Associations between parental perception of- and concern about-child weight and use of specific food-related parenting practices

Loth, Katie A.; Mohamed, Nabila; Trofholz, Amanda; Tate, Allan; Berge, Jerica M.

doi:10.1016/j.appet.2020.105068

Cited by 17 publications

(16 citation statements)

References 54 publications

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“…Characteristics of the included studies are shown in Table 1 . The studies were published between 2001 and 2022, conducted in the US ( n = 12) [ 21 , 24 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 ], Australia ( n = 6) [ 26 , 27 , 75 , 76 , 77 , 78 ], Brazil ( n = 4) [ 28 , 30 , 50 , 79 ], Sweden ( n = 4) [ 22 , 80 , 81 , 82 ], China ( n = 2) [ 83 , 84 ], the Netherlands ( n = 1) [ 85 ], Ethiopia ( n = 1) [ 29 ], the UK ( n = 1) [ 86 ], Mexico ( n = 1) [ 87 ], South Korea ( n = 1) [ 88 ], Portugal ( n = 1) [ 23 ], India ( n = 1) [ 25 ], and France ( n = 1) [ 74 ]. The study designs were a cross-sectional study ( n = 32) and a cohort study ( n = 3) [ 23 , 26 , 85 ].…”

Section: Resultsmentioning

confidence: 99%

The Relationships between Caregivers’ Concern about Child Weight and Their Non-Responsive Feeding Practices: A Systematic Review and Meta-Analysis

et al. 2022

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Background: It is unclear whether caregivers’ concern about child weight impacts their non-responsive feeding practices. This systematic review aimed to examine their relationships. Methods: A systematic search of PubMed, Embase, PsycINFO, Web of Science core collection, CINAHL and grey literature was conducted from inception to March 2022, following PRISMA guidelines. Data synthesis was performed using a semi-quantitative approach and a meta-analysis. Results: A total of 35 studies with 22,933 respondents were included in the review for semi-quantitative analyses. Thirty-four studies examined 52 associations between concern about child weight and restriction with 40 statistically significant associations being observed. A total of 34 relationships between concern about child weight and pressure to eat were investigated, with 12 being statistically significant. The pooled regression coefficients (β) demonstrated that caregivers’ concern about child overweight was positively associated with restriction (β = 0.22; 95%CI: 0.12, 0.31), negatively associated with use of food as a reward (β = −0.06; 95%CI: −0.11, −0.01), and not statistically associated with pressure to eat (β = −0.05; 95%CI: −0.13, 0.04). The pooled odds ratios (ORs) indicated that caregivers who were concerned about child overweight were found to use restrictive feeding more often (OR = 2.34; 95%CI: 1.69, 3.23), while less frequently adopting pressure to eat (OR = 0.76; 95%CI: 0.59, 0.98) compared with those without concerns. The results also showed that caregivers who were concerned about child underweight were more likely to force their children to eat (OR = 1.83; 95%CI: 1.44, 2.33) than those without concerns. Conclusion: Caregivers’ concern about child weight may be an important risk factor for non-responsive feeding practices. Thus, interventions are needed to focus on managing and relieving caregivers’ excessive concern about child weight, especially overweight, which may optimize feeding practices and subsequently contribute to child health.

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Section: Resultsmentioning

confidence: 99%

The Relationships between Caregivers’ Concern about Child Weight and Their Non-Responsive Feeding Practices: A Systematic Review and Meta-Analysis

et al. 2022

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“…In addition, parents of overweight children tend to underestimate the weight status of their children [ 60 ]. Fourth, parental report of children’s eating behavior may be biased due to concerns about child’s weight or social desirability [ 61 , 62 ]. It is not surprising that parents who are concerned about their child’s weight are more likely to adopt changes in their child’s feeding practices [ 62 ], which may explain why obesity indices predicted subsequent parental concern of overeating more strongly.…”

Section: Discussionmentioning

confidence: 99%

“…Fourth, parental report of children’s eating behavior may be biased due to concerns about child’s weight or social desirability [ 61 , 62 ]. It is not surprising that parents who are concerned about their child’s weight are more likely to adopt changes in their child’s feeding practices [ 62 ], which may explain why obesity indices predicted subsequent parental concern of overeating more strongly. Future research is needed to carefully check the temporal relationships between obesity indices and objective measures of overeating.…”

Section: Discussionmentioning

confidence: 99%

“…Further, the eating behavior questionnaire used in this study aimed to assess parental feeding practices related to overweight during early childhood [ 29 ]. In a previous study using the same study population at waves 1 and 2 [ 63 ] and the same eating behavior questionnaire [ 29 ], the Cronbach’s alpha for the construct “parental concern for overweight and overeating” showed good internal consistency (Cronbach’s alpha = 0.82) [ 62 ]. Furthermore, in this previous study the construct “parental concern for overweight or overeating” was related to overweight and obesity longitudinally [ 63 ].…”

Section: Discussionmentioning

confidence: 99%

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The temporal relationship between parental concern of overeating and childhood obesity considering genetic susceptibility: longitudinal results from the IDEFICS/I.Family study

