PMID- 28435162
OWN - NLM
STAT- MEDLINE
DCOM- 20180822
LR  - 20181202
IS  - 1476-5497 (Electronic)
IS  - 0307-0565 (Print)
IS  - 0307-0565 (Linking)
VI  - 41
IP  - 10
DP  - 2017 Oct
TI  - Self-regulation and household routines at age three and obesity at age eleven: 
      longitudinal analysis of the UK Millennium Cohort Study.
PG  - 1459-1466
LID - 10.1038/ijo.2017.94 [doi]
AB  - OBJECTIVE: To examine, in a population-based cohort of 3-year-old children, the 
      association between self-regulation and exposure to the household routines of 
      regular bedtime, regular mealtime and limits on watching television/video, and to 
      determine whether self-regulation and these routines predict the risk of obesity 
      at age 11. METHODS: Analyses included 10 955 children in the nationally 
      representative UK Millennium Cohort Study. When children were age 3, parents 
      reported whether children had a regular bedtime and mealtime, and the amount of 
      television/video watched. Emotional and cognitive self-regulation at age 3 were 
      assessed by parent-report with the Child Social Behaviour Questionnaire. 
      Children's height and weight were measured at age 11 and obesity was defined 
      using the International Obesity Task Force (IOTF) criteria. RESULTS: At age 3, 
      41% of children always had a regular bedtime, 47% always had a regular mealtime 
      and 23% were limited to ⩽1 h television/video daily. At age 11, 6.2% of children 
      were obese. All three household routines were significantly associated with 
      better emotional self-regulation, but not better cognitive self-regulation. In a 
      multi-variable logistic regression model, including emotional and cognitive 
      self-regulation, all routines and controlling for sociodemographic covariates, a 
      1-unit difference in emotional self-regulation at age 3 was associated with an OR 
      (95% CI) for obesity of 1.38 (1.11, 1.71) at age 11, and inconsistent bedtimes 
      with an OR (95% CI) for obesity of 1.87 (1.39, 2.51) at age 11. There was no 
      evidence that emotional self-regulation mediated the relationship between regular 
      bedtimes and later obesity. Cognitive self-regulation was not associated with 
      later obesity. CONCLUSIONS: Three-year-old children who had regular bedtimes, 
      mealtimes and limits on their television/video time had better emotional 
      self-regulation. Lack of a regular bedtime and poorer emotional self-regulation 
      at age 3 were independent predictors of obesity at age 11.
FAU - Anderson, S E
AU  - Anderson SE
AD  - Division of Epidemiology, The Ohio State University College of Public Health, 
      Columbus, OH, USA.
FAU - Sacker, A
AU  - Sacker A
AD  - Department of Epidemiology and Public Health, University College London, London, 
      UK.
AD  - International Centre for Lifecourse Studies in Society and Health, University 
      College London, London, UK.
FAU - Whitaker, R C
AU  - Whitaker RC
AD  - Department of Epidemiology and Biostatistics, College of Public Health, Temple 
      University, Philadelphia, PA, USA.
AD  - Department of Pediatrics, School of Medicine, Temple University, Philadelphia, 
      PA, USA.
AD  - Center for Obesity Research and Education, College of Public Health, Temple 
      University, Philadelphia, PA, USA.
FAU - Kelly, Y
AU  - Kelly Y
AD  - Department of Epidemiology and Public Health, University College London, London, 
      UK.
AD  - International Centre for Lifecourse Studies in Society and Health, University 
      College London, London, UK.
LA  - eng
GR  - R21 DK104188/DK/NIDDK NIH HHS/United States
PT  - Journal Article
DEP - 20170424
PL  - England
TA  - Int J Obes (Lond)
JT  - International journal of obesity (2005)
JID - 101256108
SB  - IM
MH  - Child
MH  - *Child Behavior
MH  - *Child Rearing
MH  - Child, Preschool
MH  - Exercise
MH  - Family Characteristics
MH  - Feeding Behavior
MH  - Female
MH  - Humans
MH  - *Life Style
MH  - Logistic Models
MH  - Longitudinal Studies
MH  - Male
MH  - *Parents/education
MH  - Pediatric Obesity/*epidemiology/etiology
MH  - Prevalence
MH  - Prospective Studies
MH  - Sedentary Behavior
MH  - *Self-Control
MH  - Sleep
MH  - Social Behavior
MH  - Television
MH  - Time Factors
MH  - United Kingdom/epidemiology
PMC - PMC5626576
MID - NIHMS856825
COIS- Conflict of Interest: The authors declare no conflict of interest.
EDAT- 2017/04/25 06:00
MHDA- 2018/08/23 06:00
PMCR- 2017/10/24
CRDT- 2017/04/25 06:00
PHST- 2016/11/29 00:00 [received]
PHST- 2017/02/20 00:00 [revised]
PHST- 2017/02/27 00:00 [accepted]
PHST- 2017/04/25 06:00 [pubmed]
PHST- 2018/08/23 06:00 [medline]
PHST- 2017/04/25 06:00 [entrez]
PHST- 2017/10/24 00:00 [pmc-release]
AID - ijo201794 [pii]
AID - 10.1038/ijo.2017.94 [doi]
PST - ppublish
SO  - Int J Obes (Lond). 2017 Oct;41(10):1459-1466. doi: 10.1038/ijo.2017.94. Epub 2017 
      Apr 24.