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Preschool children's context-specific sedentary behaviours and parental socioeconomic status in Finland: a cross-sectional study.

ABSTRACT: OBJECTIVES:This study examined the associations of parental socioeconomic status (SES) with preschoolers' objectively measured sedentary time (SED) over the course of a week and with parent-reported children's screen and reading times at home as indicators of sedentary behaviours (SB). DESIGN:Cross-sectional. SETTING:In years 2015 and 2016 in Finland. PARTICIPANTS:864 children, aged 3-6 years, with their parents. OUTCOME MEASURES:Children's accelerometer data were transformed into average SED minutes per hour in different contexts (preschool, home during preschool days, weekend and total). Parent-reported children's screen and reading times were expressed as average daily minutes. The SES indicators (maternal and paternal education and relative household income) were grouped into three categories. Linear or logistic regression analyses were used, with municipality, season, and children's gender and age as covariates. CIs were adjusted for clustering at the preschool group level. RESULTS:Children with low maternal (?=17.21, 95%?CI: 8.71 to 25.71) and paternal (?=10.54, 95%?CI: 0.77 to 20.30) education had more overall screen time at home than their more advantaged counterparts. SES differences in overall screen time were mostly explained by TV viewing. Children with low as opposed to high maternal education (?=-2.66, 95%?CI: -4.95 to -0.38) had less reading time at home. Children whose fathers were on the middle (?=-1.15, 95%?CI: -2.01 to -0.29) educational level had less weekend SED than those with high paternal education. Otherwise, parental SES was not related to objectively measured SED. CONCLUSIONS:The results of this study highlight the fact that the associations between parental SES and preschoolers' SB are dependent on the indicators of SES and SBs, and vary between different contexts. Generally, parental SES was not associated with SED, whereas some SES differences existed in screen time and reading time at home. Interventions aiming to diminish SES differences in children's SB should focus on home hours. TRIAL REGISTRATION NUMBER:ISRCTN57165350.

SUBMITTER: Maatta S

PROVIDER: S-EPMC5695314 | biostudies-literature | 2017 Nov

REPOSITORIES: biostudies-literature

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Preschool children's context-specific sedentary behaviours and parental socioeconomic status in Finland: a cross-sectional study.

Määttä Suvi S Konttinen Hanna H Haukkala Ari A Erkkola Maijaliisa M Roos Eva E

BMJ open 20171103 11

<h4>Objectives</h4>This study examined the associations of parental socioeconomic status (SES) with preschoolers' objectively measured sedentary time (SED) over the course of a week and with parent-reported children's screen and reading times at home as indicators of sedentary behaviours (SB).<h4>Design</h4>Cross-sectional.<h4>Setting</h4>In years 2015 and 2016 in Finland.<h4>Participants</h4>864 children, aged 3-6 years, with their parents.<h4>Outcome measures</h4>Children's accelerometer data ...[more]

PMID: 29101133

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Project description:ObjectivesPreschool is an important setting for regulating sedentary time (ST). The preschool day in Finland follows daily structures by having morning and afternoon slots for group-based activities that can encourage children for movement (eg, free play and outdoor time) or be still (eg, teacher-led sessions and sitting-based circles). This study aims to explore if the weekly routines in preschool and if more frequent visits in places encouraging physical activity (PA) are associated with children's ST during preschool hours.DesignCross-sectional DAGIS (Increased Health and Wellbeing in Preschools) study in the years 2015 and 2016.SettingIn Finland.Participants864 children (48% girls, 4.7 years) from 159 preschool groups in 66 preschools OUTCOME MEASURES: A total of 778 children wore required lengths of time (at least 240?min per preschool day, at least 2?days) the accelerometer during preschool hours. Each preschool group reported their weekly schedule during the week, and one early educator completed a questionnaire covering practices. The following five measures related to weekly structures were formed; times of outdoors (times per day), teacher-led sessions (times per day), free play (low, middle or high), organised PA lessons (no lessons at all/others) and mixed activities (no lessons at all/others), and the following five measures about the frequencies of visits in places encouraging PA; nature trips (times per week), play parks (times per week), neighbourhood sport facilities (no visits at all/others), visits to gym or other indoor facility (no visits at all/others) and field trips to neighbourhoods (times per week). Multilevel linear regression analyses were conducted to measure the associations.ResultsOf all the tested associations, only more frequently conducted nature trips were associated with lower children's ST during preschool hours (?=-1.026; 95%?CI -1.804 to -0.248).ConclusionFrequent nature trips in preschools may be important due to its association with lower preschool children's ST.

Project description:Previous research demonstrated that faster eating rates are linked with increased intake of energy during a meal. Here, we examined whether within-meal parental feeding practices show cross-sectional and prospective associations with children's oral processing behaviours and whether the previously demonstrated association between faster eating rates and higher energy intakes varies by parental feeding practices. A subset (n = 155) of children and their mothers from the Growing Up in Singapore Towards healthy Outcomes cohort participated in an ad libitum meal at age 4.5 years. Children's oral processing behaviours (eating rate, bite size, chews per gram, oral exposure time, and meal duration) and parental feeding practices (autonomy-supporting and coercive prompts, restrictions, hurrying, and slowing) were recorded during the meal. Subsequently, 94 of the children participated in a follow-up meal without their mothers at age 6 years. Parental feeding practices were not consistently associated with child oral processing behaviours overall. However, exploratory post hoc analyses revealed some sex differences. The mothers of girls with faster eating rates, larger bite sizes, and fewer chews were more likely to use hurrying, slowing, and restrictions, but similar associations were not observed among boys. Children who had the most problematic eating style and were eating fast and for long experienced more restrictions, instructions to slow down, and prompts. Faster eating rates were linked with the highest energy intakes if children were additionally prompted to eat. Prospective analyses showed that children who were more often prompted using coercive techniques and less frequently hurried at age 4.5 years had faster eating rates at 6 years and a larger increase in eating rates between ages 4.5 and 6 years but did not consume more energy. Although the direction of these associations cannot be assumed, these exploratory analyses suggest sex differences in the associations between feeding practices and oral processing behaviours and highlight the potential role of parents in the development of children's oral processing behaviours.

Dataset Information

Preschool children's context-specific sedentary behaviours and parental socioeconomic status in Finland: a cross-sectional study.

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Preschool children's context-specific sedentary behaviours and parental socioeconomic status in Finland: a cross-sectional study.

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