Paulina Mech|Merrilyn Hooley|Helen Skouteris|Joanne Williams
Parent?related mechanisms underlying the social gradient of childhood overweight and obesity: a systematic review
Deakin University|Deakin University|Deakin University|Deakin University
abstract background low socioeconomic status ses significant risk factor childhood overweight obesity cowob highincome countries parents young children buffer accentuate social cultural influences central development disease understanding parentrelated mechanisms underlie sescowob relationship needed improve efficacy prevention intervention efforts objective systematic review relevant literature conducted investigate mechanisms levels ses low middle high associated cowob exploring mediation interaction effects method six electronic databases searched yielding 5155 initial records duplicates removed studies included investigated cowob ses parentrelated factors multivariate relationship factors thirty studies included factors found mediating sescowob relationship interacting ses influence cowob categorized according ecological systems framework child parent household social system level factors results high parent body mass index ethnicity childcare attendance high tv time mother child breastfeeding early weaning food intake behaviours birthweight potentially mediate relationship ses cowob different risk factors cowob different ses groups found low ses families parental obesity maternal depressive symptoms strong risk factors cowob whereas long maternal working hours permissive parenting style risk factors higher ses families none studies investigated parental psychological attributes attitudes beliefs selfesteem potential mechanismsrisk factors conclusions families different ses groups different risk protective factors cowob prevention intervention efforts may improved efficacy tailored address specific risk factors within ses