Maternal History of Child Abuse and Obesity Risk in Offspring: Mediation by Weight in Pregnancy

Leonard, Stephanie A.; Petito, Lucia; Rehkopf, David H.; Ritchie, Lorrene D.; Abrams, Barbara

doi:10.1089/chi.2017.0019

Cited by 8 publications

(4 citation statements)

References 40 publications

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“…However, researchers have recently turned their attention toward the transmission of ACEs across generations, whereby parental ACEs confer risk for their children’s physical (Ximenes et al, 2019) and mental health (Kumar et al, 2018), social-emotional development (Folger et al, 2017; Madigan et al, 2017; (McDonnell & Valentino, 2016), and behavioral health problem (Esteves et al, 2020; Poehacker et al, 2020). For example, the children of individuals who were exposed to maltreatment during their own childhood have shown increased susceptibility to obesity (Leonard et al, 2017; Lindsay et al, 2020) and asthma (Condon et al, 2019; Lê-Scherban et al, 2018) in their offspring. Maternal ACEs were shown to be associated with internalizing and externalizing behavioral problems in children at 5 years of age (Cooke et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

Associations of Maternal Adverse Childhood Experiences with Behavioral Problems in Preschool Children

Wang

Yin²,

Guo³

et al. 2021

J Interpers Violence

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Investigations have found maternal adverse childhood experiences (ACEs) cause an intergenerational danger to their children’s health. However, no study has investigated the effects of maternal ACEs on behavioral problems of preschool children in China and gender differences on these effects. This paper aims to investigate the role of maternal ACEs on behavioral problems of preschool children in China and explore gender differences as related to these behavioral problems. Stratified cluster sampling method was used to select 7318 preschool children from 12 districts in Hefei city, China. A questionnaire survey was conducted to collect information on maternal exposure to ACEs and Conners’ Parent Rating Scales. Logistic regression was used to analyze the relationship between maternal ACEs and children’s behavioral problems. The prevalence of behavioral problems in preschool children was 16.0%, while it was higher among girls (18.4%) than boys (13.92%) (χ2 = 27.979, p < 0.001). The rate of behavioral problems in children in the group of mothers with ACEs was higher than those without ACEs (all p < 0.05). Maternal ACEs were associated with increased risk of the behavior problems in preschool children (adjusted OR 2.91, 95% CI 2.45–3.45), and no gender difference (in girls 3.01, 2.38–3.81, in boys 2.79, 2.17–3.58, respectively) was found. Maternal ACEs were associated with increased risk of each type of the behavioral problems of preschool children, except that maternal emotional neglect was not associated with psycho-physical problems, impulse-activities, and anxiety. The only gender differences found were higher conduct problems related to maternal emotional abuse and ACEs and higher anxiety related to maternal physical abuse and community violence in girls compared with boys. Mothers exposured to ACEs are more likely to have children with behavioral health problems in preschool period. Further research is needed to explore the mechanisms by which maternal ACEs influence children’s behavioral problems.

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Section: Introductionmentioning

confidence: 99%

Associations of Maternal Adverse Childhood Experiences with Behavioral Problems in Preschool Children

Wang

Yin²,

Guo³

et al. 2021

J Interpers Violence

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“…However, neither childhood social class, as indicated by deprivation level of the family, nor maternal mental disorders explained the associations we found between maternal BMI with offspring psychopathology. On the other hand, maternal exposure to childhood maltreatment may also have contributed: Exposure to childhood maltreatment is associated with obesity risk 11 , also in pregnant women 46 , and childhood maltreatment predicts increased psychopathology risk both within the same 47 and the next 48 , 49 generation. A Mendelian randomization study suggests the effects on mental health within the same generation may be causal 50 .…”

Section: Discussionmentioning

confidence: 99%

Maternal body mass index in pregnancy and mental disorders in adult offspring: a record linkage study in Aberdeen, Scotland

