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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Parenting Stress, Child Weight-Related Behaviors, and Child Weight Status
Michelle J White1, Julia C Schechter2, Benjamin Neely3
1Duke Center for Childhood Obesity Research, Duke University Medical Center, Durham, NC, USA.
Insights
Parenting stress is linked to children's sedentary time, screen time, and vegetable intake, but not their weight status. Managing parental stress may aid in family-based weight interventions.
Area of Science:
- Child Health
- Behavioral Science
- Public Health
Background:
- Parenting stress is a significant factor influencing family dynamics and child development.
- Limited research exists on the direct association between parenting stress and specific child weight-related behaviors.
- Understanding these links is crucial for developing effective childhood obesity prevention strategies.
Purpose of the Study:
- To investigate the association between parenting stress and various child weight-related behaviors.
- To examine the relationship between parenting stress and child weight status.
- To explore potential moderating effects of race and family structure on these associations.
Main Methods:
- Utilized data from 291 mother-child dyads in the Newborn Epigenetic STudy (NEST) longitudinal cohort.
- Assessed parenting stress and child diet via surveys.
- Measured child sedentary time and physical activity using accelerometers.
- Evaluated child weight status using measured height and weight.
- Employed generalized linear models and restricted cubic splines for statistical analysis.
Main Results:
- Increased parenting stress was associated with higher child screen time (aOR=1.01).
- Higher parenting stress correlated with decreased child sedentary time (B=-0.78) and vegetable consumption (aOR=0.98).
- No significant associations were found between parenting stress and child eating in the absence of hunger (EAH), physical activity, or overall weight status.
- Nonlinear associations were observed between fast-food intake and parenting stress.
- Moderating effects of race or family structure were not evident.
Conclusions:
- Parenting stress is significantly associated with specific child weight-related behaviors, including screen time, sedentary time, and vegetable intake.
- These associations highlight the importance of addressing parenting stress within family-centered interventions.
- While parenting stress impacts behaviors, it was not directly linked to child weight status in this cohort.
- Interventions targeting parenting stress may complement existing strategies for managing child weight-related behaviors.
Abstract:
Background: There has been limited examination of the association between parenting stress and child weight-related behaviors. We aimed to determine whether parenting stress is associated with child weight-related behaviors, including physical activity, screen time, diet, sedentary time, and eating in the absence of hunger (EAH). Secondarily, we assessed association between parenting stress and child weight status. Methods: Mother-child dyads (N = 291) enrolled in the Newborn Epigenetic STudy (NEST), a longitudinal cohort study, completed surveys to describe parenting stress, and child diet. Children participated in the EAH task and wore accelerometers to assess sedentary time and physical activity. Child weight status was assessed using measured height and weight. Outcomes and exposures were examined using generalized linear models and restricted cubic splines as appropriate based on linear lack-of-fit test. Results: Child sedentary time and vegetable consumption were inversely associated with parenting stress (Total Stress B = -0.78; 95% confidence interval [CI]: -1.35 to -0.20; p = 0.017; and Total Stress adjusted odds ratio [aOR] = 0.98; 95% CI: 0.99 to 1.00; p = 0.022, respectively). Child screen time was directly associated with parenting stress (Total Stress = aOR 1.01; 95% CI: 1.00-1.02; p = 0.032). Fast-food intake was nonlinearly associated with parenting stress. There was no evidence of association between parenting stress and child EAH, physical activity, or weight status. Associations between parenting stress and child weight-related behaviors were not moderated by race or family structure. Conclusions: Parenting stress was associated with important child weight-related behaviors but not weight status. Management of parenting stress may represent a reasonable adjunct to family-based behavioral interventions.
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