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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Predicting BMI in Young Children with Developmental Delay and Externalizing Problems: Links with Caregiver Depressive
Brynna H Heflin1, Jonathan S Comer1, Daniel M Bagner1
1Department of Psychology, Center for Children and Families, Florida International University.
Insights
Caregiver depression increases child obesity risk, especially in highly acculturated parents of young children with developmental delays. Cultural factors like acculturation significantly influence this association.
Area of Science:
- Child Psychology
- Public Health
- Cultural Psychiatry
Background:
- Caregiver depression is a known risk factor for childhood obesity.
- Previous research has not adequately explored cultural influences on this relationship.
- This study focuses on young children with developmental delay and behavioral issues.
Purpose of the Study:
- To assess the link between caregiver depressive symptoms and child BMI in young children with developmental delay and externalizing behaviors.
- To investigate the moderating effects of acculturation and enculturation on this association.
Main Methods:
- Examined 147 three-year-old children with developmental delay and externalizing behaviors.
- Caregivers were from cultural minority backgrounds.
- Analyzed the association between caregiver depression and child BMI, considering acculturation and enculturation levels.
Main Results:
- Higher caregiver depressive symptoms correlated with higher child BMI (b = .189, p = .001).
- Acculturation significantly moderated this association, with a stronger link observed in highly acculturated caregivers (b = .21, p = .01).
- Enculturation did not show a significant moderating effect.
Conclusions:
- Caregiver depression poses an elevated risk for child obesity, particularly in highly acculturated individuals.
- Clinicians should consider acculturation levels when providing services to culturally diverse families.
- Optimizing interventions requires understanding the interplay of caregiver mental health and cultural adaptation.
Background:
Caregiver depression is associated with increased risk for childhood obesity. However, studies assessing the relation between caregiver depression and childhood obesity have focused primarily on typically developing, school-aged children and have not examined the influence of cultural factors.
Objectives:
To evaluate the association between caregiver depressive symptoms and body mass index (BMI) scores in young children with developmental delay (DD) and externalizing behavior problems, as well as the moderating role of acculturation and enculturation on this association.
Methods:
We examined the association between caregiver depressive symptoms and child BMI scores in 147 3-year-old children with DD and elevated levels of externalizing behavior problems. Caregivers of all participating children self-identified as coming from cultural minority backgrounds. We also examined the association between caregiver depressive symptoms and child BMI across levels of caregiver acculturation and enculturation.
Results:
Higher levels of caregiver depressive symptoms were associated with higher child BMI scores (b = .189, p = .001). Acculturation significantly moderated the association between caregiver depressive symptoms and child BMI scores (b = .21, p = .01), such that the association was stronger for more acculturated caregivers. Enculturation was not a significant moderator.
Conclusions:
Caregiver depressive symptoms may confer elevated risk for child obesity when caregivers are highly acculturated to the United States, suggesting clinicians should consider levels of acculturation to optimize services for children and families from cultural minority backgrounds.
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