Early childhood malnutrition predicts depressive symptoms at ages 11–17

Galler, Janina R.; Bryce, Cyralene P.; Waber, Deborah P.; Hock, Rebecca S.; Exner, N.; Eaglesfield, David; Fitzmaurice, G. M.; Harrison, R. A.

doi:10.1111/j.1469-7610.2010.02208.x

Cited by 70 publications

(66 citation statements)

References 43 publications

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“…These problems can involve conduct (Galler et al, 2012) and attention (Galler & Ramsey, 1989) problems, as well as depressive symptoms (Galler et al, 2010). The child’s psychological and/or behavioral difficulties may then influence the parent-child relationship (Larsson et al, 2008).…”

Section: Discussionmentioning

confidence: 99%

“…This questionnaire included items related to living conditions in the home, and the income, educational and occupational backgrounds of the parents. Factor analyses had previously been performed on questionnaire data from the full cohort at three childhood ages, and one primary factor emerged from this analysis that captured household standard of living (household possessions, including refrigerator, TV, electricity, etc., number of bedrooms/rooms, food expenditure, and household income) (Galler et al, 2010). …”

Section: Methodsmentioning

confidence: 99%

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Relationship between infant malnutrition and childhood maltreatment in a Barbados lifespan cohort

Hock

Bryce

Waber

et al. 2017

Vulnerable Children and Youth Studies

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Childhood malnutrition and maltreatment (abuse, neglect) are both prevalent, particularly in resource-limited settings. Despite their known negative impact on child development, there is surprisingly little research documenting their interrelationships. To address this gap, we administered the Childhood Trauma Questionnaire-Short Form (CTQ-SF), a retrospective structured self-report of childhood abuse and neglect, in a Barbadian cohort of 77 adult survivors of infant malnutrition, limited to the first year of life, and 62 healthy controls from the same classrooms and neighborhoods (mean age ± SD = 43.8±2.3 years). This cohort has been followed since birth. Using factor analysis and comparison with archival data addressing similar constructs, we found evidence for reliability and validity of the CTQ-SF in this population. Linear regression analyses, with and without adjusting for childhood household standard of living at three childhood ages, revealed that a history of infant malnutrition was significantly associated with increased levels of self-reported physical neglect in childhood, and, to a somewhat lesser degree, emotional neglect. This study highlights the co-occurrence of infant malnutrition and self-reported maltreatment in childhood in Barbados, with potential public health implications.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Relationship between infant malnutrition and childhood maltreatment in a Barbados lifespan cohort

Hock

Bryce

Waber

et al. 2017

Vulnerable Children and Youth Studies

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“…Despite their nutritional rehabilitation and complete catchup in physical growth, 13 the previously malnourished children displayed persisting deficits in attention, IQ, 12 and academic achievement 18 through adolescence, as well as an increased level of conduct problems and depressive symptoms. 15,19 The primary aim of the current study was to compare these 2 groups at midlife on basic metrics of social outcome, including occupation, educational attainment, standard of living, and household income. We also investigated the extent to which childhood cognitive impairment accounted for any group differences.…”

mentioning

confidence: 99%

“…9 The BNS was explicitly designed to evaluate the impacts of a well-documented period of malnutrition during the first year of life. [10][11][12][13][14][15][16] Methodologic assets include the casecontrol design, detailed ecological data obtained throughout childhood and adolescence, and documentation of adequate nutrition after the malnutrition episode and of birth history.…”

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confidence: 99%

Socioeconomic Outcomes in Adults Malnourished in the First Year of Life: A 40-Year Study

