title: Maternal mental health and infant dietary patterns in a statewide sample of Maryland WIC participants.
abstract: The study's objective was to examine the relation between maternal mental health and infant dietary intake. A cross-sectional, population-based telephone survey was employed within a statewide sample of Maryland Special Supplemental Nutrition Program for Women, Infants and Children participants. A 24-h diet recall was performed using the United States Department of Agriculture Automated Multiple-Pass Method. Analyses presented were based on 689 mother-infant pairs. Overall, 36.5% of mothers reported introducing solids to their infants early (<4 months of age), and 40% reported adding cereal to their infant's bottle. Among 0-6-month-old infants, higher infant energy intake was associated with symptoms of maternal stress [β=0.02; confidence interval (CI): 0.01, 0.04], depression (β=0.04; CI: 0.01, 0.06) and overall maternal psychological distress (β=0.02; CI: 0.003, 0.03). With early introduction of solids in the model, the significant associations between infant energy intake and maternal stress and maternal psychological distress became marginal (P's=0.06-0.10). The association between infant energy intake and maternal depression remained significant (β=0.03; CI: 0.01, 0.06). Among 4-6-month-old infants, intakes of breads and cereals were higher among mothers who reported more symptoms of stress (β=0.12; CI: 0.04, 0.23), depression (β=0.19; CI: 0.03, 0.34), anxiety (β=0.15; CI: 0.02, 0.27) and overall psychological distress (β=0.04; CI: 0.01, 0.07). Among 7-12-month-old infants, dietary intake was not related to mental health symptoms. Findings suggest poorer infant feeding practices and higher infant dietary intake during the first 6 months of age in the context of maternal mental health symptoms. Further research is needed to evaluate these effects on child dietary habits and growth patterns over time.
authors.affiliation: Department of Pediatrics, University of Maryland School of Medicine, Baltimore, Maryland, USA.
authors.forename: Kristen M
authors.initials: KM
authors.lastname: Hurley
authors.forename: Maureen M
authors.initials: MM
authors.lastname: Black
authors.forename: Brian C
authors.initials: BC
authors.lastname: Merry
authors.forename: Laura E
authors.initials: LE
authors.lastname: Caulfield
mesh_terms: D001007:Anxiety / Q000523:psychology; D003430:Cross-Sectional Studies; D003863:Depression / Q000523:psychology; D002149:Energy Intake; D005247:Feeding Behavior / Q000523:psychology*; D005260:Female; D063105:Food Assistance; D006801:Humans; D007223:Infant; D007227:Infant Nutritional Physiological Phenomena; D016015:Logistic Models; D008297:Male; D008396:Maryland; D008603:Mental Health; D018977:Micronutrients / Q000008:administration & dosage; D009034:Mother-Child Relations / Q000523:psychology; D015999:Multivariate Analysis; D015596:Nutrition Assessment; D009752:Nutritional Status; D013315:Stress, Psychological; D011795:Surveys and Questionnaires
chemical_list: D018977:Micronutrients