Associations Between Parent–Child Communication and Connectedness, Parent Feeding Behavior, and Child Body Mass in Pre-Adolescent Children

Author(s):  
Kristina D Lowe ◽  
Mark A Lott ◽  
Chad D Jensen

Abstract Objective  This study evaluated associations between parent–child connectedness and communication, parent feeding behaviors (restriction, pressure to eat, and monitoring), and age- and sex-standardized child body mass index (zBMI) in a sample of pre-adolescent children aged 8–12 years. Methods  A community sample of three hundred and eight child–parent dyads completed measures of communication and connectedness. Parents completed a feeding behavior measure and children were weighed and their height was measured. We examined whether parental feeding behaviors and parent–child communication and connectedness predicted child zBMI and whether parental feeding behaviors moderated the association between parent–child communication and connectedness and child zBMI. Results  Feeding restriction was positively associated with zBMI, while both pressure to eat and food monitoring exhibited negative associations with zBMI. Child-reported communication was inversely associated with zBMI and parental pressure to eat moderated this association such that lower pressure to eat predicted a stronger association between communication and zBMI. Conclusions  These findings are consistent with previous research suggesting that parent feeding strategies and parent–child communication are important contributors to child weight status. This study also provides preliminary evidence suggesting that adaptive parent–child communication is associated with lower body mass when parents avoid pressuring their child to eat. Our study provides an important extension of this body of research into middle childhood, a relatively understudied developmental stage.

2020 ◽  
Author(s):  
Jing Yuan ◽  
Xun Jiang ◽  
Tongyu Zhu ◽  
Yuhai Zhang ◽  
Yue Wang ◽  
...  

Abstract Background Childhood overweight and obesity have become significant public health challenges worldwide. This study aimed to explore whether caregivers’ feeding behavior and children’s eating behavior were associated with the weight status of preschool children in China.Methods A cross-sectional questionnaire was administered to 912 caregivers of preschool children from April to July 2016. Caregivers’ feeding behaviors were assessed by the Chinese Preschooler’s Caregiver Feeding Behavior Scale (CPCFBS). Children’s eating behaviors were evaluated using the Chinese Preschooler’s Eating Behavior Questionnaire (CPEBQ). After controlling for demographic characteristics, multiple linear regression and logistic regression analyses were performed to evaluate the relationship between caregivers’ feeding behavior, children's eating behavior, and children's body mass index (BMI). Results The results showed that weight concerns on the part of caregivers (β=0.53) and food responsiveness on the part of children (β=0.93) were positively correlated with children’s BMI, whereas caregivers’ responsibility for feeding (β=-0.68) and children’s external eating (β=-0.53) were negatively correlated with BMI. Among caregiver feeding behaviors, weight concerns (OR=4.54, P<0.001) and behavior-restricted feeding (OR=0.29, P<0.001) were positively correlated with children’s BMI. A child’s food responsiveness (OR=4.04, P<0.001) was also positively correlated with his/her BMI, while the child’s satiety responsiveness (OR=0.42, P<0.001) and emotional eating habits (OR=0.56, P<0.001) were negatively correlated with overweight/obesity status. Conclusions Our study demonstrated that children’s eating behavior and caregivers’ feeding behavior were associated with weight status among preschool children in China. Behavior interventions on caregivers as well as their children may prevent or reduce weight problems in preschool children. Trial registration This study was not a clinical experiment.


Appetite ◽  
2018 ◽  
Vol 129 ◽  
pp. 192-197 ◽  
Author(s):  
Natalia Liszewska ◽  
Urte Scholz ◽  
Theda Radtke ◽  
Karolina Horodyska ◽  
Aleksandra Luszczynska

2021 ◽  
pp. 1-34
Author(s):  
Lu Ma ◽  
Yixin Ding ◽  
Xiaozhong Wen ◽  
Liwang Gao ◽  
Li Zhao ◽  
...  

