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Prospective Associations between Maternal Depressive Symptoms during Early Infancy and Growth Deficiency from
Linda S Pagani1,2,3, Kianoush Harandian1,2, Beatrice Necsa1,2
1School of Psycho-Education, University of Montreal, Montreal, QC H3C 3J7, Canada.
Insights
Maternal depressive symptoms at 5 months postpartum were linked to lower body mass index (BMI) in sons through adolescence. This association was not observed in daughters, highlighting sex-specific impacts on child growth.
Area of Science:
- Child Development
- Maternal Mental Health
- Pediatric Endocrinology
Background:
- Maternal mental health significantly influences child development, yet is often overlooked in pediatric care.
- Previous research on maternal depressive symptoms and infant physical growth shows inconsistent findings.
- The impact of maternal depression on child body mass index (BMI) across development requires further investigation.
Purpose of the Study:
- To examine the prospective relationship between maternal depressive symptoms at 5 months postpartum and child BMI up to adolescence.
- To investigate potential sex differences in the association between maternal depressive symptoms and child BMI.
- To determine if maternal depressive symptom severity predicts later BMI trajectories in children.
Main Methods:
- Prospective-longitudinal study of 2120 infants, with 50.7% boys.
- Maternal depressive symptoms assessed via self-report at 5 months postpartum.
- Child BMI measured at ages 6, 8, 10, 13, and 15 years by trained research assistants.
- Sex-stratified regression analyses controlled for confounding factors.
Main Results:
- Boys born to mothers with higher depressive symptoms at 5 months showed significantly lower BMI at subsequent ages.
- No significant association was found between maternal depressive symptoms and BMI in girls.
- Maternal depressive symptoms prospectively predicted faltering growth in sons through adolescence.
Conclusions:
- Maternal depressive symptoms at 5 months postpartum are prospectively associated with lower BMI in sons, but not daughters, up to adolescence.
- Findings suggest a sex-specific impact of maternal depression on child physical growth trajectories.
- Routine assessment of maternal psychological well-being in pediatric settings is recommended to support optimal child development.
Abstract:
Maternal health represents an important predictor of child development; yet it often goes unnoticed during pediatric visits. Previous work suggests that mental state affects parenting. The relationship between infant exposure to maternal depressive symptoms suggests conflicting findings on physical growth. Body mass index (BMI) has not been rigorously examined across development. Using a prospective-longitudinal birth cohort of 2120 infants (50.7% boys), we estimated the prospective relationship between symptoms of maternal depressive symptoms at 5 months postpartum and later BMI in typically developing children. We hypothesized that maternal depressive symptom severity would predict later BMI through to adolescence. Mothers self-reported depressive symptoms at 5 months. Child BMI was measured by a trained research assistant at ages 6, 8, 10, 13, and 15 years. We estimated a series of sex-stratified regressions in which BMI was linearly regressed on maternal symptoms, while controlling for potential pre-existing/concurrent individual and family confounding factors. Boys born to mothers with more severe depressive symptoms at age 5 months had a significantly lower BMI than other boys at subsequent ages. There were no such associations observed for girls. Maternal depressive symptoms were prospectively associated with later BMI for sons and not daughters, predicting risk of faltering in growth through to adolescence. Health practitioners should routinely assess maternal psychological functioning during pediatric visits to optimize parent and child flourishment.
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