Maternal depression, family food behavior, and child nutritional health

母亲抑郁、家庭饮食行为和儿童营养健康

• 批准号: 7841792
• 负责人: Karen P. McCurdy
• 金额: $ 7.45万
• 依托单位: UNIVERSITY OF RHODE ISLAND
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-06-01 至 2011-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7841792
• 关键词: Accounting; Address; Adult; Affect; Age; Attention; Behavior; Behavioral; Child; Child Behavior; Child Development; Cognition; Competence; Consumption; Cross-Sectional Studies; Data; Development; Discipline; Eating; Emotional; Environment; Epidemiology; Family; Food; Food Access; Food Assistance Programs; General Population; Health; Height; Helping Behavior; High Prevalence; Home environment; Household; Housing; Incidence; Intervention; Knowledge; Language; Light; Link; Longitudinal Studies; Love; Low Income Population; Low income; Maternal Behavior; Measures; Mediating; Mental Depression; Methods; Modeling; Mothers; Nursery Schools; Nutritional; Obesity; Outcome; Overweight; Parenting behavior; Parents; Pathway interactions; Patient Self-Report; Poverty; Prevalence; Recruitment Activity; Research; Resources; Rhode Island; Risk; Role; Sampling; Source; Stress; Testing; Weight; Woman; Work; child depression; comparative; cost; depressive symptoms; experience; feeding; food consumption; food quality; food resource; food security; interest; maternal depression; nutrition; programs; public health relevance; social; urban area

DESCRIPTION (provided by applicant): Food insecurity and overweight pose significant risks to the optimal development of low income children. While insufficient consumption of high-quality nutritious food and/or excessive consumption of poor quality foods are the proximal causes of these behaviors, maternal behavior is particularly critical in determining access and availability of the food in a young child's household. Low-income women are at increased risk for depression and the effects of maternal depression on parenting behaviors (i.e., discipline strategies, warmth) are well established. In turn, these same maternal behaviors have been linked to a wide range of child behavioral outcomes. This study expands on this research to examine how maternal depression affects family food behaviors, including food acquisition and consumption strategies, and how these in turn are related to food security status and weight among preschool-aged children. A sample of 150 low-income, ethnically diverse mothers and their preschool age children will be recruited from 5 preschool programs located in poor, urban areas of Rhode Island. This comparative, cross-sectional study will test the following hypotheses: 1) greater maternal depressive symptomatology will correspond to higher child BMIs and more severe child food insecurity; 2) more active and involved family food behaviors will be associated with healthier child weight and greater food security; and 3) family food behaviors including acquisition strategies (e.g., borrowing, alternative food sources) and food consumption strategies (e.g., eating with child, watching TV during meals) will mediate the association between maternal depression and child nutritional health. Maternal self-report data will be collected to assess depression, family food behaviors, household and child food security status. Children's height and weight will be collected using standard anthropometric methods. OLS regression and logistical regression models will be utilized to test the direct effects between depression and child nutritional health (e.g., continuous and categorical indicators of weight status and food security status), and between family food behaviors and child nutritional health. The Sobel product of coefficients test will be used to assess whether family food behaviors mediate the pathway between maternal depression and child nutritional health. Results from this study will expand current considerations in the treatment of depression among low-income women to include concerns about food insecurity, nutrition and food behaviors for their children. In addition, the results of this study will provide a greater understanding of the effect of family food behaviors on child nutritional health and lay the groundwork for a more intensive, longitudinal study of competing mechanisms that account for the associations between food insecurity and overweight among low-income populations. PUBLIC HEALTH RELEVANCE: The results of this research will further our understanding of the role that maternal depression may have in the incidence of food insecurity and development of overweight status among low-income children. By identifying the particular behaviors and strategies that depressed mothers use to acquire food and feed their families, we will be able to recommend treatment interventions that address food insecurity, nutrition and food behaviors of young children. In addition, a more in-depth understanding of maternal food acquisition strategies will lay the groundwork for an intensive study of competing mechanisms that account for the associations between food insecurity and overweight among low-income children.

描述（由申请人提供）：粮食不安全和超重对低收入儿童的最佳发展构成重大风险。虽然高质量营养食品的消费不足和/或劣质食品的过度消费是这些行为的近端原因，但母亲的行为在决定幼儿家庭食物的获得和供应方面尤为关键。低收入妇女患抑郁症的风险增加，母亲抑郁症对养育行为的影响（即，纪律策略，温暖）已经建立。反过来，这些相同的母亲行为与广泛的儿童行为结果有关。本研究扩展了这项研究，以探讨母亲抑郁症如何影响家庭食物行为，包括食物获取和消费策略，以及这些又如何与学龄前儿童的食物安全状况和体重相关。将从位于罗得岛贫困城市地区的5个学前教育项目中招募150名低收入、种族多样化的母亲及其学龄前儿童。这项比较性的横断面研究将检验以下假设：1）更高的母亲抑郁症将对应于更高的儿童BMI和更严重的儿童食物不安全; 2）更积极和参与的家庭食物行为将与更健康的儿童体重和更大的食物安全相关; 3）家庭食物行为，包括获取策略（例如，借贷、替代食物来源）和食物消费战略（例如，与孩子一起吃饭，吃饭时看电视）将调解母亲抑郁症和儿童营养健康之间的关联。将收集母亲自我报告数据，以评估抑郁、家庭饮食行为、家庭和儿童食品安全状况。将使用标准人体测量方法收集儿童的身高和体重。OLS回归和逻辑回归模型将用于测试抑郁症和儿童营养健康之间的直接影响（例如，体重状况和食品安全状况的连续和分类指标），以及家庭饮食行为与儿童营养健康之间的关系。Sobel系数积检验将用于评估家庭食物行为是否介导母亲抑郁症和儿童营养健康之间的途径。这项研究的结果将扩大目前治疗低收入妇女抑郁症的考虑因素，包括对其孩子的粮食不安全、营养和饮食行为的担忧。此外，这项研究的结果将提供一个更好的了解家庭食物行为对儿童营养健康的影响，并奠定了基础，为竞争机制，占低收入人群的粮食不安全和超重之间的关联更深入，纵向研究。 公共卫生关系：这项研究的结果将进一步了解母亲抑郁症可能在低收入儿童的粮食不安全和超重状态发展中的作用。通过确定抑郁母亲用于获取食物和养活家人的特定行为和策略，我们将能够推荐治疗干预措施，解决幼儿的食物不安全，营养和食物行为。此外，更深入地了解母亲的食物获取战略将奠定基础，深入研究竞争机制，占粮食不安全和超重之间的关联低收入儿童。

项目成果

Food- and health-related correlates of self-reported body mass index among low-income mothers of young children.

低收入幼儿母亲自我报告的体重指数与食物和健康相关。

• DOI: 10.1016/j.jneb.2015.01.004
• 发表时间: 2015
• 期刊: Journal of nutrition education and behavior
• 影响因子: 2.6
• 作者: McCurdy,Karen;Kisler,Tiffani;Gorman,KathleenS;Metallinos-Katsaras,Elizabeth
• 通讯作者: Metallinos-Katsaras,Elizabeth

Associations between family food behaviors, maternal depression, and child weight among low-income children.

• DOI: 10.1016/j.appet.2014.04.015
• 发表时间: 2014-08
• 期刊: APPETITE
• 影响因子: 5.4
• 作者: McCurdy, Karen;Gorman, Kathleen S.;Kisler, Tiffani;Metallinos-Katsaras, Elizabeth
• 通讯作者: Metallinos-Katsaras, Elizabeth