Associations of Childcare Arrangements with Adiposity Measures in a Multi-Ethnic Asian Cohort: The GUSTO Study
Childcare arrangements shape behavioural patterns that influence the risk of childhood obesity. However, little is known of its influence on childhood obesity in Singapore. We aim to examine the associations between childcare arrangements at the age of 5 years and childhood adiposity at age 6 years....
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| Veröffentlicht in: | International journal of environmental research and public health 2021-11, Vol.18 (22), p.12178 |
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| creator | Wong, Beverly Wen-Xin Toh, Jia Ying Sugianto, Ray Chia, Airu Tint, Mya Thway Yuan, Wen Lun Padmapriya, Natarajan Lança, Carla Saw, Seang-Mei Lee, Yung Seng Shek, Lynette Pei-Chi Tan, Kok Hian Yap, Fabian Godfrey, Keith M Chong, Yap-Seng Müller-Riemenschneider, Falk Eriksson, Johan G Chan, Shiao-Yng Chong, Mary Foong-Fong |
| description | Childcare arrangements shape behavioural patterns that influence the risk of childhood obesity. However, little is known of its influence on childhood obesity in Singapore. We aim to examine the associations between childcare arrangements at the age of 5 years and childhood adiposity at age 6 years. Children from the GUSTO study were grouped into three childcare arrangements at age 5: full-time centre-based childcare (FC), partial centre-based with parental care (PCP), and partial centre-based with non-parents (grandparents and domestic helpers) as caregivers (PCN). Diet, physical activity and sedentary behaviour information were collected at age 5, while anthropometric measurements were collected at age 6. Associations were analysed using multivariable regression models. Among 540 children, those in PCN had higher BMI
-scores (
: 0.34; 95% CI: 0.01, 0.66), greater sum of skinfold thicknesses (mm) (
: 3.75; 95% CI: 0.53, 6.97) and were 3.55 times (95% CI: 1.78, 7.05) more likely to be overweight/obese than those in FC. Adiposity measures in PCP children did not differ from those in FC. PCN children were reported to have more screen time and greater fast-food intake. Children in PCN tended to have higher adiposity measures. Greater engagement of non-parental caregivers should be considered in interventions targeting child obesity. |
| doi_str_mv | 10.3390/ijerph182212178 |
| format | Article |
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-scores (
: 0.34; 95% CI: 0.01, 0.66), greater sum of skinfold thicknesses (mm) (
: 3.75; 95% CI: 0.53, 6.97) and were 3.55 times (95% CI: 1.78, 7.05) more likely to be overweight/obese than those in FC. Adiposity measures in PCP children did not differ from those in FC. PCN children were reported to have more screen time and greater fast-food intake. Children in PCN tended to have higher adiposity measures. Greater engagement of non-parental caregivers should be considered in interventions targeting child obesity.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph182212178</identifier><identifier>PMID: 34831933</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Adipose tissue ; Adiposity ; Age ; Behavior ; Body Mass Index ; Body weight ; Caregivers ; Child ; Child Care ; Child, Preschool ; Children ; Children & youth ; Diabetes ; Ethnicity ; Fast food ; Food ; Food intake ; Humans ; Longitudinal studies ; Meals ; Medical screening ; Mothers ; Nutrition ; Obesity ; Overweight ; Pediatric Obesity - epidemiology ; Physical activity ; Preschool children ; Questionnaires ; Regression analysis ; Screen time ; Skinfold Thickness ; Womens health</subject><ispartof>International journal of environmental research and public health, 2021-11, Vol.18 (22), p.12178</ispartof><rights>2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2021 by the authors. 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c450t-30a6fd7a61b891bf8f2bb1c31cce5465fcab3a60707938efbd2ee8b02f7b83f93</citedby><cites>FETCH-LOGICAL-c450t-30a6fd7a61b891bf8f2bb1c31cce5465fcab3a60707938efbd2ee8b02f7b83f93</cites><orcidid>0000-0001-9918-787X ; 0000-0003-1694-0235 ; 0000-0002-7472-5042 ; 0000-0003-1945-0266 ; 0000-0002-4761-9519 ; 0000-0001-7734-7465 ; 0000-0002-4643-0618 ; 0000-0003-1083-7958</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8622483/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8622483/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34831933$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wong, Beverly Wen-Xin</creatorcontrib><creatorcontrib>Toh, Jia Ying</creatorcontrib><creatorcontrib>Sugianto, Ray</creatorcontrib><creatorcontrib>Chia, Airu</creatorcontrib><creatorcontrib>Tint, Mya Thway</creatorcontrib><creatorcontrib>Yuan, Wen Lun</creatorcontrib><creatorcontrib>Padmapriya, Natarajan</creatorcontrib><creatorcontrib>Lança, Carla</creatorcontrib><creatorcontrib>Saw, Seang-Mei</creatorcontrib><creatorcontrib>Lee, Yung Seng</creatorcontrib><creatorcontrib>Shek, Lynette Pei-Chi</creatorcontrib><creatorcontrib>Tan, Kok Hian</creatorcontrib><creatorcontrib>Yap, Fabian</creatorcontrib><creatorcontrib>Godfrey, Keith M</creatorcontrib><creatorcontrib>Chong, Yap-Seng</creatorcontrib><creatorcontrib>Müller-Riemenschneider, Falk</creatorcontrib><creatorcontrib>Eriksson, Johan G</creatorcontrib><creatorcontrib>Chan, Shiao-Yng</creatorcontrib><creatorcontrib>Chong, Mary Foong-Fong</creatorcontrib><title>Associations of Childcare Arrangements with Adiposity Measures in a Multi-Ethnic Asian Cohort: The GUSTO Study</title><title>International journal of environmental research and public health</title><addtitle>Int J Environ Res Public Health</addtitle><description>Childcare arrangements shape behavioural patterns that influence the risk of childhood obesity. However, little is known of its influence on childhood obesity in Singapore. We aim to examine the associations between childcare arrangements at the age of 5 years and childhood adiposity at age 6 years. Children from the GUSTO study were grouped into three childcare arrangements at age 5: full-time centre-based childcare (FC), partial centre-based with parental care (PCP), and partial centre-based with non-parents (grandparents and domestic helpers) as caregivers (PCN). Diet, physical activity and sedentary behaviour information were collected at age 5, while anthropometric measurements were collected at age 6. Associations were analysed using multivariable regression models. Among 540 children, those in PCN had higher BMI
-scores (
: 0.34; 95% CI: 0.01, 0.66), greater sum of skinfold thicknesses (mm) (
: 3.75; 95% CI: 0.53, 6.97) and were 3.55 times (95% CI: 1.78, 7.05) more likely to be overweight/obese than those in FC. Adiposity measures in PCP children did not differ from those in FC. PCN children were reported to have more screen time and greater fast-food intake. Children in PCN tended to have higher adiposity measures. Greater engagement of non-parental caregivers should be considered in interventions targeting child obesity.</description><subject>Adipose tissue</subject><subject>Adiposity</subject><subject>Age</subject><subject>Behavior</subject><subject>Body Mass Index</subject><subject>Body weight</subject><subject>Caregivers</subject><subject>Child</subject><subject>Child Care</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Children & youth</subject><subject>Diabetes</subject><subject>Ethnicity</subject><subject>Fast food</subject><subject>Food</subject><subject>Food intake</subject><subject>Humans</subject><subject>Longitudinal studies</subject><subject>Meals</subject><subject>Medical screening</subject><subject>Mothers</subject><subject>Nutrition</subject><subject>Obesity</subject><subject>Overweight</subject><subject>Pediatric Obesity - epidemiology</subject><subject>Physical activity</subject><subject>Preschool 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Preschool</topic><topic>Children</topic><topic>Children & youth</topic><topic>Diabetes</topic><topic>Ethnicity</topic><topic>Fast food</topic><topic>Food</topic><topic>Food intake</topic><topic>Humans</topic><topic>Longitudinal studies</topic><topic>Meals</topic><topic>Medical screening</topic><topic>Mothers</topic><topic>Nutrition</topic><topic>Obesity</topic><topic>Overweight</topic><topic>Pediatric Obesity - epidemiology</topic><topic>Physical activity</topic><topic>Preschool children</topic><topic>Questionnaires</topic><topic>Regression analysis</topic><topic>Screen time</topic><topic>Skinfold Thickness</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wong, Beverly Wen-Xin</creatorcontrib><creatorcontrib>Toh, Jia Ying</creatorcontrib><creatorcontrib>Sugianto, Ray</creatorcontrib><creatorcontrib>Chia, Airu</creatorcontrib><creatorcontrib>Tint, Mya Thway</creatorcontrib><creatorcontrib>Yuan, Wen 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Falk</au><au>Eriksson, Johan G</au><au>Chan, Shiao-Yng</au><au>Chong, Mary Foong-Fong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Associations of Childcare Arrangements with Adiposity Measures in a Multi-Ethnic Asian Cohort: The GUSTO Study</atitle><jtitle>International journal of environmental research and public health</jtitle><addtitle>Int J Environ Res Public Health</addtitle><date>2021-11-19</date><risdate>2021</risdate><volume>18</volume><issue>22</issue><spage>12178</spage><pages>12178-</pages><issn>1660-4601</issn><issn>1661-7827</issn><eissn>1660-4601</eissn><abstract>Childcare arrangements shape behavioural patterns that influence the risk of childhood obesity. However, little is known of its influence on childhood obesity in Singapore. We aim to examine the associations between childcare arrangements at the age of 5 years and childhood adiposity at age 6 years. Children from the GUSTO study were grouped into three childcare arrangements at age 5: full-time centre-based childcare (FC), partial centre-based with parental care (PCP), and partial centre-based with non-parents (grandparents and domestic helpers) as caregivers (PCN). Diet, physical activity and sedentary behaviour information were collected at age 5, while anthropometric measurements were collected at age 6. Associations were analysed using multivariable regression models. Among 540 children, those in PCN had higher BMI
-scores (
: 0.34; 95% CI: 0.01, 0.66), greater sum of skinfold thicknesses (mm) (
: 3.75; 95% CI: 0.53, 6.97) and were 3.55 times (95% CI: 1.78, 7.05) more likely to be overweight/obese than those in FC. Adiposity measures in PCP children did not differ from those in FC. PCN children were reported to have more screen time and greater fast-food intake. Children in PCN tended to have higher adiposity measures. Greater engagement of non-parental caregivers should be considered in interventions targeting child obesity.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>34831933</pmid><doi>10.3390/ijerph182212178</doi><orcidid>https://orcid.org/0000-0001-9918-787X</orcidid><orcidid>https://orcid.org/0000-0003-1694-0235</orcidid><orcidid>https://orcid.org/0000-0002-7472-5042</orcidid><orcidid>https://orcid.org/0000-0003-1945-0266</orcidid><orcidid>https://orcid.org/0000-0002-4761-9519</orcidid><orcidid>https://orcid.org/0000-0001-7734-7465</orcidid><orcidid>https://orcid.org/0000-0002-4643-0618</orcidid><orcidid>https://orcid.org/0000-0003-1083-7958</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MDPI - Multidisciplinary Digital Publishing Institute; MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Free Full-Text Journals in Chemistry; PubMed Central Open Access |
| subjects | Adipose tissue Adiposity Age Behavior Body Mass Index Body weight Caregivers Child Child Care Child, Preschool Children Children & youth Diabetes Ethnicity Fast food Food Food intake Humans Longitudinal studies Meals Medical screening Mothers Nutrition Obesity Overweight Pediatric Obesity - epidemiology Physical activity Preschool children Questionnaires Regression analysis Screen time Skinfold Thickness Womens health |
| title | Associations of Childcare Arrangements with Adiposity Measures in a Multi-Ethnic Asian Cohort: The GUSTO Study |
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