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Published on: April 19, 2017
Household chaos during infancy and infant weight status at 12 months
A Khatiwada1, A Shoaibi1, B Neelon1
1Department of Public Health Sciences, Medical University of South Carolina, Charleston, USA.
Insights
High household chaos is linked to increased infant weight-for-length z-score at 12 months. This study found no evidence that breastfeeding, sleep, or screen time mediate this association in infancy.
Area of Science:
- Pediatrics
- Public Health
- Child Development
Background:
- Infancy is a crucial period for preventing obesity.
- Household chaos is linked to adverse health outcomes, but its effect on infant obesity is not well understood.
Purpose of the Study:
- To investigate the association between household chaos and infant weight-for-length z-score at 12 months.
- To explore potential mediation by infant sleep and screen time.
Main Methods:
- Study involved 401 predominantly Black women and infants in the southeastern US.
- Multivariable linear regressions were used to analyze the relationship between household chaos and infant weight-for-length z-score.
- Breastfeeding, sleep, and screen time were assessed as potential mediators.
Main Results:
- Higher household chaos was significantly associated with a greater infant weight-for-length z-score at 12 months (p=0.04).
- No significant associations were found between household chaos and infant breastfeeding duration, sleep patterns, or screen time.
Conclusions:
- Increased household chaos is associated with higher infant weight at 12 months.
- Breastfeeding, sleep, and screen time do not appear to mediate the relationship between household chaos and infant weight in this cohort.
Background:
Infancy is a critical period for obesity prevention. Emerging evidence links household chaos to poor health outcomes, yet its impact on obesity in infancy is unknown.
Objectives:
We examined associations between household chaos when infants were 6 and 12 months and weight-for-length (WFL) z-score at 12 months, exploring potential mediation by infant sleep and screen time.
Methods:
We examined 401 predominately Black women and infants in the southeastern United States. We conducted multivariable linear regressions examining household chaos and infant WFL z-score, assessing breastfeeding, sleep, screen time as potential mediators.
Results:
Among infants, 69.7% were Black and 49.0% were female. Mean breasting duration was 3.7 months. Over half (50.4%) of families had annual household incomes <$20 000. After adjustment for potential confounders, household chaos was associated with infant WFL z-score (0.02; 95% CI 0.001, 0.04; p = 0.04) at 12 months. We did not observe associations between chaos and infant breastfeeding, sleep or screen time.
Conclusions:
Higher household chaos was associated with greater infant weight at 12 months, but there was no evidence of mediation by breastfeeding, sleep or screen time.
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