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dc.contributor.authorHesketh, Kathryn
dc.contributor.authorBenjamin-Neelon, SE
dc.contributor.authorVan Sluijs, Esther
dc.date.accessioned2018-10-05T14:13:42Z
dc.date.available2018-10-05T14:13:42Z
dc.date.issued2018-07-12
dc.identifier.issn2044-6055
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/283210
dc.description.abstractABSTRACT 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.
dc.languageeng
dc.publisherBMJ Journals
dc.rightsAttribution 4.0 International
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.titleHow does the UK childcare energy-balance environment influence 3-to-4-year-olds’ anthropometry? A cross-sectional exploration
dc.typeArticle
prism.numbere021520
prism.publicationNameBMJ Open
prism.volume8
dc.identifier.doi10.17863/CAM.30577
dcterms.dateAccepted2018-05-18
rioxxterms.versionofrecord10.1136/bmjopen-2018-021520
rioxxterms.versionVoR
rioxxterms.licenseref.urihttp://creativecommons.org/licenses/by/4.0/
rioxxterms.licenseref.startdate2018-05-18
dc.contributor.orcidVan Sluijs, Esther [0000-0001-9141-9082]
dc.identifier.eissn2044-6055
dc.publisher.urlhttps://bmjopen.bmj.com/content/8/7/e021520.info
rioxxterms.typeJournal Article/Review
pubs.funder-project-idWellcome Trust (087636/Z/08/Z)
pubs.funder-project-idEconomic and Social Research Council (ES/G007462/1)
pubs.funder-project-idMedical Research Council (MR/K023187/1)
pubs.funder-project-idMedical Research Council (MC_UU_12015/7)
cam.issuedOnline2018-07-12
dc.identifier.urlhttps://bmjopen.bmj.com/content/8/7/e021520.info
cam.orpheus.successThu Jan 30 10:54:19 GMT 2020 - The item has an open VoR version.
rioxxterms.freetoread.startdate2100-01-01


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Attribution 4.0 International
Except where otherwise noted, this item's licence is described as Attribution 4.0 International