Department of Epidemiology and Public Health, Institute of Epidemiology and Health Care, University College London, London, UK.
Obesity (Silver Spring). 2021 May;29(5):888-899. doi: 10.1002/oby.23150.
The current study investigated associations between mothers' and fathers' distress reported in early childhood (at ages 9 months and 3 years) and childhood adiposity trajectories from ages 5 to 14 years.
Linear mixed-effects models were undertaken in the Millennium Cohort Study. Self-reported maternal and paternal distress was measured at ages 9 months and 3 years. BMI and fat mass index (FMI) were modeled from ages 5 to 14 years, adjusting for socioeconomic and child characteristics and stratifying by child sex.
Maternal distress reported at 9 months was associated with steeper increases in BMI and FMI trajectories for girls (BMI: β = 0.06; 95% CI: 0.01 to 0.11; FMI: β = 0.04; 95% CI: 0.00 to 0.08). Paternal distress reported at 9 months was associated with steeper increases in BMI and FMI for both girls (BMI: β = 0.06; 95% CI: 0.00 to 0.12, FMI: β = 0.05; 95% CI: -0.02 to 0.10) and boys (BMI: β = 0.09; 95% CI: 0.03 to 0.15, FMI: β = 0.06; 95% CI: 0.01 to 0.10). Maternal "moderate" distress at 3 years was associated with steeper BMI and FMI trajectories for girls only (BMI: β = 0.08; 95% CI: 0.03 to 0.12, FMI; β = 0.06; 95% CI: 0.02 to 0.10).
Maternal and paternal distress experienced in early childhood, particularly during infancy, was associated with steeper adiposity trajectories for children from ages 5 to 14 years.
本研究旨在探讨婴幼儿期(9 个月和 3 岁时)母亲和父亲报告的焦虑与儿童 5 至 14 岁期间体脂肪增长轨迹之间的关系。
在千禧年队列研究中采用线性混合效应模型。9 个月和 3 岁时测量了母亲和父亲的自我报告焦虑程度。从 5 岁到 14 岁,通过调整社会经济和儿童特征并按儿童性别分层,对 BMI 和脂肪质量指数(FMI)进行建模。
9 个月时报告的母亲焦虑与女孩 BMI 和 FMI 轨迹的斜率增加有关(BMI:β=0.06;95%CI:0.01 至 0.11;FMI:β=0.04;95%CI:0.00 至 0.08)。9 个月时报告的父亲焦虑与女孩(BMI:β=0.06;95%CI:0.00 至 0.12,FMI:β=0.05;95%CI:-0.02 至 0.10)和男孩(BMI:β=0.09;95%CI:0.03 至 0.15,FMI:β=0.06;95%CI:0.01 至 0.10)的 BMI 和 FMI 斜率增加有关。3 岁时母亲“中度”焦虑与女孩 BMI 和 FMI 轨迹的斜率增加有关(BMI:β=0.08;95%CI:0.03 至 0.12,FMI:β=0.06;95%CI:0.02 至 0.10)。
婴幼儿期(特别是婴儿期)经历的母亲和父亲的焦虑与儿童 5 至 14 岁时的体脂肪增长轨迹更陡峭有关。