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Article

Association of Lifestyle Factors and Neuropsychological Development of 4-Year-Old Children

1
ISGlobal, Instituto de Salud Global de Barcelona-Campus MAR, 08003 Barcelona, Spain
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Institut d’Investigació Sanitària Pere Virgili (IISPV), Hospital Universitari Sant Joan de Reus, 43204 Reus, Spain
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Centro de Investigacion Biomedica en Red Epidemiologia y Salud Pública (CIBERESP), 28029 Madrid, Spain
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Nutritional Epidemiology Unit Department of Public Health, History of Medicine and Gynecology, Universidad Miguel Hernández, 03550 Alicante, Spain
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Grupo de Investigación en Terapia Ocupacional (InTeO), Miguel Hernández University, 03550 Alicante, Spain
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Epidemiology and Environmental Health Joint Research Unit, FISABIO-Universitat Jaume I-Universitat de València, 08034 Valencia, Spain
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Department of Medicine, University of Oviedo, 33003 Oviedo, Spain
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Hospital Universitario Central de Asturias, 33003 Oviedo, Spain
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Public Health Division of Gipuzkoa, BioDonostia Health Research Institute, 20014 San Sebastian, Spain
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Faculty of Psychology, University of the Basque Country (UPV/EHU), 20014 San Sebastian, Spain
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Department of Experimental and Health Sciences, Universitat Pompeu Fabra (UPF), 08002 Barcelona, Spain
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Institut D’Investigació Sanitària Illes Balears (IdISBa), 07010 Palma de Mallorca, Spain
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Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBEROBN), 28029 Madrid, Spain
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(16), 5668; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17165668
Received: 1 July 2020 / Revised: 21 July 2020 / Accepted: 31 July 2020 / Published: 5 August 2020
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. View Full-Text
Keywords: cohort study; neuropsychological development; lifestyle factors; child health cohort study; neuropsychological development; lifestyle factors; child health
MDPI and ACS Style

O’Connor, G.; Julvez, J.; Fernandez-Barrés, S.; Navarrete-Muñoz, E.M.; Murcia, M.; Tardón, A.; Galán, I.R.; Amiano, P.; Ibarluzea, J.; Garcia-Esteban, R.; Vrijheid, M.; Sunyer, J.; Romaguera, D. Association of Lifestyle Factors and Neuropsychological Development of 4-Year-Old Children. Int. J. Environ. Res. Public Health 2020, 17, 5668. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17165668

AMA Style

O’Connor G, Julvez J, Fernandez-Barrés S, Navarrete-Muñoz EM, Murcia M, Tardón A, Galán IR, Amiano P, Ibarluzea J, Garcia-Esteban R, Vrijheid M, Sunyer J, Romaguera D. Association of Lifestyle Factors and Neuropsychological Development of 4-Year-Old Children. International Journal of Environmental Research and Public Health. 2020; 17(16):5668. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17165668

Chicago/Turabian Style

O’Connor, Giselle, Jordi Julvez, Silvia Fernandez-Barrés, Eva M. Navarrete-Muñoz, Mario Murcia, Adonina Tardón, Isolina R. Galán, Pilar Amiano, Jesús Ibarluzea, Raquel Garcia-Esteban, Martine Vrijheid, Jordi Sunyer, and Dora Romaguera. 2020. "Association of Lifestyle Factors and Neuropsychological Development of 4-Year-Old Children" International Journal of Environmental Research and Public Health 17, no. 16: 5668. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17165668

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