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Interactions between disturbed eating and weight in children and their mothers
Corinna Jacobi1, Gabriele Schmitz, William Stewart Agras
1University of Dresden, Clinical Psychology and Psychotherapy, Dresden, Germany. cjacobi@psychologie.tu-dresden.de
Insights
Maternal eating problems and body mass index (BMI) influence children's disturbed eating behaviors. Overweight mothers and those with disinhibited eating patterns require targeted interventions for their children.
Area of Science:
- Developmental Psychology
- Pediatric Nutrition
- Eating Behavior Research
Background:
- Childhood obesity and disordered eating are significant public health concerns.
- Maternal factors, including eating behaviors and body mass index (BMI), may influence children's eating patterns and body image.
- Understanding these complex interactions is crucial for developing effective interventions.
Purpose of the Study:
- To investigate the relationship between disturbed eating behaviors in children (aged 8-12) and their body mass index (BMI).
- To examine the association between maternal eating problems and BMI with children's disturbed eating behaviors.
- To explore how age, gender, and maternal characteristics modify these associations.
Main Methods:
- A cohort study involving 426 children (aged 8-12) and their primary caretakers (91% mothers).
- Childhood disturbed eating was assessed using the validated German "IEG-IEG-Child-Questionnaire."
- Maternal disordered eating was measured using the TFEQ-subscale disinhibition; maternal BMI was also recorded.
Main Results:
- Children's BMI was a significant predictor of disturbed eating behaviors.
- Older girls with higher BMI reported more eating and weight concerns and body dissatisfaction compared to boys and younger children.
- Daughters of overweight mothers exhibited more dietary restraint; children of mothers with high disinhibition showed greater body dissatisfaction.
Conclusions:
- Complex, differential relationships exist between child age, gender, BMI, and maternal variables in relation to childhood eating disturbances.
- Preventive interventions should specifically target overweight mothers and mothers exhibiting disinhibited eating patterns.
- These findings highlight the importance of a family-centered approach in addressing childhood disordered eating.
Objective:
This study assessed the interaction between disturbed eating behavior and body mass index (BMI) in children aged 8 to 12 and maternal eating problems and BMI.
Method:
In a cohort study, four hundred twenty-six 8- to 12-year-old children and their primary caretakers (91% mothers) were assessed in a small city. Disturbed eating behavior in children was measured by the "IEG-IEG-Child-Questionnaire," a validated German self-report instrument for children. Disturbed eating behavior in mothers was assessed by TFEQ-subscale disinhibition.
Results:
Children's BMI was a significant covariate of disturbed eating. Older girls with higher BMI endorsed more problems with eating and weight, and more body dissatisfaction than boys and younger children. Daughters of overweight mothers restrained their own eating behavior more than daughters of normal weight mothers and sons regardless of mothers' weight. Older daughters of overweight mothers were more dissatisfied with their own bodies than younger daughters and children of normal weight mothers. Children of mothers with elevated disinhibition showed more body dissatisfaction than children of mothers with lower disinhibition.
Conclusions:
The results illustrate the complex and differential relationships between age, gender, BMI, and maternal variables and eating disturbances in children. Preventive interventions for the reduction of disturbed eating in children should be targeted at overweight mothers and mothers with disinhibited eating.
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