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.

Appetite
|January 2, 2019
PubMed

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.
Abstract

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