Maternal Emotional States in Relation to Offspring Weight and Health-Related Quality of Life: Tehran Lipid and Glucose Study

Overview

Journal Int J Endocrinol Metab

Publisher Brieflands

Specialty Endocrinology

Date 2022 Jan 24

PMID 35069749

Authors

Parnian Parvin

Parisa Amiri

Sara Jalali-Farahani

Mehrdad Karimi

Mina Moein Eslam

Fereidoun Azizi

Affiliations

Soon will be listed here.

Abstract

Background: Maternal characteristics have been known to be associated with parenting practices, which could eventually influence their child's weight and health-related quality of life (HRQoL).

Objectives: This study aimed to assess the direct and indirect associations of maternal emotional states (depression, anxiety, and stress) with body mass index (BMI) and HRQoL in their children.

Methods: This study was conducted within the framework of the Tehran lipid and glucose study (TLGS). Participants were the children (n = 231) enrolled in TLGS during 2014 - 2016, who had complete data on maternal emotional states. The body weight and height of children were measured using the standard protocol, and BMI Z-score was determined using Anthroplus. Also, HRQoL in children and emotional states in mothers were assessed using the Iranian version of the pediatric quality of life inventory (PedsQLTM4.0) and the depression, anxiety, and stress scale (DASS-21), respectively. Structural equations modeling (SEM) was used to assess the direct and indirect relations of maternal emotional states with children's BMI Z-score and HRQoL.

Results: Mean age, BMI Z-score, and HRQoL total score in children were 13.8 ± 3.1 years, 0.74 ± 1.5, and 84.7 ± 11.3, respectively. In the mothers, median DASS-21 scores (interquartile ranges) in the three scales of depression, anxiety, and stress were 4 (0 - 10), 6 (2 - 12), and 14 (8 - 20), respectively. Maternal level of education was significantly associated with the DASS-21 score (β = -0.23, 95% CI: -0.37,-0.07). Maternal DASS-21 score was significantly associated with BMI Z-score only in girls (β = 0.25, 95% CI: 0.06, 0.53). Significant determinants of HRQoL in boys were the child's age (β = -0.21, 95% CI: -0.40, -0.01) and maternal education (β = -0.24, 95%CI: -0.44, -0.02) and emotional state (β = -0.24, 95% CI: -0.44, -0.03). The child's age (β = -0.33, 95% CI: -0.53, -0.10) and maternal emotional state (β = -0.31, 95% CI: -0.54, -0.08) were significantly associated with HRQoL in girls.

Conclusions: The maternal emotional state is an important determinant of HRQoL in children, regardless of their weight status. Further research is recommended to examine the current hypothesized model in rural and suburban populations, taking into consideration more influential factors.

References

Mirzaei M, Yasini Ardekani S, Mirzaei M, Dehghani A . Prevalence of Depression, Anxiety and Stress among Adult Population: Results of Yazd Health Study. Iran J Psychiatry. 2019; 14(2):137-146. PMC: 6702282. View

Sahoo K, Sahoo B, Choudhury A, Sofi N, Kumar R, Bhadoria A . Childhood obesity: causes and consequences. J Family Med Prim Care. 2015; 4(2):187-92. PMC: 4408699. DOI: 10.4103/2249-4863.154628. View

Tsiros M, Olds T, Buckley J, Grimshaw P, Brennan L, Walkley J . Health-related quality of life in obese children and adolescents. Int J Obes (Lond). 2009; 33(4):387-400. DOI: 10.1038/ijo.2009.42. View

Cutting T, Fisher J, Birch L . Like mother, like daughter: familial patterns of overweight are mediated by mothers' dietary disinhibition. Am J Clin Nutr. 1999; 69(4):608-13. DOI: 10.1093/ajcn/69.4.608. View

Barroso C, Roncancio A, Hinojosa M, Reifsnider E . The association between early childhood overweight and maternal factors. Child Obes. 2012; 8(5):449-54. PMC: 3647485. DOI: 10.1089/chi.2011.0094. View

Fernald L, Jones-Smith J, Ozer E, Neufeld L, DiGirolamo A . Maternal depressive symptoms and physical activity in very low-income children. J Dev Behav Pediatr. 2008; 29(5):385-93. PMC: 2770096. DOI: 10.1097/DBP.0b013e318182a98e. View

