Family Environment and Childhood Obesity: A New Framework with Structural Equation Modeling

Huang, Hui; Radzi, Che Wan Jasimah Wan Mohamed; Jenatabadi, Hashem Salarzadeh

doi:10.3390/ijerph14020181

Cited by 40 publications

(46 citation statements)

References 60 publications

(69 reference statements)

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“…Contrary to what was expected, family profiles did not differ according to their SES, as previously reported by several authors, e.g., [ 25 , 71 , 72 , 73 , 74 ]. Nevertheless, findings from the present study are in line with research that shows that higher HEI scores are associated with higher food expenditure [ 56 , 75 ], which is associated with the higher relative cost of healthy foods [ 14 , 75 , 76 , 77 ].…”

Section: Discussionsupporting

confidence: 66%

Diet Quality and Satisfaction with Life, Family Life, and Food-Related Life across Families: A Cross-Sectional Pilot Study with Mother-Father-Adolescent Triads

Schnettler

Lobos

Miranda-Zapata

et al. 2017

IJERPH

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Family is a major determinant of children’s and adolescents’ eating behavior. The objectives of the present study were to assess diet quality, eating habits, satisfaction with life, family life, and food-related life in mother–father–adolescent triads, and to identify profiles of families according to family members’ diet quality. Questionnaires were administered to a sample of 300 two-parent families with one child over the age of 10 in the city of Temuco (Chile), including the Adapted Healthy Eating Index (AHEI), Satisfaction with Life Scale (SWLS), Satisfaction with Food-related Life (SWFoL) scale, Satisfaction with Family Life (SWFaL) scales, and questions relating to their eating habits. Positive relationships were found between the diet quality of the family members, particularly between mothers and adolescents. Three family profiles with different diet qualities were identified: “families with an unhealthy diet” (39.3%), “families in which mothers and adolescents have healthy diets, but the fathers’ diets require changes” (14.3%), and “families that require changes in their diet” (46.4%). These findings stress the key role of mothers in determining family diet quality and suggest a positive relationship between diet quality and satisfaction with life.

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Section: Discussionsupporting

confidence: 66%

Diet Quality and Satisfaction with Life, Family Life, and Food-Related Life across Families: A Cross-Sectional Pilot Study with Mother-Father-Adolescent Triads

Schnettler

Lobos

Miranda-Zapata

et al. 2017

IJERPH

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“…It is often conceptualised as a combination of financial, occupational and educational influences. 8 The level of SES can partly explain the risk at birth outcome, 9 children’s anthropometric status 10 and neurodevelopment. 11 The risk of SGA was higher in the lower SES groups compared with the highest SES group in Finland, 12 Australia, 13 Japan 9 and others.…”

Section: Introductionmentioning

confidence: 99%

Pathways linking socioeconomic status to small-for-gestational-age (SGA) infants among primiparae: a birth cohort study in China

Luo

Liu

et al. 2018

BMJ Open

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ObjectivesEvidence about the relationship between socioeconomic status (SES) and small-for-gestational-age (SGA) infants was insufficient among Chinese primiparae. In addition, factors that may mediate this relationship are poorly understood. The purpose of this study was to investigate the risk of and mediators between SES and SGA.DesignRetrospective cohort study.SettingWuhan, Hubei, China.MethodParticipants were recruited from patients who gave birth in the maternity care hospital of Wuhan between September 2012 and October 2014. Logistic regression models were used to estimate the association between SES and SGA. Pathway analysis was performed to examine the contribution of maternal lifestyles and pregnancy-induced hypertension syndrome (PIH) to the relationship between SES and SGA. Total effect, direct effect and indirect effect of SES on SGA were measured. Effect sizes were evaluated by unstandardised estimates (B) and standardised estimates (ß).ResultsAmong 8737 primiparae, 927 (10.61%) pregnant women had babies with SGA. High SES was inversely associated with risk of SGA (OR 0.856; 95% CI 0.737 to 0.995) after adjustment for potential confounders. Maternal obstetric characteristics, lifestyles and PIH completely mediated SES and SGA (indirect effect: B=−0.067, 95% CI −0.108 to –0.026). The indirect effect of SES was strengthened by PIH (B=−0.029), a multivitamin supplement (B=−0.021), prepregnancy body mass index (BMI) ≥18.50 (B=−0.009) and prepregnancy BMI ≥18.50 to gestational weight gain (GWG) not below the Institute of Medicine (IOM) recommendations (B=−0.003).ConclusionsWomen from high SES predicted lower risk of PIH, more chances to take a multivitamin supplement during early pregnancy, keeping prepregnancy BMI ≥18.50 kg/cm2 and gaining adequate gestational weight which was not below IOM recommendations. Furthermore, lower risk of PIH, more chances to take a multivitamin supplement, prepregnancy BMI ≥18.50 kg/cm2 and GWG not below IOM recommendations were associated with a lower risk of SGA infants.

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“…Family environment and parental characteristics are well-known determinants of both obesity and HRQoL in the early years of life [20,21]. Previous studies conducted in Iran have also reported the importance of various parental factors including parental age, educational level, employment, and weight status on overweight and obesity among children [22][23][24][25].…”

Section: Introductionmentioning

confidence: 99%

Maternal emotional states in relation to their offspring weight status and health-related quality of life: Tehran Lipid and Glucose Study

Parvin

Amiri

Jalali-Farahani

et al. 2020

Preprint

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Background: Maternal characteristics have been known to be associated with parenting practices that could eventually influence their child’s weight and health-related quality of life (HRQoL). 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 Tehran Lipid and Glucose Study (TLGS). Participants were children (n=231) who participated in the TLGS during 2014-2016 with complete data on maternal emotional states. Body weight and height of children were measured using standard protocol and BMI-Z scores were determined using Anthroplus. HRQoL in children and emotional states in mothers were assessed using the Iranian version of the pediatric quality of life inventory (PedsQL TM 4.0) and the depression, anxiety and stress scales (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 mothers, median scores (Interquartile ranges) of DASS-21 in three scales including depression, anxiety and stress were 4(0-10), 6(2-12) and 14(8-20) respectively. Maternal level of education was significantly associated with DASS-21 scores (β=-0.23, 95% CI: -0.37,-0.07). Maternal DASS-21 scores were significantly associated with BMI Z scores only in girls (β=0.25, 95% CI: 0.06, 0.53). Significant determinants of HRQoL in boys were child’s age (β=-0.21, 95% CI: -0.40, -0.01), maternal education (β=-0.24, 95%CI: -0.44, -0.02) and emotional state (β=-0.24, 95% CI: -0.44, -0.03). 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. Conclusion: Our results indicate maternal emotional states to be the important determinants of HRQoL in children, regardless of their weight status. Further research is recommended to examine the current hypothesized model in rural and sub-urban populations taking ino consideration more influential factors.

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Family Environment and Childhood Obesity: A New Framework with Structural Equation Modeling

Cited by 40 publications

References 60 publications

Diet Quality and Satisfaction with Life, Family Life, and Food-Related Life across Families: A Cross-Sectional Pilot Study with Mother-Father-Adolescent Triads

Diet Quality and Satisfaction with Life, Family Life, and Food-Related Life across Families: A Cross-Sectional Pilot Study with Mother-Father-Adolescent Triads

Pathways linking socioeconomic status to small-for-gestational-age (SGA) infants among primiparae: a birth cohort study in China

Maternal emotional states in relation to their offspring weight status and health-related quality of life: Tehran Lipid and Glucose Study

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