Submitted:
06 March 2026
Posted:
09 March 2026
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Abstract
Keywords:
1. Introduction
2. Materials and Methods
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
Abbreviations
| MABC-2 | Movement Assessment Battery for Children—Second Edition |
| MDES | Minimum detectable effect size |
References
- Martins, C.; Valentini, N.C.; Sääkslahti, A.; Africa, E.K.; Webster, E.K.; Nobre, G.; Robinson, L.E.; Duncan, M.; Tortella, P.; Bandeira, P.F.; et al. Motor Competence as Key to Support Healthy Development of 3- to 5-Year-Old Children: An Expert Statement on Behalf of the International Motor Development Research Consortium. J. Mot. Learn. Dev. 2024, 12, 437–454. [Google Scholar] [CrossRef]
- Utesch, T.; Bardid, F. Motor Competence. In Dict. Sport Psychol. Sport Exerc. Perform. Arts; 2019. [Google Scholar]
- Brian, A.; Getchell, N.; True, L.; De Meester, A.; Stodden, D.F. Reconceptualizing and Operationalizing Seefeldt’s Proficiency Barrier: Applications and Future Directions. Sports Med. 2020, 50, 1889–1900. [Google Scholar] [CrossRef]
- Clark, J.E.; Metcalfe, J.S. The Mountain of Motor Development: A Metaphor; NASPE Publications: Reston, Va, 2002; Vol. 2, pp. 163–190. ISBN 978-0-88314-743-6. [Google Scholar]
- Stodden, D.F.; Pesce, C.; Zarrett, N.; Tomporowski, P.; Ben-Soussan, T.D.; Brian, A.; Abrams, T.C.; Weist, M.D. Holistic Functioning from a Developmental Perspective: A New Synthesis with a Focus on a Multi-Tiered System Support Structure. Clin. Child Fam. Psychol. Rev. 2023, 26, 343–361. [Google Scholar] [CrossRef] [PubMed]
- UNICEF The Early Childhood Development Index 2030: A New Measure of Early Childhood Development; UNICEF: New York, 2023.
- UNESCO. UNICEF Building Strong Foundations: What to Teach for Foundational Education for Health and Well-Being; UNESCO: New York, NY, USA, 2024; ISBN 978-92-3-100677-7. [Google Scholar]
- UNESCO. UNICEF Building Strong Foundations: What Is Foundational Education for Health and Well-Being? Education 2030. Brief 1; UNICEF. 3 United Nations Plaza, New York, NY 10017. Tel: 212-326-7000; Fax: 212-887-7465, 2024; Available online: http://www.unicef.org/educationISBN 978-92-3-100676-0.
- Assaiante, C. Development of Locomotor Balance Control in Healthy Children. Neurosci. Biobehav. Rev. 1998, 22, 527–532. [Google Scholar] [CrossRef] [PubMed]
- Barnett, L.M.; Lai, S.K.; Veldman, S.L.C.; Hardy, L.L.; Cliff, D.P.; Morgan, P.J.; Zask, A.; Lubans, D.R.; Shultz, S.P.; Ridgers, N.D.; et al. Correlates of Gross Motor Competence in Children and Adolescents: A Systematic Review and Meta-Analysis. Sports Med. 2016, 46, 1663–1688. [Google Scholar] [CrossRef] [PubMed]
- Sobinov, A.R.; Bensmaia, S.J. The Neural Mechanisms of Manual Dexterity. Nat. Rev. Neurosci. 2021, 22, 741–757. [Google Scholar] [CrossRef]
- Palmer, K.K.; Stodden, D.F.; Terlizzi, B.M.; Pennell, A.; Nunu, M.A.; Robinson, L.E. Motor Development in Early Childhood (3–5 Year Olds): Investigating Longitudinal Changes in Children’s Movement Patterns and Outcome Performance. J. Mot. Learn. Dev. 2025, 13, 389–410. [Google Scholar] [CrossRef] [PubMed]