et al. 2012

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WHAT'S KNOWN ON THIS SUBJECT: Infant malnutrition is known to be associated with behavioral and cognitive impairment throughout childhood, adolescence, and young adulthood. However, controlled studies addressing adult outcomes in middle life, including earning potential, educational attainment, and standard of living, are limited. WHAT THIS STUDY ADDS:A discrete episode of moderate to severe malnutrition in infancy, with good rehabilitation thereafter, is associated with lower adult social status and a widening income gap relative to healthy controls, partially attributable to cognitive impairment in the previously malnourished. abstract OBJECTIVE: Lifelong functional, adaptive, and economic outcomes of moderate to severe infantile malnutrition are not well known. We assessed social status and income at midlife in a cohort of Barbadian adults, hospitalized for protein-energy malnutrition (PEM) during the first year of life, with good nutrition and health thereafter, in the context of a 40-year longitudinal case-control study. We also examined to what extent childhood IQ mediated any group differences.METHODS: Educational achievement, occupational status, and standard of living were assessed by the Hollingshead scales and a sitespecific Ecology Questionnaire in Barbadian adults (aged 37-43 years) with a history of malnutrition (n = 80) and a matched healthy control group (n = 63), classmates of the index cases. Malnutrition effects, adjusted for childhood standard of living, were estimated by longitudinal multiple regression analyses, with and without childhood IQ, in the models.RESULTS: PEM predicted poorer socioeconomic outcomes with medium to large effect sizes (0.50-0.94), but childhood IQ substantially attenuated the magnitude of these effects (adjusted effect sizes: 0.17-0.34). The gap in weekly household income between the PEM and control groups increased substantially over the life span (P , .001).CONCLUSIONS: Moderate to severe PEM during the first year of life with adequate nutrition and health care thereafter is associated with significant depression of socioeconomic outcomes in adulthood, mediated in part by cognitive compromise in affected individuals. This finding underscores the potential long-term economic burden of infant malnutrition, which is of major concern given the continued high prevalence of malnutrition worldwide. Pediatrics 2012;130:e1-e7 AUTHORS:

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“…Not only because of the fact that it is a very unpleasant condition for the child and his/her family, but also because the feeding problems can persist for 4 -6 years [10] [11] and that it is believed [12] [13] that childhood feeding disorders are related to (symptoms of) adolescent and adult eating disorders. It can also have influence on the development of behavioral problems [14]- [16] and cognitive development [17].…”

mentioning

confidence: 99%

Hospitalization Can Correct Behavioral Feeding Disorders in Children by Resetting the Pedagogic Climate

Gaag¹,

Münow²

2014

OJPed

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Background: Behavioral feeding disorders are common among children, which sometimes become progressive, and consequently, children may refuse to eat anything. Parents have lots of difficulties to reset such a disturbed eating pattern. The aim of this study was to perform an analysis of clinical intervention in behavioral feeding disorders in young children. Methods: We conducted a retrospective analysis of data of 28 children aged 1 -9 years with behavioral feeding disorders. A pediatrician and pediatric social worker conducted the training in two groups: outpatient or inpatient setting. Both groups were treated with parental education and guidance. The inpatient group also had a temporarily (2 weeks) resetting of the pedagogic climate in a pediatric ward of a general hospital under guidance of a pediatric social worker. Results: Almost all parents were inconsistent in applying appropriate behavioral contingencies during meals. Eleven patients followed 8 months of outpatient treatment and 25 patients followed 2 weeks of inpatient treatment. The overall success rate of outpatient treatment after 2 weeks was 18%, and that of inpatient treatment after 8 months was 88%. The corrected relapse rates are 18% and 56% respectively after 6 months. Conclusion: Short clinical intervention in a structured pedagogic environment is a successful treatment in behavioral feeding disorders. Herewith, pediatricians have a powerful tool for treating behavioral feeding disorders by temporarily resetting and changing the pedagogic climate.

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Early childhood malnutrition predicts depressive symptoms at ages 11–17

Abstract: Background-We examined the prevalence of depressive symptoms in Barbadian youth with histories of infantile malnutrition and in a healthy comparison group and the extent to which the effect of malnutrition was mediated/moderated by maternal depression.

Cited by 70 publications

References 43 publications

Relationship between infant malnutrition and childhood maltreatment in a Barbados lifespan cohort

Relationship between infant malnutrition and childhood maltreatment in a Barbados lifespan cohort

Socioeconomic Outcomes in Adults Malnourished in the First Year of Life: A 40-Year Study

Hospitalization Can Correct Behavioral Feeding Disorders in Children by Resetting the Pedagogic Climate

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