Family-focused contextual factors associated with lifestyle patterns in young children from two mother-offspring cohorts: GUSTO and EDEN

International Journal of Behavioral Nutrition and Physical Activity

Lynette P. Shek¹  Kok Hian Tan²  Keith M. Godfrey³  Ray Sugianto⁴  Padmapriya Natarajan⁴  Mary F.-F. Chong⁴  Falk Müller-Riemenschneider⁴  Airu Chia⁴  Carla Lança⁵  Seang Mei Saw⁵  Jia Ying Toh⁶  Shirong Cai⁶  Johan G. Eriksson⁶  Yap Seng Chong⁶  Rene N. Cheong⁶  Barbara Heude⁷  Marie-Aline Charles⁷  Jonathan Y. Bernard⁷  Alexandra Descarpentrie⁷  Sabine Plancoulaine⁷  Blandine de Lauzon-Guillain⁷  Sandrine Lioret⁷  Cécilia Saldanha-Gomes⁷  Patricia Dargent-Molina⁷ 

[1] Department of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore;Duke-NUS Medical School;MRC Lifecourse Epidemiology Centre and NIHR Southampton Biomedical Research Centre, University of Southampton and University Hospital Southampton NHS Foundation Trust;Saw Swee Hock School of Public Health, National University of Singapore and National University Health System;Singapore Eye Research Institute, Singapore National Eye Centre;Singapore Institute for Clinical Sciences (SICS), Agency for Science, Technology and Research (A*STAR);Université de Paris, Centre for Research in Epidemiology and Statistics (CRESS), Inserm, INRAE;

关键词: Preschool children;    Lifestyle patterns;    Diet;    Physical activity;    Screen time;    Family ecological model;   

DOI  :  10.1186/s12966-022-01266-4

来源: DOAJ

【 摘 要 】

Abstract 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.

【 授权许可】

Unknown