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Family-focused contextual factors associated with lifestyle patterns in young children from two mother-offspring cohorts: GUSTO and EDEN

Family-focused contextual factors associated with lifestyle patterns in young children from two mother-offspring cohorts: GUSTO and EDEN
Family-focused contextual factors associated with lifestyle patterns in young children from two mother-offspring cohorts: GUSTO and EDEN

Background: integrated patterns of energy balance-related behaviours of preschool children in Asia are sparse, with few comparative analyses. Purpose: Using cohorts in Singapore (GUSTO) and France (EDEN), we characterized lifestyle patterns of children and investigated their associations with family-focused contextual factors. 

Methods: ten behavioural variables related to child’s diet, walking, outdoor play and screen time were ascertained by parental questionnaires at age 5–6 years. Using principal component analysis, sex-specific lifestyle patterns were derived independently for 630 GUSTO and 989 EDEN children. Contextual variables were organised into distal (family socio-economics, demographics), intermediate (parental health, lifestyle habits) and proximal (parent-child interaction factors) levels of influence and analysed with hierarchical linear regression. 

Results: three broadly similar lifestyle patterns were identified in both cohorts: “discretionary consumption and high screen time”, “fruit, vegetables, and low screen time” and “high outdoor playtime and walking”. The latter two patterns showed small differences between cohorts and sexes. The “discretionary consumption and high screen time” pattern was consistently similar in both cohorts; distal associated factors were lower maternal education (EDEN boys), no younger siblings (GUSTO boys) and Malay/Indian ethnicity (GUSTO), while intermediate and proximal associated factors in both cohorts and sexes were poor maternal diets during pregnancy, parents allowing high child control over food intake, snacking between meals and having television on while eating. 

Conclusions: three similar lifestyle patterns were observed among preschool children in Singapore and France. There were more common associated proximal factors than distal ones. Cohort specific family-focused contextual factors likely reflect differences in social and cultural settings. Findings will aid development of strategies to improve child health.

Diet, Family ecological model, Hierarchical analysis, Lifestyle patterns, Physical activity, Preschool children, Screen time
1479-5868
Chia, Airu
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Descarpentrie, Alexandra
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Cheong, Rene N
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Toh, Jia Ying
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Natarajan, Padmapriya
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Sugianto, Ray
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Cai, Shirong
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Saldanha-Gomes, Cécilia
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Dargent-Molina, Patricia
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de Lauzon-Guillain, Blandine
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Plancoulaine, Sabine
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Lanca, Carla
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Saw, Seang-Mei
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Godfrey, Keith
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Shek, Lynette P.
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Tan, Kok Hian
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Charles, Marie-Aline
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Chong, Yap-Seng
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Heude, Barbara
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Eriksson, J G
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Chong, Mary F.F.
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Barnard, Jonathan Y.
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Chia, Airu
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Descarpentrie, Alexandra
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Cheong, Rene N
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Natarajan, Padmapriya
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Sugianto, Ray
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Cai, Shirong
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Dargent-Molina, Patricia
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Lanca, Carla
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Godfrey, Keith
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Tan, Kok Hian
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Chong, Yap-Seng
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Heude, Barbara
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Chong, Mary F.F.
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Barnard, Jonathan Y.
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Chia, Airu, Descarpentrie, Alexandra, Cheong, Rene N, Toh, Jia Ying, Natarajan, Padmapriya, Sugianto, Ray, Cai, Shirong, Saldanha-Gomes, Cécilia, Dargent-Molina, Patricia, de Lauzon-Guillain, Blandine, Plancoulaine, Sabine, Lanca, Carla, Saw, Seang-Mei, Godfrey, Keith, Shek, Lynette P., Tan, Kok Hian, Charles, Marie-Aline, Chong, Yap-Seng, Heude, Barbara, Eriksson, J G, Müller-Riemenschneider, Falk, Lioret, Sandrine, Chong, Mary F.F. and Barnard, Jonathan Y. (2022) Family-focused contextual factors associated with lifestyle patterns in young children from two mother-offspring cohorts: GUSTO and EDEN. International Journal of Behavioral Nutrition and Physical Activity, 19 (1), [26]. (doi:10.1186/s12966-022-01266-4).

Record type: Article

Abstract

Background: integrated patterns of energy balance-related behaviours of preschool children in Asia are sparse, with few comparative analyses. Purpose: Using cohorts in Singapore (GUSTO) and France (EDEN), we characterized lifestyle patterns of children and investigated their associations with family-focused contextual factors. 

