Investigating within-day and longitudinal effects of maternal stress on children's physical activity, dietary intake, and body composition: Protocol for the MATCH study
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Updated: Apr 12, 2026

Using a Murine Model of Psychosocial Stress in Pregnancy as a Translationally Relevant Paradigm for Psychiatric Disorders in Mothers and Infants
Published on: June 13, 2021
Genevieve F Dunton1, Yue Liao1, Eldin Dzubur1
1Department of Preventive Medicine, University of Southern California, 2001 N. Soto Street, 3rd floor, Rm 302E, MC 9239, Los Angeles, CA 90033-9045, USA.
Insights
Maternal stress impacts children's health, affecting diet and activity. The MATCH study uses real-time data to understand these effects on childhood obesity risk and inform interventions.
Area of Science:
- Child Health and Nutrition
- Psychosocial Factors in Health
- Obesity Research
Background:
- Parental stress is linked to parenting practices affecting children's diet, activity, and obesity.
- Previous studies have methodological limitations, such as cross-sectional designs and retrospective data.
- Momentary, within-day processes linking maternal stress to child health are understudied.
Purpose of the Study:
- To investigate within-day associations between maternal stress and children's dietary intake and physical activity.
- To examine how these associations contribute to children's obesity risk over time.
- To describe the protocol for the longitudinal Mothers And Their Children's Health (MATCH) study.
Main Methods:
- Longitudinal study with 200 mother-child dyads over 3 years (6 assessment waves).
- Utilizes Ecological Momentary Assessment (EMA) for real-time data on stressors, parenting, diet, and activity.
- Includes salivary cortisol, accelerometry, dietary recalls, anthropometrics, and questionnaires.
Main Results:
- The study is designed to test within-day and longitudinal effects using multilevel modeling and latent growth curve models.
- Data analysis will focus on the impact of maternal stress on children's eating habits, physical activity levels, and body composition.
- Results will identify pathways through which maternal stress influences child obesity.
Conclusions:
- Findings will inform the development of interventions to mitigate the impact of maternal stress on parenting practices.
- Interventions aim to reduce the negative effects of stress on children's weight-related behaviors.
- The study will provide novel insights into the dynamic interplay between maternal stress and child obesity risk.
Abstract:
Parental stress is an understudied factor that may compromise parenting practices related to children's dietary intake, physical activity, and obesity. However, studies examining these associations have been subject to methodological limitations, including cross-sectional designs, retrospective measures, a lack of stress biomarkers, and the tendency to overlook momentary etiologic processes occurring within each day. This paper describes the recruitment, data collection, and data analytic protocols for the MATCH (Mothers And Their Children's Health) study, a longitudinal investigation using novel real-time data capture strategies to examine within-day associations of maternal stress with children's physical activity and dietary intake, and how these effects contribute to children's obesity risk. In the MATCH study, 200 mothers and their 8 to 12 year-old children are participating in 6 semi-annual assessment waves across 3 years. At each wave, measures for mother-child dyads include: (a) real-time Ecological Momentary Assessment (EMA) of self-reported daily psychosocial stressors (e.g., work at a job, family demands), feeling stressed, perceived stress, parenting practices, dietary intake, and physical activity with time and location stamps; (b) diurnal salivary cortisol patterns, accelerometer-monitored physical activity, and 24-hour dietary recalls; (c) retrospective questionnaires of sociodemographic, cultural, family, and neighborhood covariates; and (d) height, weight, and waist circumference. Putative within-day and longitudinal effects of maternal stress on children's dietary intake, physical activity, and body composition will be tested through multilevel modeling and latent growth curve models, respectively. The results will inform interventions that help mothers reduce the negative effects of stress on weight-related parenting practices and children's obesity risk.
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