Medium is the message: moderate parental control of feeding correlates with improved weight outcome in a pediatric

Ric G Steele1, Chad D Jensen2, Laurie A Gayes2

  • 1Clinical Child Psychology Program, University of Kansas and Department of Psychology, Brigham Young University rsteele@ku.edu.

Insights

Parental control over child feeding is complex. Moderate restriction in a family weight management program was linked to better outcomes for child obesity, unlike very high or low control.

Area of Science:

  • Pediatric Obesity Research
  • Behavioral Health Interventions
  • Family Nutrition Dynamics

Background:

  • Previous research indicates a complex relationship between parental feeding control and child/adolescent obesity.
  • Understanding these associations is crucial for developing effective weight management strategies for youth.

Purpose of the Study:

  • To investigate the link between parental food control variables and weight outcomes in children and adolescents.
  • To examine these associations within the framework of a family-based behavioral treatment program for obesity.

Main Methods:

  • Utilized data from 93 youths and their parents participating in a clinical trial comparing two weight management interventions.
  • Administered the Child Feeding Questionnaire at pre-treatment, post-treatment, and a 12-month follow-up.
  • Employed latent growth curve modeling to analyze changes in parental control and child weight status.

Main Results:

  • Parental restriction levels decreased over the course of the Positively Fit (PF) treatment.
  • In the PF condition, increased parental restriction correlated with greater reductions in the body mass index standard deviation score (zBMI) among youths.
  • Both high and low levels of parental control were associated with higher zBMI, consistent with prior studies.

Conclusions:

  • Findings suggest that moderate parental control over food intake may be beneficial for youths in obesity treatment programs.
  • The study highlights the nuanced role of parental feeding practices in pediatric weight management.
  • Results support the importance of tailored approaches to parental feeding control within behavioral interventions.
Abstract

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