|Association between Maternal Depressive Symptoms with Overweight/Obesity among Children Aged 0–5 Years According to the 2016 Demographic and Family Health Survey|
||Nataly Echevarria-Castro, Andrea Matayoshi-Perez, and German F. Alvarado
||Childhood Obesity, DOI: https://doi.org/10.1089/chi.2019.0201
Body Mass Index (BMI)
Children under five
More than one region
||Background: Overweight and obesity among children under the age of 5 have become a public health problem. The worldwide prevalence is 4.9% and 6.0%, whereas in Peru it is 7.4% and 1.9%, respectively. The causes of these problems are multifactorial and must be studied to prevent the multiple consequences on children's health.
Methods: Secondary data analysis of the 2016 Demographic and Family Health Survey (DHS). The sample size was 7935 children and their mothers. The dependent variable was childhood overweight/obesity, measured according to the Z-score of the BMI >2 standard deviation (SD), while the main independent variable consisted of the maternal depressive symptoms (DS) (Patient Health Questionnaire-9 score >10 points). The software STATA/MP 14.0 was used for statistical analysis.
Results: The prevalence of overweight/obesity among children aged 0–5 years was 4.5% and the prevalence of moderate and severe maternal DS was 7.1%. No maternal depressive symptoms were found to be associated with the outcome [adjusted PR?=?1.36 95% confidence interval (CI)?=?0.59–3.09 p?=?0.47]. An association was found between socioeconomic status (SES) Q3 (adjusted PR?=?3.86 95% CI?=?1.9–7.6 p?0.0001), Q4 (adjusted PR?=?5.53 95% CI?=?2.76–11.1 p?0.0001), Q5 (adjusted PR?=?6.9 95% CI?=?3.24–14.7 p?=?< 0.0001), maternal BMI (adjusted PR?=?1.06 95% CI?=?1.03–1.08 p?0.0001), and cesarean delivery (adjusted PR?=?1.42 95% CI?=?1.01–1.99 p?=?0.042).
Conclusions: No association was found between maternal depressive symptoms and overweight/obesity among children aged 0–5 years. The upper SES quintiles, maternal BMI, and cesarean delivery were associated with the outcome.