Maternal and Paternal Distress in Early Childhood and Child Adiposity Trajectories: Evidence from the Millennium Cohort Study

Tommerup, Kristiane; Lacey, Rebecca

doi:10.1002/oby.23150

Cited by 2 publications

(4 citation statements)

References 34 publications

(41 reference statements)

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“…18 There is increasing evidence that parental social adversity affects weight gain in the children. 74 The gestational period exerts considerable influence on the general health of offspring, 75,76 including obesity. 77 Studies indicate that gestational weight gain is of relatively small importance relative to maternal BMI.…”

Section: Part A: Family Social Adversitymentioning

confidence: 99%

“…Prolonged social adversity is in turn associated with several debilitating psychological and emotional consequences in offspring: insecurity, chronic stress, and mental health problems, including depression, anxiety, negative belief systems, and negative affect (anger, apathy, hopelessness, frustration, distress, shame, guilt) 18 . There is increasing evidence that parental social adversity affects weight gain in the children 74 …”

Section: The Integrating Modelmentioning

confidence: 99%

“… 18 There is increasing evidence that parental social adversity affects weight gain in the children. 74 …”

Section: The Integrating Modelmentioning

confidence: 99%

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The social origins of obesity within and across generations

et al. 2022

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We propose a model for obesity development that traces a considerable part of its origins to the social domain (mainly different forms of prolonged social adversity), both within and across generations, working in tandem with a genetic predisposition.To facilitate overview of social pathways, we place particular focus on three areas that form a cascading sequence: (A) social adversity within the family (parents having a low education, a low social position, poverty and financial insecurity; offspring being exposed to gestational stress, unmet social and emotional needs, abuse, maltreatment and other negative life events, social deprivation and relationship discord);(B) increasing levels of insecurity, negative emotions, chronic stress, and a disruption of energy homeostasis; and (C) weight gain and obesity, eliciting further social stress and weight stigma in both generations. Social adversity, when combined with genetic predisposition, thereby substantially contributes to highly effective transmission of obesity from parents to offspring, as well as to obesity development within current generations. Prevention efforts may benefit from mitigating multiple types of social adversity in individuals, families, and communities, notably poverty and financial strain, and by improving education levels.

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Section: Part A: Family Social Adversitymentioning

confidence: 99%

Section: The Integrating Modelmentioning

confidence: 99%

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The social origins of obesity within and across generations

et al. 2022

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“…Similar to other longitudinal studies of childhood excess weight using the MCS, where maximum likelihood estimation formed the basis of the statistical method [ 41 , 42 ] or where other methods such as regression analyses were applied [ 27 , 43 ], our analyses were based on complete-case analysis, where we included only children with complete data on the child, mother, and sociodemographic variables, outlined earlier. We tested the robustness of the derived transition hazards from our primary analysis by estimating and comparing transition hazards before and after excluding children with incomplete data on explanatory variables.…”

Section: Methodsmentioning

confidence: 99%

Childhood Transitions Between Weight Status Categories: Evidence from the UK Millennium Cohort Study

Onyimadu,

Astbury,

Achana

et al. 2024

PharmacoEconomics

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Background Assessing the cost-effectiveness of interventions targeting childhood excess weight requires estimates of the hazards of transitioning between weight status categories. Current estimates are based on studies characterized by insufficient sample sizes, a lack of national representativeness, and untested assumptions. Objectives We sought to (1) estimate transition probabilities and hazard ratios for transitioning between childhood weight status categories, (2) test the validity of the underlying assumption in the literature that transitions between childhood bodyweight categories are time-homogeneous, (3) account for complex sampling procedures when deriving nationally representative transition estimates, and (4) explore the impact of child, maternal, and sociodemographic characteristics. Methods We applied a multistate transition modeling approach accounting for complex survey design to UK Millennium Cohort Study (MCS) data to predict transition probabilities and hazard ratios for weight status movements for children aged 3–17. Surveys were conducted at ages 3 (wave 2 in 2004), 5 (wave 3 in 2006), 7 (wave 4 in 2008), 11 (wave 5 in 2012), 14 (wave 6 in 2015), and 17 (wave 7 in 2018) years. We derived datasets that included repeated body mass index measurements across waves after excluding multiple births and children with missing or implausible bodyweight records. To account for the stratified cluster sample design of the MCS, we incorporated survey weights and jackknife replicates of survey weights. Using a validation dataset from the MCS, we tested the validity of our models. Finally, we estimated the relationships between state transitions and child, maternal, and sociodemographic factors. Results The datasets for our primary analysis consisted of 10,399 children for waves 2–3, 10,729 for waves 3–4, 9685 for waves 4–5, 8593 for waves 5–6, and 7085 for waves 6–7. All datasets consisted of roughly equal splits of boys and girls. Under the assumption of time-heterogeneous transition rates (our base-case model), younger children (ages 3–5 and 5–7 years) had significantly higher annual transition probabilities of moving from healthy weight to overweight (0.033, 95% confidence interval [CI] 0.026–0.041, and 0.027, 95% CI 0.021–0.033, respectively) compared to older children (0.015, 95% CI 0.012–0.018, at ages 7–11; 0.018, 95% CI 0.013–0.023, at ages 11–14; and 0.018, 95% CI 0.013–0.025 at ages 14–17 years). However, the resolution of unhealthy weight was more strongly age-dependent than transitions from healthy weight to non-healthy weight states. Transition hazards differed by child, maternal, and sociodemographic factors. Conclusions Our models generated estimates of bodyweight status transitions in a representative UK childhood population. Compared to our scenario models (i.e., time-homogeneous transition rates), our base-case model fits the observed data best, indicating a non-time-homogeneous pattern in transitions between bodyweight categories during childhood. Transition hazards varied significantly by age and across subpopulations, suggesting that conducting subgroup-specific cost-effectiveness analyses of childhood weight management interventions will optimize decision-making.

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Maternal and Paternal Distress in Early Childhood and Child Adiposity Trajectories: Evidence from the Millennium Cohort Study

Cited by 2 publications

References 34 publications

The social origins of obesity within and across generations

The social origins of obesity within and across generations

Childhood Transitions Between Weight Status Categories: Evidence from the UK Millennium Cohort Study

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