Lahti‐Pulkkinen

Räikkönen

Bhattacharya

et al. 2021

Sci Rep

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Maternal obesity in pregnancy predicts offspring psychopathology risk in childhood but it remains unclear whether maternal obesity or underweight associate with adult offspring mental disorders. We examined longitudinally whether maternal body mass index (BMI) in pregnancy predicted mental disorders in her offspring and whether the associations differed by offspring birth year among 68,571 mother–child dyads of Aberdeen Maternity and Neonatal Databank, Scotland. The offspring were born 1950–1999. Maternal BMI was measured at a mean 15.7 gestational weeks and classified into underweight, normal weight, overweight, moderate obesity and severe obesity. Mental disorders were identified from nationwide registers carrying diagnoses of all hospitalizations and deaths in Scotland in 1996–2017. We found that maternal BMI in pregnancy was associated with offspring mental disorders in a time-dependent manner: In offspring born 1950–1974, maternal underweight predicted an increased hazard of mental disorders [Hazard Ratio (HR) = 1.74; 95% Confidence Interval (CI) = 1.01–3.00)]. In offspring born 1975–1999, maternal severe obesity predicted increased hazards of any mental (HR 1.60; 95% CI 1.08–2.38) substance use (HR 1.91; 95% CI 1.03–3.57) and schizophrenia spectrum (HR 2.80; 95% CI 1.40–5.63) disorders. Our findings of time-specific associations between maternal prenatal BMI and adult offspring mental disorders may carry important public health implications by underlining possible lifelong effects of maternal BMI on offspring psychopathology.

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“…[4][5][6][7] For example, studies have shown associations between parental experience of 1 or more ACEs and increased risk for overweight/obesity, cardiovascular disease, asthma, and poor overall health among their children. 4,5,[8][9][10][11] However, the pathway(s) by which intergenerational transmission occurs between parental ACEs and child weight is unknown. It is likely that parental ACEs are linked to child weight through several factors (eg, behavioral, psychological, biological) 5,6,8,12 that co-occur simultaneously, such as parent feeding practices, [13][14][15][16][17][18][19] parent physical activity (PA) practices, [19][20][21] parental weight, 7,8,22,23 and parental mental health.…”

Section: Introductionmentioning

confidence: 99%

“…(6) Did you often or very often feel that your parents were too drunk or high to take care of you?(7) Was your mother or stepmother often or very often pushed, grabbed, slapped, or had something thrown at her? (8) Did a parent or other adult in the household often or very often swear at you, insult you, put you down, or humiliate you?(9) Were you physically abused by a parent or guardian?(10) Were you sexually abused by a parent or guardian?(11) Were you sexually abused by someone who was not a parent or guardian? Response options were "Yes" or "No."…”

mentioning

confidence: 99%

Intergenerational Pathways Between Parental Experiences of Adverse Childhood Experiences (ACEs) and Child Weight: Implications for Intervention

et al. 2022

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Background/Objective: Prior research suggests an association between parental experiencing of 1 or more adverse childhood experiences (ACEs) and increased risk for overweight/obesity in children. However, the pathways through which parental experiences of ACEs lead to child weight are unclear.Methods: Participants were parent and child dyads from racially/ethnically diverse and low-income households in Minneapolis and St. Paul, Minnesota, in 2015. Parents completed an online survey regarding their own adverse experiences in childhood, their height and weight, parenting practices, and mental health. Child height and weight were obtained from electronic medical records. Structural equation modeling was used to examine the extent to which parent mental health and parenting practices mediate associations between parental ACEs and child body mass index (BMI) percentile.Results: The parent mental health pathway was statistically significant in explaining the intergenerational transmission of parental ACEs to child weight. Parent ACEs were positively associated with low parent mental health, parent low mental health was correlated with higher parent BMI > 25, and parent overweight was positively related to higher child BMI percentile.Conclusions: Study findings suggest that intervening on parent low mental health may be a key factor in reducing the intergenerational transmission between parental ACEs and child weight. ( J Am Board Fam Med 2023;36:39-50.

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Maternal History of Child Abuse and Obesity Risk in Offspring: Mediation by Weight in Pregnancy

Cited by 8 publications

References 40 publications

Associations of Maternal Adverse Childhood Experiences with Behavioral Problems in Preschool Children

Associations of Maternal Adverse Childhood Experiences with Behavioral Problems in Preschool Children

Maternal body mass index in pregnancy and mental disorders in adult offspring: a record linkage study in Aberdeen, Scotland

Intergenerational Pathways Between Parental Experiences of Adverse Childhood Experiences (ACEs) and Child Weight: Implications for Intervention

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