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Aims/hypothesis Excessive gestational weight gain (GWG) may be a risk factor for gestational diabetes mellitus (GDM). We aimed to study the association between excessive GWG (defined according to Institute of Medicine recommendations) prior to GDM screening, and GDM. Methods We systematically searched four electronic databases from 1990 until September 2014 for observational studies published in English or German that reported an association between excessive GWG and GDM as the outcome. Random effects meta-analyses were performed to provide a pooled estimate of the OR comparing the risk of GDM in women with and without excessive GWG. Results A total of eight studies involving 13,748 participants were included. The pooled analysis of unadjusted OR yielded a summary OR of 1.40 (95% CI 1.21, 1.61; p <  0.001) with low between-study heterogeneity ( I 2  = 16.7%). A sensitivity analysis based on four studies reporting adjusted effect estimates revealed similar results (OR 1.42; 95% CI 1.20, 1.68; p <  0.001; I 2  = 0%). No evidence was found that the effect of GWG on GDM differs depending on maternal pre-pregnancy BMI category. A funnel plot did not indicate substantial publication bias. Conclusions/interpretation Avoiding excessive weight gain in pregnancy prior to the GDM screening test may be a potential strategy to reduce GDM risk. Meta-analysis registration www.crd.york.ac.uk/PROSPERO CRD42014008802

Background/Objectives: Infant regulatory problems (RPs) are at risk of persisting and can contribute to later behavioral difficulties. Parenting stress has been identified as a risk factor associated with child RPs, but its mediating role has rarely been investigated in this context. The aim of the study was (1) to investigate whether RP symptoms were related to subsequent infant RP symptoms/toddler behavioral and emotional problems (BEPs) between two pediatric check-ups in the first 3 years of life and (2) to investigate the potential role of parenting stress as a partial mediator in the association of infant RPs and subsequent RPs/BEPs. Methods: Using data from a German cohort study (CoronaBaBY), associations between infant RPs at baseline and RPs/toddlers BEPs at follow-up (around 8 months later) were analyzed. Parenting stress was included as a mediation variable into the model. Results: In total, 725 parent–child dyads were analyzed. Mean infant age was 5.0 months (SD = 3.4). Elevated RP symptoms at baseline significantly predicted infant RP symptoms and BEPs at follow-up. Parenting stress at baseline significantly predicted feeding problems and BEPs at follow-up. Parenting stress partially mediated the associations between baseline infant RPs and follow-up RPs respectively BEPs in most models. Conclusions: Interventions should consider the partially mediating role of parenting stress, especially for the later development of BEPs. Research should aim to identify additional factors influencing infant regulatory problems and subsequent behavioral difficulties.

Background/Objectives: Parenting stress is associated with parent and child mental health problems and has increased since the beginning of COVID-19. Research on paternal parenting stress is sparse—even if family models are changing increasingly with fathers being more strongly involved in caregiving for their children. This study investigated (1) overall parenting stress levels and specific parenting stress subscales in fathers with young children in comparison to mothers and (2) potential influencing factors on fathers’ and mothers’ parenting stress during the pandemic. Methods: In a cross-sectional online study, N = 368 parents (50.00% fathers) of children (0–3 years) filled out the German version of the Parenting Stress Index (EBI) and answered questions on sociodemographic and pandemic-related factors. Results: Fathers were 36.17 years (SD = 5.21) and mothers 33.65 years (SD = 4.39) old and 67.50% had a high educational background. Children (45.38% female) were 16.34 months (SD = 11.66) old. There was no significant group difference between fathers’ and mothers’ overall parenting stress (p = 0.39). Parenting stress scores in the attachment subscale were significantly higher in fathers (p < 0.001, r = 0.19). An increase in family conflicts during the pandemic had the highest impact on both paternal (ß = 0.45) and maternal (ß = 0.35) parenting stress. Conclusions: Parenting stress was equally high for fathers and mothers during the COVID-19 crisis, indicating a levelling of pre-pandemic differences due to pandemic-related factors. Future support measures should focus on reducing family conflicts and on strengthening fathers’ attachment to their child.

