Parent-Perceived Stress and Its Association With Children's Weight and Obesity-Related Behaviors
Parent-Perceived Stress and Its Association With Children's Weight and Obesity-Related Behaviors
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DOI：
10.5888/pcd16.180368
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发表时间：
2019-03-01
影响因子：
5.5
通讯作者：
Sharifi, Mona
中科院分区：
文献类型：
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作者：
Baskind, Melanie J.;Taveras, Elsie M.;Sharifi, Mona
在成人和儿童人群中，心理社会压力与肥胖有关，但很少有研究考察父母感知的压力与儿童肥胖风险和相关行为的关系。方法我们研究了马萨诸塞州689对2-12岁的父母和儿童，他们的身体质量指数(BMI)在第85个百分位数或以上。招募发生在2014年6月至2015年3月，数据收集于2016年3月结束。我们询问了父母他们感受到的压力，并将他们的反应归类为低、中或高。我们使用调整了儿童和父母特征的多变量回归模型，检验了父母的压力与儿童BMI(以第95个百分位数(%BMIp95)的百分比表示)和肥胖相关行为的关系。我们根据种族/民族、家庭年收入和孩子的年龄对结果进行分层。结果在完全调整的模型中，父母报告的高或低压力与儿童的%BMIp95之间的关联仍然显著，只有低收入家庭的儿童(Beta=5.12；95%可信区间[CI]，0.94-9.30)和非西班牙裔黑人儿童(Beta=7.76；95%CI，1.85-13.66)仍然显著。高压力或中等压力与低压力相比，父母不太可能报告他们的孩子满足推荐的快餐消费(高压力，患病率[PR]=0.79；95%CI，0.65~0.96；中等压力，PR=0.70；95%CI，0.59~0.82)，但高压力与低压力的父母报告满足日常体育活动建议的可能性更大(PR=1.21；95%CI，1.01~1.45)。结论在超重或肥胖儿童中，父母感知的压力与快餐消费和体育活动有关。在低收入家庭和非西班牙裔黑人儿童中，父母感受到的压力与儿童%BMIp95相关。肥胖干预应考虑父母感受到的压力，以及不同种族/民族和社会经济背景的父母感受到的压力性质的潜在差异。
IntroductionPsychosocial stress is associated with obesity in adult and pediatric populations, but few studies have examined the relationship between parent-perceived stress and risk of child obesity and related behaviors.MethodsWe studied 689 pairs of parents and children aged 2 to 12 in Massachusetts with a body mass index (BMI) at or above the 85th percentile. Recruitment occurred from June 2014 to March 2015, and data collection ended in March 2016. We asked parents about their perceived stress and categorized responses as low, moderate, or high. We examined associations of parents' stress with children's BMI, expressed as a percentage of the 95th percentile (%BMIp95), and obesity-related behaviors by using multivariable regression models adjusted for child and parent characteristics. We stratified results by race/ethnicity, annual household income, and the child's age.ResultsIn fully adjusted models, the association between high versus low parent-reported stress and children's %BMIp95 remained significant only for children in low-income households (beta = 5.12; 95% confidence interval [CI], 0.94-9.30) and for non-Hispanic black children (beta = 7.76; 95% CI, 1.85-13.66). Parents with high or moderate stress versus low stress were less likely to report that their children met recommendations for fast-food consumption (high stress, prevalence ratio [PR] = 0.79; 95% CI, 0.65-0.96; moderate stress, PR = 0.70; 95% CI, 0.59-0.82), but parents with high versus low stress were more likely to report meeting daily physical activity recommendations (PR = 1.21; 95% CI, 1.01-1.45).ConclusionAmong children with overweight or obesity, parent-perceived stress was associated with fast-food consumption and physical activity. Parent-perceived stress was associated with child %BMIp95 among children in low-income households and non-Hispanic black children. Obesity interventions should consider parent-perceived stress and potential differences in the nature of stress experienced by parents of different racial/ethnic and socioeconomic backgrounds.