Methods: ten behavioural variables related to child’s diet, walking, outdoor play and screen time were ascertained by parental questionnaires at age 5–6 years. Using principal component analysis, sex-specific lifestyle patterns were derived independently for 630 GUSTO and 989 EDEN children. Contextual variables were organised into distal (family socio-economics, demographics), intermediate (parental health, lifestyle habits) and proximal (parent-child interaction factors) levels of influence and analysed with hierarchical linear regression. 

Results: three broadly similar lifestyle patterns were identified in both cohorts: “discretionary consumption and high screen time”, “fruit, vegetables, and low screen time” and “high outdoor playtime and walking”. The latter two patterns showed small differences between cohorts and sexes. The “discretionary consumption and high screen time” pattern was consistently similar in both cohorts; distal associated factors were lower maternal education (EDEN boys), no younger siblings (GUSTO boys) and Malay/Indian ethnicity (GUSTO), while intermediate and proximal associated factors in both cohorts and sexes were poor maternal diets during pregnancy, parents allowing high child control over food intake, snacking between meals and having television on while eating. 

Conclusions: three similar lifestyle patterns were observed among preschool children in Singapore and France. There were more common associated proximal factors than distal ones. Cohort specific family-focused contextual factors likely reflect differences in social and cultural settings. Findings will aid development of strategies to improve child health.

