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Adolescents' Depressive Symptom Experience Mediates the Impact of Long-Term Exposure to Maternal Depression Symptoms on Adolescents' Body Mass Index.
Annals of Behavioral Medicine ( IF 4.871 ) Pub Date : 2020-06-12 , DOI: 10.1093/abm/kaz069
Amber R Cordola Hsu 1 , Zhongzheng Niu 1, 2 , Xiaomeng Lei 1 , Emily Kiresich 1 , Yawen Li 3 , Wei-Chin Hwang 4 , Bin Xie 1
Affiliation  

BACKGROUND Obesity is a cardiovascular disease risk factor and affects approximately 13.7 million U.S. children and adolescents between the ages 2 and 19 years old in 2015-2016. PURPOSE To determine the relationship between children's average long-term exposure to maternal depressive symptoms age 1 month to Grade 6 and adolescents' body mass index (BMI) z-score at age 15 mediated by the adolescents' depressive symptom experience. METHODS A total of 1,364 infants and their families from the Eunice Kennedy Shriver National Institute of Child Health and Human Development Study of Early Child Care and Youth Development were recruited. RESULTS Mediation analyses revealed a significant relationship between children's average long-term exposure to maternal depressive symptoms from age 1 month to Grade 6 and adolescents' BMI z-score at age 15 (total effect = 0.015, p = .013, 95% confidence interval (CI): 0.0032, 0.027). The adolescents' experience of depressive symptoms significantly mediated this relationship (indirect effect = 0.0021, bias-corrected bootstrapped 95% CI: 0.0004, 0.0044), with this mediated relationship more pronounced in girls. CONCLUSIONS Findings indicate the possible existence of a mediating role of adolescents' depressive symptoms experience in the pathway from average long-term exposure to maternal depressive symptoms during children's early life to adolescents' elevated BMI.

中文翻译:

青少年的抑郁症状体验介导了长期暴露于孕产妇抑郁症状对青少年体重指数的影响。

背景肥胖是心血管疾病的危险因素,在 2015-2016 年间影响了大约 1370 万名 2 至 19 岁的美国儿童和青少年。目的 确定儿童平均长期暴露于 1 个月至 6 级的母亲抑郁症状与青少年的 15 岁时的体重指数 (BMI) z 分数之间的关系,该分数由青少年的抑郁症状经历介导。方法 共有 1,364 名来自 Eunice Kennedy Shriver 国家儿童健康与人类发展研究所早期儿童保育和青年发展研究的婴儿及其家庭被招募。结果 中介分析显示,从 1 个月大到 6 年级的儿童平均长期暴露于母亲抑郁症状与青少年之间存在显着关系。15 岁时的 BMI z 分数(总效应 = 0.015,p = .013,95% 置信区间 (CI):0.0032, 0.027)。青少年的抑郁症状经历显着介导了这种关系(间接效应 = 0.0021,偏差校正自举 95% CI:0.0004, 0.0044),这种中介关系在女孩中更为明显。结论 研究结果表明,青少年抑郁症状体验在从儿童早期平均长期暴露于母亲抑郁症状到青少年 BMI 升高的途径中可能存在中介作用。0004, 0.0044),这种中介关系在女孩中更为明显。结论 研究结果表明,青少年抑郁症状体验在从儿童早期平均长期暴露于母亲抑郁症状到青少年 BMI 升高的途径中可能存在中介作用。0004, 0.0044),这种中介关系在女孩中更为明显。结论 研究结果表明,在从儿童早期平均长期暴露于母亲抑郁症状到青少年 BMI 升高的途径中,青少年的抑郁症状体验可能存在中介作用。
更新日期:2020-01-11
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