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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Maternal body image dissatisfaction and BMI change in school-age children
Ofra Duchin1, Constanza Marin2, Mercedes Mora-Plazas2
11Department of Environmental Health Sciences,University of Michigan School of Public Health,Ann Arbor,MI,USA.
Insights
Maternal body image dissatisfaction (BID) influences children's BMI trajectories. Mothers' desire for a thinner child impacted boys' and girls' BMI differently, while mothers' own BID related to increased child BMI gain.
Area of Science:
- Pediatric obesity research
- Developmental psychology
- Public health
Background:
- Parental body image dissatisfaction (BID) is linked to child weight in cross-sectional studies.
- Predictive relationship between maternal BID and childhood adiposity development remains unclear.
Purpose of the Study:
- To examine associations between maternal body image dissatisfaction and children's BMI trajectories.
- Investigate how maternal dissatisfaction with her own or her child's body impacts BMI development.
Main Methods:
- Longitudinal study of 1523 children (aged 5-12) and their mothers in Bogotá, Colombia.
- Maternal BID assessed using Stunkard scales; children's height and weight measured annually for 2.5 years.
- Mixed-effects models with restricted cubic splines analyzed sex- and weight-specific BMI-for-age curves.
Main Results:
- Maternal desire for a thinner child was associated with increased BMI gain in heavy boys and decreased BMI gain in thin girls.
- Normal-weight boys with mothers desiring a thinner child showed less BMI gain.
- Maternal BID with herself positively correlated with children's BMI gain.
Conclusions:
- Maternal body image dissatisfaction is linked to children's BMI trajectories.
- Associations are specific to child's sex and weight status.
- Findings highlight the impact of parental perceptions on child weight development.
Objective:
Parental body image dissatisfaction (BID) is associated with children's weight in cross-sectional studies; however, it is unknown whether BID predicts development of adiposity. The objective of the present study was to investigate the associations between maternal dissatisfaction with her or her child's body and children's BMI trajectories.
Design:
Longitudinal study. Maternal dissatisfaction (BID) with her and her child's body was calculated based on ratings of Stunkard scales obtained at recruitment, as current minus desired body image. Children's height and weight were measured at baseline and annually for a median of 2·5 years. Mixed-effects models with restricted cubic splines were used to construct sex- and weight-specific BMI-for-age curves according to maternal BID levels.
Setting:
Public primary schools in Bogotá, Colombia.
Subjects:
Children (n 1523) aged 5-12 years and their mothers.
Results:
After multivariable adjustment, heavy boys and thin girls whose mothers desired a thinner child gained an estimated 1·7 kg/m2 more BMI (P=0·04) and 2·4 kg/m2 less BMI (P=0·004), respectively, between the age 6 and 14 years, than children of mothers without BID. Normal-weight boys whose mothers desired a thinner child's body gained an estimated 1·8 kg/m2 less BMI than normal-weight boys of mothers without BID (P=0·02). Maternal BID with herself was positively related to children's BMI gain during follow-up.
Conclusions:
Maternal BID is associated with child's BMI trajectories in a sex- and weight-specific manner.
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