The association between the health-related physical fitness and inhibitory control in preschool children
Abstract Background Inhibitory control develops rapidly during the preschool stage, and development of inhibitory control in this period is significant for the healthy growth of the future. However, most studies paid more attention to children and adolescents in recent years, but less focus on preschool children. Therefore, the purpose of this study was to explore the association between the health-related physical fitness and inhibitory control in preschool children. Methods This study was a cross-sectional study, 128 preschool children in Yangpu District of Shanghai were recruited by convenient sampling. The health-related physical fitness T-score (HPFT) was obtained by adding standard scores of six indicators: body mass index, handgrip strength, standing long jump, one-leg balance, 2×10m shuttle run test, and 20m shuttle run test. Inhibitory control was assessed using the flanker task and reflected by reaction time and accuracy. Results A total of 120 preschoolers were included in the final statistical analysis. After adjusting the confounders, HPFT was associated with reaction time (β=-2.49ms, 95%CI: -4.22, -0.75). Similarly, a negative association was observed between one-leg balance and reaction time (β=-12.04ms, 95%CI: -18.94, -5.15), and between 20m shuttle run and reaction time (β=-23.28ms, 95%CI: -37.00, -9.56). Compared with the participants in the lowest tertile, HPFT (β=-158.74, 95%CI: -309.63, -7.84), one-leg balance(β=-267.25ms, 95%CI: -420.71, -113.79) and 20m shuttle run (β=-215.58ms, 95%CI: -374.67, -56.49) were all negatively associated with reaction time of those in the highest tertile. Conclusion In addition, there was a non-linear relationship between HPFT and reaction time (β=-3.46ms,95%CI: -5.39, -1.53) when HPFT > 249. In conclusion, in order to improve the inhibitory control, it’s suggested that HPFT of preschoolers should be at least 249.