The increasing prevalence of childhood obesity worldwide is viewed as a global epidemic (World Health Organization, 2010). It is associated with a variety of health problems as well as physical– (cardio–respiratory endurance, flexibility, muscular strength, muscular endurance, and body composition), and motor proficiency (fine manual control, manual coordination, body coordination, and strength–and–agility) (Asayama et al., 2003:644; Okely et al., 2004:242; Tokmakidis et al., 2006:870). As far as the South African context is concerned, there is little research examining these relationships and the effect of physical intervention there upon, in nine– to 12–year old children. The first and second objectives of this study were to determine whether obesity would influence the physical– and/or the motor proficiency of nine– to 12–year–old South African children. The third and fourth objectives of this study were to determine the effect of a multidisciplinary intervention on the physical– and the motor proficiency of nine– to 12–year–old obese children. For objectives one and two, a cross–sectional study was performed on 280 children (128 boys and 152 girls), with an average age of 10.6 years (±1.05). Anthropometric–, physical– and motor measurements were obtained by the 'Fitnessgram' (Meredith & Welk, 1999) and the 'Bruininks–Oseretsky Test of Motor Proficiency–II' (Bruininks & Bruininks, 2005). Body mass index (BMI) cut–off points were used to classify the children as normal, overweight, or obese (Cole et al., 2000). The data was analysed with regard to the above–mentioned objectives with the Statistica computer program, by means of descriptive statistics, Spearman rank correlations, and variance analyses. The results show that the physical fitness variables, cardio–respiratory endurance and muscular strength, particularly leg muscular strength, showed significant decreases with an increase in BMI. A progressive, but insignificant, decrease was found in muscular endurance with an increase in BMI, while flexibility showed the weakest relationship to BMI. The motor variables strength–and–agility weakened significantly with an increase in BMI, while fine manual control, manual coordination, and body coordination showed the weakest relationships to BMI. Variance analysis showed further significant relationships among BMI, cardio–respiratory endurance, muscular strength, and running speed–and–agility (p<0.05). It can be concluded that health–promoting physical fitness and the motor proficiency of young South African children are negatively influenced by obesity and intervention strategies are recommended to promote the quality of life of such children. For objectives three and four, an availability random sample of 37 experimental subjects, with an average age of 11 years (±0.99) was taken, where 20 subjects (seven boys and 13 girls) took part in a multidisciplinary intervention programme, and 17 subjects (six boys and 11 girls) formed part of a control group. Body composition, physical–, and motor proficiency were analysed by the 'Fitnessgram' (Meredith & Welk, 1999) and the 'Bruininks–Oseretsky Test of Motor Proficiency–II' (Bruininks & Bruininks, 2005) during baseline measurements, on completion of the intervention programme, and after a follow–up period of three months. The results, which were analysed with a repeated–measures analysis, Bonferroni–post–hoc analysis, and dependent and independent t–tests, show that the intervention programme brought about a significant change in all the body composition variables, excluding body height. Flexibility, muscular strength, and abdominal muscular endurance, as well as one of the four fine manual control test items (folding paper), two of the 12 body coordination test items (tapping feet and fingers - opposite sides synchronised, and standing on one leg on a line - eyes closed), and six of the seven strength and agility test items (shuttle run, stepping sideways over a balance beam, one–legged stationary hops, one–legged side hops, two–legged side hops, and sit–ups), showed significant differences from the control group on completion of the intervention programme. The results indicate that the intervention brought about differences in body composition and physical– and motor proficiency and also showed a sustainable effect over a period of three months on body fat percentage, subscapular skinfold and leg muscular strength. From this, it can be deduced that young obese children need sustained guidance to be able to maintain the lifestyle adaptations that are required by obesity interventions. It can be concluded that the physical– and motor proficiency of children is negatively influenced by obesity, that a multidisciplinary intervention programme improves the body composition profile of obese children and has a positive effect on the physical– and the motor proficiency of obese nine– to 12–year old South African children, although the effect is not sustainable without ongoing, controlled intervention. / Thesis (Ph.D. (Kinderkinetics))--North-West University, Potchefstroom Campus, 2012.

