title: A prospective study of parentally bereaved youth, caregiver depression, and body mass index.
abstract: OBJECTIVE
  To examine the relationship between body mass index (BMI) in bereaved youth and nonbereaved controls 5 years after a parent's death. The study was conducted from August 9, 2002, through December 31, 2013.
  
  
  METHODS
  A prospective, longitudinal, controlled study of the effects of sudden parental death on youth.
  
  
  METHODS
  Bereaved families were recruited through coroner records and by advertisement. Nonbereaved families were recruited using random-digit dialing and by advertisement.
  
  
  METHODS
  123 parentally bereaved offspring were compared with 122 nonbereaved control offspring, all of whom were aged 11-25 years at the 5-year assessment.
  
  
  METHODS
  Bereavement status, type of parental death (accident, suicide, or sudden natural death), and history of depression in caregivers prior to parental death.
  
  
  METHODS
  BMI categories (normal, overweight, and obese), according to International Obesity Task Force guidelines for adults and Centers for Disease Control and Prevention guidelines for children, and DSM-IV psychiatric disorder in offspring and caregivers before and after time of parental death.
  
  
  RESULTS
  Bereaved offspring were more likely to have a BMI in the obese range compared to nonbereaved controls (χ2(2) = 7.13, P < .01). There were no differences in BMI category by death type among bereaved offspring. Caregiver history of depression was a significant correlate of offspring obesity in nonbereaved youth but had a protective effect on the BMI of bereaved youth.
  
  
  CONCLUSIONS
  Bereaved youth were more likely to be obese than nonbereaved youth 5 years after parental death, and caregiver history of depression was associated with increased risk for obesity in nonbereaved youth only. Future studies are necessary to identify mechanisms that increase risk for obesity in parentally bereaved youth.
authors.affiliation: Department of Psychiatry, University of Pittsburgh School of Medicine Pittsburgh, Pennsylvania.
authors.forename: Rebecca J
authors.initials: RJ
authors.lastname: Weinberg
authors.forename: Laura J
authors.initials: LJ
authors.lastname: Dietz
authors.forename: Samuel
authors.initials: S
authors.lastname: Stoyak
authors.forename: Nadine M
authors.initials: NM
authors.lastname: Melhem
authors.forename: Giovanna
authors.initials: G
authors.lastname: Porta
authors.forename: Monica W
authors.initials: MW
authors.lastname: Payne
authors.forename: David A
authors.initials: DA
authors.lastname: Brent
mesh_terms: D000293:Adolescent; D001601:Bereavement; D015992:Body Mass Index; D017028:Caregivers / Q000523:psychology*; D002648:Child; D016241:Child of Impaired Parents / Q000523:psychology* / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D003866:Depressive Disorder / Q000453:epidemiology / Q000523:psychology*; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D009765:Obesity / Q000453:epidemiology / Q000523:psychology*; D063129:Parental Death / Q000523:psychology*; D011446:Prospective Studies; D012306:Risk; D013223:Statistics as Topic; D055815:Young Adult
references.citation: Int J Pediatr Obes. 2011 Jun;6(2-2):e12-27
references.pmid: 21657834
references.citation: J Adolesc Health. 2003 Aug;33(2):60-70
references.pmid: 12890596
references.citation: Pediatr Obes. 2012 Apr;7(2):124-33
references.pmid: 22434752
references.citation: Future Child. 2006 Spring;16(1):47-67
references.pmid: 16532658
references.citation: Am J Psychiatry. 2009 Jul;166(7):786-94
references.pmid: 19411367
references.citation: Arch Gen Psychiatry. 2003 Dec;60(12):1209-15
references.pmid: 14662553
references.citation: Med Care. 1995 Apr;33(4 Suppl):AS264-79
references.pmid: 7723455
references.citation: J Clin Psychiatry. 2004 May;65(5):634-51, quiz 730
references.pmid: 15163249
references.citation: J Am Acad Child Adolesc Psychiatry. 2000 Sep;39(9):1112-9
references.pmid: 10986807
references.citation: J Affect Disord. 1998 Sep;50(2-3):269-76
references.pmid: 9858086
references.citation: J Am Acad Child Adolesc Psychiatry. 2012 May;51(5):528-36
references.pmid: 22525959
references.citation: J Am Acad Child Adolesc Psychiatry. 2006 Jun;45(6):681-690
references.pmid: 16721318
references.citation: J Am Acad Child Adolesc Psychiatry. 1997 Jul;36(7):980-8
references.pmid: 9204677
references.citation: Arch Gen Psychiatry. 1987 Jun;44(6):540-8
references.pmid: 3579500
references.citation: BMJ. 1999 Aug 7;319(7206):354-7
references.pmid: 10435957
references.citation: Arch Gen Psychiatry. 2010 Mar;67(3):220-9
references.pmid: 20194822
references.citation: Med Care. 1996 Mar;34(3):220-33
references.pmid: 8628042
references.citation: Child Psychiatry Hum Dev. 1996 Spring;26(3):139-50
references.pmid: 8819876
references.citation: BMJ. 2000 May 6;320(7244):1240-3
references.pmid: 10797032
references.citation: J Adolesc. 2001 Apr;24(2):159-69
references.pmid: 11437477
references.citation: Int J Obes (Lond). 2012 Apr;36(4):479-84
references.pmid: 22158269
references.citation: Obesity (Silver Spring). 2011 Feb;19(2):345-52
references.pmid: 20798670
references.citation: Pediatrics. 2004 Oct;114(4):e429-36
references.pmid: 15466068
references.citation: Aust N Z J Psychiatry. 2011 May;45(5):384-92
references.pmid: 21500955
references.citation: J Clin Child Psychol. 1998 Dec;27(4):434-41
references.pmid: 9866080
references.citation: Fam Process. 2003 Summer;42(2):291-304
references.pmid: 12879599
references.citation: Arch Pediatr Adolesc Med. 2008 May;162(5):403-10
references.pmid: 18458185
references.citation: Pediatrics. 2001 Jun;107(6):1363-8
references.pmid: 11389258
references.citation: J Gerontol. 1986 Mar;41(2):248-60
references.pmid: 3950353
references.citation: Arch Gen Psychiatry. 2011 Sep;68(9):911-9
references.pmid: 21893658
references.citation: J Abnorm Psychol. 1999 Aug;108(3):500-10
references.pmid: 10466274
references.citation: Clin Child Fam Psychol Rev. 2011 Mar;14(1):1-27
references.pmid: 21052833
references.citation: J Aging Health. 1998 Nov;10(4):395-421
references.pmid: 10346692
references.citation: Am J Psychiatry. 1991 Nov;148(11):1536-40
references.pmid: 1928469
references.citation: Clin J Pain. 2005 Sep-Oct;21(5):398-405
references.pmid: 16093745
references.citation: Obesity (Silver Spring). 2007 Jan;15(1):126-36
references.pmid: 17228040
references.citation: Int J Behav Nutr Phys Act. 2011 Mar 14;8:18
references.pmid: 21401954
references.citation: Am J Prev Med. 1998 May;14(4):245-58
references.pmid: 9635069
references.citation: Prof Psychol Res Pr. 2008 Apr;39(2):113-121
references.pmid: 20585468