The Role of Parenting in Mitigating Epigenetic Cardiometabolic Risk in a Sample of Predominantly Latino Preschoolers
Adamari López1, Sarah M Merrill2, Anne K Bozack3
1Department of Psychology, University of Rhode Island, Kingston, RI, USA.
Insights
Positive parenting interventions may lower epigenetic markers for childhood obesity, even before physical changes occur. This suggests family-centered approaches can promote early metabolic health in at-risk children.
Area of Science:
- Pediatric Health
- Epigenetics
- Public Health
Background:
- Childhood obesity is a significant public health issue, disproportionately affecting marginalized communities.
- Epigenetic mechanisms like DNA methylation (DNAm) are implicated in metabolic risk.
- Protective family factors in relation to childhood obesity and epigenetics are understudied.
Purpose of the Study:
- To investigate if a positive parenting intervention is associated with reduced epigenetic cardiometabolic risk in preschoolers.
- To explore the link between parenting interventions and DNA methylation-derived BMI.
Main Methods:
- Secondary analysis of a randomized controlled trial involving 74 preschool-aged children (35 intervention, 39 control).
- Assessment of DNA methylation-derived BMI and anthropometric BMI at baseline and 12-month follow-up.
- Observation of parenting practices post-treatment.
Main Results:
- The intervention group showed significantly lower DNA methylation-derived BMI at 12 months compared to controls.
- No significant effect on anthropometric BMI was observed, and DNA methylation-derived BMI did not correlate with anthropometric BMI at follow-up.
- Improved parenting practices did not mediate the intervention's effect on DNA methylation-derived BMI.
Conclusions:
- Parenting interventions may impact biological pathways related to cardiometabolic risk before anthropometric changes are evident.
- Family-centered approaches show promise for promoting early metabolic health.
- Findings suggest potential for early interventions to influence long-term health trajectories.
Background:
Childhood obesity is a prevalent public health concern, particularly among children from marginalized backgrounds. Epigenomic mechanisms, including DNA methylation (DNAm), offer insight into the biological embedding of metabolic risk, yet protective family-level factors remain understudied. This study examined whether participation in a positive parenting intervention was associated with reduced epigenetic cardiometabolic risk among preschool-aged children.
Methods:
Participants were 74 children (n = 35 intervention; n = 39 services-as-usual; mean age = 36 months). Using a secondary analysis of a randomized controlled trial, DNAm-derived body mass index (BMI) and anthropometric BMI were assessed at baseline and 12-month follow-up, and parenting practices were observed post-treatment.
Results:
Children in the intervention group demonstrated significantly lower DNAm BMI at 12 months relative to controls, adjusting for child sex, race and/or ethnicity, and anthropometric BMI. No treatment effect was observed for anthropometric BMI, and DNAm BMI was not associated with anthropometric BMI at 12 months. Although parenting practices improved, they did not mediate intervention effects on DNAm-derived BMI.
Conclusions:
Parenting interventions may influence biological pathways related to cardiometabolic risk, even before changes in anthropometric outcomes, underscoring the potential of family-centered approaches to promote early metabolic health.
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