ArticlePeerJ2026
Interpretable prediction of gross motor coordination in children aged 9-10 using machine learning and SHAP: the influence of physical fitness, basic coordination, and executive function.
Article in PeerJ, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Gross motor coordination is a fundamental component of children's physical development and motor skill acquisition, closely associated with physical fitness, cognitive function, and overall health. This study aimed to examine the influence of physical fitness, basic coordination, and executive function (EF) on gross motor coordination, and to evaluate the predictive performance of machine learning models compared with traditional multiple linear regression (MLR). Methods: A total of 167 children (85 boys and 82 girls), aged 9-10 years, participated in the study. Gross motor coordination was assessed using the Körperkoordinationtest für Kinder (KTK). Physical fitness ( Results: Among the models, Random Forest Regression (RFR) achieved the highest performance ( Conclusion: Spatial-body integration, physical fitness, and postural control are primary determinants of gross motor coordination in children, while cognitive regulation plays a secondary role. Training programs aiming to enhance gross motor coordination should emphasize spatial orientation, body weight management, balance, and lower-limb strength.
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