TY - JOUR
T1 - Maternal stress and early childhood BMI among US children from the Environmental influences on Child Health Outcomes (ECHO) program
AU - on behalf of program collaborators for Environmental influences on Child Health Outcomes
AU - ECHO Components
AU - Coordinating Center
AU - Data Analysis Center
AU - Person-Reported Outcomes Core
AU - ECHO Awardees and Cohorts
AU - Wood, Charles T.
AU - Churchill, Marie L.
AU - McGrath, Monica
AU - Aschner, Judy
AU - Brunwasser, Steven M.
AU - Geiger, Sarah
AU - Gogcu, Semsa
AU - Hartert, Tina V.
AU - Hipwell, Allison E.
AU - Lee-Sarwar, Kathleen
AU - Lyall, Kristen
AU - Moog, Nora K.
AU - O’Connor, Thomas G.
AU - O’Shea, T. Michael
AU - Smith, P. Brian
AU - Wright, Rosalind J.
AU - Zhang, Xueying
AU - Zimmerman, Emily
AU - Huddleston, Kathi C.
AU - Brown, Callie L.
AU - Smith, P. B.
AU - Newby, K. L.
AU - Jacobson, L. P.
AU - Catellier, D. J.
AU - Gershon, R.
AU - Cella, D.
AU - Alshawabkeh, A. N.
AU - Teitelbaum, S. L.
AU - Stroustrup, A.
AU - Stroustrup, A.
AU - Deoni, S.
AU - Gern, J.
AU - Bacharier, L.
AU - O’Connor, G.
AU - Bacharier, L.
AU - Kattan, M.
AU - Wood, R.
AU - Bacharier, L.
AU - Rivera-Spoljaric, K.
AU - Weiss, S.
AU - O’Connor, G.
AU - Permanente, Kaiser
AU - Zeiger, R.
AU - Bacharier, L.
AU - Schmidt, R.
AU - Simhan, H.
AU - Schantz, S.
AU - Woodruff, T.
AU - Bosquet-Enlow, M.
N1 - Publisher Copyright:
© 2023, The Author(s), under exclusive licence to the International Pediatric Research Foundation, Inc.
PY - 2023/12
Y1 - 2023/12
N2 - Background: We aimed to understand the association between maternal stress in the first year of life and childhood body mass index (BMI) from 2 to 4 years of age in a large, prospective United States-based consortium of cohorts. Methods: We used data from the Environmental influences on Child Health Outcomes program. The main exposure was maternal stress in the first year of life measured with the Perceived Stress Scale (PSS). The main outcome was the first childhood BMI percentile after age 2 until age 4 years. We used an adjusted linear mixed effects model to examine associations between BMI and PSS quartile. Results: The mean BMI percentile in children was 59.8 (SD 30) measured at 3.0 years (SD 1) on average. In both crude models and models adjusted for maternal BMI, age, race, ethnicity, infant birthweight, and health insurance status, no linear associations were observed between maternal stress and child BMI. Conclusions: Among 1694 maternal–infant dyads, we found no statistically significant relationships between maternal perceived stress in the first year of life and child BMI after 2 through 4 years. Impact: Although existing literature suggests relationships between parental stress and childhood BMI, we found no linear associations between maternal stress in the first year of life and childhood BMI at 2–4 years of age among participants in ECHO cohorts.Higher maternal stress was significantly associated with Hispanic ethnicity, Black race, and public health insurance.Our analysis of a large, nationally representative sample challenges assumptions that maternal stress in the first year of life, as measured by a widely used scale, is associated with offspring BMI.
AB - Background: We aimed to understand the association between maternal stress in the first year of life and childhood body mass index (BMI) from 2 to 4 years of age in a large, prospective United States-based consortium of cohorts. Methods: We used data from the Environmental influences on Child Health Outcomes program. The main exposure was maternal stress in the first year of life measured with the Perceived Stress Scale (PSS). The main outcome was the first childhood BMI percentile after age 2 until age 4 years. We used an adjusted linear mixed effects model to examine associations between BMI and PSS quartile. Results: The mean BMI percentile in children was 59.8 (SD 30) measured at 3.0 years (SD 1) on average. In both crude models and models adjusted for maternal BMI, age, race, ethnicity, infant birthweight, and health insurance status, no linear associations were observed between maternal stress and child BMI. Conclusions: Among 1694 maternal–infant dyads, we found no statistically significant relationships between maternal perceived stress in the first year of life and child BMI after 2 through 4 years. Impact: Although existing literature suggests relationships between parental stress and childhood BMI, we found no linear associations between maternal stress in the first year of life and childhood BMI at 2–4 years of age among participants in ECHO cohorts.Higher maternal stress was significantly associated with Hispanic ethnicity, Black race, and public health insurance.Our analysis of a large, nationally representative sample challenges assumptions that maternal stress in the first year of life, as measured by a widely used scale, is associated with offspring BMI.
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U2 - 10.1038/s41390-023-02750-8
DO - 10.1038/s41390-023-02750-8
M3 - Article
C2 - 37479746
AN - SCOPUS:85178500028
SN - 0031-3998
VL - 94
SP - 2085
EP - 2091
JO - Pediatric research
JF - Pediatric research
IS - 6
ER -