Format

Send to

Choose Destination
BMC Public Health. 2018 Oct 30;18(1):1211. doi: 10.1186/s12889-018-6110-5.

Early maternal perceived stress and children's BMI: longitudinal impact and influencing factors.

Author information

1
Department of Environmental Immunology, Helmholtz Centre for Environmental Research (UFZ), Leipzig, Germany.
2
Children's Hospital, Municipal Hospital "St. Georg", Leipzig, Germany.
3
Institute of Agricultural and Nutritional Sciences, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany.
4
Competence Cluster for Nutrition and Cardiovascular Health (nutriCARD) Halle-Jena, Leipzig, Germany.
5
Department of Pediatrics, Kravis Children's Hospital, Institute for Exposomic Research, Icahn School of Medicine at Mount Sinai, New York, USA.
6
Integrated Research and Treatment Center AdiposityDiseases, Department of Medical Psychology and Medical Sociology, Department of Psychosomatic Medicine and Psychotherapy, University of Leipzig Medical Center, Leipzig, Germany.
7
Department of Environmental Immunology, Helmholtz Centre for Environmental Research (UFZ), Leipzig, Germany. irina.lehmann@charite.de.
8
Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Kapelle Ufer 2, 10177, Berlin, Germany. irina.lehmann@charite.de.
9
Department of Environmental Immunology, Helmholtz Centre for Environmental Research (UFZ), Leipzig, Germany. saskia.trump@charite.de.
10
Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Kapelle Ufer 2, 10177, Berlin, Germany. saskia.trump@charite.de.

Abstract

BACKGROUND:

Maternal perceived stress has been discussed to contribute to the development of childhood overweight. Our aim was to investigate the longitudinal relationship of early maternal perceived stress and BMI z-scores in preschool children (≤ five years).

METHODS:

A longitudinal analysis was conducted in 498 mother-child pairs of the German prospective birth cohort LINA with information on maternal perceived stress during pregnancy, one and two years after birth. BMI z-scores were based on annual measurements of children's weight/height and calculated based on WHO reference data. General estimation equations were applied to evaluate the impact of maternal stress on children's longitudinal BMI z-scores. Potential stressors contributing to the perceived stress of the mother were assessed by linear regression models. Using mediation analyses we evaluated the relationship between stressors, maternal perceived stress, and children's BMI z-score development.

RESULTS:

Postnatal maternal stress during the first year after birth had a positive longitudinal relationship with children's BMI z-scores up to the age of five years. Gender-stratified analyses revealed that only girls showed this positive association while boy's BMI z-scores were unaffected by maternal stress. We identified three neighborhood strains and two socio-demographic factors, which contributed to the maternal perceived stress level. Stressors themselves did not directly affect girl's BMI z-scores but rather mediated their effect through the perceived stress level.

CONCLUSIONS:

While different stressors contribute to maternal stress, the perceived stress level - rather than the stressors themselves - is strongly positively associated with BMI z-score development in girls.

KEYWORDS:

Infant; Perceived stress; Preschool children; Stress dimensions; Stressor; Weight development

PMID:
30376822
PMCID:
PMC6208039
DOI:
10.1186/s12889-018-6110-5
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for BioMed Central Icon for PubMed Central
Loading ...
Support Center