Self-regulation and household routines at age three and obesity at age eleven: longitudinal analysis of the UK Millennium Cohort Study.

Self-regulation and household routines at age three and obesity at age eleven: longitudinal analysis of the UK Millennium Cohort Study.
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DOI:
10.1038/ijo.2017.94
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发表时间:
2017-10
期刊:
International journal of obesity (2005)
影响因子:
--
通讯作者:
Kelly Y
Kelly Y
中科院分区:
其他
文献类型:
--
作者:
Anderson SE;Sacker A;Whitaker RC;Kelly Y

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在以人群为基础的三岁儿童队列中,研究自我调节与暴露于有规律的就寝时间、有规律的用餐时间和限制看电视/视频的家庭惯例之间的关系;并确定自我调节和这些日常活动是否能预测11岁时肥胖的风险。分析包括了具有全国代表性的英国千禧年队列研究中的10955名儿童。当孩子3岁时,父母报告孩子是否有规律的就寝时间和吃饭时间,以及看电视/视频的时间。采用家长报告和儿童社会行为问卷对3岁儿童的情绪和认知自我调节能力进行评估。儿童的身高和体重是在11岁时测量的,肥胖是根据国际肥胖工作组(IOTF)的标准定义的。在3岁时,41%的孩子总是有规律的就寝时间,47%的孩子总是有规律的吃饭时间,23%的孩子每天看电视/视频的时间限制在1小时以下。11岁时,6.2%的儿童肥胖。所有三种家庭习惯都与更好的情绪自我调节显著相关,但与更好的认知自我调节无关。在包括情绪和认知自我调节、所有常规和控制社会人口协变量在内的多变量logistic回归模型中,3岁时情绪自我调节的1个单位差异与11岁时肥胖的OR (95% CI)为1.38(1.11,1.71),与11岁时肥胖的OR (95% CI)为1.87(1.39,2.51)相关。没有证据表明情绪自我调节调节了规律就寝时间和后来的肥胖之间的关系。认知自我调节与后来的肥胖无关。有规律的就寝时间、吃饭时间和限制看电视/录像时间的三岁儿童有更好的情绪自我调节能力。3岁时缺乏规律的就寝时间和较差的情绪自我调节能力是11岁时肥胖的独立预测因素。
To examine, in a population-based cohort of three-year-old children, the association between self-regulation and exposure to the household routines of regular bedtime, regular mealtime, and limits on watching television/video; and to determine whether self-regulation and these routines predict the risk of obesity at age 11. Analyses included 10 955 children in the nationally-representative UK Millennium Cohort Study. When children were age 3, parents reported whether children had a regular bedtime and mealtime and the amount of television/video watched. Emotional and cognitive self-regulation at age 3 were assessed by parent-report with the Child Social Behaviour Questionnaire. Children’s height and weight were measured at age 11 and obesity was defined using the International Obesity Task Force (IOTF) criteria. At age 3, 41% of children always had a regular bedtime, 47% always had a regular mealtime, and 23% were limited to ≤1 hour television/video daily. At age 11, 6.2% of children were obese. All three household routines were significantly associated with better emotional self-regulation, but not better cognitive self-regulation. In a multi-variable logistic regression model including emotional and cognitive self-regulation, all routines, and controlling for sociodemographic covariates, a 1 unit difference in emotional self-regulation at age 3 was associated with an OR (95% CI) for obesity of 1.38 (1.11, 1.71) at age 11, and inconsistent bedtimes with an OR (95% CI) for obesity of 1.87 (1.39, 2.51) at age 11. There was no evidence that emotional self-regulation mediated the relationship between regular bedtimes and later obesity. Cognitive self-regulation was not associated with later obesity. Three-year-old children who had regular bedtimes, mealtimes, and limits on their television/video time had better emotional self-regulation. Lack of a regular bedtime and poorer emotional self-regulation at age 3 were independent predictors of obesity at age 11.
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DOI: 10.1001/archpediatrics.2008.579
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