Family-focused contextual factors associated with lifestyle patterns in young children from two mother-offspring cohorts: GUSTO and EDEN.
Family-focused contextual factors associated with lifestyle patterns in young children from two mother-offspring cohorts: GUSTO and EDEN.
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DOI：
10.1186/s12966-022-01266-4
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发表时间：
2022-03-15
期刊：
影响因子：
--
通讯作者：
Bernard JY
中科院分区：
文献类型：
--
作者：
Chia A;Descarpentrie A;Cheong RN;Toh JY;Natarajan P;Sugianto R;Cai S;Saldanha-Gomes C;Dargent-Molina P;de Lauzon-Guillain B;Plancoulaine S;Lança C;Saw SM;Godfrey KM;Shek LP;Tan KH;Charles MA;Chong YS;Heude B;Eriksson JG;Müller-Riemenschneider F;Lioret S;Chong MF;Bernard JY
亚洲学龄前儿童能量平衡相关行为的综合模式较少，比较分析较少。使用新加坡（GUSTO）和法国（EDEN）的队列，我们描述了儿童的生活方式模式，并调查了它们与以家庭为中心的背景因素的关系。在儿童5-6岁时，通过父母问卷调查确定了与儿童饮食、步行、户外游戏和屏幕时间有关的10个行为变量。使用主成分分析，分别获得630名GUSTO和989名EDEN儿童的性别特异性生活方式。上下文变量被组织成远端（家庭社会经济、人口统计）、中间（父母健康、生活习惯）和近端（亲子互动因素）影响水平，并使用分层线性回归进行分析。在这两组人群中发现了三种大致相似的生活方式：“随意消费和长时间看屏幕”、“水果、蔬菜和短时间看屏幕”和“长时间户外玩耍和散步”。后两种模式在群体和性别之间显示出微小的差异。在两个队列中，“可自由支配的消费和高屏幕时间”模式始终相似；远端相关因素是母亲受教育程度较低（EDEN男孩），没有弟弟妹妹（GUSTO男孩）和马来/印度种族（GUSTO），而中间和近端相关因素在两个队列和性别中都是怀孕期间母亲饮食不良，父母允许孩子严格控制食物摄入，两餐之间吃零食和吃饭时看电视。在新加坡和法国的学龄前儿童中观察到三种相似的生活方式。近端相关因素多于远端相关因素。群体特定的以家庭为中心的背景因素可能反映了社会和文化环境的差异。调查结果将有助于制定改善儿童健康的战略。在线版本包含补充材料，可在10.1186/s12966-022-01266-4获得。
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. The online version contains supplementary material available at 10.1186/s12966-022-01266-4.
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DOI：
10.1016/s0140-6736(16)31389-7
发表时间：
2017-01-07
期刊：
Lancet (London, England)
影响因子：
--
作者：
Black MM;Walker SP;Fernald LCH;Andersen CT;DiGirolamo AM;Lu C;McCoy DC;Fink G;Shawar YR;Shiffman J;Devercelli AE;Wodon QT;Vargas-Barón E;Grantham-McGregor S;Lancet Early Childhood Development Series Steering Committee
通讯作者：
Lancet Early Childhood Development Series Steering Committee
影响因子：
18.4
作者：
Corder, Kirsten;Sharp, Stephen J.;van Sluijs, Esther M. F.
通讯作者：
van Sluijs, Esther M. F.
影响因子：
4.7
作者：
Cucó, G;Fernández-Ballart, J;Arija, V
通讯作者：
Arija, V
影响因子：
4
作者：
Hands, Beth P.;Chivers, Paola T.;Larkin, Dawne
通讯作者：
Larkin, Dawne
影响因子：
--
作者：
Burdette, HL;Whitaker, RC;Daniels, SR
通讯作者：
Daniels, SR