Abstract Objectives: Examine mother-son, mother-daughter, father-son, and father-daughter resemblance in weight status, and potential modifying effects of socio-demographic and childcare characteristics. Design: Cross-sectional study. Setting: School. Participants: 1,973 school-age children and their parents from five mega-cities across China in 2017. Results: Pearson correlation coefficients (r) for body mass index (BMI) of father-son, father-daughter, mother-son, and mother-daughter pairs were 0·16, 0·24, 0·26, and 0·24, respectively, while their weighted kappa coefficients (k) were 0·09, 0·14, 0·04, and 0·15, respectively. Children aged 6–9 years (r ranged from 0·30 to 0·35) had larger BMI correlation with their parents than their counterparts aged 10–14 years or 15–17 years (r ranged from 0·15 to 0·24). Children residing at home (r ranged from 0·17 to 0·27) had greater BMI correlations with their parents than children residing at school/other places. BMI correlation coefficients were significant if children were mainly cared for by their mothers (r ranged from 0·17 to 0·29) but non-significant if they were mainly cared for by others. Only children who ate the same meal as their parents “most times” (r ranged from 0·17 to 0·27) or had dinner with their parents “at most times” (r ranged from 0·21 to 0·27) had significant BMI correlation with their parents. Similarly, children who had dinner with their parents “most times” but not “sometimes,” had significant BMI correlation coefficients. Conclusions: Parent-child resemblance in weight status was modest, and varied by child age, gender, primary caregiver, whether having similar food or dinner with parents in China.


Circulation ◽  
2020 ◽  
Vol 141 (Suppl_1) ◽  
Author(s):  
Veronique Gingras ◽  
Karen M Switkowski ◽  
Sheryl L Rifas-Shiman ◽  
Sabrina Faleschini ◽  
Emily Oken ◽  
...  

Introduction: Parental feeding behaviors have been found to be associated with dietary intakes and weight status in children, although the longitudinal associations of parental feeding behaviors in early life with diet later in childhood have been scarcely studied. Hypothesis: We hypothesized that parental feeding restriction, pressure to eat, and concerns about child’s weight would be associated with poorer diet quality throughout childhood. Methods: Among 1172 mother-child pairs from Project Viva, we examined associations of parental feeding behaviors at 2 years assessed via questions from the Child Feeding Questionnaire (behaviors dichotomized as yes vs. no) with diet quality in early (mean: 3.2, SD 0.2 years; n=1076) and mid-childhood (mean: 7.8, SD 0.7 years; n=993) assessed via food frequency questionnaires. We used linear regression models adjusted for socio-demographic characteristics, maternal and paternal body mass index, and maternal diet quality in pregnancy. Results: At 2 years postpartum, 47% of parents pressured/encouraged their child to eat more, 8% restricted their intakes, 15% were concerned about their child being overweight and 7% about their child being underweight. Parental pressure to eat at 2 years was associated with higher child intake of fruit juice (β 0.17 serving/day; 95% CI 0.01, 0.34) and snack foods (0.12 serving/day; 0.01, 0.22) in early childhood and with lower youth healthy eating index score (-1.32 points; -2.54, -0.10; score from 0 to 85 points) in mid-childhood. Parental feeding restriction at 2 years was associated with lower intake of sugar-sweetened beverages (-0.17 serving/day; -0.27, -0.06) in early childhood and with lower intake of dairy (-0.29 serving/day; -0.56, -0.02) in mid-childhood. Parental concerns about their child being underweight was associated with lower youth healthy eating index score (-2.18 points; -4.30, -0.05; score from 0 to 95 points) in early childhood while concerns about their child being overweight was associated with higher intakes of red and processed meat (0.14 serving/day; 0.04, 0.23) in early childhood and higher intake of baked products in mid-childhood (0.07 serving/day; 0.01, 0.13). Conclusions: We found that early parental feeding behaviors may have a modest contribution to dietary intakes throughout childhood. However, only a few associations persisted after adjusting for socio-economic and parental characteristics and effect sizes were modest. Strategies to improve diet quality in children might need to focus on the broader family and socio-economic context.


