Associations of childcare arrangements with adiposity measures in a multi-ethnic Asian cohort : The gusto study

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Wong , B W X , Toh , J Y , Sugianto , R , Chia , A , Tint , M T , Yuan , W L , Padmapriya , N , Lança , C , Saw , S M , Lee , Y S , Pei-Chi Shek , L , Tan , K H , Yap , F , Godfrey , K M , Chong , Y S , Müller-Riemenschneider , F , Eriksson , J G , Chan , S Y & Chong , M F 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 , vol. 18 , no. 22 , 12178 . https://doi.org/10.3390/ijerph182212178

Title: Associations of childcare arrangements with adiposity measures in a multi-ethnic Asian cohort : The gusto study
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; Pei-Chi Shek, Lynette; Tan, Kok Hian; Yap, Fabian; Godfrey, Keith M.; Chong, Yap Seng; Müller-Riemenschneider, Falk; Eriksson, Johan G.; Chan, Shiao Yng; Chong, Mary Foong Fong
Contributor organization: Clinicum
Research Programs Unit
Johan Eriksson / Principal Investigator
Department of General Practice and Primary Health Care
Helsinki University Hospital Area
Date: 2021-11-01
Language: eng
Number of pages: 14
Belongs to series: International Journal of Environmental Research and Public Health
ISSN: 1661-7827
DOI: https://doi.org/10.3390/ijerph182212178
URI: http://hdl.handle.net/10138/340663
Abstract: 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.
Description: Publisher Copyright: © 2021 by the authors. Licensee MDPI, Basel, Switzerland.
Subject: Adiposity
Asian
Caregiver type
Childcare
Preschool
3121 General medicine, internal medicine and other clinical medicine
3142 Public health care science, environmental and occupational health
Peer reviewed: Yes
Rights: cc_by
Usage restriction: openAccess
Self-archived version: publishedVersion


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