Associations among body mass index,screen exposure,and executive function in preschool children
Objective To analyze the associations among body mass index(BMI),learning screen/gaming screen exposure and executive function in preschool children in Anhui Province,so as to provide a basis for promoting the development of executive function in preschool children.Methods In June 2022,a stratified cluster sampling and convenience sampling methods were used to survey 3 534 mothers of preschool children in Wuhu City,Lu'an City,and Fuyang City,Anhui Province.The Behavior Rating Inventory of Executive Function-Preschool Version(BRIEF-P)was used to assess the preschool children's executive function ab-normalities.Binary Logistic regression was conducted to examine the relationships among BMI,learning screen/gaming screen expo-sure,and their combined effects on executive function abnormalities.Results The detection rate of abnormal executive function in preschool children was 9.65%.Logistic regression analysis showed that after adjusting for the confounding factors such as pregnancy-induced hypertension,primary caregivers,family per capita monthly income and family structure,the risk of abnormal executive function of children in overweight/obesity group and high learning screen/gaming screen exposure group increased signifiicantly(o-verweight/obesity:OR=1.78,95%CI=1.31-2.42,learning screen exposure:OR=1.48,95%CI=1.18-1.86,gaming screen expo-sure:OR=1.50,95%CI=1.18-1.91,P<0.05).Compared with children with normal BMI and low learning screen/gaming screen screen exposure,those with both overweight/obesity and high learning screen/gaming screen exposure had a significantly greater risk of executive function abnormalities(OR=2.07,95%CI=1.29-3.31;OR=2.42,95%CI=1.59-3.68,P<0.05).Conclusions Overweight/obesity and high learning screen/gaming screen exposure are important risk factors for executive function abnormalities in preschool children.Therefore,actively guiding preschool children to develop healthy life habits to promote the normal develop-ment of their executive functions is essential.
Body mass indexFixation,ocularExecutive functionRegression analysisChild,preschool