Abstract
To examine the association between maternal depressive symptoms during early childhood of their offspring and later overweight in the children. Only children (n = 1,090) whose weights and heights were measured at least once for three time points (grades one, three and six) from the National Institute of Child Health and Human Development Study were included. Maternal depressive symptoms, defined as a Center for Epidemiologic Studies Depression Scale (CES-D) score of 16 or greater, were assessed using CES-D when the child was 1, 24, and 36 months. Childhood overweight was based on standardized height and weight measures taken during the interviews, and was defined according to appropriate CDC age- and sex-specific BMI percentiles. Generalized estimating equation was used to examine the impact of maternal depressive symptoms on the childhood overweight after adjusting for covariates. Compared to children of mothers without depression at any of the three time points, when children were one, 24 and 36 months of age, children of mothers with depression at all three time points were 1.695 times more likely to be overweight after adjusting for other child characteristics (95 % CI = 1.001–2.869). When further adjusted for maternal characteristics, children of mothers with depression at all three time points were 2.13 times more likely to be overweight (95 % CI = 1.05–4.31). Persistent maternal depressive symptoms may be associated with an increased risk of childhood overweight in their offspring. Children of mothers with depression may benefit from special attention in terms of obesity prevention.
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Abbreviations
- NICHD SECCYD:
-
The National Institute of Child Health and Human Development Study of Early Child Care and Youth Development
- CES-D:
-
Center for Epidemiologic Studies Depression Scale
References
Ogden, C. L., Carroll, M. D., Curtin, L. R., et al. (2010). Prevalence of high body mass index in US children and adolescents, 2007–2008. The Journal of the American Association (JAMA), 303(3), 242–249.
Ogden, C. L., Flegal, K. M., Carroll, M. D., et al. (2002). Prevalence and trends in overweight among US children and adolescents, 1999–2000. The Journal of the American Association (JAMA), 288(14), 1728–1732.
Freedman, D. S., Mei, Z., Srinivasan, S. R. et al. (2007). Cardiovascular risk factors and excess adiposity among overweight children and adolescents: The Bogalusa Heart Study. The Journal of Pediatrics, 150(1), 12.e2–17.e2.
Bouchard, C. (1997). Obesity in adulthood—the importance of childhood and parental obesity. New England Journal of Medicine, 337(13), 926–927.
McLanahan, S., & Sandefur, G. (1994). Growing up with a single parent: What hurts, what helps. Cambridge, MA: Harvard University Press.
Serdula, M. K., Ivery, D., Coates, R. J., et al. (1993). Do obese children become obese adults? A review of the literature. Preventive Medicine, 22(2), 167–177.
Whitaker, R. C., Wright, J. A., Pepe, M. S., et al. (1997). Predicting obesity in young adulthood from childhood and parental obesity. New England Journal of Medicine, 37(13), 869–873.
Freedman, D. S., Khan, L. K., Dietz, W. H., et al. (2001). Relationship of childhood overweight to coronary heart disease risk factors in adulthood: The Bogalusa Heart Study. Pediatrics, 108(3), 712–718.
Anderson, P. M., Butcher, K. F., & Levine, P. B. (2003). Maternal employment and overweight children. Journal of Health Economics, 22, 477–504.
McConley, R. L., Mrug, S., Gilliland, M. J., et al. (2011). Mediators of maternal depression and family structure on child BMI: Parenting quality and risk factors for child overweight. Obesity, 19, 345–352.
Surkan, P. J., Kawachi, I., & Peterson, K. E. (2008). Childhood overweight and maternal depressive symptoms. Journal of Epidemiology and Community Health, 62, e11.
Ajslev, T. A., Andersen, C. S., Ingstrup, K. G., et al. (2010). Maternal postpartum distress and childhood overweight. PLoS One, 30, e11136.
Gibson, L. Y., Byrne, S. M., Davis, E. A., et al. (2007). The role of family and maternal factors in childhood obesity. The Medical Journal of Australia (MJA), 186, 591–595.
Taveras, E. M., Gillman, M. W., Kleinman, K., Rich-Edwards, J. W., & Rifas-Shiman, S. L. (2010). Racial/ethnic differences in early-life risk factors for childhood obesity. Pediatrics, 125, 686–695.
George, G. C., Milani, T. J., Hanss-Nuss, H., et al. (2005). Compliance with dietary guidelines and relationship to psychosocial factors in low-income women in late postpartum. Journal of the American Dietetic Association, 105, 916–926.
Paulson, J. F., Dauber, S., & Leiferman, J. A. (2006). Individual and combined effects of postpartum depression in mothers and fathers on parenting behavior. Pediatrics, 118, 659–668.
Knutson, J. F., Taber, S. M., Murray, A. J., et al. (2010). The role of care neglect and supervisory neglect in childhood obesity in a disadvantaged sample. Journal of Pediatric Psychology, 35, 523–532.
