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ABSTRACT: Objective
To characterise lifestyle patterns (comprising dietary and movement behaviour aspects) of children in Singapore and examine the correlates of these patterns.Design
An observational study approach was used. Children recorded their diet and activities over two weekdays and two weekend days on a validated web-based assessment, My E-Diary for Activities and Lifestyle (MEDAL). Lifestyle patterns were derived using principal component analysis, and the correlations of these with multiple known determinants organised by distal, intermediate, and proximal levels of influence were studied.Setting
Children of the Growing Up in Singapore Towards healthy Outcomes (GUSTO) cohort.Participants
Ten-year-old children (n = 397).Results
Three lifestyle patterns, "high snacks and processed food", "balanced" and "mixed", were identified. We focused on the more health-promoting "balanced" pattern, characterised by lower screen-viewing and higher consumption of fruits, vegetables, wholegrains, and dairy. Among the distal factors, girls were more adherent to the "balanced" pattern compared to boys, and children of parents with lower education levels were less adherent to this pattern. Among intermediate factors, children of mothers with higher diet quality were more adherent to the "balanced" pattern. Among the proximal factors, engagement in active transport, leisure sports, and educational activities outside of school were positively associated with the "balanced" pattern, whereas screen-viewing while travelling was negatively associated with this pattern. Having siblings, pet ownership, mother's physical activity, parenting style, parental bonding, child's outdoor time, and breakfast consumption were not associated with children's lifestyle patterns.Conclusions
These findings provide direction for future interventions by identifying vulnerable groups and contexts that should be prioritised.
SUBMITTER: Tan SYX
PROVIDER: S-EPMC11308686 | biostudies-literature | 2024 Aug
REPOSITORIES: biostudies-literature

Tan Sarah Yi Xuan SYX Chia Airu A Tai Bee Choo BC Toh Jia Ying JY Colega Marjorelee M Padmapriya Natarajan N Setoh Peipei P Kee Michelle Zhi Ling MZL Yuan Wen Lun WL Lee Yung Seng YS Loo Benny Kai Guo BKG Yap Fabian Kok Peng FKP Tan Kok Hian KH Godfrey Keith M KM Chong Yap Seng YS Eriksson Johan J Müller-Riemenschneider Falk F Chong Mary Foong-Fong MF
BMC public health 20240807 1
<h4>Objective</h4>To characterise lifestyle patterns (comprising dietary and movement behaviour aspects) of children in Singapore and examine the correlates of these patterns.<h4>Design</h4>An observational study approach was used. Children recorded their diet and activities over two weekdays and two weekend days on a validated web-based assessment, My E-Diary for Activities and Lifestyle (MEDAL). Lifestyle patterns were derived using principal component analysis, and the correlations of these w ...[more]