Influence of Perceived Economic Strain on the Relationship Between Caregiver BMI and Child BMI

As maternal BMI is a risk factor for higher child BMI, this exploratory study investigated perceived economic strain as a protective factor modifying this well-established relationship. Primary low-income female caregivers (n = 432) of preschoolers ages 3–5 years were interviewed using the Family Economic Strain Scale. Caregiver and child heights and weights were measured. Significant differences were found in perceived economic strain between normal versus underweight, overweight, and obese caregivers. A moderating effect approaching significance was noted such that at low levels of reported economic strain, caregiver BMI classification had no effect on child BMI z-score for normal weight, overweight, or obese caregivers. This study is the first to demonstrate that reduced perception of economic strain may act to buffer the impact of maternal overweight/obesity on child weight status. Given this biologically strong relationship, the potential for any modifiable factor to be detected is encouraging. Further collaborative research between economists and family resiliency researchers is suggested.