Family-focused contextual factors associated with lifestyle patterns in young children from two mother-offspring cohorts: GUSTO and EDEN.
Diet
Family ecological model
Hierarchical analysis
Lifestyle patterns
Physical activity
Preschool children
Screen time
Journal
The international journal of behavioral nutrition and physical activity
ISSN: 1479-5868
Titre abrégé: Int J Behav Nutr Phys Act
Pays: England
ID NLM: 101217089
Informations de publication
Date de publication:
15 03 2022
15 03 2022
Historique:
received:
06
08
2021
accepted:
17
02
2022
entrez:
16
3
2022
pubmed:
17
3
2022
medline:
8
4
2022
Statut:
epublish
Résumé
Integrated patterns of energy balance-related behaviours of preschool children in Asia are sparse, with few comparative analyses. Using cohorts in Singapore (GUSTO) and France (EDEN), we characterized lifestyle patterns of children and investigated their associations with family-focused contextual factors. Ten behavioural variables related to child's diet, walking, outdoor play and screen time were ascertained by parental questionnaires at age 5-6 years. Using principal component analysis, sex-specific lifestyle patterns were derived independently for 630 GUSTO and 989 EDEN children. Contextual variables were organised into distal (family socio-economics, demographics), intermediate (parental health, lifestyle habits) and proximal (parent-child interaction factors) levels of influence and analysed with hierarchical linear regression. Three broadly similar lifestyle patterns were identified in both cohorts: "discretionary consumption and high screen time", "fruit, vegetables, and low screen time" and "high outdoor playtime and walking". The latter two patterns showed small differences between cohorts and sexes. The "discretionary consumption and high screen time" pattern was consistently similar in both cohorts; distal associated factors were lower maternal education (EDEN boys), no younger siblings (GUSTO boys) and Malay/Indian ethnicity (GUSTO), while intermediate and proximal associated factors in both cohorts and sexes were poor maternal diets during pregnancy, parents allowing high child control over food intake, snacking between meals and having television on while eating. Three similar lifestyle patterns were observed among preschool children in Singapore and France. There were more common associated proximal factors than distal ones. Cohort specific family-focused contextual factors likely reflect differences in social and cultural settings. Findings will aid development of strategies to improve child health.
Sections du résumé
BACKGROUND
Integrated patterns of energy balance-related behaviours of preschool children in Asia are sparse, with few comparative analyses.
PURPOSE
Using cohorts in Singapore (GUSTO) and France (EDEN), we characterized lifestyle patterns of children and investigated their associations with family-focused contextual factors.
METHODS
Ten behavioural variables related to child's diet, walking, outdoor play and screen time were ascertained by parental questionnaires at age 5-6 years. Using principal component analysis, sex-specific lifestyle patterns were derived independently for 630 GUSTO and 989 EDEN children. Contextual variables were organised into distal (family socio-economics, demographics), intermediate (parental health, lifestyle habits) and proximal (parent-child interaction factors) levels of influence and analysed with hierarchical linear regression.
RESULTS
Three broadly similar lifestyle patterns were identified in both cohorts: "discretionary consumption and high screen time", "fruit, vegetables, and low screen time" and "high outdoor playtime and walking". The latter two patterns showed small differences between cohorts and sexes. The "discretionary consumption and high screen time" pattern was consistently similar in both cohorts; distal associated factors were lower maternal education (EDEN boys), no younger siblings (GUSTO boys) and Malay/Indian ethnicity (GUSTO), while intermediate and proximal associated factors in both cohorts and sexes were poor maternal diets during pregnancy, parents allowing high child control over food intake, snacking between meals and having television on while eating.
CONCLUSIONS
Three similar lifestyle patterns were observed among preschool children in Singapore and France. There were more common associated proximal factors than distal ones. Cohort specific family-focused contextual factors likely reflect differences in social and cultural settings. Findings will aid development of strategies to improve child health.
Identifiants
pubmed: 35292047
doi: 10.1186/s12966-022-01266-4
pii: 10.1186/s12966-022-01266-4
pmc: PMC8922741
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
26Informations de copyright
© 2022. The Author(s).
Références
Obes Rev. 2021 Aug;22(8):e13260
pubmed: 33960616
J Sci Med Sport. 2011 Sep;14(5):397-403
pubmed: 21531620
Int J Epidemiol. 1997 Feb;26(1):224-7
pubmed: 9126524
Pediatr Obes. 2018 Feb;13(2):111-119
pubmed: 28027427
Int J Behav Nutr Phys Act. 2012 Jun 21;9:77
pubmed: 22721567
Int J Epidemiol. 2011 Oct;40(5):1238-46
pubmed: 21624932
Int J Behav Nutr Phys Act. 2011 Aug 04;8:86
pubmed: 21813025
J Public Health (Oxf). 2016 Jun;38(2):e106-13
pubmed: 26160025
Child Obes. 2021 Jan;17(1):2-15
pubmed: 33306451
J Nutr. 2015 Apr;145(4):775-82
pubmed: 25833780
Int J Epidemiol. 2014 Oct;43(5):1401-9
pubmed: 23912809
Int J Epidemiol. 2016 Apr;45(2):353-63
pubmed: 26283636
Am J Lifestyle Med. 2011 May;5(3):
pubmed: 24358034
Obes Rev. 2001 Aug;2(3):159-71
pubmed: 12120101
Curr Nutr Rep. 2013 Apr 12;2(2):105-112
pubmed: 23638341
Lancet. 2017 Jan 7;389(10064):77-90
pubmed: 27717614
BMJ Open. 2016 Nov 4;6(11):e012773
pubmed: 27815299
Am J Prev Med. 2011 Aug;41(2):178-88
pubmed: 21767726
J Health Popul Nutr. 2012 Dec;30(4):439-46
pubmed: 23304910
J Acad Nutr Diet. 2020 Mar;120(3):437-444
pubmed: 31866358
BMC Res Notes. 2015 Nov 30;8:735
pubmed: 26621253
Nutr Rev. 2012 Jan;70(1):3-21
pubmed: 22221213
J Pediatr. 2009 Aug;155(2):194-8
pubmed: 19394036
Appetite. 2018 Apr 1;123:49-55
pubmed: 29217390
Int J Behav Nutr Phys Act. 2014 Jan 22;11:4
pubmed: 24450617
Eur J Public Health. 2020 Dec 11;30(6):1115-1121
pubmed: 32653911
Arch Pediatr Adolesc Med. 2004 Apr;158(4):353-7
pubmed: 15066875
Obes Rev. 2020 Aug;21(8):e13029
pubmed: 32297464
Br J Sports Med. 2015 Jun;49(11):730-6
pubmed: 24273308
Nutrients. 2019 Nov 01;11(11):
pubmed: 31683840
Br J Sports Med. 2018 Aug;52(15):1002-1006
pubmed: 28288966
Nutrients. 2019 Feb 27;11(3):
pubmed: 30818859
Int J Behav Nutr Phys Act. 2020 Feb 12;17(1):20
pubmed: 32050975
BMC Med Res Methodol. 2017 Aug 22;17(1):129
pubmed: 28830466
Public Health Nutr. 2013 Oct;16(10):1861-9
pubmed: 23089267
Eur J Sport Sci. 2019 Jun;19(5):686-695
pubmed: 30550370
Ophthalmology. 2008 Aug;115(8):1279-85
pubmed: 18294691
Nutrients. 2019 Mar 01;11(3):
pubmed: 30832217
Int J Behav Nutr Phys Act. 2015 Jun 30;12:91
pubmed: 26122955
Pediatr Obes. 2020 Nov;15(11):e12662
pubmed: 32548949
Eur J Clin Nutr. 2009 Feb;63(2):282-91
pubmed: 17882132
Lancet. 2015 May 9;385(9980):1816-7
pubmed: 25245180
Nutrients. 2020 Mar 09;12(3):
pubmed: 32182889
Eur J Clin Nutr. 2006 Mar;60(3):364-71
pubmed: 16340954
Multivariate Behav Res. 1966 Apr 1;1(2):245-76
pubmed: 26828106