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Accepted/In Press date: 17 February 2022
Published date: 15 March 2022
Additional Information: Funding Information: The EDEN study is supported by Foundation for Medical Research (FRM), National Agency for Research (ANR), National Institute for Research in Public Health (IRESP: TGIR cohorte santé 2008 program), French Ministry of Health (DGS), French Ministry of Research, INSERM Bone and Joint Diseases National Research (PRO-A), and Human Nutrition National Research Programs, Paris-Sud University, Nestlé, French National Institute for Population Health Surveillance (InVS.), French National Institute for Health Education (INPES), the European Union FP7 programmes (FP7/2007–2013, HELIX, ESCAPE, ENRIECO, Medall projects), Diabetes National Research Program (through a collaboration with the French Association of Diabetic Patients (AFD)), French Agency for Environmental Health Safety (now ANSES), Mutuelle Générale de l’Education Nationale a complementary health insurance (MGEN), French National Agency for Food Security, French-speaking Association for the Study of Diabetes and Metabolism (ALFEDIAM). Funding Information: The authors thank participants of the EDEN mother-child cohort study group, whose members are I. Annesi-Maesano, J. Y. Bernard, M.A. Charles, P. Dargent-Molina, B. de Lauzon-Guillain, P. Ducimeti?re, M. de Agostini, B. Foliguet, A. Forhan, X. Fritel, A. Germa, V. Goua, R. Hankard, B. Heude, M. Kaminski, B. Larroquey, N. Lelong, J. Lepeule, G. Magnin, L. Marchand, C. Nabet, F Pierre, R. Slama, M.J. Saurel-Cubizolles, M. Schweitzer, and O. Thiebaugeorges. We also thank participants of the GUSTO study, all staff involved in the collection and management of data, and the GUSTO study group. This study group includes: Airu Chia, Allan Sheppard, Amutha Chinnadurai, Anna Magdalena Fogel, Anne Eng Neo Goh, Anne Hin Yee Chu, Anne Rifkin-Graboi, Anqi Qiu, Arijit Biswas, Bee Wah Lee, Birit Froukje Philipp Broekman, Bobby Kyungbeom Cheon, Boon Long Quah, Candida Vaz, Chai Kiat Chng, Cheryl Shufen Ngo, Choon Looi Bong, Christiani Jeyakumar Henry, Ciaran Gerard Forde, Claudia Chi, Daniel Yam Thiam Goh, Dawn Xin Ping Koh, Desiree Y. Phua, Doris Ngiuk Lan Loh, E Shyong Tai, Elaine Kwang Hsia Tham, Elaine Phaik Ling Quah, Elizabeth Huiwen Tham, Evelyn Chung Ning Law, Evelyn Xiu Ling Loo, Fabian Kok Peng Yap, Faidon Magkos, Falk M?ller-Riemenschneider, George Seow Heong Yeo, Hannah Ee Juen Yong, Helen Yu Chen, Heng Hao Tan, Hong Pan, Hugo P S van Bever, Hui Min Tan, Iliana Magiati, Inez Bik Yun Wong, Ives Yubin Lim, Ivy Yee-Man Lau, Izzuddin Bin Mohd Aris, Jeannie Tay, Jeevesh Kapur, Jenny L. Richmond, Jerry Kok Yen Chan, Jia Xu, Joanna Dawn Holbrook, Joanne Su-Yin Yoong, Joao Nuno Andrade Requicha Ferreira, Johan Gunnar Eriksson, Jonathan Tze Liang Choo, Jonathan Y. Bernard, Jonathan Yinhao Huang, Joshua J. Gooley, Jun Shi Lai, Karen Mei Ling Tan, Keith M. Godfrey, Kenneth Yung Chiang Kwek, Keri McCrickerd, Kok Hian Tan, Kothandaraman Narasimhan, Krishnamoorthy Naiduvaje, Kuan Jin Lee, Leher Singh, Li Chen, Lieng Hsi Ling, Lin Lin Su, Ling-Wei Chen, Lourdes Mary Daniel, Lynette Pei-Chi Shek, Marielle V. Fortier, Mark Hanson, Mary Foong-Fong Chong, Mary Rauff, Mei Chien Chua, Melvin Khee-Shing Leow, Michael J. Meaney, Michelle Zhi Ling Kee, Min Gong, Mya Thway Tint, Navin Michael, Neerja Karnani, Ngee Lek, Oon Hoe Teoh, P. C. Wong, Paulin Tay Straughan, Peter David Gluckman, Pratibha Keshav Agarwal, Priti Mishra, Queenie Ling Jun Li, Rob Martinus van Dam, Salome A. Rebello, Sambasivam Sendhil Velan, Seang Mei Saw, See Ling Loy, Seng Bin Ang, Shang Chee Chong, Sharon Ng, Shiao-Yng Chan, Shirong Cai, Shu-E Soh, Sok Bee Lim, Stella Tsotsi, Stephen Chin-Ying Hsu, Sue-Anne Ee Shiow Toh, Suresh Anand Sadananthan, Swee Chye Quek, Varsha Gupta, Victor Samuel Rajadurai, Walter Stunkel, Wayne Cutfield, Wee Meng Han, Wei Wei Pang, Wen Lun Yuan, Yanan Zhu, Yap Seng Chong, Yin Bun Cheung, Yiong Huak Chan, Yung Seng Lee. Funding Information: The GUSTO study is supported by the Singapore National Research Foundation under its Translational and Clinical Research Flagship Programme and administered by the Singapore Ministry of Health’s National Medical Research Council, Singapore - NMRC/TCR/004-NUS/2008; NMRC/TCR/012-NUHS/2014. Additional funding is provided by the Singapore Institute for Clinical Sciences, Agency for Science Technology and Research, 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) and NIHR Southampton Biomedical Research Centre (IS-BRC-1215-20004)), the European Union (Erasmus+ Programme ImpENSA 598488-EPP-1-2018-1-DE-EPPKA2-CBHE-JP) and the British Heart Foundation (RG/15/17/3174). The funders had no role in the design of the study and collection, analysis, and interpretation of data and in writing the manuscript. Publisher Copyright: © 2022, The Author(s). Copyright: Copyright 2022 Elsevier B.V., All rights reserved.
Keywords: Diet, Family ecological model, Hierarchical analysis, Lifestyle patterns, Physical activity, Preschool children, Screen time

Identifiers

Local EPrints ID: 456570
URI: http://eprints.soton.ac.uk/id/eprint/456570
ISSN: 1479-5868
PURE UUID: ebefef8b-ca56-4a6f-89c4-4486d60b3b6e
ORCID for Keith Godfrey: ORCID iD orcid.org/0000-0002-4643-0618

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Date deposited: 05 May 2022 16:38
Last modified: 24 Nov 2022 02:33

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Contributors

Author: Airu Chia
Author: Alexandra Descarpentrie
Author: Rene N Cheong
Author: Jia Ying Toh
Author: Padmapriya Natarajan
Author: Ray Sugianto
Author: Shirong Cai
Author: Cécilia Saldanha-Gomes
Author: Patricia Dargent-Molina
Author: Blandine de Lauzon-Guillain
Author: Sabine Plancoulaine
Author: Carla Lanca
Author: Seang-Mei Saw
Author: Keith Godfrey ORCID iD
Author: Lynette P. Shek
Author: Kok Hian Tan
Author: Marie-Aline Charles
Author: Yap-Seng Chong
Author: Barbara Heude
Author: J G Eriksson
Author: Falk Müller-Riemenschneider
Author: Sandrine Lioret
Author: Mary F.F. Chong
Author: Jonathan Y. Barnard

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