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

Giselle O’Connor, Jordi Julvez, Silvia Fernandez-Barrés, Eva Mᵃ Navarrete-Muñoz, Mario Murcia, Adonina Tardón, Isolina Riaño Galán, Pilar Amiano, Jesús Ibarluzea, Raquel Garcia-Esteban, Martine Vrijheid, Jordi Sunyer and Dora Romaguera
Additional contact information
Giselle O’Connor: ISGlobal, Instituto de Salud Global de Barcelona-Campus MAR, 08003 Barcelona, Spain
Jordi Julvez: Institut d’Investigació Sanitària Pere Virgili (IISPV), Hospital Universitari Sant Joan de Reus, 43204 Reus, Spain
Silvia Fernandez-Barrés: ISGlobal, Instituto de Salud Global de Barcelona-Campus MAR, 08003 Barcelona, Spain
Eva Mᵃ Navarrete-Muñoz: Centro de Investigacion Biomedica en Red Epidemiologia y Salud Pública (CIBERESP), 28029 Madrid, Spain
Mario Murcia: Centro de Investigacion Biomedica en Red Epidemiologia y Salud Pública (CIBERESP), 28029 Madrid, Spain
Adonina Tardón: Centro de Investigacion Biomedica en Red Epidemiologia y Salud Pública (CIBERESP), 28029 Madrid, Spain
Isolina Riaño Galán: Centro de Investigacion Biomedica en Red Epidemiologia y Salud Pública (CIBERESP), 28029 Madrid, Spain
Pilar Amiano: Public Health Division of Gipuzkoa, BioDonostia Health Research Institute, 20014 San Sebastian, Spain
Jesús Ibarluzea: Centro de Investigacion Biomedica en Red Epidemiologia y Salud Pública (CIBERESP), 28029 Madrid, Spain
Raquel Garcia-Esteban: ISGlobal, Instituto de Salud Global de Barcelona-Campus MAR, 08003 Barcelona, Spain
Martine Vrijheid: ISGlobal, Instituto de Salud Global de Barcelona-Campus MAR, 08003 Barcelona, Spain
Jordi Sunyer: ISGlobal, Instituto de Salud Global de Barcelona-Campus MAR, 08003 Barcelona, Spain
Dora Romaguera: ISGlobal, Instituto de Salud Global de Barcelona-Campus MAR, 08003 Barcelona, Spain

IJERPH, 2020, vol. 17, issue 16, 1-11

Abstract: 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.

Keywords: cohort study; neuropsychological development; lifestyle factors; child health (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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