Observed parent-child feeding dynamics in relation to child body mass index and adiposity

C. M. Johnson, M. S. Henderson, G. Tripicchio, P. Rozin, Moonseong Heo, A. Pietrobelli, R. I. Berkowitz, K. L. Keller, M. S. Faith

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background: Restrictive feeding is associated with child overweight; however, the majority of studies used parent-report questionnaires. Objectives: The relationship between child adiposity measures and directly observed parent and child behaviours were tested using a novel behavioural coding system (BCS). Methods: Data from 109 children, participants in a twin study and their mothers, were analyzed. Parent-child dyads were video-recorded twice in the laboratory, while children ate ad libitum from a buffet lunch. Mother and child behaviours were assessed using the BCS. Height, body weight and body fat were directly measured for each child. Associations between child adiposity measures and average BCS behaviour (i.e. pooled across visits) were tested using partial correlations adjusting for child age. Results: Regarding discouragement prompts, child body mass index (BMI) z-score was significantly associated with a greater rate of total discouragements (per minute, min-1), nonverbal discouragements (min-1) and temporary (delay) discouragements (min-1) (p < 0.05). Child percent body fat was associated with greater nonverbal discouragements (min-1). Regarding encouragement prompts, child BMI z-score was significantly associated with a greater rate of total encouragements (min-1), nonverbal encouragements (min-1) and reward encouragements (min-1). Child BMI z-score and percent body fat were both positively associated with greater maternal health encouragements (min-1). Associations with encouragement to eat prompts were no longer significant when accounting for the dependence among twins (being part of the same family). Conclusions: Heavier children received greater maternal discouragements to eat and, with qualifications, encouragements to eat. The role of nonverbal parenting cues warrants further research regarding child eating regulation and obesity.

Original languageEnglish (US)
JournalPediatric obesity
DOIs
StateAccepted/In press - 2017

Fingerprint

Adiposity
Body Mass Index
Adipose Tissue
Mothers
Child Behavior
Lunch
Twin Studies
Parenting
Reward
Cues
Obesity

Keywords

  • Eating, childhood obesity
  • Feeding behaviour
  • Observation
  • Parent-child relations
  • Parenting

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Health Policy
  • Nutrition and Dietetics
  • Public Health, Environmental and Occupational Health

Cite this

Johnson, C. M., Henderson, M. S., Tripicchio, G., Rozin, P., Heo, M., Pietrobelli, A., ... Faith, M. S. (Accepted/In press). Observed parent-child feeding dynamics in relation to child body mass index and adiposity. Pediatric obesity. https://doi.org/10.1111/ijpo.12209

Observed parent-child feeding dynamics in relation to child body mass index and adiposity. / Johnson, C. M.; Henderson, M. S.; Tripicchio, G.; Rozin, P.; Heo, Moonseong; Pietrobelli, A.; Berkowitz, R. I.; Keller, K. L.; Faith, M. S.

In: Pediatric obesity, 2017.

Research output: Contribution to journalArticle

Johnson, CM, Henderson, MS, Tripicchio, G, Rozin, P, Heo, M, Pietrobelli, A, Berkowitz, RI, Keller, KL & Faith, MS 2017, 'Observed parent-child feeding dynamics in relation to child body mass index and adiposity', Pediatric obesity. https://doi.org/10.1111/ijpo.12209
Johnson, C. M. ; Henderson, M. S. ; Tripicchio, G. ; Rozin, P. ; Heo, Moonseong ; Pietrobelli, A. ; Berkowitz, R. I. ; Keller, K. L. ; Faith, M. S. / Observed parent-child feeding dynamics in relation to child body mass index and adiposity. In: Pediatric obesity. 2017.
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