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Title: Associations of childcare arrangements with adiposity measures in a multi-ethnic Asian cohort: the GUSTO study
Authors: Wong, Beverly Wen-Xin
Toh, Jia Ying
Sugianto, Ray
Chia, Airu
Tint, Mya Thway
Yuan, Wen Lun
Padmapriya, Natarajan
Lança, Carla
Saw, Seang-Mei
Lee, Yung Seng
Shek, Lynette Pei-Chi
Tan, Kok Hian
Yap, Fabian
Godfrey, Keith M.
Chong, Yap-Seng
Müller-Riemenschneider, Falk
Eriksson, Johan G.
Chan, Shiao-Yng
Chong, Mary Foong-Fong
Keywords: Science::Medicine
Issue Date: 2021
Source: Wong, B. W., Toh, J. Y., Sugianto, R., Chia, A., Tint, M. T., Yuan, W. L., Padmapriya, N., Lança, C., Saw, S., Lee, Y. S., Shek, L. P., Tan, K. H., Yap, F., Godfrey, K. M., Chong, Y., Müller-Riemenschneider, F., Eriksson, J. G., Chan, S. & Chong, M. F. (2021). Associations of childcare arrangements with adiposity measures in a multi-ethnic Asian cohort: the GUSTO study. International Journal of Environmental Research and Public Health, 18(22), 12178-.
Project: NMRC/TCR/004- NUS/2008 
Journal: International Journal of Environmental Research and Public Health 
Abstract: 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.
ISSN: 1661-7827
DOI: 10.3390/ijerph182212178
Schools: Lee Kong Chian School of Medicine (LKCMedicine) 
Organisations: KK Women’s and Children’s Hospital
Graduate Medical School, Duke-National University of Singapore
Rights: © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https:// 4.0/).
Fulltext Permission: open
Fulltext Availability: With Fulltext
Appears in Collections:LKCMedicine Journal Articles

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