- Draper, C.E.; Yousafzai, A.K.; McCoy, D.C.; Cuartas, J.; Obradović, J.; Bhopal, S.; Fisher, J.; Jeong, J.; Klingberg, S.; Milner, K.; et al. The next 1000 Days: Building on Early Investments for the Health and Development of Young Children. The Lancet 2024, 404, 2094–2116. [Google Scholar] [CrossRef]
- Lake, A.; Chan, M. Putting Science into Practice for Early Child Development. The Lancet 2015, 385, 1816–1817. [Google Scholar] [CrossRef]
- Hill, P.J.; Mcnarry, M.A.; Mackintosh, K.A.; Murray, M.A.; Pesce, C.; Valentini, N.C.; Getchell, N.; Tomporowski, P.D.; Robinson, L.E.; Barnett, L.M. The Influence of Motor Competence on Broader Aspects of Health: A Systematic Review of the Longitudinal Associations Between Motor Competence and Cognitive and Social-Emotional Outcomes. Sports Med. 2024, 54, 375–427. [Google Scholar] [CrossRef]
- Kokštejn, J.; Musálek, M.; Tufano, J.J. Are Sex Differences in Fundamental Motor Skills Uniform throughout the Entire Preschool Period? PLOS ONE 2017, 12, e0176556. [Google Scholar] [CrossRef]
- Ribeiro Bandeira, P.F.; Estevan, I.; Duncan, M.; Lenoir, M.; Lemos, L.; Romo-Perez, V.; Valentini, N.; Martins, C. A Multilayer Network Model for Motor Competence from the View of the Science of Complexity. Sports Med. 2025, 55, 245–254. [Google Scholar] [CrossRef]
- Langford, R.; Bonell, C.P.; Jones, H.E.; Pouliou, T.; Murphy, S.M.; Waters, E.; Komro, K.A.; Gibbs, L.F.; Magnus, D.; Campbell, R. The WHO Health Promoting School Framework for Improving the Health and Well-being of Students and Their Academic Achievement. Cochrane Database Syst. Rev. 2014, 4. [Google Scholar] [CrossRef]
- WHO Physical Activity for Health. In Global Recommendations on Physical Activity for Health; World Health Organization: Geneva, 2010.
- Goldstein, H.; Burgess, S.; McConnell, B. Modelling the Effect of Pupil Mobility on School Differences in Educational Achievement. J. R. Stat. Soc. Ser. A Stat. Soc. 2007, 170, 941–954. [Google Scholar] [CrossRef]
- Maas, C.J.M.; Hox, J.J. Sufficient Sample Sizes for Multilevel Modeling. Methodology 2005, 1, 86–92. [Google Scholar] [CrossRef]
- D’Hondt, E.; Venetsanou, F.; Kambas, A.; Lenoir, M. Motor Competence Levels in Young Children: A Cross-Cultural Comparison Between Belgium and Greece. J. Mot. Learn. Dev. 2019, 7, 289–306. [Google Scholar] [CrossRef]
- Haga, M.; Tortella, P.; Asonitou, K.; Charitou, S.; Koutsouki, D.; Fumagalli, G.; Sigmundsson, H. Cross-Cultural Aspects: Exploring Motor Competence Among 7- to 8-Year-Old Children From Greece, Italy, and Norway. Sage Open 2018, 8, 2158244018768381. [Google Scholar] [CrossRef]
- Kaioglou, V.; Dania, A.; Venetsanou, F. How Physically Literate Are Children Today? A Baseline Assessment of Greek Children 8-12 Years of Age. J. Sports Sci. 2020, 38, 741–750. [Google Scholar] [CrossRef]
- Kechagia, O.; Katartzi, E.; Fotiadou, E.; Giagazoglou, P. Prevalence of Motor Difficulties in Greek Preschoolers: The Effect of Gender, Age, BMI, Place of Residence, and Hand Preference. Alta. J. Educ. Res. 2024, 70, 328–352. [Google Scholar] [CrossRef]
- Li, M.H.; Kaioglou, V.; Ma, R.S.; Choi, S.M.; Venetsanou, F.; Sum, R.K.W. Exploring Physical Literacy in Children Aged 8 to 12 Years Old: A Cross-Cultural Comparison between China and Greece. BMC Public Health 2022, 22, 2102. [Google Scholar] [CrossRef]
