Association of lifestyle factors and neuropsychological development of 4-year-old children

Background: We aimed to assess how lifestyle factors such as diet, sleep, screen viewing, and physical activity, individually, as well as in a combined score, were associated with neuropsychological development in pre-school age children. Methods: We conducted a cross-sectional study in 1650 childre...

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Bibliographic Details
Authors: O'Connor, Giselle, Júlvez Calvo, Jordi, Fernández-Barrés, Sílvia, Navarrete-Muñoz, Eva-María, Murcia, Mario, Tardón, Adonina, Riaño Galán, Isolina, Amiano, Pilar, Ibarluzea, Jesús, García Esteban, Raquel, Vrijheid, Martine, Sunyer Deu, Jordi, Romaguera Bosch, Dora
Format: article
Status:Published version
Publication Date:2020
Country:España
Institution:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repository:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:10230/46328
Online Access:http://hdl.handle.net/10230/46328
http://dx.doi.org/10.3390/ijerph17165668
Access Level:Open access
Keyword:Child health
Cohort study
Lifestyle factors
Neuropsychological development
Description
Summary:Background: We aimed to assess how lifestyle factors such as diet, sleep, screen viewing, and physical activity, individually, as well as in a combined score, were associated with neuropsychological development in pre-school age children. Methods: We conducted a cross-sectional study in 1650 children of 4 years of age, from the Environment and Childhood Project (INMA) population-based birth cohorts in four regions of Spain. Children were classified per a childhood healthy lifestyle score (CHLS) with a range of 0 to 4 that included eating in concordance with the Mediterranean diet (1 point); reaching recommended sleep time (1 point); watching a maximum recommended screen time (1 point); and being physically active (1 point). The McCarthy Scales of Children's Abilities (MSCA) were used to test neuropsychological development. Multi-adjusted linear regression models were created to assess the association with the lifestyle factors individually and as a combined score. Results: CHLS was not associated with MSCA general cognitive score (1-point increment = -0.5, 95% CI: -1.2, 0.2). Analyzed by separate lifestyle factors, physical activity had a significant negative association with MSCA score and less TV/screen time had a negative association with MSCA score. Conclusion: In this cross-sectional study, a combined score of lifestyle factors is not related to neuropsychological development at pre-school age.