Masip¹,

Foraita

Silventoinen³

et al. 2021

Int J Behav Nutr Phys Act

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Background Many genes and molecular pathways are associated with obesity, but the mechanisms from genes to obesity are less well known. Eating behaviors represent a plausible pathway, but because the relationships of eating behaviors and obesity may be bi-directional, it remains challenging to resolve the underlying pathways. A longitudinal approach is needed to assess the contribution of genetic risk during the development of obesity in childhood. In this study we aim to examine the relationships between the polygenic risk score for body mass index (PRS-BMI), parental concern of overeating and obesity indices during childhood. Methods The IDEFICS/I.Family study is a school-based multicenter pan-European cohort of children observed for 6 years (mean ± SD follow-up 5.8 ± 0.4). Children examined in 2007/2008 (wave 1) (mean ± SD age: 4.4 ± 1.1, range: 2–9 years), in 2009/2010 (wave 2) and in 2013/2014 (wave 3) were included. A total of 5112 children (49% girls) participated at waves 1, 2 and 3. For 2656 children with genome-wide data we constructed a PRS based on 2.1 million single nucleotide polymorphisms. Z-score BMI and z-score waist circumference (WC) were assessed and eating behaviors and relevant confounders were reported by parents via questionnaires. Parental concern of overeating was derived from principal component analyses from an eating behavior questionnaire. Results In cross-lagged models, the prospective associations between z-score obesity indices and parental concern of overeating were bi-directional. In mediation models, the association between the PRS-BMI and parental concern of overeating at wave 3 was mediated by baseline z-BMI (β = 0.16, 95% CI: 0.10, 0.21) and baseline z-WC (β = 0.17, 95% CI: 0.11, 0.23). To a lesser extent, baseline parental concern of overeating also mediated the association between the PRS-BMI and z-BMI at wave 3 (β = 0.10, 95% CI: 0.07, 0.13) and z-WC at wave 3 (β = 0.09, 95% CI: 0.07, 0.12). Conclusions The findings suggest that the prospective associations between obesity indices and parental concern of overeating are likely bi-directional, but obesity indices have a stronger association with future parental concern of overeating than vice versa. The findings suggest parental concern of overeating as a possible mediator in the genetic susceptibility to obesity and further highlight that other pathways are also involved. A better understanding of the genetic pathways that lead to childhood obesity can help to prevent weight gain. Trial registration Registry number: ISRCTN62310987 Retrospectively registered 17 September 2018.

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“…Parents who perceived their children as overweight/obese are more likely to monitor and restrict children's food intake [17][18][19], while parents who perceived their children as underweight are more likely to pressure their children to eat more [17,20]. Parental concern and dissatisfaction regarding children's weight status have also found to be associated with the feeding practices of restriction and pressure to eat [21,22]. Despite abundant studies reporting the relationships between parental weight perception and feeding practices, only a few of them has considered its interplay with the accuracy of weight perception.…”

Section: Introductionmentioning

confidence: 93%

Association between Parents’ Perceptions of Preschool Children’s Weight, Feeding Practices and Children’s Dietary Patterns: A Cross-Sectional Study in China

et al. 2021

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Parental perception of children’s weight may influence parents’ feeding practices, and in turn, child dietary intake and weight status; however, there is limited evidence generated for preschoolers. The aim of this cross-sectional study was to investigate associations between Chinese parents’ perceptions of child weight, feeding practices and preschoolers’ dietary patterns. Participants (1616 parent-child pairs) were recruited from six kindergartens in Hunan, China. Parents’ misperception, concern, and dissatisfaction on child weight were collected through a self-administered caregiver questionnaire. Parental feeding practices and children’s dietary intake were, respectively, assessed using the Child Feeding Questionnaire and a Food Frequency Questionnaire. Linear regression models were applied to analyze associations between parental weight perceptions, feeding practices, and preschooler’s dietary patterns. Associations between parents’ weight perceptions and dietary patterns were significant only among underweight children. Regardless of child weight status, parental weight underestimation and preference for a heavier child were positively associated with pressure-to-eat. Parental weight concern was positively associated with restriction in normal weight child, but this was not found in other weight groups. In conclusion, Parents’ misperception, concern, and dissatisfaction about child weight are associated with parents’ feeding practices and may influence preschoolers’ dietary quality, but the relationships vary by children’s actual weight status.

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Associations between parental perception of- and concern about-child weight and use of specific food-related parenting practices

Cited by 17 publications

References 54 publications

The Relationships between Caregivers’ Concern about Child Weight and Their Non-Responsive Feeding Practices: A Systematic Review and Meta-Analysis

The Relationships between Caregivers’ Concern about Child Weight and Their Non-Responsive Feeding Practices: A Systematic Review and Meta-Analysis

The temporal relationship between parental concern of overeating and childhood obesity considering genetic susceptibility: longitudinal results from the IDEFICS/I.Family study

Association between Parents’ Perceptions of Preschool Children’s Weight, Feeding Practices and Children’s Dietary Patterns: A Cross-Sectional Study in China

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