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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Autores principales:	Beverly Wen-Xin Wong, Jia Ying Toh, Ray Sugianto, Airu Chia, Mya Thway Tint, Wen Lun Yuan, Natarajan Padmapriya, Carla Lança, Seang-Mei Saw, Yung Seng Lee, Lynette Pei-Chi Shek, Kok Hian Tan, Fabian Yap, Keith M. Godfrey, Yap-Seng Chong, Falk Müller-Riemenschneider, Johan G. Eriksson, Shiao-Yng Chan, Mary Foong-Fong Chong
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	childcare adiposity preschool caregiver type Asian Medicine R
Acceso en línea:	https://doaj.org/article/e464d07009d4433daf40815bed664f61
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spelling	oai:doaj.org-article:e464d07009d4433daf40815bed664f612021-11-25T17:51:45ZAssociations of Childcare Arrangements with Adiposity Measures in a Multi-Ethnic Asian Cohort: The GUSTO Study10.3390/ijerph1822121781660-46011661-7827https://doaj.org/article/e464d07009d4433daf40815bed664f612021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/22/12178https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Childcare 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 <i>z</i>-scores (<i>β</i>: 0.34; 95% CI: 0.01, 0.66), greater sum of skinfold thicknesses (mm) (<i>β</i>: 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.Beverly Wen-Xin WongJia Ying TohRay SugiantoAiru ChiaMya Thway TintWen Lun YuanNatarajan PadmapriyaCarla LançaSeang-Mei SawYung Seng LeeLynette Pei-Chi ShekKok Hian TanFabian YapKeith M. GodfreyYap-Seng ChongFalk Müller-RiemenschneiderJohan G. ErikssonShiao-Yng ChanMary Foong-Fong ChongMDPI AGarticlechildcareadipositypreschoolcaregiver typeAsianMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 12178, p 12178 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	childcare adiposity preschool caregiver type Asian Medicine R
spellingShingle	childcare adiposity preschool caregiver type Asian Medicine R Beverly Wen-Xin Wong Jia Ying Toh Ray Sugianto Airu Chia Mya Thway Tint Wen Lun Yuan Natarajan Padmapriya Carla Lança Seang-Mei Saw Yung Seng Lee Lynette Pei-Chi Shek Kok Hian Tan Fabian Yap Keith M. Godfrey Yap-Seng Chong Falk Müller-Riemenschneider Johan G. Eriksson Shiao-Yng Chan Mary Foong-Fong Chong Associations of Childcare Arrangements with Adiposity Measures in a Multi-Ethnic Asian Cohort: The GUSTO Study
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 <i>z</i>-scores (<i>β</i>: 0.34; 95% CI: 0.01, 0.66), greater sum of skinfold thicknesses (mm) (<i>β</i>: 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.
format	article
author	Beverly Wen-Xin Wong Jia Ying Toh Ray Sugianto Airu Chia Mya Thway Tint Wen Lun Yuan Natarajan Padmapriya Carla Lança Seang-Mei Saw Yung Seng Lee Lynette Pei-Chi Shek Kok Hian Tan Fabian Yap Keith M. Godfrey Yap-Seng Chong Falk Müller-Riemenschneider Johan G. Eriksson Shiao-Yng Chan Mary Foong-Fong Chong
author_facet	Beverly Wen-Xin Wong Jia Ying Toh Ray Sugianto Airu Chia Mya Thway Tint Wen Lun Yuan Natarajan Padmapriya Carla Lança Seang-Mei Saw Yung Seng Lee Lynette Pei-Chi Shek Kok Hian Tan Fabian Yap Keith M. Godfrey Yap-Seng Chong Falk Müller-Riemenschneider Johan G. Eriksson Shiao-Yng Chan Mary Foong-Fong Chong
author_sort	Beverly Wen-Xin Wong
title	Associations of Childcare Arrangements with Adiposity Measures in a Multi-Ethnic Asian Cohort: The GUSTO Study
title_short	Associations of Childcare Arrangements with Adiposity Measures in a Multi-Ethnic Asian Cohort: The GUSTO Study
title_full	Associations of Childcare Arrangements with Adiposity Measures in a Multi-Ethnic Asian Cohort: The GUSTO Study
title_fullStr	Associations of Childcare Arrangements with Adiposity Measures in a Multi-Ethnic Asian Cohort: The GUSTO Study
title_full_unstemmed	Associations of Childcare Arrangements with Adiposity Measures in a Multi-Ethnic Asian Cohort: The GUSTO Study
title_sort	associations of childcare arrangements with adiposity measures in a multi-ethnic asian cohort: the gusto study
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/e464d07009d4433daf40815bed664f61
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Associations of Childcare Arrangements with Adiposity Measures in a Multi-Ethnic Asian Cohort: The GUSTO Study

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