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The impact of a child obesity treatment intervention on parent child-feeding practices

T Burrows1, J M Warren, C E Collins

  • 1School of Health Sciences, Faculty of Health, University of Newcastle, Newcastle, NSW, Australia. Tracy.burrows@newcastle.edu.au

International Journal of Pediatric Obesity : IJPO : an Official Journal of the International Association for the Study of Obesity
|May 14, 2009
PubMed

Insights

Childhood obesity interventions can modify parental child-feeding practices, reducing pressure to eat and increasing monitoring. These positive changes in feeding behaviors are sustained long-term, offering hope for effective childhood obesity management.

Area of Science:

  • Pediatrics
  • Public Health
  • Behavioral Science

Background:

  • Childhood obesity necessitates multi-factorial treatment strategies targeting environmental influences.
  • Parental child-feeding practices are critical factors in managing pediatric obesity.

Purpose of the Study:

  • To evaluate the long-term impact of three distinct intervention programs on parental child-feeding practices.
  • To assess changes in feeding behaviors at 6, 12, and 24 months post-intervention.

Main Methods:

  • A randomized controlled trial (HIKCUPS) involving 159 overweight children (5-7 years).
  • Intervention arms included dietary modification, physical activity skill development, or a combination.
  • Parental child-feeding practices were measured using the validated Child Feeding Questionnaire (CFQ).

Main Results:

  • All groups showed sustained reductions in "pressure to eat" and increases in "degree of monitoring" at 24 months (p<0.01).
  • Dietary intervention groups specifically demonstrated significant decreases in "restriction" scores.
  • Parental "concern" scores at baseline strongly correlated with child BMI z-score (r=0.73, p < 0.001).

Conclusions:

  • Targeted childhood obesity interventions can effectively modify specific parental child-feeding domains.
  • The observed improvements in child-feeding practices are sustainable over a 24-month period.
  • Findings support the role of parental behavior modification in pediatric obesity treatment.
Abstract

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