Related Experiment Video
Updated: Jun 18, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
The Lifestyle Behaviour Checklist: a measure of weight-related problem behaviour in obese children
Felicity West1, Matthew R Sanders
1Parenting and Family Support Centre, School of Psychology, The University of Queensland, Brisbane, Australia. felicity@psy.uq.edu.au
Insights
The Lifestyle Behaviour Checklist (LBC) effectively identifies challenges parents face with obese children, showing lower confidence and more problems compared to parents of healthy weight children. This tool aids in developing better childhood obesity interventions.
Area of Science:
- Child Health
- Behavioral Science
- Psychometrics
Background:
- Parent training is crucial for family-based childhood obesity interventions.
- Limited research exists on specific parenting challenges in managing obese children's behavior.
- A need exists for validated tools to assess these challenges.
Purpose of the Study:
- To develop and evaluate the Lifestyle Behaviour Checklist (LBC) for assessing parenting challenges in childhood obesity.
- To examine the psychometric properties of the LBC in parents of children aged 4-11.
- To compare parenting challenges between families with healthy weight and obese children.
Main Methods:
- The Lifestyle Behaviour Checklist (LBC) was developed, comprising 26 items on eating, activity, and weight-related behaviors, with Problem and Confidence scales.
- Psychometric properties were explored in 182 parents of healthy weight, overweight, or obese children (aged 4-11).
- The LBC's ability to differentiate between families with and without obese children was assessed.
Main Results:
- The LBC accurately classified 91.1% of participants, distinguishing families with and without obese children.
- Parents of obese children reported significantly higher lifestyle behavior problems (d=2.40) and lower parenting self-efficacy (d=1.96) than parents of healthy weight children.
- The LBC demonstrated high internal consistency and moderate test-retest stability over 12 weeks.
Conclusions:
- The Lifestyle Behaviour Checklist (LBC) is a valid and reliable instrument for conceptualizing and measuring parenting challenges in childhood obesity.
- The LBC can differentiate between parents of obese and healthy weight children.
- Routine use of the LBC in research can inform the development of more effective childhood obesity management strategies.
Objective:
Parents are often targeted for childhood obesity interventions and parent training is regarded as an integral component of family-based treatments for obesity. However, few studies have examined what challenges parents of obese children face managing their children's behaviour, and how these challenges might be addressed in treatment. To address this gap in knowledge, we describe the development and evaluation of a new measure, the Lifestyle Behaviour Checklist (LBC).
Methods:
The LBC lists 26 concerns parents might have about children's eating behaviour, activity, and other weight-related behaviours; and includes a Problem scale (extent of problems) and Confidence scale (parents' confidence in dealing with these problems). This study explored the psychometric properties of the LBC in a sample of 182 parents of healthy weight, overweight, or obese 4 to 11-year-old children. A comparison is given for families with healthy weight children and families with obese children.
Results:
The new measure successfully differentiated families with and without obese children, correctly classifying 91.1% of participants. Parents of healthy weight children reported lower levels of lifestyle behaviour problems (d=2.40) and higher levels of parenting self-efficacy (d=1.96) than parents of obese children. The LBC scales had high internal consistency and moderate test-retest stability (12 weeks).
Conclusion:
The lifestyle behaviour construct appears a useful way to conceptualise parenting challenges faced by parents of obese children, and the LBC a valid and reliable instrument. Routine administration of the LBC in childhood obesity research may assist in the development of more effective management approaches.
Related Concept Videos
Obesity
Lifestyle Factors and Health
Benefits of Physical Activity
Physical activity, whether through structured exercise or casual activities like walking, biking, or dancing, is a cornerstone of a...
Binge Eating Disorders
Conduct Disorder
Bulimia Nervosa
Drug Dosing: Obese Patients