The increasing prevalence of childhood obesity worldwide is viewed as a global epidemic (World Health Organization, 2010). It is associated with a variety of health problems as well as physical– (cardio–respiratory endurance, flexibility, muscular strength, muscular endurance, and body composition), and motor proficiency (fine manual control, manual coordination, body coordination, and strength–and–agility) (Asayama et al., 2003:644; Okely et al., 2004:242; Tokmakidis et al., 2006:870). As far as the South African context is concerned, there is little research examining these relationships and the effect of physical intervention there upon, in nine– to 12–year old children. The first and second objectives of this study were to determine whether obesity would influence the physical– and/or the motor proficiency of nine– to 12–year–old South African children. The third and fourth objectives of this study were to determine the effect of a multidisciplinary intervention on the physical– and the motor proficiency of nine– to 12–year–old obese children. For objectives one and two, a cross–sectional study was performed on 280 children (128 boys and 152 girls), with an average age of 10.6 years (±1.05). Anthropometric–, physical– and motor measurements were obtained by the 'Fitnessgram' (Meredith & Welk, 1999) and the 'Bruininks–Oseretsky Test of Motor Proficiency–II' (Bruininks & Bruininks, 2005). Body mass index (BMI) cut–off points were used to classify the children as normal, overweight, or obese (Cole et al., 2000). The data was analysed with regard to the above–mentioned objectives with the Statistica computer program, by means of descriptive statistics, Spearman rank correlations, and variance analyses. The results show that the physical fitness variables, cardio–respiratory endurance and muscular strength, particularly leg muscular strength, showed significant decreases with an increase in BMI. A progressive, but insignificant, decrease was found in muscular endurance with an increase in BMI, while flexibility showed the weakest relationship to BMI. The motor variables strength–and–agility weakened significantly with an increase in BMI, while fine manual control, manual coordination, and body coordination showed the weakest relationships to BMI. Variance analysis showed further significant relationships among BMI, cardio–respiratory endurance, muscular strength, and running speed–and–agility (p<0.05). It can be concluded that health–promoting physical fitness and the motor proficiency of young South African children are negatively influenced by obesity and intervention strategies are recommended to promote the quality of life of such children. For objectives three and four, an availability random sample of 37 experimental subjects, with an average age of 11 years (±0.99) was taken, where 20 subjects (seven boys and 13 girls) took part in a multidisciplinary intervention programme, and 17 subjects (six boys and 11 girls) formed part of a control group. Body composition, physical–, and motor proficiency were analysed by the 'Fitnessgram' (Meredith & Welk, 1999) and the 'Bruininks–Oseretsky Test of Motor Proficiency–II' (Bruininks & Bruininks, 2005) during baseline measurements, on completion of the intervention programme, and after a follow–up period of three months. The results, which were analysed with a repeated–measures analysis, Bonferroni–post–hoc analysis, and dependent and independent t–tests, show that the intervention programme brought about a significant change in all the body composition variables, excluding body height. Flexibility, muscular strength, and abdominal muscular endurance, as well as one of the four fine manual control test items (folding paper), two of the 12 body coordination test items (tapping feet and fingers - opposite sides synchronised, and standing on one leg on a line - eyes closed), and six of the seven strength and agility test items (shuttle run, stepping sideways over a balance beam, one–legged stationary hops, one–legged side hops, two–legged side hops, and sit–ups), showed significant differences from the control group on completion of the intervention programme. The results indicate that the intervention brought about differences in body composition and physical– and motor proficiency and also showed a sustainable effect over a period of three months on body fat percentage, subscapular skinfold and leg muscular strength. From this, it can be deduced that young obese children need sustained guidance to be able to maintain the lifestyle adaptations that are required by obesity interventions. It can be concluded that the physical– and motor proficiency of children is negatively influenced by obesity, that a multidisciplinary intervention programme improves the body composition profile of obese children and has a positive effect on the physical– and the motor proficiency of obese nine– to 12–year old South African children, although the effect is not sustainable without ongoing, controlled intervention. / Thesis (Ph.D. (Kinderkinetics))--North-West University, Potchefstroom Campus, 2012.

