Does maternal concern about children's weight affect children's body size perception at the age of 6.5?—A community-based study

Mitchell, Rich; Wake, Melissa; Canterford, Louise; Williams, Joanne

doi:10.1038/ijo.2008.12

Cited by 17 publications

(17 citation statements)

References 22 publications

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“…Generalizability beyond a rather homogenous Latino population is limited. Though findings were very similar to previous studies [5, 11, 32, 33], the sample was relatively small and comprised predominately of mothers of Mexican heritage, with low acculturation to the U.S., who themselves were overweight or obese. The limited variability of CFQ scores and BMI in this homogenous sample also limits the range of possible correlations between the two distributions.…”

Section: Discussionsupporting

confidence: 86%

Parental feeding patterns and child weight status for Latino preschoolers

Karp

Barry

Gesell

et al. 2014

Obesity Research & Clinical Practice

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Objective To examine the relationships between parental patterns regarding child feeding and child Body Mass Index (BMI) percentile in Latino parent-preschooler dyads participating in a clinical trial. Methods This secondary analysis examined data collected during a randomized clinical trial of a culturally tailored healthy lifestyle intervention focused on childhood obesity prevention, Salud Con La Familia. We analyzed 77 Latino parent-child dyads who completed baseline and 3-month follow-up data collection, assessing associations between preschool child BMI percentile and parental response to the Child Feeding Questionnaire (CFQ) over time. Results Higher child BMI was related to higher parental CFQ concern scores (r = 0.41, p <.001). A general inverse association between child BMI percentile and parental responsibility was also observed (r = −0.23, p = .040). Over the 3-month period, no statistically significant associations between changes in the CFQ subscale scores and changes in child BMI percentile were identified. Conclusions Child BMI percentile consistent with overweight/obese is associated with parental concern about child weight and child BMI percentile consistent with normal weight is associated with perceived responsibility for feeding. Emphasizing parental responsibility to help children to develop healthy eating habits could be an important aspect of interventions aimed at both preventing and reducing pediatric obesity for Latino preschoolers.

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Section: Discussionsupporting

confidence: 86%

Parental feeding patterns and child weight status for Latino preschoolers

Karp

Barry

Gesell

et al. 2014

Obesity Research & Clinical Practice

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“…In Australia, 88% and 90% of mothers of overweight and obese children, respectively, underestimated their children's weight status. 15 While in Canada, a study comparing parents' and doctors' perception in relation to their children's weight described that 47% of parents underestimated their children's weight status. 16 In Mexico, it has been reported that more than 79% of parents of overweight or obese children underestimated their children's weight status; 9 in addition, 83% of mothers of overweight or obese children underestimated their children's weight.…”

Section: Discussionmentioning

confidence: 99%

Altered perception of the nutritional status of preschoolers by their parents: A risk factor for overweight and obesity

et al. 2016

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Introduction.Many parents have a misperception of their children's body size; in general, they underestimate overweight and obesity. Objective. To identify the difference between parents' perception of their children's nutritional status and measured body mass index. Population and methods. An analytical, descriptive and cross-sectional study was conducted among parents of children aged 2 to 6 years old. Children's body mass index was measured, and parents' perception was assessed using a visual scale of body size pictograms (drawings of body figures equivalent to body mass index percentiles). Results. A total of 605 children and their parents were assessed. Seventy-four (12.2%) were overweight and 87 were obese (14.3%). There were 161 overweight or obese children, but 98.8% (159) of parents underestimated their children's nutritional status. Parents' underperception of their children's body size accounted for an OR= 2.1 ± 0.5, p = 0.002 (95% confidence interval [CI]: 1.32-3.32) for obesity and an OR = 4.42 ± 1.2, p < 0.001 (95% CI: 2.631-7.439) for overweight. Conclusions. Among parents of overweight and obese children, 98.8% (159) underestimated their children's weight status. Such underestimation by parents may be a significant risk factor for the development and/or persistence of overweight and obesity in their children.

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“…This might be particularly true for girls, whose parents have been shown to be more aware of a high BMI in their child than parents of boys. 18 In contrast, parents who are overweight themselves may underestimate their child' s overweight and may be less likely than normal-weight parents to adjust their parenting in response to child overweight. 19,20 Disentangling associations between parenting and child BMI, and understanding how these develop over time, requires repeated measures of parenting and child BMI.…”

mentioning

confidence: 99%

Bidirectional Associations Between Mothers’ and Fathers’ Parenting Consistency and Child BMI

et al. 2013

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WHAT'S KNOWN ON THIS SUBJECT: Parents influence their child' s overweight development through lifestyle-related parenting practices. Although broader parenting dimensions may also affect children' s BMI, reverse causality is possible and there have been calls to examine the possible impacts of fathers. WHAT THIS STUDY ADDS:More consistent parenting prospectively predicted lower child BMI with effects equally strong for fathers and mothers. There was little evidence of child BMI influencing parenting. Improved child BMI could be among the benefits of promoting parenting consistency of both parents. abstract BACKGROUND: Research suggests that general parenting dimensions and styles are associated with children' s BMI, but directionality in this relationship remains unknown. Moreover, there has been little attention to the influences of both mothers' and fathers' parenting. We aimed to examine reciprocal relationships between maternal and paternal parenting consistency and child BMI. METHODS:Participants were 4002 children and their parents in the population-based Longitudinal Study of Australian Children. Mothers and fathers self-reported parenting consistency, and children' s BMI was measured at 4 biennial waves starting at age 4 to 5 years in 2004. Bidirectionality between parenting and child BMI was examined by using regression analyses in cross-lagged models. RESULTS:The best-fitting models indicated a modest influence from parenting to child BMI, whereas no support was found for bidirectional influences. For mothers, higher levels of parenting consistency predicted lower BMI in children from Waves 1 to 2 and 3 to 4; for example, for every SD increase in mothers' parenting consistency at Wave 1, child BMIz fell by 0.025 in Wave 2 (95% confidence interval: 20.05 to 20.003). For fathers, higher levels of parenting consistency were associated with lower child BMI from Waves 1 to 2 and 2 to 3. CONCLUSIONS:Parenting inconsistency of mothers and fathers prospectively predicted small increases in offspring BMI over 2-year periods across middle childhood. However, child BMI did not appear to influence parenting behavior. These findings support recent calls for expanding childhood overweight interventions to address the broad parenting context while involving both mothers and fathers. Pediatrics 2013;132:e1513-e1520

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Does maternal concern about children's weight affect children's body size perception at the age of 6.5?—A community-based study

Cited by 17 publications

References 22 publications

Parental feeding patterns and child weight status for Latino preschoolers

Parental feeding patterns and child weight status for Latino preschoolers

Altered perception of the nutritional status of preschoolers by their parents: A risk factor for overweight and obesity

Bidirectional Associations Between Mothers’ and Fathers’ Parenting Consistency and Child BMI

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