Parenting and feeding behaviors associated with school-aged African American and White children
Michele Lynn Polfuss1, Marilyn Frenn
1Pediatrics, Medical College of Wisconsin, 8701 Watertown Plank Road MS 610, Milwaukee, WI 53226, USA. mpolfuss@mcw.edu
Insights
Parenting and feeding behaviors significantly impact pediatric obesity risk. African American parents and those concerned about weight showed more controlling behaviors, influencing children's body mass index percentile (BMI%).
Area of Science:
- Pediatrics
- Child Psychology
- Public Health
Background:
- Pediatric obesity is a complex health issue influenced by various factors.
- Parenting and feeding behaviors are known to affect a child's weight status.
- Previous research has primarily focused on White, preschool-aged children, limiting understanding of diverse populations.
Purpose of the Study:
- To examine parenting and feeding behaviors in African American and White parents of school-aged children.
- To identify specific behaviors associated with parental concern about a child's weight.
- To determine the relationship between these behaviors and children's body mass index percentile (BMI%), considering ethnicity, socioeconomic status (SES), and parental BMI.
Main Methods:
- Surveyed 176 African American and White parents regarding their parenting and feeding practices.
- Assessed parental identification of their child's weight status.
- Analyzed the association between parenting/feeding behaviors and child's BMI percentile, controlling for demographic variables.
Main Results:
- African American parents and those concerned about their child's weight reported more controlling/authoritarian parenting and feeding behaviors.
- Parents demonstrated accuracy in identifying their child's weight status.
- Parenting and feeding behaviors significantly predicted children's BMI percentile, independent of ethnicity, SES, and parental BMI.
Conclusions:
- Controlling parenting and feeding behaviors are associated with higher child BMI percentile in school-aged children.
- Understanding these behaviors is crucial for developing targeted interventions for pediatric obesity.
- Interventions should consider cultural and socioeconomic factors in diverse populations.
Abstract:
Pediatric obesity is multifactorial and difficult to treat. Parenting and feeding behaviors have been shown to influence a child's weight status. Most prior studies have focused on preschool-aged White children. Additional complicating factors include parents' inability to accurately identify their child's abnormal weight status. Parenting and feeding behaviors used by 176 African American and White parents of school-age children were examined. Assessment included (a) identifying what behaviors were reported when parent expressed concern with child's weight and (b) the relationship of these behaviors on child's body mass index percentile (BMI%), considering ethnicity, socioeconomic status (SES), and parent's body mass index (BMI). Findings included African American parents and parents concerned about their child's weight exhibited increased controlling/authoritarian parenting and feeding behaviors. Parents were able to accurately identify their child's weight status. Parenting and feeding behaviors played a significant role in the children's BMI% even when controlling for ethnicity, SES, and parent's BMI.
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