Life Sciences & Biomedicine Pediatrics Science & Technology
OBJECTIVE: To assess associations of the number of parent stressors and parent-perceived stress with obesity and related behaviors in their children.
METHODS: This cross-sectional analysis used data from the 2006 Southeastern Pennsylvania Household Health Survey in which 2119 parents/caregivers answered questions about themselves and their children (ages 3-17 years). Survey data were used to assess the main exposure variables: the number of stressors (measured using a stressor index) and parent-perceived stress (the response to a general stress question); child covariates (age, race/ethnicity, health quality, and gender); adult covariates (education, BMI, gender, poor sleep quality) and study outcomes (child obesity, fast-food consumption, fruit and vegetable consumption, and physical activity). To account for developmental differences, analyses were also stratified by age group (3-5, 6-8, 9-12, and 13-17 years). Analyses used multiple logistic regression, with results expressed as odds ratios and 95% confidence intervals.
RESULTS: The number of parent stressors was related to child obesity in unadjusted (1.12, 1.03-1.22, P = .007) and adjusted models (1.12, 1.03-1.23, P = .010). Parent-perceived stress was related to fast-food consumption in unadjusted (1.07, 1.03-1.10, P < .001) and adjusted (1.06, 1.02-1.10, P < .001) models.
CONCLUSIONS: The number of parent stressors was directly related to child obesity. Parent-perceived stress was directly related to child fast-food consumption, an important behavioral indicator of obesity risk. Clinical care models and future research that address child obesity should explore the potential benefits of addressing parent stressors and parent-perceived stress. Pediatrics 2012;130:e1096-e1104
Influence of Stress in Parents on Child Obesity and Related Behaviors
Creators
Elizabeth P. Parks - Children's Hospital of Philadelphia
Shiriki Kumanyika - College Station Medical Center
Renee H. Moore - University of Pennsylvania
Nicolas Stettler - Childrens Hosp Philadelphia, Div Gastroenterol Hepatol & Nutr, Philadelphia, PA 19104 USA
Brian H. Wrotniak - University of Pennsylvania
Anne Kazak - Children's Hospital of Philadelphia
Publication Details
Pediatrics (Evanston), v 130(5), pp E1096-E1104
Publisher
Amer Acad Pediatrics
Number of pages
9
Grant note
1T32HDHL0789; 3R01HD049701; 3P60MD000209-05S2; K05CA128805 / National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA
R01HD049701 / EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH &HUMAN DEVELOPMENT; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
P60MD000209 / NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Minority Health & Health Disparities (NIMHD)
K05CA128805 / NATIONAL CANCER INSTITUTE; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Cancer Institute (NCI)
Resource Type
Journal article
Language
English
Academic Unit
Urban Health Collaborative; Dana and David Dornsife School of Public Health; Epidemiology and Biostatistics
Web of Science ID
WOS:000310505900005
Scopus ID
2-s2.0-84868622578
Other Identifier
991021448055704721
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