Self-regulation and household routines at age three and obesity at age eleven: longitudinal analysis of the UK Millennium Cohort Study

Objective: To examine, in a population-based cohort of 3-year-old children, the association between self-regulation and exposure to the household routines of regular bedtime, regular mealtime and limits on watching television/video, and to determine whether self-regulation and these routines predict...

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Veröffentlicht in:International Journal of Obesity 2017-10, Vol.41 (10), p.1459-1466
Hauptverfasser: Anderson, S E, Sacker, A, Whitaker, R C, Kelly, Y
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creator Anderson, S E
Sacker, A
Whitaker, R C
Kelly, Y
description Objective: To examine, in a population-based cohort of 3-year-old children, the association between self-regulation and exposure to the household routines of regular bedtime, regular mealtime and limits on watching television/video, and to determine whether self-regulation and these routines predict the risk of obesity at age 11. Methods: Analyses included 10 955 children in the nationally representative UK Millennium Cohort Study. When children were age 3, parents reported whether children had a regular bedtime and mealtime, and the amount of television/video watched. Emotional and cognitive self-regulation at age 3 were assessed by parent-report with the Child Social Behaviour Questionnaire. Children’s height and weight were measured at age 11 and obesity was defined using the International Obesity Task Force (IOTF) criteria. Results: At age 3, 41% of children always had a regular bedtime, 47% always had a regular mealtime and 23% were limited to ⩽1 h television/video daily. At age 11, 6.2% of children were obese. All three household routines were significantly associated with better emotional self-regulation, but not better cognitive self-regulation. In a multi-variable logistic regression model, including emotional and cognitive self-regulation, all routines and controlling for sociodemographic covariates, a 1-unit difference in emotional self-regulation at age 3 was associated with an OR (95% CI) for obesity of 1.38 (1.11, 1.71) at age 11, and inconsistent bedtimes with an OR (95% CI) for obesity of 1.87 (1.39, 2.51) at age 11. There was no evidence that emotional self-regulation mediated the relationship between regular bedtimes and later obesity. Cognitive self-regulation was not associated with later obesity. Conclusions: Three-year-old children who had regular bedtimes, mealtimes and limits on their television/video time had better emotional self-regulation. Lack of a regular bedtime and poorer emotional self-regulation at age 3 were independent predictors of obesity at age 11.
doi_str_mv 10.1038/ijo.2017.94
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Methods: Analyses included 10 955 children in the nationally representative UK Millennium Cohort Study. When children were age 3, parents reported whether children had a regular bedtime and mealtime, and the amount of television/video watched. Emotional and cognitive self-regulation at age 3 were assessed by parent-report with the Child Social Behaviour Questionnaire. Children’s height and weight were measured at age 11 and obesity was defined using the International Obesity Task Force (IOTF) criteria. Results: At age 3, 41% of children always had a regular bedtime, 47% always had a regular mealtime and 23% were limited to ⩽1 h television/video daily. At age 11, 6.2% of children were obese. All three household routines were significantly associated with better emotional self-regulation, but not better cognitive self-regulation. In a multi-variable logistic regression model, including emotional and cognitive self-regulation, all routines and controlling for sociodemographic covariates, a 1-unit difference in emotional self-regulation at age 3 was associated with an OR (95% CI) for obesity of 1.38 (1.11, 1.71) at age 11, and inconsistent bedtimes with an OR (95% CI) for obesity of 1.87 (1.39, 2.51) at age 11. There was no evidence that emotional self-regulation mediated the relationship between regular bedtimes and later obesity. Cognitive self-regulation was not associated with later obesity. Conclusions: Three-year-old children who had regular bedtimes, mealtimes and limits on their television/video time had better emotional self-regulation. Lack of a regular bedtime and poorer emotional self-regulation at age 3 were independent predictors of obesity at age 11.</description><identifier>ISSN: 0307-0565</identifier><identifier>EISSN: 1476-5497</identifier><identifier>DOI: 10.1038/ijo.2017.94</identifier><identifier>PMID: 28435162</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/308/174 ; 692/499 ; 692/699/2743/393 ; 692/700/1720 ; 692/700/459/284 ; Age ; Analysis ; Automatic control ; Behavior ; Body height ; Child ; Child Behavior ; Child Rearing ; Child, Preschool ; Children ; Cognitive ability ; Cohort analysis ; Emotional regulation ; Emotions ; Epidemiology ; Exercise ; Family Characteristics ; Feeding Behavior ; Female ; Habit ; Health aspects ; Health Promotion and Disease Prevention ; Humans ; Internal Medicine ; Laws, regulations and rules ; Life Style ; Logistic Models ; Longitudinal Studies ; Male ; Medicine ; Medicine &amp; Public Health ; Metabolic Diseases ; Obesity ; Obesity in children ; original-article ; Parents ; Parents - education ; Pediatric Obesity - epidemiology ; Pediatric Obesity - etiology ; Pediatric research ; Prevalence ; Prospective Studies ; Public Health ; Regression analysis ; Regression models ; Risk factors ; Routines ; Sedentary Lifestyle ; Self-Control ; Sleep ; Social Behavior ; Television ; Time Factors ; United Kingdom - epidemiology</subject><ispartof>International Journal of Obesity, 2017-10, Vol.41 (10), p.1459-1466</ispartof><rights>Macmillan Publishers Limited, part of Springer Nature. 