- Corkins, C.M.; Harrist, A.W.; Washburn, I.J.; Hubbs-Tait, L.; Topham, G.L.; Swindle, T. Context Matters: The Importance of Investigating Random Effects in Hierarchical Models for Early Childhood Education Researchers. Early Child. Res. Q. 2025, 70, 178–186. [Google Scholar] [CrossRef]
- Raudenbush, S.W.; Willms, J.D. The Estimation of School Effects. J. Educ. Behav. Stat. 1995, 20, 307–335. [Google Scholar] [CrossRef]
- Schielzeth, H.; Nakagawa, S. Nested by Design: Model Fitting and Interpretation in a Mixed Model Era. Methods Ecol. Evol. 2013, 4, 14–24. [Google Scholar] [CrossRef]
- Ellinoudis, T.; Evaggelinou, C.; Kourtessis, T.; Konstantinidou, Z.; Venetsanou, F.; Kambas, A. Reliability and Validity of Age Band 1 of the Movement Assessment Battery for Children – Second Edition. Res. Dev. Disabil. 2011, 32, 1046–1051. [Google Scholar] [CrossRef]
- Henderson, S.E.; Sugden, D.; Barnett, A.L. Movement Assessment Battery for Children-2; The Psychological Corporation: London, United Kingdom, 2007. [Google Scholar]
- Goodway, J.D.; Ozmun, J.C.; Gallahue, D.L. Motor Development in Young Children. In Handbook of research on the education of young children; Saracho, O.N., Spodek, B., Eds.; Routledge: New York, NY, 2013; pp. 89–101. ISBN 978-0-415-88435-8. [Google Scholar]
- Koo, T.K.; Li, M.Y. A Guideline of Selecting and Reporting Intraclass Correlation Coefficients for Reliability Research. J. Chiropr. Med. 2016, 15, 155–163. [Google Scholar] [CrossRef]
- Wuang, Y.-P.; Su, J.-H.; Su, C.-Y. Reliability and Responsiveness of the Movement Assessment Battery for Children–Second Edition Test in Children with Developmental Coordination Disorder. Dev. Med. Child Neurol. 2012, 54, 160–165. [Google Scholar] [CrossRef]
- Hua, J.; Gu, G.; Meng, W.; Wu, Z. Age Band 1 of the Movement Assessment Battery for Children-Second Edition: Exploring Its Usefulness in Mainland China. Res. Dev. Disabil. 2013, 34, 801–808. [Google Scholar] [CrossRef]
- Cools, W.; Martelaer, K.D.; Samaey, C.; Andries, C. Movement Skill Assessment of Typically Developing Preschool Children: A Review of Seven Movement Skill Assessment Tools. J. Sports Sci. Med. 2009, 8, 154–168. [Google Scholar] [PubMed]
- Pinheiro, J.C.; Bates, D.M. Mixed-Effects Models in S and S-PLUS; Statistics and computing; Springer-Verlag New York: New York, NY, USA, 2000; ISBN 978-1-4419-0317-4. [Google Scholar]
- Cohen, J. A Power Primer. Psychol. Bull. 1992, 112, 155–159. [Google Scholar] [CrossRef]
- Hothorn, T.; Bretz, F.; Westfall, P. Simultaneous Inference in General Parametric Models. Biom. J. Biom. Z. 2008, 50, 346–363. [Google Scholar] [CrossRef]
- R Core Team R: A Language and Environment for Statistical Computing. 2025.
- Gelman, A.; Carlin, J. Beyond Power Calculations: Assessing Type S (Sign) and Type M (Magnitude) Errors. Perspect. Psychol. Sci. 2014, 9, 641–651. [Google Scholar] [CrossRef]
- Nakagawa, S.; Schielzeth, H. A General and Simple Method for Obtaining R2 from Generalized Linear Mixed-Effects Models. Methods Ecol. Evol. 2013, 4, 133–142. [Google Scholar] [CrossRef]
