Monash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University, Clayton, Victoria, Australia.
School of Sport, Exercise and Health Sciences, Loughborough University, Leicestershire, UK.
Appetite. 2020 Apr 1;147:104525. doi: 10.1016/j.appet.2019.104525. Epub 2019 Nov 19.
Current evidence indicates that to prevent the intergenerational transfer of overweight and obesity from parent to child, interventions are needed across the early life stages, from preconception to early childhood. Maternal body image is an important but often overlooked factor that is potentially implicated in both short- and long-term maternal and child health outcomes, including maternal gestational weight gain, postpartum weight retention, obesity, child feeding practices and early parenting.
The aim of this paper is to propose a conceptual model of the relationship between maternal body image (with a specific focus on body dissatisfaction) and maternal and child excess body weight risk across the pregnancy, postpartum and early childhood periods, as well as to highlight opportunities for intervention.
Our conceptual model proposes factors that mediate the associations between antenatal and postpartum maternal body dissatisfaction and maternal and childhood obesity risk. Pregnancy and postpartum present key risk periods for excess weight gain/retention and body dissatisfaction. Psychosocial factors associated with maternal body dissatisfaction, including psychopathology and disordered eating behaviours, may increase maternal and child obesity risk as well as compromise the quality of mother-child interactions underpinning child development outcomes, including physical weight gain. Our conceptual model may be useful for understanding modifiable psychosocial factors for preventing the intergenerational transfer of obesity risk from mothers to their children, from as early as pregnancy, and highlights next steps for multidisciplinary research focused on combatting maternal and child obesity during critical risk periods.
目前的证据表明，为了防止超重和肥胖从父母传给子女的代际传递，需要在从受孕前到幼儿期的整个生命早期阶段进行干预。母亲的身体形象是一个重要但经常被忽视的因素，它可能与短期和长期的母婴健康结果有关，包括母亲的妊娠期体重增加、产后体重滞留、肥胖、儿童喂养方式和早期育儿。
本文旨在提出一个概念模型，说明母亲身体形象（特别关注身体不满）与妊娠、产后和幼儿期母婴超重风险之间的关系，并强调干预的机会。
我们的概念模型提出了一些中介因素，这些因素可以调节产前和产后母亲身体不满与母亲和儿童肥胖风险之间的关联。怀孕和产后是体重增加/滞留和身体不满的关键风险期。与母亲身体不满相关的社会心理因素，包括精神病理学和饮食失调行为，可能会增加母亲和儿童肥胖的风险，并损害母子互动的质量，从而影响儿童发展结果，包括体重增加。我们的概念模型可能有助于理解可改变的社会心理因素，以防止肥胖风险从母亲传给子女，从怀孕开始，并强调了多学科研究的下一步，重点是在关键风险期对抗母婴肥胖。