Background Psychosocial stress during the COVID-19 pandemic is increasing particularly in parents. Although being specifically vulnerable to negative environmental exposures, research on psychosocial stress factors in infants’ and toddlers’ families during the pandemic is so far sparse. The CoronabaBY study investigates the perceived pandemic burden, parenting stress and parent and child mental health problems in families with children aged 0–3 years in Bavaria, Southern Germany. Further, the relationships between these psychosocial stressors are examined and sociodemographic characteristics that may be predictive of these factors will be explored. Methods Participants were cross-sectionally surveyed via smartphone app. Standardized questionnaires on perceived pandemic burden, parenting stress, parental symptoms of depression and anxiety, infants’ crying, sleeping and feeding problems or toddlers’ emotional and behavioral problems were applied. Results N  = 991 parents ( M age  = 33.7 years, SD  = 4.5; 93.7% mothers, 91.5% born in Germany) with infants ( n  = 554; M age  = 5.9 months, SD  = 3.0) or toddlers ( n  = 435; M age  = 25.9 months, SD  = 6.5) participated in the first half-year of 2021. Sixty-five percent of the parents perceived a high pandemic burden, 37.7% experienced parenting stress and 24.1% showed affective symptoms (anxiety: 30.1%, depression: 18.5%). Feeding problems, crying/ sleeping problems and multiple regulatory problems were found in 34.8%, 26.2% and 13.5% of the infants, respectively. Amongst toddlers, 8.5% showed noticeable behavior and emotional problems. Children`s mental health problems correlated moderately with parenting stress and parental affective symptoms and weakly with perceived pandemic burden. A lower financial status, higher parental education and increasing child age were significant but weak predictors for higher parenting stress, affective symptoms and higher psychological problems in children. Conclusions A majority of the surveyed families with infants and toddlers experience the pandemic as stressful. The main challenges are parental affective symptoms and limited resources for childcare due to parenting stress. Overall, infants and toddlers show similar levels of mental health problems when being compared to pre-pandemic studies, but staggered detrimental effects on children`s mental health might occur if the stressful conditions persist. This is already indicated by correlations between parental and child psychosocial stress factors.

Background/Objectives: Increasing screen time in childhood has been suggested to impact physical health, eating behaviors, and well-being. This study investigated how screen time affects mindfulness, mindful eating, and diet quality in Turkish adolescents aged 9–12 years. Methods: One hundred thirty-seven participants completed surveys on anthropometry, screen time, the Godin Leisure-Time Exercise Questionnaire, the Mediterranean Diet Quality Index, the Mindful Eating Questionnaire for Children, and the Child and Adolescent Mindfulness Measure. Results: The average screen time was 4.43 ± 2.37 h/day. Significant negative correlations emerged between screen time and mindfulness (r = −0.471, p < 0.001), as well as between screen time and diet quality (r = −0.244, p < 0.05). A regression analysis revealed significant associations only for mindfulness (B = −0.158, p < 0.001) and age (B = 0.636, p = 0.002). Conclusions: Higher mindfulness and younger age correlated with lower screen time, suggesting mindfulness interventions in schools may reduce screen use.

Background During the pandemic, parenting stress and mental health challenges for both parents and children have increased. However, the lasting repercussions for families remain largely unexplored. Additionally, young families currently face stressors such as economic inflation, the Russia-Ukraine War, and the climate crisis, whose impacts on families are not yet understood. The primary aim of the study is therefore to evaluate parenting stress as well as child and parent mental health problems in the postpandemic era. Additionally, the study seeks to identify potential predictors of parenting stress and mental health issues in parents. Methods From February 2023 to March 2024, we conducted a digital cross-sectional study involving families ( N  = 17,333) with children aged 0–9 years in Bavaria (Southern Germany) to examine parenting stress and mental health issues among both parents and children in light of current societal challenges. Validated questionnaires were used to gather data, and potential factors contributing to parenting stress were investigated. Results We found that 53.7% of parents scored above the cut-off value, indicating that they experienced moderate to high levels of parenting stress. Additionally, 13.5% showed signs of anxiety symptoms, while 14.6% exhibited indications of depression according to cut-off values. Additionally, 34.9% of the infants (0–24 months) had crying and/or sleeping difficulties, whereas emotional and behavioral problems were observed in 8.7 of the toddlers (2–4 years) and 10.4% of the pre- and primary schoolers (˃ 4 years). Economic inflation was perceived as stressful or very stressful for 59.3% of parents, with radicalization and social division (49.3%), the Russia–Ukraine War (37.9%), and the climate crisis (31.8%) also cited as sources of stress. For 31.6% of families, the lingering effects of the pandemic continued to be a (major) burden. Across all age groups, children’s mental health issues and societal challenges were the primary predictors of parenting stress. Conclusion Our study underscores that psychosocial stressors for families with children remain pronounced even postpandemic. Moreover, our findings highlight the impact of broader societal trends, such as economic inflation and social division, on family well-being. Addressing these stressors and promoting the mental health of infants while bolstering parental resilience by alleviating parenting stress should be key priorities for healthcare initiatives in the aftermath of COVID-19.

Background Families with young children are particularly vulnerable for the stressors induced by the COVID-19 pandemic. However, studies on their psychosocial situation during the course of the crisis are still sparse. Methods In a comparison of three survey waves (wave I and III = high COVID-19 incidences), we cross-sectionally investigated the proportion of families (N total  = 2940) with children aged 0–3 years experiencing pandemic burden, parenting stress, and parental and child mental health problems in relation to COVID-19 incidences and restrictions in Southern Germany via validated questionnaires. Potential influencing factors were also explored. Results The number of parents with a high pandemic burden decreased over the course of the pandemic with a peak of 65.3% in wave I (significant changes except wave II versus III). Participants with high parenting stress significantly increased from 38.2% in wave I to 51.2% in wave III. The number of parents with symptoms of depression and anxiety remained constantly high with a maximum of 28.4% being affected. Infants with crying/sleeping problems increased significantly from 26.4% in wave I to 35.5% in wave III. Toddlers’ emotional and behavioral problems showed a peak of 23.9% in wave III (no significant changes). Increased family conflicts were the strongest predictor for parenting stress (ß = 0.355), maternal (ß = 0.305), infants’ (ß = 0.149) and toddlers’ (ß = 0.216) mental health problems during the pandemic. Conclusions Psychosocial stress factors in families with infants and toddlers remained highly pronounced and even partly increased irrespective of pandemic events. The findings suggest a staggered negative impact of pandemic-related factors on young children’s mental health. Promoting infants’ mental health as well as strengthening parental resources by reducing parenting stress should be a top healthcare priority in the aftermath of COVID-19. Trial registration The study was pre-registered in OSF ( https://osf.io/search/?q=tksh5&page=1 )

