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Associations of maternal stress with children's weight-related behaviours: a systematic literature review
S G O'Connor1, J P Maher1, B R Belcher1
1Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, USA.
Insights
Maternal stress is linked to children
Area of Science:
- Pediatric Obesity Research
- Maternal Health Studies
- Behavioral Science
Background:
- Childhood obesity is a significant public health concern in the US.
- Parental factors, particularly maternal influences, are crucial in shaping children's weight-related behaviors.
- Maternal stress is prevalent and may impact child health outcomes.
Purpose of the Study:
- To systematically review the existing literature on the association between maternal stress and children's weight-related behaviors.
- To synthesize findings regarding maternal stress and dietary intake, physical activity, and sedentary behavior in children.
Main Methods:
- Systematic literature search for studies examining maternal stress and child weight-related behaviors.
- Inclusion of 14 eligible articles, analyzing 25 unique associations.
- Categorization of behaviors into healthy diet, unhealthy diet, physical activity, and sedentary behavior.
Main Results:
- Mixed findings regarding the association between maternal stress and children's dietary intake (healthy and unhealthy).
- Consistent evidence suggests maternal stress is associated with reduced physical activity in children.
- Fairly consistent evidence indicates maternal stress is linked to increased sedentary behavior in children.
Conclusions:
- Maternal stress does not appear to be consistently associated with children's dietary habits.
- Maternal stress shows a consistent association with decreased physical activity and increased sedentary behavior in children.
- Future research should employ prospective designs and advanced data collection to understand underlying mechanisms.
Abstract:
Low adherence to guidelines for weight-related behaviours (e.g. dietary intake and physical activity) among US children underscores the need to better understand how parental factors may influence children's obesity risk. In addition to most often acting as primary caregiver to their children, women are also known to experience greater levels of stress than men. This study systematically reviewed associations between maternal stress and children's weight-related behaviours. Our search returned 14 eligible articles, representing 25 unique associations of maternal stress with a distinct child weight-related behaviour (i.e. healthy diet [n = 3], unhealthy diet [n = 6], physical activity [n = 7] and sedentary behaviour [n = 9]). Overall, findings for the relationship between maternal stress and children's weight-related behaviours were mixed, with no evidence for an association with children's healthy or unhealthy dietary intake, but fairly consistent evidence for the association of maternal stress with children's lower physical activity and higher sedentary behaviour. Recommendations for future research include prioritizing prospective designs, identifying moderators, and use of high-resolution, real-time data collection techniques to elucidate potential mechanisms.
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