Maternal depression and child BMI: longitudinal findings from a US sample.
Maternal depression and child BMI: longitudinal findings from a US sample.
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DOI：
10.1111/j.2047-6310.2011.00012.x
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发表时间：
2012-04
影响因子：
3.8
通讯作者：
Must A
中科院分区：
文献类型：
--
作者：
Duarte CS;Shen S;Wu P;Must A
探讨母亲抑郁与幼儿园（K）至5年级儿童BMI之间的关系。对幼儿纵向研究-幼儿园（ECLS-K）从K到5年级的四波数据进行分析。母亲抑郁症状（MDS）的流行病学研究中心抑郁量表的简要版本进行了测量。使用多元回归分析分析数据，调整关键协变量和潜在混杂因素。分析样本仅限于正常出生体重的儿童。MDS和儿童BMI之间的关系因儿童性别和年龄而异。在女孩中，重度MDS与3年级时较低的BMI相关（但不晚于5年级），并与K至3年级和K至5年级的BMI增加相关。在男孩中，K时严重的MDS与5年级男孩的BMI较高有关。当重度MDS发生在3年级时，女孩在5年级时的BMI较高，而男孩则无统计学显著性关系。与五年级的同龄人相比，体育活动水平较低，三年级周末的屏幕时间较多，可能是女孩MDS与儿童BMI之间关系的介导因素，而在男孩中，这种关系似乎是由不健康的饮食习惯介导的。我们的研究结果表明，孕产妇抑郁症与儿童BMI之间的关系存在发育差异和性别差异，如果得到证实，这表明解决孕产妇抑郁症的干预措施可能会对儿童肥胖产生相应的影响。
To examine the association between maternal depression and child BMI from Kindergarten (K) to 5th grade. Analysis of four waves of data from the Early Childhood Longitudinal Study – Kindergarten (ECLS-K) spanning K to 5th grade. Maternal depressive symptoms (MDS) were measured by a brief version of the Center for Epidemiological Studies Depression scale. Data were analyzed using multiple regression analyses, adjusting for key covariates and potential confounders. The analytic sample was restricted to children of normal birth weight. The relationship between MDS and child BMI varies by child gender and age. Among girls, severe MDS at K was related to lower BMI at 3rd grade (but not later at 5th grade) and to an increase in BMI from K to 3rd and K to 5th grades. Among boys, severe MDS at K was related to higher boys’ BMI at 5th grade. When severe MDS occurred at 3rd grade, it was related to higher BMI at 5th grade among girls whereas no statistically significant relationship was found for boys. Low levels of physical activity in comparison to peers at 5th grade and more screen time on weekends at 3rd grade are likely mediators of the relationship between MDS and child BMI among girls, whilst among boys the relationship appears to be mediated by unhealthy eating habits. Our findings, indicating developmental and gender differences in the relationship between maternal depression and child BMI, if confirmed, suggest that interventions addressing maternal depression may have concomitant impact on childhood obesity.
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影响因子：
7.6
作者：
BARON, RM;KENNY, DA
通讯作者：
KENNY, DA
影响因子：
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作者：
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European Childhood Obesity Trial Study Group
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通讯作者：
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作者：
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通讯作者：
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