Evidence map›Paper›PMID 30002012›Full record

ArticleBMJ open2018

How does the UK childcare energy-balance environment influence anthropometry of children aged 3-4 years? A cross-sectional exploration.

Kathryn R Hesketh, Sara E Benjamin-Neelon, Esther M F van Sluijs

Abstract read
In one paragraph

Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Kathryn R HeskethCentre for Diet and Activity Research and MRC Epidemiology Unit, University of Cambridge, Cambridge, UK.ORCID 0000-0003-3963-9189
Sara E Benjamin-NeelonCentre for Diet and Activity Research and MRC Epidemiology Unit, University of Cambridge, Cambridge, UK.
Esther M F van SluijsCentre for Diet and Activity Research and MRC Epidemiology Unit, University of Cambridge, Cambridge, UK.

Funding

British Heart FoundationCancer Research UKMedical Research Council MC_UU_12015/7Medical Research Council MR/K023187/1Wellcome Trust 107337/Z/15/Z
6 · The paper itself

Abstract

objectivesTo 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 skinfold thickness (SST).

designCross-sectional study. SETTING AND

participantsChildren aged 3-4 years were recruited from 30 childcare centres in Cambridgeshire (UK) in 2013.

main outcome measuresObjectively measured height and weight was used to calculate z-BMI; 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.

resultsValid 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, WHR and SST.

conclusionsChildcare 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-level, family level, wider environmental and policy-level factors warrant substantial attention when considering obesity prevention strategies for young children.

Indexed as

Child CareSocial EnvironmentAnthropometryChild, PreschoolCross-Sectional StudiesEnergy MetabolismFemaleHealth Knowledge, Attitudes, PracticeHumansMalePediatric ObesityUnited Kingdomanthropometrychildcare environmentnutritionphysical activitypreschool

Identifiers

PMID30002012
PMCPMC6082453

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.