Several researchers have reported that the perceptual-motor skills of today’s children are not optimally developed. Furthermore, childhood obesity has increased worldwide and is a cause for concern due to the effect that it has on the present and future public health of children. Childhood obesity has a bearing on a rise in chronic paediatric diseases and an increase in hypertension, as well as on motor and physical deficits. In spite of the inadequate perceptual-motor development that is reported, few studies have been reported that examine the effect of school-based movement development programmes to improve the motor proficiency of school beginners. Firstly, in this thesis, an attempt was made to establish a general profile of the motor proficiency of Grade 1 learners in the North West Province of South Africa, and to determine possible gender and racial differences. Secondly, the relationship between the body composition and blood pressure of Grade 1 learners was examined. Thirdly, the relationship between the body composition and motor, physical and object control skills of these learners was examined. The fourth objective was to determine the effect of school-based movement development programmes on the perceptual-motor proficiency of Grade 1 learners. For objectives one to three, data were collected by means of a stratified randomised sample of 816 Grade 1 learners (419 boys, 397 girls) with a mean age of 6,78 years (+ 0,49) who participated in the NW-CHILD study. The short form of the “Bruininks-Oseretsky Test of Motor Proficiency-2” (Bruininks & Bruininks, 2005), which consists of eight subcomponents, was used to determine the learners’ motor proficiency and the “Test of Gross Motor Development-2” was used to determine the learners’ object control skills. Stature, body mass, skinfolds (subscapular, triceps and calf) and waist circumference were measured according to standard kinantropometric protocols. International cut-off points for body mass index (BMI) were used to classify learners in normal, overweight or obese categories. Blood pressure was measured by means of an Omron 705CP-II. With regard to objective 1, it appeared from the results, which were analysed with descriptive statistics and ttesting, and by making use of the Statistica computer program, that Grade 1 learners exhibit below average (49,63%) to average (48,16%) motor proficiency. The poorest skills exhibited by the learners were in strength, fine motor integration and fine motor precision. The motor proficiency of the boys was mostly average (63,96%) as opposed to that of the girls, which was largely classified as below average (64,74%), although the girls’ manual dexterity and bilateral co-ordination was significantly better compared to the boys. The motor proficiency of most of the white children was average (69,27%), compared to 58,73% of the black children, whose motor proficiency was below average. White children performed significantly better in fine motor precision, fine motor integration, manual dexterity, bilateral co-ordination, upper limb co-ordination and strength skills, and black children in balancing and running speed and agility skills. Concerning objective 2, it appeared from the results, which were analysed with descriptive statistics, the Spearman correlation coefficients and one-way analysis of variance, that the overall incidence of prehypertension and hypertension was 8,5% and 24,9% respectively. Both systolic and diastolic blood pressure exhibited a significant relationship with BMI, body fat percentage and waist circumference. Boys and girls exhibited the same incidence of hypertension. A higher percentage of the black children were hypertensive compared to the white children, although the difference in the blood pressure of the groups was not significant. A high percentage of children of normal weight also exhibited high levels of blood pressure. As far as objective 3 is concerned, it appeared from the results, which were analysed with descriptive statistics, Spearman correlation coefficients and one-way analysis of variance, that 1 out of every 10 learners (11,64%) was overweight (7,84%) or obese (3,80%). Fine motor precision, balance, running speed, agility and strength exhibited a significant relationship with body mass index (p<0.05), while no clear relationship was found between object control skills, upper limb co-ordination and body mass index. For objective 4, two schools were selected from the total sample in one urban area, which consisted of 75 learners (school 1=40 and school 2=35) who had a mean age of 6,66 years (+ 0,24) and who participated in two different perceptual-motor movement development programmes. The perceptual-motor movement development programme of School 1 was based on a process-oriented approach, as opposed to the programme of School 2, which was based on a product-oriented approach. Motor proficiency was measured by making use of the short form of the “Bruininks-Oseretsky Test of Motor Proficiency-2”. The results, which were analysed with descriptive statistics, independent t-testing and a covariance of analysis, showed that both movement development programmes contributed to significant improvements in some of the motor proficiency subcomponents. However, the process-oriented movement programme contributed to a greater extent to improvement on an individual level, which was attributed to the improved underlying neurological processes of motor proficiency and bilateral integration that underwent improvement as a result, while the level of motor proficiency mastery of the product-oriented movement development programme remained unchanged. On the grounds of the above results it is advised that educators, such as the Physical Education teachers who work with Grade 1 learners, take note of the possible deficits with regard to motor proficiency, overweight and obesity, and implement suitable intervention programmes, taking into consideration the gender and racial specific differences that were found in this study. The measuring of blood pressure for basic screening purposes is important in the child population and interventions that include physical activity are advised to reduce the potential cardiovascular complications of obesity amongst children. It could also be recommended that school-based movement development programmes, which are presented by specialists, be implemented in order to improve the motor proficiency of Grade 1 learners and to also contribute to the improvement of the skills of learners with perceptual-motor and physical proficiency problems. / Thesis (PhD (Human Movement Sciences))--North-West University, Potchefstroom Campus, 2013

