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We initially conducted a population-based study on developmental coordination disorder (DCD) in mainland China to explore the prenatal, perinatal and neonatal risk factors on DCD. A total of 4001 children were selected from 160 classes in 15 public nursery schools. The Movement Assessment Battery for Children-Second Edition (MABC-2) was used to assess the children's motor function. Crude and adjusted odds ratios were estimated to determine the strength of association using a multilevel logistic regression model with a random intercept. Three hundred and thirty children out of 4001 subjects met the DSM-IV criteria for DCD, and 3671 children were non-DCD. Maternal age, threatened abortion, fetal distress during labor, preterm birth, chronic lung disease and newborn pathological jaundice were related with DCD (OR=1.72, 2.72, 9.14, 5.17, 1.43, and 2.54, respectively, each p

The aim of this paper was to examine the validity and reliability of age band 1 of the Movement Assessment Battery for Children-Second Edition (MABC-2) in preparation for its standardization in mainland China. Interrater and test-retest reliability of the MABC-2 was estimated using Intraclass Correlation Coefficient (ICC). Cronbach's alpha for each item and Item-total correlation were used to determine internal consistency. The content validity was determined by the Item-level content validity index (I-CVI). Confirmatory factor analysis was used to examine the factorial validity of the MABC-2 test. The correlation coefficients between the MABC-2 and the Peabody Developmental Motor Scales-2 (PDMS-2) were used to assess the criteria-related validity. The Cronbach's alpha values of all eight items together were moderate but acceptable. The correlation coefficients between each test item and the total score were moderate except for two items. The ICC of interrater and test-retest reliability for each test items was good. The I-CVI of each item was excellent (each above 0.78). The result of confirmatory factor analysis showed that the goodness-of-fit indices of the adjusted model were good (each above 0.9), indicating a satisfactory fit of the data to the model. The total score on MABC-2 and PDMS-2 was correlated well (r=0.631). It is concluded that the reliability and validity of age band 1 of MABC-2 were fair in this study based on a large sample. However, there was a need to adjust part of items to improve the test's psychometric properties when it is used in Chinese children.

We conducted a population-based study on Developmental Coordination Disorder (DCD) in mainland China to explore the influence of one-child status in Chinese families on DCD. A total of 4001 children selected from 160 classes in 15 public nursery schools. The Movement Assessment Battery for Children assessed motor function. The prevalence of DCD in Chinese one-child families (8.7%) was higher than that in multi-child families (5.9%). Chinese one-child family status (compared with younger children in multi-child families) were negatively related with total score (-1.793), Manual dexterity (-0.228), Aiming and catching (-1.145), Balance (-0.433) of MABC-2 and DCD (OR=2.294) when adjusted for the children's and family's characteristics, and perinatal factors (each p