Childhood overweight and maternal depressive symptoms
Childhood overweight and maternal depressive symptoms
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DOI：
10.1136/jech.2007.065664
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发表时间：
2008-05-01
影响因子：
6.3
通讯作者：
Peterson, K. E.
中科院分区：
文献类型：
--
作者：
Surkan, P. J.;Kawachi, I.;Peterson, K. E.
目的：考虑到与营养转变相关的全球超重患病率的上升，本研究的目的是评估6 - 24个月婴儿的母亲抑郁症状是否与超重有关。方法：本横断面研究的参与者包括来自巴西东北部皮奥伊州特雷西纳低收入城市社区的589对母子。在对影响儿童生长的社会人口学和生物学因素进行调整的同时，该研究评估了母亲抑郁症状评分（用流行病学研究中心抑郁量表测量）与儿童身高体重比之间的关系，使用多变量logistic回归。儿童超重是根据世界卫生组织的生长曲线计算的，使用体重与身高之比zscore （WHZ）的第85和第95百分位截断点。结果：高抑郁症状母亲的孩子在第85百分位和第95百分位超过WHZ临界值的几率分别高出1.7和2.3。年龄在18至24个月之间的儿童（与6至12个月的儿童相比）、出生体重低、未接受家庭保健方案以及6至12个月之间的母乳喂养（与6个月相比）是与至少一项超重指标呈负相关的其他因素（优势比（OR）范围为0.3至0.6）。母亲受教育少于8年与儿童超重呈正相关（OR 1.4, 95% CI 1.0 ~ 2.1， whz为85%）。结论：6 ~ 24月龄儿童母亲抑郁症状与体重过重有关。
Aim: Given the rising global prevalence of overweight associated with the nutrition transition, the objective of this study was to evaluate whether maternal depressive symptoms are related to overweight in infants aged 6 - 24 months.Methods: Participants in this cross-sectional study included 589 mother - child dyads from low-income urban communities in Teresina, Piaui, northeast Brazil. While adjusting for sociodemographic and biological determinants of child growth, the study assessed the relationship between mothers' depressive symptom scores, measured with the Center for Epidemiologic Studies Depression Scale and child weight-for-height using multivariable logistic regression. Child overweight was calculated with the World Health Organization growth curves using 85th and 95th percentile cutoffs of the weight-for-height zscore ( WHZ).Results: Children of mothers with high depressive symptoms had 1.7 and 2.3 higher odds of being over WHZ cutoffs for the 85th and 95th percentile, respectively. Child age between 18 and 24 months ( compared with children 6 - 12 months old), being low birth weight, not receiving the Family Health Programme and breast-feeding between 6 and 12 months ( compared with,6 months) were other factors inversely related to at least one of the overweight indicators ( odds ratio ( OR) range 0.3 to 0.6). Having a mother with fewer than 8 years of education was positively associated with child overweight ( OR 1.4, 95% CI 1.0 to 2.1, for WHZ.85th%).Conclusion: Results suggest that maternal depressive symptoms are related to overweight in children aged 6 - 24 months.