2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 156-156
Author(s):  
M Catalina Aragon ◽  
Susan Baker ◽  
Garry Auld ◽  
Karen Barale ◽  
Theresa Berger ◽  
...  

Abstract Objectives Determine participant's 1. perspectives on parent feeding behavior content; and 2. self-reported behavior changes. Methods Food Feeding and Your Family (FFYF) randomized control trial with 3 arms, each with English and Spanish classes for parents with children 2–8 years old: Control, In-class, Online. Participants of the Expanded Food and Nutrition Education Program (EFNEP) received 9 lessons using the Eating Smart • Being Active curriculum. In-class participants watched videos (adapted from previous work) and participated in educator led activities on parent feeding behaviors. Between lessons, Online participants received texts with links to 7 videos and activities but no in-class content. Quantitative evaluations occurred at Pre, Post, 6 and 12 months post. Telephone focus groups (FG) with participants after 12 month evaluation; 2 FG per cell (English/Spanish) x (Online/In class). Results Participants (P) (540 enrolled in FFYF; 38 in FG) found the videos, activities, and handouts to be informative and useful. Many reported doing the activities with their children and retained handouts for review. A few English P liked the information but thought the videos were boring/childish or were less appropriate for older children. Multiple P in each FG reported behavior changes tied to parent feeding behavior topics, particularly, modifying children's portions, using strategies when introducing new foods to child (letting them “play” with the food and/or help with preparation; exposing child to food numerous times), using tips for shopping with child (feeding him first; letting her help choose healthy items), and establishing mealtime routines. Conclusions At 12 months post program, participants recalled multiple themes related to parent feeding behaviors and valued the information. They reported numerous behavior changes made and sustained as a result of program participation. Results suggest the addition of parent –child feeding information to EFNEP lessons would be well-received and effective. Funding Sources This research is supported by funds from the United States Department of Agriculture (Grant USDA 2015–68,001-23,311). The contents of this publication do not necessarily reflect the views or policies of the USDA, nor does mention of trade names, commercial products, or organizations imply endorsement from the US government.


2004 ◽  
Vol 12 (11) ◽  
pp. 1711-1722 ◽  
Author(s):  
Myles S. Faith ◽  
Kelley S. Scanlon ◽  
Leann L. Birch ◽  
Lori A. Francis ◽  
Bettylou Sherry

2015 ◽  
Vol 44 (1) ◽  
pp. 123-127
Author(s):  
Myra J. Cooper ◽  
Eliane Young

Background: It is likely that disrupted early parent-child relationships, eating disorder related cognitions and negative self-beliefs are relevant to some women who are overweight/obese. Aims: This study tested the hypotheses that disrupted parent-child relationships would be linked to higher body mass index (BMI) and that this relationship would then be mediated by cognition. Method: A group of women were recruited from the community and completed measures of eating disorder (ED) thoughts, negative self-beliefs, and parental bonding. Individual body mass indices (BMIs) were calculated. Results: One hundred and eighteen women completed the study. There was a relationship between parental bonding and higher BMI. As hypothesized, the relationship between parental bonding (as measured by maternal care, and paternal overprotection) and BMI appeared to be mediated by a range of ED thoughts, and some negative self-beliefs. Conclusion: The cognitions measured here, both ED related cognitions and negative self-beliefs, may be a useful target when considering psychological treatment for women who are overweight or obese.