2017</rights><rights>COPYRIGHT 2017 Nature Publishing Group</rights><rights>Copyright Nature Publishing Group Oct 2017</rights><rights>Macmillan Publishers Limited, part of Springer Nature. 2017.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5854-e72f1cff798be009b6722ce7db7ac0f40ffd85431e1577f19bd74639fb2ddd7e3</citedby><cites>FETCH-LOGICAL-c5854-e72f1cff798be009b6722ce7db7ac0f40ffd85431e1577f19bd74639fb2ddd7e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/ijo.2017.94$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/ijo.2017.94$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28435162$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Anderson, S E</creatorcontrib><creatorcontrib>Sacker, A</creatorcontrib><creatorcontrib>Whitaker, R C</creatorcontrib><creatorcontrib>Kelly, Y</creatorcontrib><title>Self-regulation and household routines at age three and obesity at age eleven: longitudinal analysis of the UK Millennium Cohort Study</title><title>International Journal of Obesity</title><addtitle>Int J Obes</addtitle><addtitle>Int J Obes (Lond)</addtitle><description>Objective: To examine, in a population-based cohort of 3-year-old children, the association between self-regulation and exposure to the household routines of regular bedtime, regular mealtime and limits on watching television/video, and to determine whether self-regulation and these routines predict the risk of obesity at age 11. Methods: Analyses included 10 955 children in the nationally representative UK Millennium Cohort Study. When children were age 3, parents reported whether children had a regular bedtime and mealtime, and the amount of television/video watched. Emotional and cognitive self-regulation at age 3 were assessed by parent-report with the Child Social Behaviour Questionnaire. Children’s height and weight were measured at age 11 and obesity was defined using the International Obesity Task Force (IOTF) criteria. Results: At age 3, 41% of children always had a regular bedtime, 47% always had a regular mealtime and 23% were limited to ⩽1 h television/video daily. At age 11, 6.2% of children were obese. All three household routines were significantly associated with better emotional self-regulation, but not better cognitive self-regulation. In a multi-variable logistic regression model, including emotional and cognitive self-regulation, all routines and controlling for sociodemographic covariates, a 1-unit difference in emotional self-regulation at age 3 was associated with an OR (95% CI) for obesity of 1.38 (1.11, 1.71) at age 11, and inconsistent bedtimes with an OR (95% CI) for obesity of 1.87 (1.39, 2.51) at age 11. There was no evidence that emotional self-regulation mediated the relationship between regular bedtimes and later obesity. Cognitive self-regulation was not associated with later obesity. Conclusions: Three-year-old children who had regular bedtimes, mealtimes and limits on their television/video time had better emotional self-regulation. 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Methods: Analyses included 10 955 children in the nationally representative UK Millennium Cohort Study. When children were age 3, parents reported whether children had a regular bedtime and mealtime, and the amount of television/video watched. Emotional and cognitive self-regulation at age 3 were assessed by parent-report with the Child Social Behaviour Questionnaire. Children’s height and weight were measured at age 11 and obesity was defined using the International Obesity Task Force (IOTF) criteria. Results: At age 3, 41% of children always had a regular bedtime, 47% always had a regular mealtime and 23% were limited to ⩽1 h television/video daily. At age 11, 6.2% of children were obese. All three household routines were significantly associated with better emotional self-regulation, but not better cognitive self-regulation. In a multi-variable logistic regression model, including emotional and cognitive self-regulation, all routines and controlling for sociodemographic covariates, a 1-unit difference in emotional self-regulation at age 3 was associated with an OR (95% CI) for obesity of 1.38 (1.11, 1.71) at age 11, and inconsistent bedtimes with an OR (95% CI) for obesity of 1.87 (1.39, 2.51) at age 11. There was no evidence that emotional self-regulation mediated the relationship between regular bedtimes and later obesity. Cognitive self-regulation was not associated with later obesity. Conclusions: Three-year-old children who had regular bedtimes, mealtimes and limits on their television/video time had better emotional self-regulation. Lack of a regular bedtime and poorer emotional self-regulation at age 3 were independent predictors of obesity at age 11.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>28435162</pmid><doi>10.1038/ijo.2017.94</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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subjects 692/308/174
692/499
692/699/2743/393
692/700/1720
692/700/459/284
Age
Analysis
Automatic control
Behavior
Body height
Child
Child Behavior
Child Rearing
Child, Preschool
Children
Cognitive ability
Cohort analysis
Emotional regulation
Emotions
Epidemiology
Exercise
Family Characteristics
Feeding Behavior
Female
Habit
Health aspects
Health Promotion and Disease Prevention
Humans
Internal Medicine
Laws, regulations and rules
Life Style
Logistic Models
Longitudinal Studies
Male
Medicine
Medicine & Public Health
Metabolic Diseases
Obesity
Obesity in children
original-article
Parents
Parents - education
Pediatric Obesity - epidemiology
Pediatric Obesity - etiology
Pediatric research
Prevalence
Prospective Studies
Public Health
Regression analysis
Regression models
Risk factors
Routines
Sedentary Lifestyle
Self-Control
Sleep
Social Behavior
Television
Time Factors
United Kingdom - epidemiology
title Self-regulation and household routines at age three and obesity at age eleven: longitudinal analysis of the UK Millennium Cohort Study
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