Factores asociados a sobrepeso/obesidad en niños de 0 a 5 años según la ENDES 2016

Objetivos: Encontrar la asociación entre síntomas depresivos en madres y el sobrepeso/obesidad en sus hijos de 0-5 años, así como otros factores asociados al sobrepeso/obesidad infantil Metodología: Análisis de base secundaria de la ENDES 2016. La muestra fueron 7935 niños con sus respectivas madres. La variable dependiente fue el sobrepeso/obesidad infantil medido según el z-score del IMC >2DS; y la variable independiente principal fueron los síntomas depresivos maternos según el puntaje de PHQ9 >10 puntos. Se utilizó el programa STATA MP versión 14.0 para realizar el análisis estadístico Resultados: La prevalencia de sobrepeso/obesidad en niños de 0 a 5 años fue 4,5% y la de síntomas depresivos moderados y severos en madres fue de 7,1%. Los síntomas depresivos maternos no se encontraron asociados al outcome (RPa = 1.36 IC95% = 0.59-3.09 p = 0.469). Se encontró asociación con sobrepeso/obesidad en el niño con estatus socioeconómico Q3 (RPa = 3.86 IC95% = 1.9-7.6 p <0.0001), Q4 (RPa = 5.53 IC95% = 2.76-11.1 p<0.0001), Q5 (RPa = 6.9 IC95% = 3.24-14.7 p = <0.0001), asi como con IMC materno (RPa = 1.06 IC95% = 1.03-1.08 p <0.0001) y nacimiento por cesárea y el outcome (RPa = 1.42 IC95% = 1.01-1.99 p = 0.042). Conclusiones: No se encontró asociación entre síntomas depresivos maternos y sobrepeso/obesidad en niños de 0 a 5 años Los quintiles superiores de estatus socioeconómico, el IMC materno y el parto por cesárea estuvieron asociados al desenlace. Se necesitan más estudios y de naturaleza longitudinal.Objectives: Find association between maternal depressive symptoms and overweight/obesity in their children of ages 0-5 and other factors associated to these problems. Methodology: Transversal study through secondary base analysis (ENDES 2016). The sample was 7935 children with their mothers. The dependent variable was childhood overweight/obesity according z-score of BMI and the independent main variable was the maternal depressive symptoms following the PHQ9 score. The program used was STATA MP version 14.0 to perform the statistical analysis Results: Prevalence of overweight/obesity in children of ages 0-5 was 4.5% and the moderate and severe depressive symptoms in mothers was 7.1%. The maternal depressive symptoms were not found to be associated to the outcome (aPR = 1.36 95%CI = 0.59-3.09). Association was found between overweight/obesity in children and socioeconomic status Q3 (aPR = 3.86 95%CI = 1.9-7.6), Q4 (aPR = 5.53 95%CI = 2.76-11.1), Q5 (aPR = 6.9 95%CI = 3.24-14.7), maternal IMC (aRP = 1.06 95%CI = 1.03-1.08) and C-section birth (aRP = 1.42 95%CI = 1.01-1.99). Discussion: The lack of association between the maternal depressive symptoms and overweight/obesity was also found in other foreign studies carried out in children of different ages. Peruvian and foreign studies support the association between higher socioeconomic status and excess weight in children. Likewise, others support the association between maternal BMI and birth by C section with excess weight in children. Conclusions: No association was found between maternal depressive symptoms and overweight/obesity. The superior quintiles of socioeconomic status, maternal BMI and C-section birth were associated to overweight/obesity.Tesi

Association between Maternal Depressive Symptoms with Overweight/Obesity among Children Aged 0-5 Years According to the 2016 Demographic and Family Health Survey

Background: Overweight and obesity among children under the age of 5 have become a public health problem. The worldwide prevalence is 4.9% and 6.0%, whereas in Peru it is 7.4% and 1.9%, respectively. The causes of these problems are multifactorial and must be studied to prevent the multiple consequences on children's health. Methods: Secondary data analysis of the 2016 Demographic and Family Health Survey (DHS). The sample size was 7935 children and their mothers. The dependent variable was childhood overweight/obesity, measured according to the Z-score of the BMI >2 standard deviation (SD), while the main independent variable consisted of the maternal depressive symptoms (DS) (Patient Health Questionnaire-9 score >10 points). The software STATA/MP 14.0 was used for statistical analysis. Results: The prevalence of overweight/obesity among children aged 0-5 years was 4.5% and the prevalence of moderate and severe maternal DS was 7.1%. No maternal depressive symptoms were found to be associated with the outcome [adjusted PR = 1.36 95% confidence interval (CI) = 0.59-3.09 p = 0.47]. An association was found between socioeconomic status (SES) Q3 (adjusted PR = 3.86 95% CI = 1.9-7.6 p < 0.0001), Q4 (adjusted PR = 5.53 95% CI = 2.76-11.1 p < 0.0001), Q5 (adjusted PR = 6.9 95% CI = 3.24-14.7 p = < 0.0001), maternal BMI (adjusted PR = 1.06 95% CI = 1.03-1.08 p < 0.0001), and cesarean delivery (adjusted PR = 1.42 95% CI = 1.01-1.99 p = 0.042). Conclusions: No association was found between maternal depressive symptoms and overweight/obesity among children aged 0-5 years. The upper SES quintiles, maternal BMI, and cesarean delivery were associated with the outcome.Revisión por pare