Associations between psychosocial stress, child's anxiety, and lung function in mid-childhood

IF 5.8 2区医学 Q1 ALLERGY

Annals of Allergy Asthma & Immunology Pub Date : 2024-11-01 DOI:10.1016/j.anai.2024.07.030

Nadya Y. Rivera Rivera MPH , Hector Lamadrid-Figueroa PhD , Adriana Mercado Garcia MD , Cecilia Sara Alcala PhD , Lourdes Schnaas PhD , Carmen Hernández-Chávez PhD , Martha M. Téllez-Rojo PhD , Robert O. Wright MD , Rosalind J. Wright MD , Maria José Rosa DrPH , Marcela Tamayo-Ortiz ScD

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引用次数: 0

Abstract

Background

Reducing the risk of respiratory disease during the plastic stages of lung development could have long-term health impacts. Psychosocial stress has been previously linked to adverse childhood respiratory outcomes, but the influence of child's anxiety and sex differences has not been completely elucidated.

Objective

To evaluate the association among maternal stress, child anxiety, and lung function in children and to explore differences by sex.

Methods

Cross-sectional analyses included 294 mother-child pairs from the Programming Research in Obesity, Growth, Environment and Social Stressors (PROGRESS) birth cohort in Mexico City. Children's lung function was tested once at ages 8 to 13 years of age, and height- and sex-adjusted z-scores were estimated for forced vital capacity, forced expiratory volume in 1 second, forced expiratory volume in 1 second/forced vital capacity and forced expiratory flow between 25% and 75%. Maternal stress was assessed through the Crisis in Family Systems—Revised (CRISYS-R) survey, used to report negative life events experienced in the past 6 months and dichotomized at the median (<3 and ≥3). Child's self-reported anxiety was assessed using the Revised Children's Manifest Anxiety Scale short form and dichotomized at the clinically relevant cutoff (T-score ≥ 60). The association among maternal stress, child anxiety, and lung function outcomes was evaluated using linear models. Effect modification by sex was evaluated with interaction terms and in stratified analyses.

Results

We did not find any association between maternal stress and any lung function outcome. Clinically elevated child anxiety symptoms were associated with lower forced expiratory volume in 1 second (β = −0.36, 95% CI −0.69 to −0.02). We found no evidence of effect modification by sex.

Conclusion

Results highlight the importance of considering childhood mental health in relation to lung function outcomes.

查看原文本刊更多论文

儿童中期社会心理压力、儿童焦虑和肺功能之间的关系。

背景：在肺部发育的可塑阶段降低患呼吸系统疾病的风险会对健康产生长期影响。目的：研究母亲压力、儿童焦虑和儿童肺功能之间的关系，并探讨性别差异：横断面分析包括墨西哥城肥胖、生长、环境和社会压力研究（PROGRESS）出生队列中的 294 对母子。在儿童 8-13 岁时对其肺功能进行了一次测试，并根据年龄、身高和性别估算出了强迫肺活量（FVC）、一秒钟内强迫呼气容积（FEV1）、FEV1/FVC 和肺活量 25-75% 时的强迫呼气流量（FEF25-75%）的调整 Z 分数。产妇压力通过家庭系统危机-修订版（CRISYS-R）调查进行评估，该调查用于报告产妇在过去 6 个月中所经历的负面生活事件，并以中位数进行二分（结果：产妇在过去 6 个月中所经历的负面生活事件与产妇压力之间没有任何关联：我们没有发现产妇压力与任何肺功能结果之间存在关联。临床升高的儿童焦虑症状与较低的 FEV1 相关（β= -0.36，95% CI -0.69，-0.02）。我们没有发现性别对影响有修饰作用的证据：结论：研究结果强调了考虑儿童心理健康与肺功能结果关系的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annals of Allergy Asthma & Immunology 医学-过敏

CiteScore

6.50

自引率

6.80%

发文量

437

审稿时长

33 days

期刊介绍： Annals of Allergy, Asthma & Immunology is a scholarly medical journal published monthly by the American College of Allergy, Asthma & Immunology. The purpose of Annals is to serve as an objective evidence-based forum for the allergy/immunology specialist to keep up to date on current clinical science (both research and practice-based) in the fields of allergy, asthma, and immunology. The emphasis of the journal will be to provide clinical and research information that is readily applicable to both the clinician and the researcher. Each issue of the Annals shall also provide opportunities to participate in accredited continuing medical education activities to enhance overall clinical proficiency.