Changes in parental feeding practices and preschoolers’ food intake following a randomized controlled childhood obesity trial

Somaraki, Maria; Eli, Karin; Sorjonen, Kimmo; Ek, Anna; Sandvik, Pernilla; Nowicka, Paulina

doi:10.1016/j.appet.2020.104746

Cited by 18 publications

(39 citation statements)

References 72 publications

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“…Similar findings were observed in a study from Switzerland, where two cognitive behavioral therapies for childhood obesity treatment were compared (mother‐only vs mother and child groups), and where both treatments led to reduction in maternal depression 3 . The lack of a similar reduction in fathers' levels of depression may reflect both the lower levels of baseline depression reported by fathers, and the possibility that mothers and fathers react differently to aspects of childhood obesity treatment, as we have found in previous analyses 18 . When examining associations between changes in parental feeding practices and changes in child food intake over 12 months of follow‐up, we found differences between mothers' and fathers'use of restriction, pressure to eat and monitoring that were associated with certain food groups 18 …”

Section: Discussionmentioning

confidence: 75%

“…Finally, we hypothesized that higher baseline levels of parental depression would be associated with obesity‐related child eating and parental feeding behaviors. In previous analyses of the ML study, no significant changes in feeding practices or child eating behaviors were found after treatment 17,18 . Thus, in this study, only baseline reports of feeding and eating behaviors were used to analyze the associations with parental depression.…”

Section: Introductionmentioning

confidence: 96%

“…In previous analyses of the ML study, no significant changes in feeding practices or child eating behaviors were found after treatment. 17,18 Thus, in this study, only baseline reports of feeding and eating behaviors were used to analyze the associations with parental depression.…”

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confidence: 99%

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The role of parental depression during early childhood obesity treatment—Secondary findings from a randomized controlled trial

Vásquez-Barquero

Sandvik

et al. 2020

Pediatric Obesity

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Summary Background Parental depression is a risk factor for childhood obesity. Objectives To examine the influence of parental depression on child weight status, eating behaviours, and parental feeding practices during childhood obesity treatment. Methods Hundred and twenty eight children with obesity aged 4 to 6 years and their parents were randomized to a parent support program or to standard treatment. At baseline and after 12 months, children's heights and weights were measured. Parents reported levels of depression (Beck's Depression Inventory‐II), feeding practices (Child Feeding Questionnaire), and children's eating behaviors (Child Eating Behavior Questionnaire). Independent and dependent paired sample t‐tests and linear regressions were used to analyze data. Results After obesity treatment, mothers reported lower levels of depression, whereas fathers did not. No associations were found between parental level of depression and child weight status, or between baseline level of parental depression and feeding practices. Associations were found between baseline parental depression and children's food responsiveness (β = .03; P = .01; 95% CI [0.01, 0.05]), emotional overeating (β = .02; P = .02; 95% CI [0.004, 0.04]), and desire to drink (β = .02; P = .03; 95% CI [0.002, 0.04]) (adjusted for background variables). Conclusions Parental depression did not influence child weight status or parental feeding practices but was associated with obesity‐related child eating behaviors.

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Section: Discussionmentioning

confidence: 75%

Section: Introductionmentioning

confidence: 96%

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The role of parental depression during early childhood obesity treatment—Secondary findings from a randomized controlled trial

Vásquez-Barquero

Sandvik

et al. 2020

Pediatric Obesity

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“…Lloyd, Lubans [ 68 ], in particular, demonstrated that specific practices of maternal limit setting related to higher energy intake from core foods (favorable), while paternal praise of child physical activity related to a lower count of daily steps (excessive praise may be perceived as coercion among children with overweight). In a recent publication, we showed that neither changes in maternal/paternal feeding practices nor changes in child food intake were plausible explanations of the clinically significant weight loss among children in the parenting program, especially in the group that received boosters, as compared to standard treatment [ 70 ]. All treatment conditions in the ML study highlighted physical activity along with healthy eating.…”

Section: Discussionmentioning

confidence: 99%

Parenting and childhood obesity: Validation of a new questionnaire and evaluation of treatment effects during the preschool years

Somaraki

Eli

et al. 2021

PLoS ONE

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Objectives Parenting is an integral component of obesity treatment in early childhood. However, the link between specific parenting practices and treatment effectiveness remains unclear. This paper introduces and validates a new parenting questionnaire and evaluates mothers’ and fathers’ parenting practices in relation to child weight status during a 12-month childhood obesity treatment trial. Methods First, a merged school/clinical sample (n = 558, 82% mothers) was used for the factorial and construct validation of the new parenting questionnaire. Second, changes in parenting were evaluated using clinical data from the More and Less Study, a randomized controlled trial (RCT) with 174 children (mean age = 5 years, mean Body Mass Index Standard Deviation Score (BMI SDS) = 3.0) comparing a parent support program (with and without booster sessions) and standard treatment. Data were collected at four time points over 12 months. We used linear mixed models and mediation models to investigate associations between changes in parenting practices and treatment effects. Findings The validation of the questionnaire (9 items; responses on a 5-point Likert scale) revealed two dimensions of parenting (Cronbach’s alpha ≥0.7): setting limits to the child and regulating one’s own emotions when interacting with the child, both of which correlated with feeding practices and parental self-efficacy. We administered the questionnaire to the RCT participants. Fathers in standard treatment increased their emotional regulation compared to fathers in the parenting program (p = 0.03). Mothers increased their limit-setting regardless of treatment allocation (p = 0.01). No treatment effect was found on child weight status through changes in parenting practices. Conclusion Taken together, the findings demonstrate that the new questionnaire assessing parenting practices proved valid in a 12-month childhood obesity trial. During treatment, paternal and maternal parenting practices followed different trajectories, though they did not mediate treatment effects on child weight status. Future research should address the pathways whereby maternal and paternal parenting practices affect treatment outcomes, such as child eating behaviors and weight status.

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“…Para Latzer e Stein (2013), isso ocorre porque, em comparação com pais que apresentam peso normal, eles se preocupam mais com a possibilidade da criança se tornar obesa no futuro. Em contrapartida, quando a mãe demonstra uma alimentação restrita na tentativa de manter um baixo peso, os filhos apresentam uma forte tendência para terem excesso de peso (Farrell, 2004;Somaraki et al, 2020). No que se refere aos filhos, Zeller et al (2007) verificaram que crianças obesas se percebem como pertencentes a famílias menos coesas, nas quais a união conjugal se mostra enfraquecida e onde são encontrados vários estressores parentais.…”

Section: Obesidade E Relações Familiaresunclassified

Psicodinâmica familiar e características de personalidade de pais, mães e filhas obesas

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Changes in parental feeding practices and preschoolers’ food intake following a randomized controlled childhood obesity trial

Cited by 18 publications

References 72 publications

The role of parental depression during early childhood obesity treatment—Secondary findings from a randomized controlled trial

The role of parental depression during early childhood obesity treatment—Secondary findings from a randomized controlled trial

Parenting and childhood obesity: Validation of a new questionnaire and evaluation of treatment effects during the preschool years

Psicodinâmica familiar e características de personalidade de pais, mães e filhas obesas

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