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

Autor:	Rivera Rivera NY; Department of Environmental Medicine and Climate Science, Icahn School of Medicine at Mount Sinai, New York, New York., Lamadrid-Figueroa H; Department of Perinatal Health, Center for Population Health Research, National Institute of Public Health (INSP), Cuernavaca, Mexico., Mercado Garcia A; Center for Nutrition and Health Research, National Institute of Public Health, Cuernavaca, Morelos, Mexico., Alcala CS; Department of Environmental Medicine and Climate Science, Icahn School of Medicine at Mount Sinai, New York, New York., Schnaas L; Department of Developmental Neurobiology, National Institute of Perinatology, Mexico City, Mexico., Hernández-Chávez C; Department of Developmental Neurobiology, National Institute of Perinatology, Mexico City, Mexico., Téllez-Rojo MM; Center for Nutrition and Health Research, National Institute of Public Health, Cuernavaca, Morelos, Mexico., Wright RO; Department of Environmental Medicine and Climate Science, Icahn School of Medicine at Mount Sinai, New York, New York; Department of Developmental Neurobiology, National Institute of Perinatology, Mexico City, Mexico; Department of Pediatrics, Kravis Children's Hospital, Icahn School of Medicine at Mount Sinai, New York, New York., Wright RJ; Department of Environmental Medicine and Climate Science, Icahn School of Medicine at Mount Sinai, New York, New York; Department of Pediatrics, Kravis Children's Hospital, Icahn School of Medicine at Mount Sinai, New York, New York; Institute for Exposomic Research, Icahn School of Medicine at Mount Sinai, New York, New York., Rosa MJ; Department of Environmental Medicine and Climate Science, Icahn School of Medicine at Mount Sinai, New York, New York. Electronic address: maria.rosa@mssm.edu., Tamayo-Ortiz M; Department of Environmental Health Sciences, Mailman School of Public Health, Columbia University, New York, New York.
Jazyk:	angličtina
Zdroj:	Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology [Ann Allergy Asthma Immunol] 2024 Nov; Vol. 133 (5), pp. 568-573.e3. Date of Electronic Publication: 2024 Aug 06.
DOI:	10.1016/j.anai.2024.07.030
Abstrakt:	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. Competing Interests: Disclosures The authors have no conflicts of interest to report. (Copyright © 2024 American College of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu