4.6 Article

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

出版社

BMC
DOI: 10.1186/s12966-022-01266-4

关键词

Preschool children; Lifestyle patterns; Diet; Physical activity; Screen time; Family ecological model; Hierarchical analysis

资金

  1. Paris-NUS grant [ANR-18-IDEX-0001]
  2. Foundation for Medical Research (FRM)
  3. National Agency for Research (ANR)
  4. National Institute for Research in Public Health (IRESP: TGIR cohorte sante 2008 program)
  5. French Ministry of Health (DGS)
  6. French Ministry of Research
  7. INSERM Bone and Joint Diseases National Research (PRO-A)
  8. Human Nutrition National Research Programs, Paris-Sud University
  9. Nestle
  10. French National Institute for Population Health Surveillance (InVS.)
  11. French National Institute for Health Education (INPES)
  12. European Union
  13. Diabetes National Research Program (French Association of Diabetic Patients (AFD))
  14. ANSES
  15. Mutuelle Generale de l'Education Nationale a complementary health insurance (MGEN)
  16. French National Agency for Food Security
  17. French-speaking Association for the Study of Diabetes and Metabolism (ALFEDIAM)
  18. Singapore National Research Foundation under its Translational and Clinical Research Flagship Programme
  19. Singapore Ministry of Health's National Medical Research Council, Singapore [NMRC/TCR/004-NUS/2008, NMRC/TCR/012-NUHS/2014]
  20. Singapore Institute for Clinical Sciences, Agency for Science Technology and Research, Singapore
  21. UK Medical Research Council [MC_UU_12011/4]
  22. National Institute for Health Research (NIHR) [NF-SI-0515-10042]
  23. NIHR Southampton Biomedical Research Centre [IS-BRC-1215-20004]
  24. European Union (Erasmus+ Programme ImpENSA) [598488-EPP-1-2018-1-DE-EPPKA2CBHE-JP]
  25. British Heart Foundation [RG/15/17/3174]

向作者/读者索取更多资源

Integrated patterns of energy balance-related behaviors of preschool children in Asia are sparse. The study characterized lifestyle patterns of children in Singapore and France, identifying three broadly similar patterns. Proximal factors were more common than distal factors, and cohort-specific family-focused contextual factors likely reflect differences in social and cultural settings.
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.

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