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....
| Main Authors: | , , , , , , , , , , , , , , , , , , |
|---|---|
| Other Authors: | |
| Format: | Journal Article |
| Language: | English |
| Published: |
2022
|
| Subjects: | |
| Online Access: | https://hdl.handle.net/10356/161399 |
| _version_ | 1826123747415818240 |
|---|---|
| author | Wong, Beverly Wen-Xin Toh, Jia Ying Sugianto, Ray Chia, Airu Tint, Mya Thway Yuan, Wen Lun Padmapriya, Natarajan Lança, Carla Saw, Seang-Mei Lee, Yung Seng Shek, Lynette Pei-Chi Tan, Kok Hian Yap, Fabian Godfrey, Keith M. Chong, Yap-Seng Müller-Riemenschneider, Falk Eriksson, Johan G. Chan, Shiao-Yng Chong, Mary Foong-Fong |
| author2 | Lee Kong Chian School of Medicine (LKCMedicine) |
| author_facet | Lee Kong Chian School of Medicine (LKCMedicine) Wong, Beverly Wen-Xin Toh, Jia Ying Sugianto, Ray Chia, Airu Tint, Mya Thway Yuan, Wen Lun Padmapriya, Natarajan Lança, Carla Saw, Seang-Mei Lee, Yung Seng Shek, Lynette Pei-Chi Tan, Kok Hian Yap, Fabian Godfrey, Keith M. Chong, Yap-Seng Müller-Riemenschneider, Falk Eriksson, Johan G. Chan, Shiao-Yng Chong, Mary Foong-Fong |
| author_sort | Wong, Beverly Wen-Xin |
| collection | NTU |
| 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 z-scores (β: 0.34; 95% CI: 0.01, 0.66), greater sum of skinfold thicknesses (mm) (β: 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. |
| first_indexed | 2024-10-01T06:09:22Z |
| format | Journal Article |
| id | ntu-10356/161399 |
| institution | Nanyang Technological University |
| language | English |
| last_indexed | 2024-10-01T06:09:22Z |
| publishDate | 2022 |
| record_format | dspace |
| spelling | ntu-10356/1613992023-03-05T16:51:12Z Associations of childcare arrangements with adiposity measures in a multi-ethnic Asian cohort: the GUSTO study Wong, Beverly Wen-Xin Toh, Jia Ying Sugianto, Ray Chia, Airu Tint, Mya Thway Yuan, Wen Lun Padmapriya, Natarajan Lança, Carla Saw, Seang-Mei Lee, Yung Seng Shek, Lynette Pei-Chi Tan, Kok Hian Yap, Fabian Godfrey, Keith M. Chong, Yap-Seng Müller-Riemenschneider, Falk Eriksson, Johan G. Chan, Shiao-Yng Chong, Mary Foong-Fong Lee Kong Chian School of Medicine (LKCMedicine) KK Women’s and Children’s Hospital Graduate Medical School, Duke-National University of Singapore Science::Medicine Childcare Adiposity 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 z-scores (β: 0.34; 95% CI: 0.01, 0.66), greater sum of skinfold thicknesses (mm) (β: 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. Agency for Science, Technology and Research (A*STAR) Ministry of Health (MOH) National Medical Research Council (NMRC) Published version The GUSTO cohort study was funded by the Singapore National Research Foundation’s Translational and Clinical Research (TCR) Flagship Programme and was administered by the Singapore Ministry of Health’s National Medical Research Council (NMRC), Singapore—NMRC/TCR/004- NUS/2008; NMRC/TCR/012-NUHS/2014. Additional funding was given by the Singapore Institute for Clinical Sciences, Agency for Science Technology and Research (A*STAR), Singapore. KMG is supported by the UK Medical Research Council (MC_UU_12011/4), the National Institute for Health Research (NIHR Senior Investigator NF-SI-0515-10042), NIHR Southampton 1000DaysPlus Global Nutrition Research Group (17/63/154) and NIHR Southampton Biomedical Research Centre (IS-BRC1215-20004), the British Heart Foundation (RG/15/17/3174) and by the European Union (Erasmus+ Programme Early Nutrition eAcademy Southeast Asia-573651-EPP-1-2016-1-DE-EPPKA2-CBHE-JP and ImpENSA. 