Parenting Stress, Child Weight-Related Behaviors, and Child Weight Status

被引:3
作者
White, Michelle J. [1 ]
Schechter, Julia C. [2 ]
Neely, Benjamin [3 ]
Reyes, Camila [4 ]
Maguire, Rachel L. [5 ,6 ]
Perrin, Eliana M. [1 ]
Ksinan, Albert J. [7 ]
Kollins, Scott H. [2 ]
Fuemmeler, Bernard F. [7 ]
机构
[1] Duke Univ, Med Ctr, Duke Ctr Childhood Obes Res, 2301 Erwin Rd, Durham, NC 27705 USA
[2] Duke Univ, Med Ctr, Dept Psychiat & Behav Sci, Durham, NC 27705 USA
[3] Duke Univ, Med Ctr, Duke Canc Inst, Durham, NC 27705 USA
[4] Duke Univ, Duke Off Clin Res, Durham, NC 27705 USA
[5] North Carolina State Univ, Dept Biol Sci, Raleigh, NC USA
[6] Duke Univ, Med Ctr, Dept Obstet & Gynecol, Durham, NC 27705 USA
[7] Virginia Commonwealth Univ, Sch Med, Dept Hlth Behav & Policy, Richmond, VA USA
基金
美国国家卫生研究院;
关键词
diet; parenting; physical activity; stress; PHYSICAL-ACTIVITY; MATERNAL STRESS; ASSOCIATIONS; PREVENTION; PREGNANCY; HUNGER; HEALTH;
D O I
10.1089/chi.2021.0098
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Background: There has been limited examination of the association between parenting stress and child weight-related behaviors. We aimed to determine whether parenting stress is associated with child weight-related behaviors, including physical activity, screen time, diet, sedentary time, and eating in the absence of hunger (EAH). Secondarily, we assessed association between parenting stress and child weight status. Methods: Mother-child dyads (N = 291) enrolled in the Newborn Epigenetic STudy (NEST), a longitudinal cohort study, completed surveys to describe parenting stress, and child diet. Children participated in the EAH task and wore accelerometers to assess sedentary time and physical activity. Child weight status was assessed using measured height and weight. Outcomes and exposures were examined using generalized linear models and restricted cubic splines as appropriate based on linear lack-of-fit test. Results: Child sedentary time and vegetable consumption were inversely associated with parenting stress (Total Stress B = -0.78; 95% confidence interval [CI]: -1.35 to -0.20; p = 0.017; and Total Stress adjusted odds ratio [aOR] = 0.98; 95% CI: 0.99 to 1.00; p = 0.022, respectively). Child screen time was directly associated with parenting stress (Total Stress = aOR 1.01; 95% CI: 1.00-1.02; p = 0.032). Fast-food intake was nonlinearly associated with parenting stress. There was no evidence of association between parenting stress and child EAH, physical activity, or weight status. Associations between parenting stress and child weight-related behaviors were not moderated by race or family structure. Conclusions: Parenting stress was associated with important child weight-related behaviors but not weight status. Management of parenting stress may represent a reasonable adjunct to family-based behavioral interventions.
引用
收藏
页码:150 / 159
页数:10
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