Belcher Britni R, Maher Jaclyn P, Lopez Nanette V, Margolin Gayla, Leventhal Adam M, Ra Chaelin K, O'Connor Sydney, Gruenewald Tara L, Huh Jimi, Dunton Genevieve F
Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, Los Angeles, CA, USA.
, 2001 N. Soto Street, Room 302F, Los Angeles, CA, 90032-9239, USA.
Matern Child Health J. 2019 Apr;23(4):547-556. doi: 10.1007/s10995-018-2671-2.
Objectives Mothers report higher levels of psychological stress than fathers. s. Psychological stress is posited to influence parenting practices that could increase children's obesity risk. However, previous studies have not investigated several aspects of maternal mental health and the moderating role of household structure on children's obesity risk. The objective was to investigate associations of maternal mental health with child obesity risk, and whether these associations differed by household structure (single-parent vs. dual parent/multigenerational). Methods Mothers and their 8-12 year old children (N = 175 dyads) completed baseline questionnaires on mothers' mental health and child anthropometrics. Separate logistic regressions assessed associations of standardized maternal mental health indicators with the odds of child overweight/obesity, controlling for child age, and women's BMI, age, education, employment status, and annual income. Household structure was investigated as a moderator of these relationships.Results There were no statistically significant relationships between maternal mental health characteristics and odds of child overweight/obesity. Among single mothers only, greater anxiety was associated with higher risk of child overweight/obesity [OR (95% CI) = 3.67 (1.27-10.62); p = 0.0163]; and greater life satisfaction was marginally associated with lower risk of child overweight/obesity [OR (95% CI) = 0.44 (0.19-1.01); p = 0.0522]. Mothers' life satisfaction may lower risk for their children's overweight/obesity, whereas higher anxiety may increase this risk, particularly among children living in single-mother households. Conclusions for Practice Future interventions could increase resources for single mothers to buffer the effects of stress and lower pediatric obesity risk.
目标 母亲报告的心理压力水平高于父亲。心理压力被认为会影响养育方式，进而增加孩子肥胖的风险。然而，以往的研究并未考察母亲心理健康的几个方面以及家庭结构对孩子肥胖风险的调节作用。本研究的目的是调查母亲心理健康与孩子肥胖风险之间的关联，以及这些关联在家庭结构（单亲家庭与双亲/多代家庭）方面是否存在差异。方法 母亲及其8至12岁的孩子（N = 175对）完成了关于母亲心理健康和孩子人体测量学的基线调查问卷。分别进行逻辑回归分析，评估标准化的母亲心理健康指标与孩子超重/肥胖几率之间的关联，并控制孩子年龄、母亲的体重指数、年龄、教育程度、就业状况和年收入。将家庭结构作为这些关系的调节因素进行研究。结果 母亲心理健康特征与孩子超重/肥胖几率之间没有统计学上的显著关系。仅在单身母亲中，焦虑程度越高与孩子超重/肥胖风险越高相关[比值比（95%置信区间）= 3.67（1.27 - 10.62）；p = 0.0163]；生活满意度越高与孩子超重/肥胖风险越低呈微弱相关[比值比（95%置信区间）= 0.44（0.19 - 1.01）；p = 0.0522]。母亲的生活满意度可能会降低孩子超重/肥胖的风险，而焦虑程度越高可能会增加这种风险，特别是在单亲家庭的孩子中。实践结论 未来的干预措施可以增加对单身母亲的资源投入，以缓冲压力的影响并降低儿童肥胖风险。
