Department of Health Studies, College of Human Science, University of South Africa, Pretoria, South Africa.
School of Public Health, Saint Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
Child Care Health Dev. 2023 Mar;49(2):392-399. doi: 10.1111/cch.13057. Epub 2022 Sep 12.
Poor maternal mental health is a major risk factor for adverse offspring health outcomes, including overweight/obesity status. Maternal mental distress is highly prevalent and associated with parenting practices influencing child weight. To date, there is little information documented in Ethiopia on maternal mental distress and children with overweight/obesity status. This study examined the association between maternal mental distress and children with overweight/obesity among mother-child dyads in Addis Ababa, Ethiopia.
An observational population-based cross-sectional study was conducted among mother-child dyads in representative samples in Addis Ababa, Ethiopia. Maternal mental distress was measured using the Self-Reporting Questionnaire (SRQ)-20. Child/adolescent overweight/obesity was defined as more than 1 SD above the median World Health Organization (WHO) growth reference. Multivariate logistic regression was used to estimate odds ratios (ORs) and 95% confidence intervals (CIs).
The prevalence of maternal mental distress and children with overweight/obesity was estimated to be 10.1% and 28.8%, respectively. After adjusting for confounders, including maternal education, maternal occupation, average monthly household income, maternal body mass index (BMI) and the number of household members/family size, maternal psychological distress was not associated with offspring overweight/obesity status (adjusted OR [aOR] = 0.54; 95% CI: 0.25, 1.14).
There is no evidence of an association between maternal psychological distress and children with overweight/obesity. This lack of association might be attributable to our cross-sectional study design. Future epidemiologic studies, particularly those using prospectively collected data, are warranted to examine better the effects of maternal psychological distress on offspring body weight.
孕产妇心理健康状况不佳是导致后代健康不良后果的主要危险因素，包括超重/肥胖。孕产妇心理困扰的发生率很高，与影响儿童体重的养育方式有关。迄今为止，埃塞俄比亚在孕产妇心理困扰和超重/肥胖儿童方面的信息很少。本研究旨在探讨孕产妇心理困扰与埃塞俄比亚亚的斯亚贝巴母婴对子代超重/肥胖的关系。
在埃塞俄比亚亚的斯亚贝巴的代表性样本中进行了一项观察性基于人群的横断面研究，研究对象为母婴对子。采用自我报告问卷（SRQ-20）测量孕产妇心理困扰。儿童/青少年超重/肥胖的定义为超过世界卫生组织（WHO）生长参考中位数 1 个标准差以上。采用多变量逻辑回归估计比值比（OR）和 95%置信区间（CI）。
孕产妇心理困扰和儿童超重/肥胖的患病率估计分别为 10.1%和 28.8%。在校正包括母亲教育、母亲职业、家庭月平均收入、母亲体重指数（BMI）和家庭成员数量/家庭规模等混杂因素后，母亲心理困扰与子女超重/肥胖状态无关（调整后的 OR [aOR] = 0.54；95%CI：0.25，1.14）。
没有证据表明孕产妇心理困扰与儿童超重/肥胖之间存在关联。这种缺乏关联可能归因于我们的横断面研究设计。未来需要进行更多的流行病学研究，特别是使用前瞻性收集数据的研究，以更好地研究孕产妇心理困扰对后代体重的影响。