Lissau, I., & Sorensen, T. I. (1994). Parental neglect during childhood and increased risk of obesity in young adulthood. Lancet, 343, 324–327.
Whitaker, R. C., Phillips, S. M., Orzol, S. M., et al. (2007). The association between maltreatment and obesity among preschool children. Child Abuse and Neglect, 31, 1187–1199.
Study of Early Child Care and Youth Development Phase I Manuals. (2008). Chapter 4: Recruitment procedures. Retrieved Sep 18, 2010, from https://secc.rti.org/display.cfm?t=m&i=Chapter_4.
Strauss, R. S., & Pollack, H. A. (2001). Epidemic increase in childhood overweight, 1986–1998. The Journal of the American Association (JAMA), 286, 2845–2848.
Radloff, L. S. (1977). The CES-D Scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401.
Lewinsohn, P. M., Hoberman, H. M., & Rosenbaum, M. (1988). A prospective study of risk factor for unipolar depression. Journal of Abnormal Child Psychology, 97, 251–264.
Kuczmarski, R. J., Ogden, C. L., Guo, S. S. et al. (2000). CDC growth charts for the United States: Methods and development. Vital Health Statistics, 11(246), 1–190.
Zeger, S. L., & Liang, K. Y. (1986). Longitudinal data analysis for discrete and continuous outcomes. Biometrics, 42, 121–130.
Twisk, J. W. R. (2003). Applied longitudinal data analysis for epidemiology: A practical guide (pp. 120–144). Cambridge: Cambridge University Press.
O’Brien, M., Nader, P. R., Houts, R. M., et al. (2007). The ecology of childhood overweight: A 12-year longitudinal analysis. International Journal of Obesity, 31, 1469–1478.
Grote, V., Vik, T., Kries, R. V., et al. (2010). Maternal postnatal depression and child growth: A European cohort study. BMC Pediatrics, 10, 14.
Nemeroff, C. B. (2008). Understanding the pathophysiology of postpartum depression: Implications for the development of novel treatments. Neuron, 59, 185–186.
Brockington, I. (2004). Postpartum psychiatric disorders. Lancet, 363, 303–310.
Knutson, J. F., Taber, S. M., Murray, A. J., et al. (2010). The role of care neglect and supervisory neglect in childhood obesity in a disadvantaged sample. Journal of Pediatric Psychology, 35, 523–532.
O’Hara, M. W. (2009). Postpartum depression: What we know. Journal of Clinical Psychology, 65, 1258–1269.
Wisner, K. L., Parry, B. L., & Piontek, C. M. (2002). Clinical practice. Postpartum depression. New England Journal of Medicine, 347, 194–199.
Hendrick, V., Smith, L. M., Hwang, S., et al. (2003). Weight gain in breastfed infants of mothers taking antidepressant medications. Journal of Clinical Psychiatry, 64, 410–412.
Santos, I. S., Matijasevich, A., Domingues, M. R., Barros, A. J., & Barros, F. C. (2010). Long-lasting maternal depression and child growth at 4 years of age: A cohort study. Journal of Pediatrics, 157(3), 401–416.
Topham, G. L., Page, M. C., Hubbs-Tait, L., et al. (2010). Maternal depression and socio-economic status moderate the parenting style/child obesity association. Public Health Nutrition, 13, 1237–1244.
Timperio, A., Salmon, J., Telford, A., et al. (2005). Perceptions of local neighbourhood environments and their relationship to childhood overweight and obesity. International Journal of Obesity, 29, 170–175.
Wang, Y. (2001). Cross-national comparison of childhood obesity: The epidemic and the relationship between obesity and socioeconomic status. International Journal of Epidemiology, 30, 1129–1136.
Vandewater, E. A., & Huang, X. (2006). Parental weight status as a moderator of the relationship between television viewing and childhood overweight. Archives of Pediatrics and Adolescent Medicine, 160, 425–431.
Huang, T. T., Howarth, N. C., Lin, B. H., Roberts, S. B., & McCrory, M. A. (2004). Energy intake and meal portions: Associations with BMI percentile in US children. Obesity Research, 12(11), 1875–1885.
Coyne, J. C., & Schwenk, T. L. (1997). The relationship of distress to mood disturbance in primary care and psychiatric populations. Journal of Consulting and Clinical Psychology, 65, 161–168.
Santor, D. A., & Coyne, J. C. (1997). Shortening the CES-D to improve its ability to detect cases of depression. Psychological Assessment, 9, 233–243.
Acknowledgments
Some data from this study were presented orally at the 2010 Greg Alexander Outstanding Students Papers Session in Maternal and Child Health for the 138th American Public Health Association Annual Meeting in Denver, November 8, 2010.
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Wang, L., Anderson, J.L., Dalton III, W.T. et al. Maternal Depressive Symptoms and the Risk of Overweight in Their Children. Matern Child Health J 17, 940–948 (2013). https://doi.org/10.1007/s10995-012-1080-1
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DOI: https://doi.org/10.1007/s10995-012-1080-1