WHAT'S KNOWN ON THIS SUBJECT: Despite numerous studies, evidence of the association between food-related parenting practices and child weight remains equivocal. Examination of this association within a sample of diverse adolescents is needed to inform anticipatory guidance provided by physicians working with parents of adolescents.
WHAT THIS STUDY ADDS:The current study explores associations between food-related parenting practices and weight status in a population-based sample of parent-adolescent pairs. This diverse sample allows for an in-depth examination of the role of gender, race/ ethnicity, socioeconomic status, and grade level in this association. abstract OBJECTIVE: To examine food-related parenting practices (pressure-toeat and food restriction) among mothers and fathers of adolescents and associations with adolescent weight status within a large populationbased sample of racially/ethnically and socioeconomically diverse parent-adolescent pairs.
RESULTS:Findings suggest that the use of controlling food-related parenting practices, including pressure-to-eat and restriction, is common among parents of adolescents. Mean restriction levels were significantly higher among parents of overweight and obese adolescents compared with nonoverweight adolescents. However, levels of pressure-to-eat were significantly higher among nonoverweight adolescents. Results indicate that fathers are more likely than mothers to engage in pressure-to-eat behaviors and boys are more likely than girls to be on the receiving end of parental pressure-to-eat. Parental report of restriction did not differ significantly by parent or adolescent gender. No significant interactions by race/ethnicity or socioeconomic status were seen in the relationship between restriction or pressureto-eat and adolescent weight status.
CONCLUSIONS:Given that there is accumulating evidence for the detrimental effects of controlling feeding practices on children' s ability to selfregulate energy intake, these findings suggest that parents should be educated and empowered through anticipatory guidance to encourage moderation rather than overconsumption and emphasize healthful food choices rather than restrictive eating patterns. Pediatrics 2013;131: e1443-e1450