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Pathways between maternal depression, the family environment, and child BMI z scores
Karen McCurdy1, Alison Tovar2, Jill L Kaar3
1Department of Human Development & Family Studies, University of Rhode Island, 2 Lower College, Kingston, RI, 02881, USA.
Insights
Maternal depression impacts child weight through family environment factors. Early maternal depression linked to higher child BMI, mediated by concurrent depression, child eating behaviors, and sleep duration.
Area of Science:
- Pediatric Obesity Research
- Maternal Mental Health
- Family Environment Studies
Background:
- Family environment factors like feeding practices and routines influence childhood overweight.
- Maternal depression is known to affect these family dynamics.
- Pathways linking maternal depression to child weight via the family environment require further investigation.
Purpose of the Study:
- To examine parental feeding practices, child eating behaviors, and routines as mediators between maternal depressive symptoms and child weight at age six.
- To investigate the differential effects of early (post-partum) versus concurrent maternal depressive symptoms on child weight.
Main Methods:
- Longitudinal analysis of 1130 mother-child dyads from the Infant Feeding Practices Study II (IFSP II) and its Year 6 Follow-Up.
- Utilized a multi-step, multiple mediator model to assess direct and indirect relationships.
- Examined early and concurrent maternal depressive symptoms in relation to child Body Mass Index (BMI) z scores at age six, with mediators including feeding practices, eating behaviors, and routines.
Main Results:
- Higher early maternal depressive symptoms directly predicted lower child BMI z scores.
- Early maternal depression indirectly predicted higher child BMI z scores through concurrent depression, child food responsiveness, and reduced weekday sleep duration.
- Parental efforts to ensure adequate child intake predicted lower child weight but did not mediate maternal depressive symptom effects.
Conclusions:
- Maternal depression significantly influences child weight through various family environmental pathways.
- Understanding these complex relationships is crucial for developing effective childhood obesity prevention strategies.
- Targeting maternal mental health and associated family factors may be key in interventions.
Purpose:
Modifiable aspects of the family environment that contribute to overweight in younger children have been identified, including parental feeding practices, child eating behaviors, and parenting practices related to eating and household routines. Maternal depression influences many of these factors, yet research examining pathways that may link maternal depression through the family environment to child weight is lacking. The current study examined parental feeding practices, child eating behaviors, and eating and household routines as potential mediators between maternal depressive symptoms and child weight at age six. The study also tested for differential effects of early versus concurrent maternal depressive symptoms.
Methods:
Longitudinal data on 1130 mothers and their children who participated in the Infant Feeding Practices Study II (IFSP II) and its Year 6 Follow-Up study were analyzed. A multi-step, multiple mediator model assessed direct and indirect relationships between early depressive symptoms (two months post-partum) and concurrent depressive symptoms with child Body Mass Index (BMI) z scores at age six. Potential mediators included parental feeding practices, child eating behaviors, and eating and household routines.
Results:
Higher early depressive symptoms directly explained lower child BMI z scores. Early depression also worked through concurrent depression, the child's food responsiveness, and the hours the child slept on week nights to explain higher child BMI z scores. Parental efforts to make sure the child eats enough directly predicted lower child weight but did not mediate the effects of early or concurrent maternal depressive symptoms.
Conclusions:
The findings suggest the need for greater attention to the relationships between maternal depression and child weight as a critical step toward developing effective obesity prevention strategies.
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