O'Connor S G, Maher J P, Belcher B R, Leventhal A M, Margolin G, Shonkoff E T, Dunton G F
Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, USA.
Department of Psychology, Dana and David Dornsife College of Letters, Arts and Sciences, University of Southern California, Los Angeles, USA.
Obes Rev. 2017 May;18(5):514-525. doi: 10.1111/obr.12522. Epub 2017 Mar 9.
Low adherence to guidelines for weight-related behaviours (e.g. dietary intake and physical activity) among US children underscores the need to better understand how parental factors may influence children's obesity risk. In addition to most often acting as primary caregiver to their children, women are also known to experience greater levels of stress than men. This study systematically reviewed associations between maternal stress and children's weight-related behaviours. Our search returned 14 eligible articles, representing 25 unique associations of maternal stress with a distinct child weight-related behaviour (i.e. healthy diet [n = 3], unhealthy diet [n = 6], physical activity [n = 7] and sedentary behaviour [n = 9]). Overall, findings for the relationship between maternal stress and children's weight-related behaviours were mixed, with no evidence for an association with children's healthy or unhealthy dietary intake, but fairly consistent evidence for the association of maternal stress with children's lower physical activity and higher sedentary behaviour. Recommendations for future research include prioritizing prospective designs, identifying moderators, and use of high-resolution, real-time data collection techniques to elucidate potential mechanisms.
美国儿童对与体重相关行为（如饮食摄入和体育活动）指南的依从性较低，这凸显了更深入了解父母因素如何影响儿童肥胖风险的必要性。除了大多数情况下作为孩子的主要照顾者外，女性承受的压力水平也高于男性。本研究系统回顾了母亲压力与儿童体重相关行为之间的关联。我们的检索共得到14篇符合条件的文章，代表了母亲压力与不同儿童体重相关行为（即健康饮食[n = 3]、不健康饮食[n = 6]、体育活动[n = 7]和久坐行为[n = 9]）之间的25种独特关联。总体而言，母亲压力与儿童体重相关行为之间关系的研究结果不一，没有证据表明与儿童的健康或不健康饮食摄入有关联，但有相当一致的证据表明母亲压力与儿童体育活动较少和久坐行为较多有关联。对未来研究的建议包括优先采用前瞻性设计、确定调节因素，以及使用高分辨率实时数据收集技术来阐明潜在机制。
