Influence of the Home Environment on the Development of Obesity in Children

Strauß, Richard; Knight, Judith

doi:10.1542/peds.103.6.e85

Cited by 505 publications

(389 citation statements)

References 31 publications

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“…Strengths of our study include a large rural sample size, diverse socioeconomic status and measurement of several media exposure measures, including watching movies and using the internet. TV in bedroom and child overweight AM Adachi-Mejia et al Obesity is determined by many different factors, including genetic, metabolic, behavioral, psychosocial and environmental influences, [33][34][35][36][37][38] presenting multiple opportunities for intervention. However, despite creative efforts and the investment of substantial resources, there has been very limited success preventing obesity through interventions targeting individual behaviors.…”

Section: Discussionmentioning

confidence: 99%

Children with a TV in their bedroom at higher risk for being overweight

et al. 2006

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Objective: We examined having a TV in the bedroom as a risk factor for child overweight. Design: Cross-sectional study. Setting: School-and telephone-based surveys in New Hampshire and Vermont between 2002 and 2004. Participants: Two thousand three hundred and forty-three children enrolled in public schools, aged 9-12 years, and one of their parents. Main exposures: The child having a TV in the bedroom. Main outcome measures: Age-and gender-standardized child body mass index (zBMI). Overweight was defined as equal to or above the 95th percentile for zBMI. Results: Overall, 22.3% (N ¼ 523) of the children were overweight, and almost half of all children (48.2%, N ¼ 1130) had a TV in their bedroom. Children with a TV in their bedroom had a higher zBMI and were significantly more likely to be overweight compared to those without a TV in their bedroom (27.3 versus 17.7%, respectively; Po0.05). After controlling for sociodemographics, physical activity, frequency of TV or movie watching and internet use, children with a TV in their bedroom who watched at least one session of TV or movies per day were more likely to be overweight compared to those without a TV in their bedroom (odds ratio ¼ 1.32, 95% confidence interval: 1.03, 1.70).

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Section: Discussionmentioning

confidence: 99%

Children with a TV in their bedroom at higher risk for being overweight

et al. 2006

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“…Parental BMI (particularly maternal) has a strong positive association with childhood obesity 34,121,128 . This predictor is much stronger with young children 129 , and also if both parents are obese 124,130 .…”

Section: The Family Environmentmentioning

confidence: 99%

“…These factors may have more of an impact on the risk of obesity than family structure or deprivation. For example, children with low cognitive stimulation are at an increased risk of subsequent obesity 121 , as are children who suffer parental neglect 122 .…”

Section: The Family Environmentmentioning

confidence: 99%

The aetiology of childhood obesity: a review

Procter

2007

Nutr. Res. Rev.

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Whilst the prevention of childhood obesity is the only viable, enduring, cost-effective solution to the obesity epidemic, effective methods for it remain elusive. Furthermore, strategies to influence obesogenic environments remain relatively unexplored. In order to be able to develop powerful population-level interventions and public health policies to prevent childhood obesity, it is important to understand its aetiology and those environments that are most amenable to measurable change. First, the present paper considers why we should be concerned about obesity in children, from both the perspective of the increased health risk to the individual and the high economic cost of treatment of obesity and related diseases, highlighting why the prevention of childhood obesity is important. Next, the determinants of health behaviour and the obesogenic environment are explored, which helps us to understand why the aetiology is so complex and that potential causal factors should not be considered in isolation, as the interaction between these factors is also important. The paper then considers the multi-factorial aetiology of childhood obesity and the rationale for the increasing trends in obesity that are evident, in order to understand what is changing in society and our children's behaviour that is triggering the positive energy balance leading to obesity. The review emphasises the need for multi-level approaches if we truly want to prevent childhood obesity. It also serves to highlight that there is a need to extend the current research base in order to build a well-founded framework to form the basis of a strategy for the prevention of childhood obesity.Aetiology of childhood obesity: Prevention of obesity: Obesogenic environments

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“…Research has focused almost exclusively on maternal socialization of children's eating behaviors; and single parenthood, though implicated (Strauss & Knight, 1999), has not been examined directly in relation to child-feeding strategies. In this study, we examined whether fathers and mothers differed in the style and strategies they used to socialize eating behavior in sons relative to daughters.…”

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confidence: 99%

“Just three more bites”: An observational analysis of parents’ socialization of children's eating at mealtime

et al. 2007

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The objective of this study was to describe comprehensively the structure and process of the childhood mealtime environment. A socioeconomically-diverse sample of 142 families of kindergarteners (52% females) was observed at dinnertime using a focused-narrative observational system. Eighty-five percent of parents tried to get children to eat more, 83% of children ate more than they might otherwise have, with 38% eating moderately to substantially more. Boys were prompted to eat as often as girls and children were prompted to eat as many times in single-as in twoparent households. Children were very rarely restricted in their mealtime intake. High-SES parents used reasoning, praise, and food rewards significantly more often than low-SES families. Mothers used different strategies than fathers: fathers used pressure tactics with boys and mothers praised girls for eating. Future research should examine the meanings children ascribe to their parents' communications about food intake and how perceived parental messages influence the development of long-term dietary patterns. Interpreted alongside the evidence for children's energy self-regulation and the risk of disruption of these innate processes, it may be that parents are inadvertently socializing their children to eat past their internal hunger/satiety cues. These data reinforce current recommendations that parents should provide nutritious foods and children, not parents, should decide what and how much of these foods they eat.Correspondence Author: Joan K. Orrell-Valente, Ph.D. (preferred name as written here; hyphenated surname in bold), Assistant Professor of Pediatrics, Division of Adolescent Medicine, 3333 California St, Box 0503, LH 245, University of California, San Francisco, CA 94143, ValenteJ@peds.ucsf.edu, Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. (Videon & Manning, 2003) and by consumption of foods high in fat and sugar (Coon, Goldberg, Rogers, & Tucker, 2001). In addition, several cross-sectional studies have suggested that the frequency of family meals is positively associated with consumption of healthier foods (e.g., Neumark-Sztainer, Hannan, Story, Croll, & Perry, 2003). Suggesting the need for further research, however, is a recent study that found no relation between frequency of family meals and 1-year incidence of becoming overweight (Tavares et al., 2005). NIH Public AccessParental strategies to control children's eating behaviors also may be related to children's energy intake and/or weight (Faith et al., 2004). Research has focused largely on two strategies: parental feeding restri...

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Influence of the Home Environment on the Development of Obesity in Children

Cited by 505 publications

References 31 publications

Children with a TV in their bedroom at higher risk for being overweight

Children with a TV in their bedroom at higher risk for being overweight

The aetiology of childhood obesity: a review

“Just three more bites”: An observational analysis of parents’ socialization of children's eating at mealtime

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