Background/Objectives: Young families experiencing high levels of psychosocial stress should be addressed at an early stage to counteract potential negative effects on the parents’ and child’s wellbeing. This became particularly relevant during the COVID-19 pandemic when especially families have been strained by restriction measures. Early Childhood Intervention services (ECI) can provide low-threshold support, to which access should be encouraged. Methods: The randomized controlled trial of the CoronabaBY study with N = 1384 participants focuses on the effects of a newly developed app-based intervention on the awareness and usage of ECI services by young families with infants and toddlers during the COVID-19 pandemic in Germany. The analysis compares knowledge and usage rates of an intervention group (IG) and a waitlist control group (WCG) at three survey stages (pre-test, post-test and follow-up). Results: There was a significant increase in awareness of ECI services from pre-test to post-test in both the IG (15.2%) and WCG (10.7%) (p < 0.001), but the difference between the two groups was not significant. In contrast, the usage rate of further ECI services at post-test was significantly higher in the IG (12.1%) compared to the WCG (8.2%) (V = 0.060, p = 0.012), especially in a subgroup of highly stressed parents. Conclusions: Digital applications show potential to improve access to ECI services and should be continuously developed and evaluated to appropriately address young families and their needs.

Background The Covid-19 pandemic restrictions severely impacted parents’ and children’s mental and physical health. Families with pre-existing stress factors may have been particularly affected. Parental stress following premature birth is well acknowledged. The addition of the pandemic restrictions to stressors related to premature birth may constitute an especially high-risk factor for family stress and thereby neuropsychological development. Accessibility to special preterm follow-up care programs is important for neuropsychological development and faced additional relevance in the face of pandemic related stressors. We studied the hypothesis that families with preterm born infants were particularly adversely affected by the pandemic-related restrictions in comparison to families with term born infants. Specific stress factors were explored as well as the accessibility of support programs. Methods In this cross-sectional study, families were recruited in a neonatology unit with the highest level of care according to German regulations. A questionnaire on perceived pandemic stress factors including amongst others: social contacts, family support, intrafamilial conflicts, leisure activities, and family planning was completed by 101 parents of prematurely born infants while pandemic related restrictions were still in place. We distinguished preterm infants with low gestational age and birth weight from other preterm infants and term born infants. T-tests, Chi-Square tests, Kruskal-Wallis tests, and binary logistic regression analysis were applied to compare the subgroups. Results The stress levels resulting from restricted social contacts, family conflicts and accessibility to family support services were significantly higher in families with term-born infants. The accessibility of targeted follow-up care programs for preterm infants was significantly lower for moderate and late preterm infants. The pandemic has had an influence on the decision of parents to have more children in both groups. Conclusion Families with preterm infants were less stressed by the pandemic than those with term infants. Targeted follow-up care focused on high-risk groups and left moderate and late preterm infants without medical check-ups. This reflects the general focus in society on high-risk populations during the pandemic. The pandemic had an influence on family planning in both groups.

Objectives To examine the impact of displacement experiences on 0- to 6-year-old children’s social-emotional and cognitive development, as well as influencing factors on reported outcomes. Study design We systematically searched MEDline, Psyndex, Cochrane Library, Web of Science, Elsevier, TandF, Oxford Journal of Refugee Studies, Journal of Immigrant & Refugee Studies, and Canada’s Journal on Refugees for existing literature regarding social-emotional and cognitive outcomes in children directly exposed to forced displacement due to political violence. Results were synthesized in the discussion and displayed using harvest plots. Results Our search generated 9,791 articles of which 32 were selected for review and evaluation according to NICE criteria. Included studies provided results for 6,878 forcibly displaced children. Measured outcomes were diverse and included areas such as peer relations, prosocial behavior, family functioning, play, intelligence, learning performance, and language development. Repeated exposure to adverse experiences, separation from parents, parental distress, as well as duration and quality of resettlement in the host country were reported as influencing factors in the reviewed studies. Conclusion As protective factors like secure and stable living conditions help to promote children’s development, we call for policies that enhance participation in the welcoming society for refugee families. Early integration with low-threshold access to health and educational facilities can help to mitigate the wide-ranging negative consequences of forced displacement on young children’s development.