How does the UK childcare energy-balance environment influence anthropometry of children aged 3-4 years? A cross-sectional exploration.
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Hesketh, K. R., Benjamin-Neelon, S. E., & Van Sluijs, E. (2018). How does the UK childcare energy-balance environment influence anthropometry of children aged 3-4 years? A cross-sectional exploration.. BMJ open, 8 (7), e021520. https://doi.org/10.1136/bmjopen-2018-021520
ABSTRACT Objectives To assess the association between time spent in care, the childcare energy-balance environment, and preschool-aged children’s Body Mass Index z-score (z-BMI), waist-to-height ratio (WHR), and sum of skinfolds thickness (SST). Design Cross-sectional study. Setting and participants 3-to-4-year-old children were recruited from 30 childcare centres in Cambridgeshire (UK) in 2013. Main outcome measures Objectively measured height and weight was used to calculate BMI z-score; waist circumference and height were used to generate WHR; subscapular and tricep skinfolds were used to calculate SST. Associations between childcare attendance, the nutrition, physical activity, and overall childcare environment, and three anthropometric outcomes were explored using two-level hierarchical regression models, adjusting for demographic and family-based confounders. Results Valid data were available for 196 children (49% female). Time spent in care, the nutrition, physical activity, and overall childcare environment were not associated with children’s z-BMI score, WHR, and SST. Conclusions Childcare environment and level of attendance were not associated with UK preschool-aged children’s anthropometry. The childcare environment has been central to intervention efforts to prevent/ reduce early childhood obesity, yet other factors, including child-, family-, wider environmental, and policy-level factors warrant substantial attention when considering obesity prevention strategies for young children.
Humans, Anthropometry, Cross-Sectional Studies, Health Knowledge, Attitudes, Practice, Energy Metabolism, Social Environment, Child, Preschool, Child Care, Female, Male, Pediatric Obesity, United Kingdom
Wellcome Trust (087636/Z/08/Z)
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External DOI: https://doi.org/10.1136/bmjopen-2018-021520
This record's URL: https://www.repository.cam.ac.uk/handle/1810/283210
Attribution 4.0 International
Licence URL: http://creativecommons.org/licenses/by/4.0/
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