Several researchers have reported that the perceptual-motor skills of today’s children are not optimally developed. Furthermore, childhood obesity has increased worldwide and is a cause for concern due to the effect that it has on the present and future public health of children. Childhood obesity has a bearing on a rise in chronic paediatric diseases and an increase in hypertension, as well as on motor and physical deficits. In spite of the inadequate perceptual-motor development that is reported, few studies have been reported that examine the effect of school-based movement development programmes to improve the motor proficiency of school beginners. Firstly, in this thesis, an attempt was made to establish a general profile of the motor proficiency of Grade 1 learners in the North West Province of South Africa, and to determine possible gender and racial differences. Secondly, the relationship between the body composition and blood pressure of Grade 1 learners was examined. Thirdly, the relationship between the body composition and motor, physical and object control skills of these learners was examined. The fourth objective was to determine the effect of school-based movement development programmes on the perceptual-motor proficiency of Grade 1 learners. For objectives one to three, data were collected by means of a stratified randomised sample of 816 Grade 1 learners (419 boys, 397 girls) with a mean age of 6,78 years (+ 0,49) who participated in the NW-CHILD study. The short form of the “Bruininks-Oseretsky Test of Motor Proficiency-2” (Bruininks & Bruininks, 2005), which consists of eight subcomponents, was used to determine the learners’ motor proficiency and the “Test of Gross Motor Development-2” was used to determine the learners’ object control skills. Stature, body mass, skinfolds (subscapular, triceps and calf) and waist circumference were measured according to standard kinantropometric protocols. International cut-off points for body mass index (BMI) were used to classify learners in normal, overweight or obese categories. Blood pressure was measured by means of an Omron 705CP-II. With regard to objective 1, it appeared from the results, which were analysed with descriptive statistics and ttesting, and by making use of the Statistica computer program, that Grade 1 learners exhibit below average (49,63%) to average (48,16%) motor proficiency. The poorest skills exhibited by the learners were in strength, fine motor integration and fine motor precision. The motor proficiency of the boys was mostly average (63,96%) as opposed to that of the girls, which was largely classified as below average (64,74%), although the girls’ manual dexterity and bilateral co-ordination was significantly better compared to the boys. The motor proficiency of most of the white children was average (69,27%), compared to 58,73% of the black children, whose motor proficiency was below average. White children performed significantly better in fine motor precision, fine motor integration, manual dexterity, bilateral co-ordination, upper limb co-ordination and strength skills, and black children in balancing and running speed and agility skills. Concerning objective 2, it appeared from the results, which were analysed with descriptive statistics, the Spearman correlation coefficients and one-way analysis of variance, that the overall incidence of prehypertension and hypertension was 8,5% and 24,9% respectively. Both systolic and diastolic blood pressure exhibited a significant relationship with BMI, body fat percentage and waist circumference. Boys and girls exhibited the same incidence of hypertension. A higher percentage of the black children were hypertensive compared to the white children, although the difference in the blood pressure of the groups was not significant. A high percentage of children of normal weight also exhibited high levels of blood pressure. As far as objective 3 is concerned, it appeared from the results, which were analysed with descriptive statistics, Spearman correlation coefficients and one-way analysis of variance, that 1 out of every 10 learners (11,64%) was overweight (7,84%) or obese (3,80%). Fine motor precision, balance, running speed, agility and strength exhibited a significant relationship with body mass index (p<0.05), while no clear relationship was found between object control skills, upper limb co-ordination and body mass index. For objective 4, two schools were selected from the total sample in one urban area, which consisted of 75 learners (school 1=40 and school 2=35) who had a mean age of 6,66 years (+ 0,24) and who participated in two different perceptual-motor movement development programmes. The perceptual-motor movement development programme of School 1 was based on a process-oriented approach, as opposed to the programme of School 2, which was based on a product-oriented approach. Motor proficiency was measured by making use of the short form of the “Bruininks-Oseretsky Test of Motor Proficiency-2”. The results, which were analysed with descriptive statistics, independent t-testing and a covariance of analysis, showed that both movement development programmes contributed to significant improvements in some of the motor proficiency subcomponents. However, the process-oriented movement programme contributed to a greater extent to improvement on an individual level, which was attributed to the improved underlying neurological processes of motor proficiency and bilateral integration that underwent improvement as a result, while the level of motor proficiency mastery of the product-oriented movement development programme remained unchanged. On the grounds of the above results it is advised that educators, such as the Physical Education teachers who work with Grade 1 learners, take note of the possible deficits with regard to motor proficiency, overweight and obesity, and implement suitable intervention programmes, taking into consideration the gender and racial specific differences that were found in this study. The measuring of blood pressure for basic screening purposes is important in the child population and interventions that include physical activity are advised to reduce the potential cardiovascular complications of obesity amongst children. It could also be recommended that school-based movement development programmes, which are presented by specialists, be implemented in order to improve the motor proficiency of Grade 1 learners and to also contribute to the improvement of the skills of learners with perceptual-motor and physical proficiency problems. / Thesis (PhD (Human Movement Sciences))--North-West University, Potchefstroom Campus, 2013