Audelo Jocelyn, Kogut Katherine, Harley Kim G, Rosas Lisa G, Stein Lauren, Eskenazi Brenda
Maternal and Child Health Program, Division of Community Health and Human Development, School of Public Health, University of California, Berkeley, CA, USA.
Kaiser Permanente Care Management Institute, Oakland, CA, USA.
Matern Child Health J. 2016 Jul;20(7):1405-14. doi: 10.1007/s10995-016-1937-9.
Objective Although previous studies have examined the impact of maternal depression on child overweight and obesity, little is known about the relationship in Latino families, who suffer from high risks of depression and obesity. We prospectively investigated the association between depressive symptoms in women with young children and child overweight and obesity (overweight/obesity) at age 7 years among Latino families. Methods Participants included 332 singletons with anthropometric measures obtained at 7 years from the Center for the Health Assessment of Mothers and Children of Salinas (CHAMACOS) study, a birth cohort study. Maternal depression was assessed using the Center for Epidemiologic Studies-Depression (CES-D) scale when the children were 1, 3.5, and 7 years. Overweight and obesity was measured by body mass index (kg/m(2)) at age 7 years. Results 63 % of women had CES-D scores consistent with depression in at least one of the 3 given assessments. Compared to children whose mothers were never depressed, children whose mothers were depressed at all three assessments had 2.4 times the adjusted odds of overweight/obesity at age 7 years (95 % CI 1.1-5.6). However, a single positive maternal depression screen was not associated with child overweight/obesity and there was no difference in the odds of overweight/obesity by the age of the child when maternal depression occurred. Conclusion Chronic maternal depression during a child's early life was associated with child overweight/obesity at 7 years. Addressing maternal depression is a critical component of comprehensive obesity prevention and treatment strategies for Latino children.
目的 尽管先前的研究已经考察了母亲抑郁对儿童超重和肥胖的影响,但对于面临抑郁和肥胖高风险的拉丁裔家庭中的这种关系却知之甚少。我们前瞻性地调查了拉丁裔家庭中幼儿母亲的抑郁症状与孩子7岁时超重和肥胖(超重/肥胖)之间的关联。方法 参与者包括332名单胎儿童,其人体测量数据来自萨利纳斯母婴健康评估中心(CHAMACOS)研究中的7岁儿童,这是一项出生队列研究。当孩子1岁、3.5岁和7岁时,使用流行病学研究中心抑郁量表(CES-D)评估母亲的抑郁情况。通过7岁时的体重指数(kg/m²)测量超重和肥胖情况。结果 63%的女性在三次给定评估中的至少一次中CES-D得分符合抑郁标准。与母亲从未抑郁的孩子相比,母亲在所有三次评估中都抑郁的孩子在7岁时超重/肥胖的调整后几率是其2.4倍(95%可信区间1.1 - 5.6)。然而,单次母亲抑郁筛查呈阳性与孩子超重/肥胖无关,且母亲抑郁发生时孩子的年龄对超重/肥胖几率没有影响。结论 孩子早年母亲的慢性抑郁与孩子7岁时的超重/肥胖有关。解决母亲抑郁问题是拉丁裔儿童综合肥胖预防和治疗策略的关键组成部分。