- Blank, R.; Barnett, A.L.; Cairney, J.; Green, D.; Kirby, A.; Polatajko, H.; Rosenblum, S.; Smits-Engelsman, B.; Sugden, D.; Wilson, P.; et al. International Clinical Practice Recommendations on the Definition, Diagnosis, Assessment, Intervention, and Psychosocial Aspects of Developmental Coordination Disorder. Dev. Med. Child Neurol. 2019, 61, 242–285. [Google Scholar] [CrossRef]
- Piek, J.P.; Dawson, L.; Smith, L.M.; Gasson, N. The Role of Early Fine and Gross Motor Development on Later Motor and Cognitive Ability. Hum. Mov. Sci. 2008, 27, 668–681. [Google Scholar] [CrossRef]
- Barnett, L.M.; van Beurden, Eric; Morgan, Philip J.; Brooks, Lyndon O.; Beard, J.R. Gender Differences in Motor Skill Proficiency From Childhood to Adolescence: A Longitudinal Study. Res. Q. Exerc. Sport 2010, 81, 162–170. [Google Scholar] [CrossRef]
- Barnett, L.M.; Telford, R.M.; Strugnell, C.; Rudd, J.; Olive, L.S.; Telford, R.D. Impact of Cultural Background on Fundamental Movement Skill and Its Correlates. J. Sports Sci. 2019, 37, 492–499. [Google Scholar] [CrossRef]
- Bronfenbrenner, U.; Morris, P.A. The Bioecological Model of Human Development. In Handbook of Child Psychology; John Wiley & Sons, Ltd, 2007; ISBN 978-0-470-14765-8. [Google Scholar]
- Newell, K.M.; Liu, Y.-T.; Mayer-Kress, G. Time Scales in Motor Learning and Development. Psychol. Rev. 2001, 108, 57–82. [Google Scholar] [CrossRef] [PubMed]
- Smith, L.B.; Thelen, E. Development as a Dynamic System. Trends Cogn. Sci. 2003, 7, 343–348. [Google Scholar] [CrossRef] [PubMed]
- Davids, K.; Glazier, P.; Araújo, D.; Bartlett, R. Movement Systems as Dynamical Systems. Sports Med. 2003, 33, 245–260. [Google Scholar] [CrossRef] [PubMed]




| 6 years | 7 years | 8 years | 9 years | 10 years | 11 years | 12 years | ||||||||||||||||
| n = 26 | n = 39 | n = 52 | n = 60 | n = 59 | n = 51 | n = 25 | ||||||||||||||||
| M±SD | Md | CI | M±SD | Md | CI | M±SD | Md | CI | M±SD | Md | CI | M±SD | Md | CI | M±SD | Md | CI | M±SD | Md | CI | ||
| C1 | B | 11.7±1.9 | 11 | 10.5-12.5 | 12.6±4.7 | 16 | 10.5-16 | 9.4±4.1 | 9 | 8-11 | 10.8±2.7 | 11 | 10-11.5 | 11.0±2.7 | 12 | 11-12.5 | 12.2±2.7 | 14 | 11-14 | 10.6±2.9 | 10 | 8.5-12.5 |
| G | 11.9±2.9 | 14 | 10-14 | 11.9±4.1 | 12 | 9.5-14 | 10.0±2.7 | 10 | 8.5-11 | 12.5±2.0 | 14 | 11.5-14 | 10.8±3.4 | 12 | 9.5-12.5 | 11.6±2.8 | 12 | 10.5-12.5 | 11.3±2.2 | 10 | 10-12 | |
| C2 | B | 10.3±3.5 | 11 | 8-12.5 | 11.1±3.5 | 12 | 9.5-13 | 9.7±3.5 | 10 | 8.5-11 | 11.3±2.2 | 11 | 10.5-12 | 11.4±3.2 | 12 | 10-13 | 12.5±2.9 | 13 | 11.5-13.5 | 11.8±2.4 | 12 | 10–13.5 |
| G | 9.7±3.1 | 10 | 8-11.5 | 10.5±2.0 | 11 | 9-12 | 8.2±3.2 | 9 | 7-10 | 10.9±2.3 | 11 | 10-12 | 10.0±2.1 | 10 | 9-10.5 | 11.0±4.0 | 10 | 9-13 | 11.3±3.9 | 11 | 9-13.5 | |
| C3 | B | 8.0±2.5 | 7 | 6.5-10 | 7.1±2.4 | 8 | 6-8 | 6.9±2.2 | 7 | 6-8 | 7.4±2.7 | 8 | 6.5-8.5 | 7.7±2.6 | 8 | 6.5-8.5 | 7.3±2.5 | 7 | 6.5-8.5 | 7.1±2.9 | 8 | 5-9 |
| G | 7.8±2.5 | 8 | 6-9 | 7.8±2.7 | 8 | 6.5-9 | 6.9±2.2 | 7 | 6-8 | 8.4±1.7 | 9 | 7.5-9 | 8.0±2.3 | 8 | 7-9 | 7.5±2.6 | 7 | 6.5-8.5 | 7.9±2.1 | 8 | 6.5-9 | |
| df | AIC | BIC | logLik | Test | L.Ratio | p-value | |
| Model 1 | 14 | 4574.8 | 4642.6 | -2273.4 | |||
| Model 2 | 15 | 4548.8 | 4621.4 | -2259.4 | 1 vs 2 | 28.02 | <.0001 |
| Model 3 | 20 | 4446.8 | 4543.6 | -2203.4 | 2 vs 3 | 112.04 | <.0001 |
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