TY - JOUR
T1 - Associations of childcare arrangements with adiposity measures in a multi-ethnic Asian cohort
T2 - The GUSTO study
AU - Wong, Beverly Wen Xin
AU - Toh, Jia Ying
AU - Sugianto, Ray
AU - Chia, Airu
AU - Tint, Mya Thway
AU - Yuan, Wen Lun
AU - Padmapriya, Natarajan
AU - Lança, Carla
AU - Saw, Seang Mei
AU - Lee, Yung Seng
AU - Pei-Chi Shek, Lynette
AU - Tan, Kok Hian
AU - Yap, Fabian
AU - Godfrey, Keith M.
AU - Chong, Yap Seng
AU - Müller-Riemenschneider, Falk
AU - Eriksson, Johan G.
AU - Chan, Shiao Yng
AU - Chong, Mary Foong Fong
N1 - Funding Information:
Conflicts of Interest: K.M.G., Y.-S.C. and S.-Y.C. report being part of an academic consortium that has received research funding from Abbott Nutrition, Nestle and Danone. K.M.G. and Y.-S.C. report receiving reimbursement for speaking at conferences sponsored by companies selling nutritional products. The other authors declared no conflict of interests. The funders had no role in the choice of research project, design of this study, data collection and statistical analyses, preparation of manuscript and decision to publish.
Funding Information:
Funding: 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-BRC-1215-20004), 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.
Publisher Copyright:
© 2021 by the authors. Licensee MDPI, Basel, Switzerland.
PY - 2021/11/1
Y1 - 2021/11/1
N2 - 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.
AB - 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.
KW - Adiposity
KW - Asian
KW - Caregiver type
KW - Childcare
KW - Preschool
UR - http://www.scopus.com/inward/record.url?scp=85119892440&partnerID=8YFLogxK
U2 - 10.3390/ijerph182212178
DO - 10.3390/ijerph182212178
M3 - Article
C2 - 34831933
AN - SCOPUS:85119892440
VL - 18
JO - International Journal of Environmental Research and Public Health
JF - International Journal of Environmental Research and Public Health
SN - 1660-4601
IS - 22
M1 - 12178
ER -
