The Association of Parental/Caregiver Chronic Stress with Youth Obesity: Findings from the Study of Latino Youth and the Hispanic Community Health Study/Study of Latinos Sociocultural Ancillary Study
The Association of Parental/Caregiver Chronic Stress with Youth Obesity: Findings from the Study of Latino Youth and the Hispanic Community Health Study/Study of Latinos Sociocultural Ancillary Study
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DOI：
10.1089/chi.2016.0205
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发表时间：
2017-08-01
影响因子：
2.5
通讯作者：
Gallo, Linda C.
中科院分区：
文献类型：
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作者：
Isasi, Carmen R.;Hua, Simin;Gallo, Linda C.
背景：先前的研究表明，慢性应激与成人肥胖有关。然而，在西班牙裔/拉丁裔人群中，父母/照顾者压力是否与后代肥胖有关尚未得到广泛研究。在这项研究中，我们评估了照顾者慢性压力对儿童肥胖的作用，以及家庭食物环境或儿童生活方式行为是否解释了这种关联。方法：本研究纳入了拉丁裔青年研究（SOL）青年研究和西班牙裔社区健康研究/SOL社会文化研究中的西班牙裔/拉丁裔青年及其照顾者样本（n=473），该研究招募了来自四个城市（布朗克斯、芝加哥、迈阿密和圣地亚哥）的8-16岁儿童，并提供了成人慢性压力评估。泊松回归模型用于评估父母/照顾者压力与儿童肥胖之间的关系，并对潜在的混杂因素进行调整。结果：22%的护理人员没有报告任何慢性压力源，48%报告1-2,29%报告bb0 = 3压力源。青少年肥胖的患病率随着照顾者压力源数量的增加而增加，从没有照顾者压力源的23%增加到有三个压力源的35% （p为趋势0.03）。模型调整后，照顾者报告>= 3压力源的青少年比照顾者没有报告压力源的青少年更容易肥胖（患病率比=1.53；95%可信区间1.01-2.32）。这种关联与食物、家庭环境、儿童饮食质量和儿童体育活动无关，但与照顾者肥胖无关。结论：这些研究结果表明，父母/照顾者的慢性压力与儿童肥胖有关。未来的研究需要在纵向研究和其他人群中证实这种关联。
Background: Prior studies indicate that chronic stress is associated with obesity in adults. However, whether parental/caregiver stress is associated with obesity in their offspring has not been widely examined in Hispanic/Latino populations. In this study, we evaluated the role of caregiver chronic stress on child obesity and whether home food environment or child lifestyle behaviors explained the association.Methods: The study included a sample of Hispanic/Latino youth and their caregivers (n=473) from the Study of Latinos (SOL) Youth study and the Hispanic Community Health Study/SOL Sociocultural Study, which enrolled children aged 8-16 years from four cities (Bronx, Chicago, Miami, and San Diego), and provided assessments of adult chronic stress. Poisson regression models were used to assess the association between parental/caregiver stress and child obesity, adjusting for potential confounders.Results: Twenty-two percent of caregivers did not report any chronic stressors, 48% reported 1-2, and 29% reported >= 3 stressors. The prevalence of obesity in youth increased with number of caregiver stressors from 23% among those without caregiver stressors to 35% among those with 3 stressors (p for trend 0.03). After model adjustment, youths whose caregivers reported >= 3 stressors were more likely to be obese than youths whose caregivers reported no stressors (prevalence ratio=1.53; 95% confidence interval 1.01-2.32). This association was independent of food home environment, child diet quality, and child physical activity, but it was not independent of caregiver obesity.Conclusions: These findings suggest that parental/caregiver chronic stress is related to obesity in their children. Future research is needed to confirm this association in longitudinal studies and in other population groups.