Nawa Nobutoshi, Trude Angela C B, Black Maureen M, Richiardi Lorenzo, Surkan Pamela J
Department of Global Health Promotion, Tokyo Medical and Dental University, Tokyo 113-8519, Japan.
Department of Medical Education Research and Development, Tokyo Medical and Dental University, Tokyo 113-8519, Japan.
Children (Basel). 2021 Oct 28;8(11):977. doi: 10.3390/children8110977.
The aim of this study was to examine the relationship between parental anxiety (father-only, mother-only, or both) and infant weight change. We performed a secondary data analysis among 551 children in the Avon Longitudinal Study of Parents and Children, a birth cohort with weight measurements collected prospectively at 4, 8, and 12 months of age. Paternal and maternal anxiety symptoms were based on the eight-item anxiety subscale of the Crown-Crisp Experiential Index. Scores in the top 15% at 8 weeks postpartum were classified as high anxiety. Generalized Estimating Equations were employed to estimate the joint association between parental anxiety and change in child weight-for-age z-score. Children who had fathers, but not mothers, with anxiety showed a 0.15 (95% CI: 0.01, 0.29) greater increase in weight-for-age z-score than children with neither parent anxious. This result suggests that paternal anxiety, not maternal anxiety, was associated with increases in child weight gain in the first year of life. Public health practitioners and clinicians should consider the use of robust measures of both maternal and paternal anxiety in the postpartum period, in addition to the suggested screening for postpartum depression. Given the limitations of the study, this study should be considered preliminary and hypothesis generating.
本研究的目的是探讨父母焦虑（仅父亲、仅母亲或父母双方）与婴儿体重变化之间的关系。我们对阿冯父母与儿童纵向研究中的551名儿童进行了二次数据分析，该出生队列前瞻性收集了4个月、8个月和12个月大时的体重测量数据。父母的焦虑症状基于皇冠-克里斯普体验指数的八项焦虑子量表。产后8周得分在前15%的被归类为高焦虑。采用广义估计方程来估计父母焦虑与儿童年龄别体重z评分变化之间的联合关联。父亲有焦虑但母亲没有焦虑的儿童，其年龄别体重z评分的增加比父母双方都不焦虑的儿童高0.15（95%置信区间：0.01，0.29）。这一结果表明，在生命的第一年，与儿童体重增加相关的是父亲的焦虑，而非母亲的焦虑。除了建议的产后抑郁症筛查外，公共卫生从业者和临床医生在产后阶段应考虑使用针对父母双方焦虑的有力测量方法。鉴于本研究的局限性，本研究应被视为初步的且仅用于提出假设。