2022-08-30T08:24:32Z 2022-08-30T08:24:32Z 2021 Journal Article Wong, B. W., Toh, J. Y., Sugianto, R., Chia, A., Tint, M. T., Yuan, W. L., Padmapriya, N., Lança, C., Saw, S., Lee, Y. S., Shek, L. P., Tan, K. H., Yap, F., Godfrey, K. M., Chong, Y., Müller-Riemenschneider, F., Eriksson, J. G., Chan, S. & Chong, M. F. (2021). Associations of childcare arrangements with adiposity measures in a multi-ethnic Asian cohort: the GUSTO study. International Journal of Environmental Research and Public Health, 18(22), 12178-. https://dx.doi.org/10.3390/ijerph182212178 1661-7827 https://hdl.handle.net/10356/161399 10.3390/ijerph182212178 34831933 2-s2.0-85119892440 22 18 12178 en NMRC/TCR/004- NUS/2008 NMRC/TCR/012-NUHS/2014 International Journal of Environmental Research and Public Health © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https:// creativecommons.org/licenses/by/ 4.0/). application/pdf |
| spellingShingle | Science::Medicine Childcare Adiposity Wong, Beverly Wen-Xin Toh, Jia Ying Sugianto, Ray Chia, Airu Tint, Mya Thway Yuan, Wen Lun Padmapriya, Natarajan Lança, Carla Saw, Seang-Mei Lee, Yung Seng Shek, Lynette Pei-Chi Tan, Kok Hian Yap, Fabian Godfrey, Keith M. Chong, Yap-Seng Müller-Riemenschneider, Falk Eriksson, Johan G. Chan, Shiao-Yng Chong, Mary Foong-Fong Associations of childcare arrangements with adiposity measures in a multi-ethnic Asian cohort: the GUSTO study |
| title | 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_short | 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 |
| topic | Science::Medicine Childcare Adiposity |
| url | https://hdl.handle.net/10356/161399 |
| work_keys_str_mv | AT wongbeverlywenxin associationsofchildcarearrangementswithadipositymeasuresinamultiethnicasiancohortthegustostudy AT tohjiaying associationsofchildcarearrangementswithadipositymeasuresinamultiethnicasiancohortthegustostudy AT sugiantoray associationsofchildcarearrangementswithadipositymeasuresinamultiethnicasiancohortthegustostudy AT chiaairu associationsofchildcarearrangementswithadipositymeasuresinamultiethnicasiancohortthegustostudy AT tintmyathway associationsofchildcarearrangementswithadipositymeasuresinamultiethnicasiancohortthegustostudy AT yuanwenlun associationsofchildcarearrangementswithadipositymeasuresinamultiethnicasiancohortthegustostudy AT padmapriyanatarajan associationsofchildcarearrangementswithadipositymeasuresinamultiethnicasiancohortthegustostudy AT lancacarla associationsofchildcarearrangementswithadipositymeasuresinamultiethnicasiancohortthegustostudy AT sawseangmei associationsofchildcarearrangementswithadipositymeasuresinamultiethnicasiancohortthegustostudy AT leeyungseng associationsofchildcarearrangementswithadipositymeasuresinamultiethnicasiancohortthegustostudy AT sheklynettepeichi associationsofchildcarearrangementswithadipositymeasuresinamultiethnicasiancohortthegustostudy AT tankokhian associationsofchildcarearrangementswithadipositymeasuresinamultiethnicasiancohortthegustostudy AT yapfabian associationsofchildcarearrangementswithadipositymeasuresinamultiethnicasiancohortthegustostudy AT godfreykeithm associationsofchildcarearrangementswithadipositymeasuresinamultiethnicasiancohortthegustostudy AT chongyapseng associationsofchildcarearrangementswithadipositymeasuresinamultiethnicasiancohortthegustostudy AT mullerriemenschneiderfalk associationsofchildcarearrangementswithadipositymeasuresinamultiethnicasiancohortthegustostudy AT erikssonjohang associationsofchildcarearrangementswithadipositymeasuresinamultiethnicasiancohortthegustostudy AT chanshiaoyng associationsofchildcarearrangementswithadipositymeasuresinamultiethnicasiancohortthegustostudy AT chongmaryfoongfong associationsofchildcarearrangementswithadipositymeasuresinamultiethnicasiancohortthegustostudy |