Attachment security and obesity in US preschool-aged children.
Attachment security and obesity in US preschool-aged children.
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DOI:
10.1001/archpediatrics.2010.292
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发表时间:
2011-03
影响因子:
--
通讯作者:
Whitaker, Robert C.
中科院分区:
文献类型:
--
作者:
Anderson, Sarah E.;Whitaker, Robert C.
Insecure attachment is associated with unhealthy physiologic and behavioral responses to stress, which could lead to the development of obesity. We estimated the association between children’s attachment security at 24 months of age and risk for obesity at 4.5 years of age. Cohort study. National sample of US children born in 2001. Children and mothers participating in the 2003 and 2005-2006 waves of the Early Childhood Longitudinal Study, Birth Cohort, conducted by the National Center for Education Statistics. Our analytic sample included 6650 children (76% of children assessed at both waves). Attachment security at 24 months was assessed by trained interviewers following observation in the child’s home. Insecure attachment was defined as lowest quartile of attachment security, based on the security score from the Toddler Attachment Sort. Obesity at 4.5 years of age (sex-specific BMI ≥95th percentile for age). The prevalence of obesity was 23.1% in children with insecure attachment and 16.6% in those with secure attachment. For children with insecure attachment, the odds (95% confidence interval) of obesity was 1.30 (1.05, 1.62) times higher than for children with secure attachment, after controlling for the quality of mother-child interaction during play, parenting practices related to obesity, maternal body mass index, and sociodemographic characteristics. Insecure attachment in early childhood may be a previously unrecognized risk factor for obesity. Interventions to increase children’s attachment security should also examine impacts on children’s weight.
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影响因子:
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DOI:
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发表时间:
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影响因子:
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作者:
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通讯作者:
Whitaker, Robert C.
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