2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Elisabeth L. Melbye ◽  
Håvard Hansen

There is a general lack of research addressing themotivationsbehind parental use of various feeding practices. Therefore, the present work aims to extend the current literature on parent-child feeding interactions by integrating the traditional developmental psychological perspective on feeding practices with elements of Regulatory Focus Theory (RFT) derived from the field of motivational psychology. In this paper, we seek to explain associations between parental feeding practices and child (un)healthy eating behaviors by categorizing parental feeding practices into promotion and prevention focused strategies, thus exploring parent-child feeding interactions within the framework of RFT. Our analyses partly supported the idea that (1) child healthy eating is positively associated with feeding practices characterized as promotion focused, and (2) child unhealthy eating is negatively associated with feeding practices characterized as prevention focused. However, a general observation following from our results suggests that parents’ major driving forces behind reducing children’s consumption of unhealthy food items and increasing their consumption of healthy food items are strategies that motivate rather than restrict. In particular, parents’ provision of a healthy home food environment seems to be essential for child eating.


2017 ◽  
Vol 39 (8) ◽  
pp. 1070-1093 ◽  
Author(s):  
Michele Polfuss ◽  
Pippa Simpson ◽  
Rachel Neff Greenley ◽  
Liyun Zhang ◽  
Kathleen J. Sawin

Parental feeding behaviors and concern about child weight are associated with obesity among youth who are typically developing. Little is known about this relationship among parents of youth with special needs, despite these children having higher obesity risk. This study used an online survey to explore associations among parental feeding behaviors, parent weight concerns, demographics, and child weight status in a sample of 356 parents of children diagnosed with autism spectrum disorder, spina bifida, and Down syndrome. Specific parental feeding behaviors were significantly related to the child’s weight and intensified when the parent was concerned about the child’s weight. Child’s diagnosis, family income, parent age, and parent gender influenced select feeding behaviors. Obesity has significant health ramifications and negatively affects an individual’s ability to self-manage, which is crucial in individuals with special needs. These findings present an opportunity for the health care community to educate and promote healthy feeding practices in this vulnerable population.


2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 941-941
Author(s):  
Farah Behbehani ◽  
Kristen Hurley ◽  
Maureen M Black

Abstract Objectives To examine associations between parental feeding behaviors and preschool children's willingness to try new foods (WTNF) and body mass index (BMI). Methods This study used baseline data collected from parents and children in childcare centers. Parents completed the Comprehensive Feeding Practices Questionnaire (CFPQ). We measured children's height and weight, calculated BMI z-scores (BMIz) and percentiles (%ile) using CDC criteria, and assessed WTNF by offering 6 novel and 3 familiar foods. Confirmatory factor analysis was conducted to examine the goodness of fit of the 8-subscales (child control, emotion regulation, involvement, modeling, monitoring, pressure to eat, restriction for health, and restriction for weight control) from the CFPQ. Logistic regressions was employed to examine the association between parents’ CFPQ scores and children's WTNF (dichotomized as high: tried ≥3 novel foods vs. low: tried &lt;3 novel foods), and linear regressions to examine the association between parents’ CFPQ scores and child BMI, adjusting for child sex, age, race, full-time childcare center attendance [≥40 hours/week (hrs/wk)], and household income. Results The sample included 407 children (aged 48.2 ± 0.4 months) and their primary caregiver from 51 childcare centers. Majority of children were Caucasian (64%) and spent at least 40 hrs/wk at the childcare center (69%); 24% had BMI ≥85th %ile with mean BMIz of 0.36 (SD = 1.05). After dropping 3-items from the CFPQ due to low factor loadings (&lt;0.4, n = 2) or theory (n = 1), the original 8-subscale structure demonstrated good model fit (RMSEA = 0.05, CFI = 0.97, TLI = 0.97, and SRMR = 0.07). Children of parents with elevated scores on the restriction for weight subscale had 1.53 (95% CI: 1.08–2.16) greater odds of high WTNF and 0.46 (95% CI: 0.30–0.63) increase in BMIz, compared to children of parents with low subscale scores. Conclusions Children of parents who restrict foods in an attempt to control their child's weight are more likely to try new foods in a childcare setting without parents present, and are likely to be heavier. Longitudinal research is needed to determine the direction of the associations and how they relate to maternal and child characteristics (e.g., perceived or real child weight and eating behaviors). Funding Sources National Institute of Diabetes and Digestive and Kidney Diseases.


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