How does the UK childcare energy-balance environment influence 3-to-4-year-olds’ anthropometry? A cross-sectional exploration
dc.contributor.author | Hesketh, KR | |
dc.contributor.author | Benjamin-Neelon, SE | |
dc.contributor.author | Van Sluijs, EMF | |
dc.date.accessioned | 2018-10-05T14:13:42Z | |
dc.date.available | 2018-10-05T14:13:42Z | |
dc.date.issued | 2018-07-12 | |
dc.identifier.issn | 2044-6055 | |
dc.identifier.uri | https://www.repository.cam.ac.uk/handle/1810/283210 | |
dc.description.abstract | 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. | |
dc.language | eng | |
dc.publisher | BMJ Journals | |
dc.rights | Attribution 4.0 International | |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | |
dc.title | How does the UK childcare energy-balance environment influence 3-to-4-year-olds’ anthropometry? A cross-sectional exploration | |
dc.type | Article | |
prism.number | e021520 | |
prism.publicationName | BMJ Open | |
prism.volume | 8 | |
dc.identifier.doi | 10.17863/CAM.30577 | |
dcterms.dateAccepted | 2018-05-18 | |
rioxxterms.versionofrecord | 10.1136/bmjopen-2018-021520 | |
rioxxterms.version | VoR | |
rioxxterms.licenseref.uri | http://creativecommons.org/licenses/by/4.0/ | |
rioxxterms.licenseref.startdate | 2018-05-18 | |
dc.contributor.orcid | Van Sluijs, Esther [0000-0001-9141-9082] | |
dc.identifier.eissn | 2044-6055 | |
dc.publisher.url | https://bmjopen.bmj.com/content/8/7/e021520.info | |
rioxxterms.type | Journal Article/Review | |
pubs.funder-project-id | Wellcome Trust (087636/Z/08/Z) | |
pubs.funder-project-id | Economic and Social Research Council (ES/G007462/1) | |
pubs.funder-project-id | Medical Research Council (MR/K023187/1) | |
pubs.funder-project-id | Medical Research Council (MC_UU_12015/7) | |
pubs.funder-project-id | Wellcome Trust (107337/A/15/Z) | |
cam.issuedOnline | 2018-07-12 | |
cam.orpheus.success | Thu Jan 30 10:54:19 GMT 2020 - The item has an open VoR version. | |
rioxxterms.freetoread.startdate | 2100-01-01 |
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