Television Watching and Frequency of Family Meals Are Predictive of Overweight Onset and Persistence in a National Sample of School-Aged Children

Gable, Sara; Chang, Yiting; Krull, Jennifer L.

doi:10.1016/j.jada.2006.10.010

Cited by 279 publications

(257 citation statements)

References 30 publications

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“…The relationship was not explained by less time spent outdoors in the neighborhood, more television viewing, increased behavior problems in the child (internalizing or externalizing), or earlier puberty. The results are consistent with prior cross sectional work with this cohort in 1 st grade (3), as well as several other reports in similarly school-aged children in which neighborhood safety was measured by parental report (4,34).…”

Section: Discussionsupporting

confidence: 91%

Maternal perception of neighborhood safety as a predictor of child weight status: The moderating effect of gender and assessment of potential mediators

Bacha¹,

Appugliese²,

Coleman³

et al. 2009

Int. J. of Pediatric Obesity

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Objective-To determine if there is a relationship between maternal perception of neighborhood safety in 3 rd grade and weight status in 5 th grade children, to test if gender moderates this relationship, and to identify potential mediators.Method-Data from 868 children and their mothers involved in the National Institute of Child Health and Human Development Study of Early Child Care and Youth Development (NICHD-SECCYD) were used to examine the relationship between maternal perception of neighborhood safety in the 3 rd grade and child BMI z-score in the 5 th grade. Multiple regression models were used to test this relationship, the effect of gender, and potential mediating variables (time outdoors in neighborhood, television viewing, child behavior problems and puberty status).Results-Neighborhood safety ratings in the least safe tertile in 3 rd grade, compared to the safest tertile, were associated with an increased risk of obesity independent of gender, race and incometo-needs ratio (OR = 1.59; 95% CI 1.03, 2.46), and a higher child BMI z-scores in the 5 th grade among girls, but not boys, compared to the safest tertile (β = 0.33; 95% confidence interval, 0.09, 0.57). Neither amount of time spent outdoors in the neighborhood, television viewing, child behavior problems (internalizing or externalizing), nor puberty status altered the relationship.Conclusions-Maternal perception of the neighborhood as unsafe in 3 rd grade independently predicted a higher risk of obesity, and a higher BMI z-score among girls, but not boys, in the 5 th grade. The relationship was not explained by several potential mediators. Further investigation is needed to explore these gender differences and potential mediators.

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Section: Discussionsupporting

confidence: 91%

Maternal perception of neighborhood safety as a predictor of child weight status: The moderating effect of gender and assessment of potential mediators

Bacha¹,

Appugliese²,

Coleman³

et al. 2009

Int. J. of Pediatric Obesity

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show abstract

“…40 Failure to properly assess a child's weight constrains interventions 26 such as encouraging diet and physical activity, 23 utilizing growth charts and other standardized instruments, 41 encouraging shared family meals, and reducing television time. 42 Here, we found that over 60 % of obese children misidentified body size. Assurance that children appropriately perceive normal body weight requires parental, health care provider, school, and community-based efforts.…”

Section: Discussionmentioning

confidence: 71%

Size Misperception Among Overweight and Obese Families

et al. 2014

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BACKGROUND: Perception of body size is a key factor driving health behavior. Mothers directly influence children's nutritional and exercise behaviors. Mothers of ethnic minority groups and lower socioeconomic status are less likely to correctly identify young children as overweight or obese. Little evaluation has been done of the inverse-the child's perception of the mother's weight. OBJECTIVE: To determine awareness of weight status among mother-child dyads (n=506). DESIGN: Cross-sectional study conducted in an outpatient pediatric dental clinic of Columbia University Medical Center, New York, NY. PARTICIPANTS: Primarily Hispanic (82.2 %) mothers (n= 253), 38.8±7.5 years of age, and children (n=253), 10.5± 1.4 years of age, responding to a questionnaire adapted from the validated Behavioral Risk Factor Surveillance System. MAIN MEASURES: Anthropometric measures-including height, weight, and waist circumference-and awareness of self-size and size of other generation were obtained. KEY RESULTS: 71.4 % of obese adults and 35.1 % of overweight adults underestimated size, vs. 8.6 % of normal-weight (NW) adults (both p < 0.001). Among overweight and obese children, 86.3 % and 62.3 % underestimated their size, vs. 14.9 % NW children (both p<0.001). Among mothers with overweight children, 80.0 % underestimated their child's weight, vs. 7.1 % of mothers with NW children (p<0.001); 23.1 % of mothers with obese children also underestimated their child's weight (p < 0.01). Among children with obese mothers, only 13.0 % correctly classified the adult's size, vs. 76.5 % with NW mothers (p<0.001). Among obese mothers, 20.8 % classified overweight body size as ideal, vs. 1.2 % among NW mothers (p<0.001). CONCLUSION: Overweight/obese adults and children frequently underestimate their size. Adults misjudge overweight/obese children as being of normal weight, and children of obese mothers often underestimate the adult's size. Failure to recognize overweight/obesity status among adults and children can lead to prolonged exposure to obesity-related comorbidities.

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“…In the earlier conceptual framework, mechanisms were discussed for how a family disruption could lead to children's weight gain and an increased risk of obesity. The higher risk of obesity following the divorce could be from more TV watching among children from divorced families (22), lower family income (23), different parenting styles (7-9), or continued stressful events having an effect on children (26). But, the finding that children are more likely to become obese in the few years leading up to the disruption suggests that the series of stressful events associated with the disruption process (26) could be leading to weight gain or that parental stress could be causing children's weight gain independently (18) or through less authoritative parenting (7)(8)(9).…”

Section: Discussionmentioning

confidence: 99%

“…With less time on their hands, single parents would have less time to supervise the children for outdoor activities, as is the case for mothers who work outside of the home (19). Along these lines, McLanahan (20) finds that TV viewing is higher for children from divorced families, and TV viewing is a risk factor for being overweight (5,21,22).…”

Section: Methods and Procedures Conceptual Frameworkmentioning

confidence: 99%

The longitudinal association between marital disruption and child BMI and obesity

Arkes

2013

Obesity

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Television Watching and Frequency of Family Meals Are Predictive of Overweight Onset and Persistence in a National Sample of School-Aged Children

Cited by 279 publications

References 30 publications

Maternal perception of neighborhood safety as a predictor of child weight status: The moderating effect of gender and assessment of potential mediators

Maternal perception of neighborhood safety as a predictor of child weight status: The moderating effect of gender and assessment of potential mediators

Size Misperception Among Overweight and Obese Families

The longitudinal association between marital disruption and child BMI and obesity

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