Maternal psychological determinants of infant obesity

Kramer, Michael S.; Barr, Ronald G.; Leduc, Denis; Boisjoly, Christiane; Pless, Ivan Barry

doi:10.1016/0021-9681(83)90118-2

Cited by 44 publications

(10 citation statements)

References 12 publications

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“…27,28,36–40 Furthermore, parents may not value their child’s weight status as a health indicator but, rather, may refer to their ability to perform activities accomplished by their peers or the lack of chronic medical illness. 41 Whereas in the past these findings have been shown in low-income or minority populations where there is often an association of food with love, 42 the current results show general preferences for higher weight infants in a mostly white, well-educated, middle class community.…”

Section: Discussionmentioning

confidence: 99%

Parent Perception of Healthy Infant and Toddler Growth

Laraway

Birch²,

Shaffer

et al. 2009

Clin Pediatr (Phila)

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We hypothesized that parents of infants prefer growth at higher percentiles and are averse to growth at lower percentiles. Of 279 participating parents, only 10% desired their child’s weight to be in the lowest quartile. For children weighing in the lowest quartile, 57% of parents thought their child’s weight was “too low.” In contrast, 66% of parents whose child’s weight was in the top quartile preferred their child weigh that much. When viewing hypothetical infant growth trajectories, 47% ranked a growth chart demonstrating growth along the 10th percentile for weight as “least healthy” of 6 growth patterns, and 29% chose charts showing an infant at the 90th percentile for weight at age 1 as “healthiest.” In conclusion, parents are averse to growth at the bottom of the weight growth chart but are much less likely to feel negatively about growth at higher percentiles. This is troubling given the childhood obesity epidemic.

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Section: Discussionmentioning

confidence: 99%

Parent Perception of Healthy Infant and Toddler Growth

Laraway

Birch²,

Shaffer

et al. 2009

Clin Pediatr (Phila)

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“…Mothers’ weight before and during pregnancy and health problems during pregnancy including the occurrence of gestational diabetes or complications are assessed by using the expectant mothers’ record of prenatal and natal care (“Mutterpass”). To assess parents’ attitudes to feeding the Maternal Feeding Attitudes Scale (MFA) is used [102]. The scale (10 items) was developed in order to “measure psychological factors that may affect infant feeding and thus “confound” the relationship between feeding and subsequent obesity“ [102].…”

Section: Methodsmentioning

confidence: 99%

Obese parents – obese children? Psychological-psychiatric risk factors of parental behavior and experience for the development of obesity in children aged 0–3: study protocol

et al. 2013

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BackgroundThe incidences of childhood overweight and obesity have increased substantially and with them the prevalence of associated somatic and psychiatric health problems. Therefore, it is important to identify modifiable risk factors for early childhood overweight in order to develop effective prevention or intervention programs. Besides biological factors, familial interactions and parental behavioral patterns may influence children’s weight development. Longitudinal investigation of children at overweight risk could help to detect significant risk and protective factors. We aim to describe infants’ weight development over time and identify risk and protective factors for the incidence of childhood obesity. Based on our findings we will draw up a risk model that will lay the foundation for an intervention/prevention program.Methods/DesignWe present the protocol of a prospective longitudinal study in which we investigate families with children aged from 6 months to 47 months. In half of the families at least one parent is obese (risk group), in the other half both parents are normal weight (control group). Based on developmental and health-psychological models, we consider measurements at three levels: the child, the parents and parent–child-relationship. Three assessment points are approximately one year apart. At each assessment point we evaluate the psychological, social, and behavioral situation of the parents as well as the physical and psychosocial development of the child. Parents are interviewed, fill in questionnaires, and take part in standardized interaction tasks with their child in a feeding and in a playing context in our research laboratory. The quality of these video-taped parent–child interactions is assessed by analyzing them with standardized, validated instruments according to scientific standards.DiscussionStrengths of the presented study are the prospective longitudinal design, the multi-informant approach, including the fathers, and the observation of parent–child interaction. A limitation is the variation in children’s age.

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“…One study used a single question items (Rhee et al, 2009). Other questionnaires used included the Infant Feeding Styles Questionnaire (Thompson et al, 2013; Thompson et al, 2009), Preschool Feeding Questionnaire (Baughcum et al, 2001; Rodgers et al, 2013), Parent Feeding Style Questionnaire (Rodgers et al, 2013; Wardle, Sanderson, Guthrie, Rapoport, & Plomin, 2002), Control Over Eating Questionnaire (Ogden, Reynolds, & Smith, 2006; Rodgers et al, 2013), Comprehensive Feeding Practices Questionnaire (Musher-Eizenman & Holub, 2007; Rodgers et al, 2013), the Parental Feeding Practices Questionnaire (Tschann et al, 2013; Tschann et al, 2015), the Overt/Covert Control Scale (Ogden et al, 2006), and the Maternal Feeding Attitudes Scale (Kramer, Barr, Leduc, Boisjoly, & Pless, 1983; Worobey et al, 2009). Each of these measures conceptualizes feeding slightly differently.…”

Section: Introductionmentioning

confidence: 99%

Longitudinal associations between maternal feeding and overweight in low-income toddlers

et al. 2017

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Maternal feeding is a frequent intervention target for the prevention of early childhood obesity but longitudinal associations between feeding and child overweight are poorly understood. This observational cohort study sought to examine the cross-lagged associations between maternal feeding and overweight across ages 21, 27, and 33 months. Feeding was measured by maternal self-report (n=222) at each age. Child weight and length were measured. Cross-lagged analysis was used to evaluate longitudinal associations between feeding and overweight, adjusting for infant birth weight, maternal body mass index, maternal education, and maternal depressive symptoms. The sample was 50.5% white, 52.3% male and 37.8% of mothers had a high school education or less. A total of 30.6%, 29.2%, and 26.3% of the sample was overweight at each age, respectively. Pressuring to Finish, Restrictive with regard to Amount, Restrictive with regard to Diet Quality, Laissez-Faire with regard to Diet Quality, Responsiveness to Satiety, Indulgent Permissive, Indulgent Coaxing, Indulgent Soothing, and Indulgent Pampering each tracked strongly across toddlerhood. There were no significant associations between maternal feeding and child overweight either in cross-sectional or cross-lagged associations. Our results do not support a strong causal role for feeding in childhood overweight. Future work longitudinal work should consider alternative approaches to conceptualizing feeding and alternative measurement approaches.

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Maternal psychological determinants of infant obesity

Cited by 44 publications

References 12 publications

Parent Perception of Healthy Infant and Toddler Growth

Parent Perception of Healthy Infant and Toddler Growth

Obese parents – obese children? Psychological-psychiatric risk factors of parental behavior and experience for the development of obesity in children aged 0–3: study protocol

Longitudinal associations between maternal feeding and overweight in low-income toddlers

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