Maternal anxiety and diet quality among mothers and toddlers from low‐income households

Bibliographic Data

ID15536786
AuthorsAngela C B Trude (0000-0002-2881-1089, University of Maryland, Baltimore, corresponding author), Maureen M Black (0000-0002-6427-4639, University of Maryland, Baltimore), Pamela J Surkan (0000-0002-0334-5931, Johns Hopkins University), Kristen M Hurley (0000-0001-8339-1681, Johns Hopkins University), Yan Wang (0009-0009-9633-0023, University of Maryland, Baltimore)
Year2020
Volume16
Issue4
Pagese12992-e12992
Publication date2020-03-08
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueMaternal and Child Nutrition (JOURNAL)
Journal identifiersISSN: 1740-8695 • E-ISSN: 1740-8709
PublisherWiley (PUBLISHER • GB)
DOI10.1111/mcn.12992
PMID32147951
OpenAlexW3011555457
LanguageEN
Citations received5
References cited67

We evaluated the association between maternal anxiety score and diet quality over time among mothers and toddlers in low-income families. Longitudinal data were collected from 267 mother-toddler dyads in an obesity prevention trial. Participants were recruited from the Special Supplemental Nutrition Program for Women, Infants and Children and paediatric clinics between 2007 and 2010. Dyads were assessed at study enrolment (Time 1), 6-month (Time 2), and 12-month follow-up (Time 3). On the basis of a 1-day 24-hr dietary recall, we estimated maternal and toddler diet quality using the Healthy Eating Index 2015. Anxiety, a time-varying variable, was assessed via the State-Trait Anxiety Inventory. Associations between maternal anxiety score and maternal and toddler diet quality over time were assessed in adjusted mixed models. Maternal and toddler diet quality were positively correlated (r = .48, p < .001). Higher maternal anxiety scores were related to lower toddler Healthy Eating Index scores (b = -0.51, 95% confidence interval, CI [-0.87, -0.15]) with no significant variation over time. The relation between maternal diet quality and anxiety score varied over time (b = 0.28, p = .03, for time-anxiety interaction). Higher maternal anxiety scores were associated with lower maternal diet quality at Time 1 (b = -0.71, 95% CI [-1.09, 0.34]) and at Time 2 (b = -0.51, 95% CI [-0.97, -0.05]), but not at Time 3 (b = -0.14, 95% CI [-0.54, 0.26]). Findings suggest that mothers and toddlers exhibited similar low-quality dietary patterns and that lower diet quality was associated with higher maternal anxiety scores. Approaches to enhance diet quality may consider incorporating anxiety-reducing strategies into maternal and toddler care and feeding behaviour guidelines

Anxiety · Confidence interval · Developmental psychology · Psychiatry · Toddler · Trait anxiety · Breastfeeding Practices and Influences · Demography · Maternal Mental Health During Pregnancy and Postpartum · Medicine · Obesity, Physical Activity, Diet · Psychology · Internal Medicine

Tools

Open DOISci-HubOpen Access