Article

Quality of Early Maternal-Child Relationship and Risk of Adolescent Obesity

Division of Epidemiology, The Ohio State University College of Public Health, Columbus, Ohio, USA.
PEDIATRICS (Impact Factor: 5.3). 12/2011; 129(1):132-40. DOI: 10.1542/peds.2011-0972
Source: PubMed

ABSTRACT The goal of this study was to determine whether obesity in adolescence is related to the quality of the early maternal-child relationship.
We analyzed data from 977 of 1364 participants in the Study of Early Child Care and Youth Development. Child attachment security and maternal sensitivity were assessed by observing mother-child interaction at 15, 24, and 36 months of age. A maternal-child relationship quality score was constructed as the number of times across the 3 ages that the child was either insecurely attached or experienced low maternal sensitivity. Adolescent obesity was defined as a measured BMI ≥95th percentile at age 15 years.
Poor-quality maternal-child relationships (score: ≥3) were experienced by 24.7% of children compared with 22.0% who, at all 3 ages, were neither insecurely attached nor exposed to low maternal sensitivity (score: 0). The prevalence of adolescent obesity was 26.1%, 15.5%, 12.1%, and 13.0% for those with risk scores of ≥3, 2, 1, and 0, respectively. After adjustment for gender and birth weight, the odds (95% confidence interval) of adolescent obesity was 2.45 (1.49-4.04) times higher in those with the poorest quality early maternal-child relationships (score: ≥3) compared with those with the highest quality (score: 0). Low maternal sensitivity was more strongly associated with obesity than insecure attachment.
Poor quality of the early maternal-child relationship was associated with a higher prevalence of adolescent obesity. Interventions aimed at improving the quality of maternal-child interactions should consider assessing effects on children's weight and examining potential mechanisms involving stress response and emotion regulation.

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    • "ilar trends have been corroborated by Anderson and Whitaker ( 2011 ) , who found that the probability of a 4½ year old child becoming obese is 1 . 3 times higher within an insecure mother – child attachment than within a secure attach - ment ( measured when the child was 24 months old ) . This tendency remains until the child reaches adolescence ( Anderson et al . , 2012 ) . Thus , the significance of the mother as a secure base for the long - term weight development of the child should be emphasized . Our results also revealed that the attachment effect shows incremental validity beyond biological / genetic and environmental factors such as the child ' s birth BMI percentile , parental BMI , and mother"
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