, Cordova A, He M, Trummer V, Sosa E, et al. Miranos! Look at us, we are healthy! An environmental approach to early childhood obesity prevention. Child Obes. 2012;8(5):429–39.CrossRefPubMedGoogle Scholar
  45. 45.
    Nathan N, Sutherland R, Beauchamp MR, Cohen K, Hulteen RM, Babic M, et al. Feasibility and efficacy of the Great Leaders Active StudentS (GLASS) program on children’s physical activity and object control skill competency: a non-randomised trial. J Sci Med Sport. 2017;20(12):1081–6.CrossRefPubMedGoogle Scholar
  46. 46.
    Amercian College of Sports Medicine. ACSM’s guidelines for exercise testing and prescription. Philadelphia: Lippincott Williams & Wilkins; 2013.Google Scholar
  47. 47.
    Bürgi F, Meyer U, Granacher U, Schindler C, Marques-Vidal P, Kriemler S, et al. Relationship of physical activity with motor skills, aerobic fitness and body fat in preschool children: a cross-sectional and longitudinal study (Ballabeina). Int J Obes. 2011;35(7):937–44.CrossRefGoogle Scholar
  48. 48.
    Wrotniak BH, Epstein LH, Dorn JM, Jones KE, Kondilis VA. The relationship between motor proficiency and physical activity in children. Pediatrics. 2006;118(6):E1758–65.CrossRefPubMedGoogle Scholar
  49. 49.
    Kambas A, Michalopoulou M, Fatouros IG, Christoforidis C, Manthou E, Giannakidou D, et al. The relationship between motor proficiency and pedometer-determined physical activity in young children. Pediatr Exerc Sci. 2012;24(1):34–44.CrossRefPubMedGoogle Scholar
  50. 50.
    Naylor P-J, Nettlefold L, Race D, Hoy C, Ashe MC, Wharf Higgins J, et al. Implementation of school based physical activity interventions: a systematic review. Prev Med. 2015;72:95–115.CrossRefPubMedGoogle Scholar
  51. 51.
    Salmon J, Ball K, Hume C, Booth M, Crawford D. Outcomes of a group-randomized trial to prevent excess weight gain, reduce screen behaviours and promote physical activity in 10-year-old children: switch-play. Int J Obes. 2008;32(4):601–12.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Exercise Physiology, Faculty of Medicine, School of Medical SciencesUNSWSydneyAustralia
  2. 2.Department of Exercise Physiology, Faculty of Medicine, School of Medical SciencesUNSWSydneyAustralia
  3. 3.Prevention Research Collaboration, Sydney School of Public HealthThe University of SydneySydneyAustralia

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