Maternal Depressive Symptoms and Child Obesity in Low-Income Urban Families
Maternal Depressive Symptoms and Child Obesity in Low-Income Urban Families
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DOI：
10.1016/j.acap.2013.04.002
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发表时间：
2013-07-01
影响因子：
3.1
通讯作者：
Racine, Andrew D.
中科院分区：
文献类型：
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作者：
Gross, Rachel S.;Velazco, Nerissa K.;Racine, Andrew D.
目的：研究低收入城市家庭中母亲抑郁症状与儿童体重状况、促进肥胖喂养行为和活动相关行为的关系。方法：对在联邦合格的社区卫生中心接受儿科护理的5岁儿童的母亲进行横断面调查。我们使用回归分析来检验母亲抑郁症状(分为无、轻度、中度和重度)与1)儿童体重状况的关系；2)促进肥胖的喂养习惯，包括用餐时间和喂养方式；以及3)与活动相关的行为，包括睡眠时间、屏幕时间和户外游戏时间。结果：样本包括401对母子(应答率为78.3%)，23.4%的母亲报告抑郁症状(15.7%的轻度，7.7%的中度到重度)。有中度到重度抑郁症状的母亲比没有抑郁症状的母亲更有可能生下超重和肥胖的孩子(调整后的优势比2.62；95%可信区间1.02-6.70)。与非抑郁母亲的孩子相比，轻度抑郁母亲的孩子更有可能喝含糖饮料，更有可能在餐馆吃饭，而不太可能吃早餐。有抑郁症状的母亲比没有抑郁的母亲更不可能设定限制，不太可能用食物作为奖励，不太可能限制孩子的摄入量，也不太可能树立健康饮食的榜样。与非抑郁母亲的孩子相比，抑郁母亲的孩子每天的睡眠和户外游戏时间更少。结论：母亲抑郁症状与儿童超重和肥胖状况以及几种促进肥胖的做法有关。这些结果支持在儿童肥胖预防计划中进行母亲抑郁筛查的必要性。进一步的研究应该探索如何纳入所需的心理健康支持。
OBJECTIVE: To characterize the relationship between maternal depressive symptoms and child weight status, obesity-promoting feeding practices, and activity-related behaviors in low-income urban families.METHODS: We conducted a cross-sectional survey of mothers with 5-year-old children receiving pediatric care at a federally qualified community health center. We used regression analyses to examine the relationship between maternal depressive symptoms (trichotomized: none, mild, moderate to severe) and 1) child weight status; 2) obesity-promoting feeding practices, including mealtime practices and feeding styles; and 3) activity-related behaviors, including sleep time, screen time, and outdoor playtime.RESULTS: The sample included 401 mother-child pairs (78.3% response rate), with 23.4% of mothers reporting depressive symptoms (15.7% mild, 7.7% moderate to severe). Mothers with moderate to severe depressive symptoms were more likely to have overweight and obese children than mothers without depressive symptoms (adjusted odds ratio 2.62; 95% confidence interval 1.02-6.70). Children of mildly depressed mothers were more likely to consume sweetened drinks and to eat out at restaurants and were less likely to eat breakfast than children of nondepressed mothers. Mothers with depressive symptoms were less likely to set limits, to use food as a reward, to restrict their child's intake, and to model healthy eating than nondepressed mothers. Children with depressed mothers had less sleep and outdoor playtime per day than children of nondepressed mothers.CONCLUSIONS: Maternal depressive symptoms are associated with child overweight and obese status and with several obesity-promoting practices. These results support the need for maternal depression screening in pediatric obesity prevention programs. Further research should explore how to incorporate needed mental health support.