Journal
CHILDHOOD OBESITY
Volume 13, Issue 4, Pages 251-258Publisher
MARY ANN LIEBERT, INC
DOI: 10.1089/chi.2016.0205
Keywords
obesity; caregiver stress; youth; home environment
Categories
Funding
- National Heart, Lung, and Blood Institute (NHLBI) [R01HL102130]
- NHLBI [N01-HC65233]
- University of Miami [N01-HC65234]
- Albert Einstein College of Medicine [N01-HC65235]
- Northwestern University [N01-HC65236]
- San Diego State University [N01-HC65237]
- HCHS/SOL
- [RC2HL101649]
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Background: Prior studies indicate that chronic stress is associated with obesity in adults. However, whether parental/caregiver stress is associated with obesity in their offspring has not been widely examined in Hispanic/Latino populations. In this study, we evaluated the role of caregiver chronic stress on child obesity and whether home food environment or child lifestyle behaviors explained the association. Methods: The study included a sample of Hispanic/Latino youth and their caregivers (n=473) from the Study of Latinos (SOL) Youth study and the Hispanic Community Health Study/SOL Sociocultural Study, which enrolled children aged 8-16 years from four cities (Bronx, Chicago, Miami, and San Diego), and provided assessments of adult chronic stress. Poisson regression models were used to assess the association between parental/caregiver stress and child obesity, adjusting for potential confounders. Results: Twenty-two percent of caregivers did not report any chronic stressors, 48% reported 1-2, and 29% reported >= 3 stressors. The prevalence of obesity in youth increased with number of caregiver stressors from 23% among those without caregiver stressors to 35% among those with 3 stressors (p for trend 0.03). After model adjustment, youths whose caregivers reported >= 3 stressors were more likely to be obese than youths whose caregivers reported no stressors (prevalence ratio=1.53; 95% confidence interval 1.01-2.32). This association was independent of food home environment, child diet quality, and child physical activity, but it was not independent of caregiver obesity. Conclusions: These findings suggest that parental/caregiver chronic stress is related to obesity in their children. Future research is needed to confirm this association in longitudinal studies and in other population groups.
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