Lampard A, Franckle R, Davison K . Maternal depression and childhood obesity: a systematic review. Prev Med. 2013; 59:60-7. PMC: 4172574. DOI: 10.1016/j.ypmed.2013.11.020. View

Khodaverdi F, Bahram A, Asghari Jafarabadi M . Quality of Life, Motor Ability, and Weight Status among School-aged Children of Tehran. Iran J Public Health. 2012; 41(6):97-102. PMC: 3468998. View

Beaufort I, de Weert-van Oene G, Buwalda V, de Leeuw J, Goudriaan A . The Depression, Anxiety and Stress Scale (DASS-21) as a Screener for Depression in Substance Use Disorder Inpatients: A Pilot Study. Eur Addict Res. 2017; 23(5):260-268. DOI: 10.1159/000485182. View

10.

Leinonen J, Solantaus T, Punamaki R . Parental mental health and children's adjustment: the quality of marital interaction and parenting as mediating factors. J Child Psychol Psychiatry. 2003; 44(2):227-41. DOI: 10.1111/1469-7610.t01-1-00116. View

11.

Lampard A, Jurkowski J, Lawson H, Davison K . Family ecological predictors of physical activity parenting in low-income families. Behav Med. 2013; 39(4):97-103. PMC: 4000568. DOI: 10.1080/08964289.2013.802215. View

12.

Varni J, Seid M, Kurtin P . PedsQL 4.0: reliability and validity of the Pediatric Quality of Life Inventory version 4.0 generic core scales in healthy and patient populations. Med Care. 2001; 39(8):800-12. DOI: 10.1097/00005650-200108000-00006. View

13.

Amiri P, M Ardekani E, Jalali-Farahani S, Hosseinpanah F, Varni J, Ghofranipour F . Reliability and validity of the Iranian version of the Pediatric Quality of Life Inventory™ 4.0 Generic Core Scales in adolescents. Qual Life Res. 2010; 19(10):1501-8. DOI: 10.1007/s11136-010-9712-7. View

14.

Gharraee B, Zahedi Tajrishi K, Sheybani F, Tahmasbi N, Mirzaei M, Farahani H . Prevalence of major depressive disorder in the general population of Iran: A systematic review and meta-analysis. Med J Islam Repub Iran. 2020; 33:151. PMC: 7137832. DOI: 10.34171/mjiri.33.151. View

15.

Kelishadi R, Haghdoost A, Sadeghirad B, Khajehkazemi R . Trend in the prevalence of obesity and overweight among Iranian children and adolescents: a systematic review and meta-analysis. Nutrition. 2013; 30(4):393-400. DOI: 10.1016/j.nut.2013.08.011. View

16.

Lundahl A, Nelson T, Van Dyk T, West T . Psychosocial stressors and health behaviors: examining sleep, sedentary behaviors, and physical activity in a low-income pediatric sample. Clin Pediatr (Phila). 2013; 52(8):721-9. DOI: 10.1177/0009922813482179. View

17.

Tate E, Wood W, Liao Y, Dunton G . Do stressed mothers have heavier children? A meta-analysis on the relationship between maternal stress and child body mass index. Obes Rev. 2015; 16(5):351-61. PMC: 4447110. DOI: 10.1111/obr.12262. View

18.

Jalali-Farahani S, Shojaei F, Parvin P, Amiri P . Comparison of health-related quality of life (HRQoL) among healthy, obese and chronically ill Iranian children. BMC Public Health. 2018; 18(1):1337. PMC: 6278028. DOI: 10.1186/s12889-018-6239-2. View

19.

Dittrich K, Fuchs A, Bermpohl F, Meyer J, Fuhrer D, Reichl C . Effects of maternal history of depression and early life maltreatment on children's health-related quality of life. J Affect Disord. 2017; 225:280-288. DOI: 10.1016/j.jad.2017.08.053. View

20.

Baker C . MATERNAL DEPRESSION AND THE DEVELOPMENT OF EXECUTIVE FUNCTION AND BEHAVIOR PROBLEMS IN HEAD START: INDIRECT EFFECTS THROUGH PARENTING. Infant Ment Health J. 2018; 39(2):134-144. DOI: 10.1002/imhj.21698. View