scholarly journals GP218 Growth patterns in a paediatric outpatient clinic and its association with child eating behaviours and parental feeding style

Author(s):  
Aisling Lee ◽  
Louise Rattigan ◽  
Dara Gallagher ◽  
Hilary Greaney ◽  
Laura Keaver
Author(s):  
Sheryl O. Hughes ◽  
Thomas G. Power ◽  
Teresia M. O’Connor ◽  
Jennifer O. Fisher ◽  
Nilda E. Micheli ◽  
...  

Abstract Background The home environment is a central and modifiable influence on the development of childhood obesity. Evidence supports the central role of parents in shaping problematic child eating behaviors and excess weight. Most studies of feeding emphasize parent-driven influences without taking into account the child’s role in eating interactions. Few studies have addressed the bi-directional nature of feeding dynamics in studies of young children. Methods The goals of this study were: 1) to examine if parental feeding styles during preschool (4–5 years) predict child weight status at 7–9 years, and 2) to examine the direction of effects between parental feeding styles and child weight status over time. Participants were part of a larger longitudinal study of Hispanic Head Start families living in the West South Central United States. Data from mother/child dyads were collected at three time points: Time 1 (ages 4–5), Time 2 (ages 5 ½-6 ½), and at Time 3 (ages 7–9). Only data from the Times 1 and 3 were used in the current analyses. A total of 128 mothers and their children had data on all variables needed for the analyses. Assessments included parent-reported feeding styles, feeding practices, acculturation, child eating behaviors, and child height and weight. Hierarchical regression was used to examine the first aim; a cross-lagged panel analysis examined the second aim. Results An indulgent parental feeding style at ages 4–5 was associated with increased child BMI z-score at ages 7–9. Indulgent feeding significantly contributed to child BMI z-score beyond demographics, baseline child BMI z-score, parental acculturation, and child eating behaviors. Regarding the direction of effects in parental feeding interactions, the cross-lagged analyses showed that both indulgent feeding style and authoritative feeding style at Time 1 positively predicted child BMI z-scores at Time 3. Child effects were significant as well. Child BMI z-score at Time 1 positively predicted indulgent feeding and negatively predicted authoritarian feeding at Time 3. Conclusions Indulgent feeding should be addressed in future family-focused childhood obesity initiatives focused on young children and their parents.


2016 ◽  
Vol 19 (13) ◽  
pp. 2415-2423 ◽  
Author(s):  
Jerica M Berge ◽  
Allan D Tate ◽  
Amanda Trofholz ◽  
Katherine Conger ◽  
Dianne Neumark-Sztainer

AbstractObjectiveLittle is known about whether siblings have similar or different eating behaviours or whether parents tailor their feeding practices to different siblings. The main objectives of the present study were to examine similarities and differences in child eating behaviours and parental feeding practices with siblings and to determine whether child eating behaviours and parental feeding practices differ depending on sibling concordant (i.e. both siblings overweight or healthy weight) or discordant (i.e. one sibling overweight and one sibling healthy weight) weight status.DesignCross-sectional, mixed-methods study.SettingIn-home visits were conducted by research staff. Surveys were conducted with parents and anthropometry was collected on parents and siblings.SubjectsChildren (n 88) aged 6–12 years (mean age 9 (sd 2) years), their parents (mean age 34 (sd 7) years) and near-age siblings (mean age 9 (sd 4) years) from diverse racial/ethnic and low-income households participated.ResultsResults indicated that siblings with higher BMI engaged in higher levels of emotional eating compared with siblings with lower BMI. Additionally, results indicated that when families had sibling dyads discordant on weight status, the sibling who was overweight had higher food enjoyment and lower levels of food satiety. Additionally, within siblings with discordant weight status, parents were more likely to use restrictive feeding practices with the overweight sibling and pressure-to-eat and encouragement-to-eat feeding practices with the healthy-weight sibling.ConclusionsFamily-based childhood obesity interventions may need to assess for sibling weight status when researching the home environment and intervene with parents to avoid using restriction or pressure-to-eat feeding practices when siblings are discordant on weight status.


2010 ◽  
Author(s):  
Rafael Monge-Rojas ◽  
Vanesa Smith-Castro ◽  
Uriyoán Colon-Ramos ◽  
Carlos Garita-Arce ◽  
Marta Sánchez-López ◽  
...  

2017 ◽  
Vol 15 (2) ◽  
pp. 65-70 ◽  
Author(s):  
Genevieve Maliszewski ◽  
Meredith Dreyer Gillette ◽  
Chris Brown ◽  
John D. Cowden

Introduction: Pediatric obesity has become an epidemic in the United States. Previous research has shown that parenting factors related to feeding style affect child weight and that Latino families are especially at risk for pediatric obesity. The goal of the current study was to evaluate the relationship between parental feeding style and child body mass index (BMI) in Latino families. Method: Latino parents of children between the ages of 2 and 8 ( N = 124) completed a survey on parental feeding styles, acculturation, and demographics. The outcome variable was child BMI. Results: Among respondents, 89% were mothers, 72% were overweight or obese, and 40% reported an indulgent feeding style. Children had a mean age of 59 months ( SD = 23.8) and a mean BMI z score of 0.77 ( SD = 1.14). A demanding parental feeding style was associated with lower child BMI z score, r = −.179, p < .05, and higher acculturation level, r = .213, p < .05. Conclusions: Findings from the current study can be used to inform health care practitioners of the need to use culturally sensitive interventions that consider parents’ feeding behaviors. Future research is warranted in the area of ethnic variations of parenting and how these affect feeding and obesity in this highly vulnerable population.


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