Quality of Early Maternal-Child Relationship and Risk of Adolescent Obesity
Quality of Early Maternal-Child Relationship and Risk of Adolescent Obesity
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DOI：
10.1542/peds.2011-0972
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发表时间：
2012-01-01
期刊：
影响因子：
8
通讯作者：
Whitaker, Robert C.
中科院分区：
文献类型：
--
作者：
Anderson, Sarah E.;Gooze, Rachel A.;Whitaker, Robert C.
目的：本研究的目的是确定是否肥胖在青春期的早期母婴relationships.METHODS的质量有关：我们分析了977 1364名参与者的早期儿童保健和青年发展的研究数据。通过观察15个月、24个月和36个月大的母婴互动，评估儿童依恋安全性和母亲敏感性。母子关系质量得分被构建为在3个年龄段的孩子要么是不安全的连接或经历低母亲的敏感性的次数。青少年肥胖定义为测量BMI >= 95 th百分位数在年龄15 years.RESULTS：低质量的母婴关系（得分：>= 3）的儿童经历了24.7%，相比之下，22.0%的人，在所有3个年龄，既没有不安全的连接，也没有暴露于低母亲敏感性（得分：0）。风险评分>= 3、2、1和0的青少年肥胖患病率分别为26.1%、15.5%、12.1%和13.0%。在调整性别和出生体重后，早期母子关系质量最差（得分：>= 3）的青少年肥胖的几率（95%置信区间）是最高质量（得分：0）的2.45倍（1.49-4.04）。低母亲的敏感性更强烈地与肥胖比不安全attachment.CONCLUSIONS：质量差的早期母子关系与青少年肥胖的患病率较高。旨在提高母婴互动质量的干预措施应考虑评估对儿童体重的影响，并研究涉及压力反应和情绪调节的潜在机制。儿科2012; 129：132-140
OBJECTIVE: The goal of this study was to determine whether obesity in adolescence is related to the quality of the early maternal-child relationship.METHODS: We analyzed data from 977 of 1364 participants in the Study of Early Child Care and Youth Development. Child attachment security and maternal sensitivity were assessed by observing mother-child interaction at 15, 24, and 36 months of age. A maternal-child relationship quality score was constructed as the number of times across the 3 ages that the child was either insecurely attached or experienced low maternal sensitivity. Adolescent obesity was defined as a measured BMI >= 95th percentile at age 15 years.RESULTS: Poor-quality maternal-child relationships (score: >= 3) were experienced by 24.7% of children compared with 22.0% who, at all 3 ages, were neither insecurely attached nor exposed to low maternal sensitivity (score: 0). The prevalence of adolescent obesity was 26.1%, 15.5%, 12.1%, and 13.0% for those with risk scores of >= 3, 2, 1, and 0, respectively. After adjustment for gender and birth weight, the odds (95% confidence interval) of adolescent obesity was 2.45 (1.49-4.04) times higher in those with the poorest quality early maternal-child relationships (score: >= 3) compared with those with the highest quality (score: 0). Low maternal sensitivity was more strongly associated with obesity than insecure attachment.CONCLUSIONS: Poor quality of the early maternal-child relationship was associated with a higher prevalence of adolescent obesity. Interventions aimed at improving the quality of maternal-child interactions should consider assessing effects on children's weight and examining potential mechanisms involving stress response and emotion regulation. Pediatrics 2012; 129: 132-140