Association Between Maternal Feeding Practices and Symptoms of Anxiety and Depression Among 6-Year-Old Children.

IF 1.7 Q2 PEDIATRICS Clinical Medicine Insights-Pediatrics Pub Date : 2019-03-29 eCollection Date: 2019-01-01 DOI:10.1177/1179556519839334
Shannon Flahive, Bhakti Chavan, Zelalem T Haile
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Abstract

Background: Maternal feeding practices (MFPs) have been linked to childhood obesity and other eating disorders. However, population-based research examining the association between MFPs and children's emotional well-being is currently lacking.

Methods: We examined 1241 participants from Year 6 Follow-Up of the Infant Feeding Practices Study II, conducted from March to June 2012 in the United States.

Results: Approximately 57.5% and 47.8% of participants reported at least one symptom of childhood anxiety and depression, respectively. After adjusting for potential confounders, mothers who responded "yes" to "If I did not guide or regulate my child's eating, he or she would eat too much of his or her favorite food" had higher odds of having a child who has symptoms of depression and anxiety compared with mothers who responded "no" (odds ratio [OR], 95% confidence interval [CI]) (2.02; 1.47-2.78, P < .001) and (1.41, 1.05-1.91, P = .024), respectively. The odds of having a child who has symptoms of depression were lower among mothers who responded "yes" to "I make sure that my child does not eat too many sweets or junk foods" compared with mothers who responded "no" (0.49; 0.26-0.91, P = .020). Mothers who responded "yes" to "I encourage my 6 year-old to eat all of the food on his or her plate" had higher odds of having a child who has symptoms of anxiety compared with mothers who responded "no" (1.43; 1.01-2.05, P = .049).

Conclusions: Controlling MFPs may influence a child's emotional well-being. Further research is needed to address the complex relationships between MFPs and psychosocial well-being in children.

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母亲喂养方式与6岁儿童焦虑和抑郁症状的关系
背景:母亲喂养方式(mfp)与儿童肥胖和其他饮食失调有关。然而,目前还缺乏以人群为基础的研究来检验mfp与儿童情绪健康之间的关系。方法:我们从2012年3月至6月在美国进行的婴儿喂养实践研究II的第6年随访中检查了1241名参与者。结果:大约57.5%和47.8%的参与者分别报告了至少一种儿童焦虑和抑郁症状。在调整了潜在的混杂因素后,对“如果我不指导或调节孩子的饮食,他或她就会吃太多他或她喜欢的食物”回答“是”的母亲比回答“不是”的母亲有更高的几率生下有抑郁和焦虑症状的孩子(优势比[or], 95%置信区间[CI]) (2.02;1.47-2.78, P = 0.024)。对“我确保我的孩子不吃太多糖果或垃圾食品”回答“是”的母亲与回答“不是”的母亲相比,孩子出现抑郁症状的几率更低(0.49;0.26-0.91, p = 0.020)。对“我鼓励我6岁的孩子把盘子里所有的食物都吃完”回答“是”的母亲,与回答“不是”的母亲相比,孩子出现焦虑症状的几率更高(1.43;1.01-2.05, p = 0.049)。结论:控制mfp可能会影响儿童的情绪健康。需要进一步的研究来解决mfp与儿童心理社会健康之间的复杂关系。
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