Table 2.
Relative risk ratios (95% confidence intervals) for the relationship between maternal psychological distress at cohort child age 5 years and child overweight or obesity at 11 years (n = 9 206)
% (n) maternal psychological distress 5 y and weight at 11 y | Adjusted for sex of child, ethnicity | Model A + Early years factors (9 m) | Model A + Socio-demographic factors (9 m) | Model A + dietary factors (7 y) | Model A + physical activity factors (7 y) | Fully adjusted | |
---|---|---|---|---|---|---|---|
(A) | (B) | (C) | (D) | (E) | (F) | ||
Normal range | |||||||
No distress | 73.4 (4591) | — | — | — | — | — | — |
Medium distress | 68.9 (1791) | ||||||
Severe distress | 69.4 (204) | ||||||
Overweight | |||||||
No distress | 21.2 (1361) | ||||||
Medium distress | 23.7 (601) | 1.18 (1.02–1.35) | 1.11 (0.97–1.28) | 1.11 (0.96–1.27) | 1.14 (0.99–1.31) | 1.14 (0.99–1.31) | 1.07 (0.92–1.24) |
Severe distress | 18.6 (60) | 0.89 (0.63–1.27) | 0.75 (0.52–1.09) | 0.78 (0.55–1.12) | 0.81 (0.57–1.14) | 0.85 (0.60–1.20) | 0.70 (0.49–1.00) |
Obese | |||||||
No distress | 5.3 (364) | ||||||
Medium distress | 7.3 (199) | 1.43 (1.17–1.75) | 1.26 (1.02–1.55) | 1.25 (1.02–1.53) | 1.35 (1.10–1.66) | 1.29 (1.06–1.58) | 1.14 (0.92–1.41) |
Severe distress | 12.0 (35) | 2.27 (1.42–3.63) | 1.56 (0.94–2.60) | 1.64 (1.00–2.69) | 1.83 (1.15–2.93) | 1.85 (1.16–2.97) | 1.26 (0.75–2.11) |
A: Maternal distress, adjusted for cohort child’s sex and ethnicity
B: Model A + early years factors (duration maternal smoking in pregnancy; duration breastfeeding; introduction to solids; birthweight; maternal pre-pregnancy BMI)
C: Model A + Socio-demographic factors at 9 months (maternal highest academic qualification; family structure; household income quintiles; housing tenure)
D: Model A + dietary factors (fruit consumption; breakfast consumption; sweetened drinks between meals; main snack between meals)
E: Model A + physical activity factors (child participated in sport/PA, child non-organised physical activity, mother engaged in active play with child, transport to school, regular bedtime, TV screentime hours, computer screentime hours)
F: Fully adjusted (Model A + Models B, C, D and E)