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01-12-2017 | Original Paper

Associations Between Parental BMI and the Family Nutrition and Physical Activity Environment in a Community Sample

Authors: Joel E. Williams, Brian Helsel, Sarah F. Griffin, Jessica Liang

Published in: Journal of Community Health | Issue 6/2017

Abstract

The purpose of this study was to examine the relationship between parental BMI and the family environment and determine if differences exist in child diet and physical activity related parenting behaviors by parental BMI in a community sample of families recruited through elementary schools in a local school district. We found an association between parental BMI category and family nutrition and physical activity (FNPA) score. Families with an underweight or normal weight parent had a larger proportion (64.3%) of high (indicating a healthier family environment) FNPA scores and families with an overweight or obese parent had a smaller proportion (45.2%) of high FNPA scores (χ ² = 5.247, P = 0.022). Families with a parent who was overweight or obese had 2.18 times the odds (95% CI 1.11–4.27) of being in the low FNPA (“less healthy” environment) group. Further, underweight/normal weight parents reported higher levels of monitoring of child diet (Z = −3.652, P < 0.0001), higher levels of parental monitoring of child physical activity (Z = −3.471, p < 0.001), and higher levels of parental limit setting related to child sedentary activities compared to overweight/obese parents (Z = −2.443, P = 0.01). Parent BMI and parenting behaviors are known to have a major impact on childhood obesity. In this study, lower parent BMI and authoritative parenting behaviors were associated with a less obesogenic home environment and a positive parenting style related to child eating and physical activity behaviors.

Wurtele, S. (1995). Health promotion. In M. Roberts (Ed.), Handbook of pediatric psychology (2nd edn., pp. 200–216). Washington, DC: APA.

Daniels, S. R. (2006). The consequences of childhood overweight and obesity. Future of Children, 16(1), 47–67.CrossRefPubMed

Kaplan, M., Kiernan, N. E., & James, L. (2006). Intergenerational family conversations and decision making about eating healthfully. Journal of Nutrition Education and Behavior, 38(5), 298–306.CrossRefPubMed

Al Sabbah, H., Vereecken, C. A., Elgar, F. J., et al. (2009). Body weight dissatisfaction and communication with parents among adolescents in 24 countries: International cross-sectional survey. BMC Public Health, 9, 1–10. doi:10.1186/1471-2458-9-52.CrossRef

Dickens, E., & Ogden, J. (2014). The role of parental control and modelling in predicting a child’s diet and relationship with food after they leave home: A prospective study. Appetite, 76, 23–29.CrossRefPubMed

McKenzie, T. L., Sallis, J. F., Nader, P. R., Broyles, S. L., & Nelson, J. A. (1992). Anglo- and Mexican-American preschoolers at home and at recess: Activity patterns and environmental influences. Journal of Developmental and Behavioral Pediatrics, 13(3), 173–180. doi:10.1097/00004703-199206000-00004.CrossRefPubMed

Nader, P. R., Sallis, J. F., Abramson, I. S., & Broyles, S. L. (1992). Family-based cardiovascular risk reduction education among Mexican- and Anglo-Americans. Family & Community Health: The Journal of Health Promotion & Maintenance, 15(1), 57–74. doi:10.1097/00003727-199204000-00007.CrossRef

Nader, P. R. (1993). The role of the family in obesity prevention and treatment. Annals of the New York Academy of Sciences, 699(1), 147–153.CrossRefPubMed

Wing, R. R. (2003). Behavioral interventions for obesity: Recognizing our progress and future challenges. Obesity Research. doi:10.1038/oby.2003.219.

10.

Nicklas, T. A., Baranowski, T., Baranowski, J. C., Cullen, K., Rittenberry, L., & Olvera, N. (2001). Family and child-care provider influences on preschool children’s fruit, juice, and vegetable consumption. Nutrition Reviews, 59(7), 224–235.CrossRefPubMed

11.

Cullen, K. W., Baranowski, T., Rittenberry, L., & Olvera, N. (2000). Social-environmental influences on children’s diets: Results from focus groups with African-, Euro- and Mexican-American children and their parents. Health Education Research, 15(5), 581–590.CrossRefPubMed

12.

Sallis, J. F., & Glanz, K. (2006). The role of built environments in physical activity, eating, and obesity in childhood. Future of Children, 16(1), 89–108.CrossRefPubMed

13.

Holsten, J. E. (2009). Obesity and the community food environment: A systematic review. Public Health Nutrition, 12(3), 397–405.PubMed

14.

Rahman, T., Cushing, R. A., & Jackson, R. J. (2011). Contributions of built environment to childhood obesity. Mount Sinai. Journal of Medicine: A Journal of Translational and Personalized Medicine, 78(1), 49–57.

15.

Boutelle, K. N., Birnbaum, A. S., Lytle, L. A., Murray, D. M., & Story, M. (2003). Associations between perceived family meal environment and parent intake of fruit, vegetables, and fat. Journal of Nutrition Education and Behavior, 35(1), 24–29.CrossRefPubMed

16.

Neumark-Sztainer, D., Hannan, P. J., Story, M., Croll, J., & Perry, C. (2003). Family meal patterns: Associations with sociodemographic characteristics and improved dietary intake among adolescents. Journal of the American Dietetic Association, 103(3), 317–322.CrossRefPubMed

17.

Hendy, H. M., & Raudenbush, B. (2000). Effectiveness of teacher modeling to encourage food acceptance in preschool children. Appetite, 34(1), 61–76.CrossRefPubMed

18.

Williams, J. E., Kabukuru, A., Mayo, R., & Griffin, S. E. (2011). Commentary: A social-ecological perspective on obesity among Latinos. Ethnicity & Disease, 21(4), 467–472.

19.

Sterrett, E. M., Williams, J., Thompson, K., et al. (2013). An exploratory study of 2 parenting styles and family health behaviors. American Journal of Health Behavior, 37(4), 458–468. doi:10.5993/AJHB.37.4.4.CrossRefPubMed

20.

Birch, L. L., & Fisher, J. O. (1998). Development of eating behaviors among children and adolescents. Pediatrics, 101(3), 539–549.PubMed

21.

Williams, J. E. (2011). Child obesity in context: Ecology of family and community. International Journal of Exercise Science, 4(2), 86–92. http://digitalcommons.wku.edu/ijes/vol4/iss2/1.

22.

Williams, J.E., Agate, S.T., Cason, K.L., Griffin, S.F. (2010). Predictors of social support for healthy nutrition behaviors among African American adolescents. Forum for Family and Consumer Issues. Available at: http://ncsu.edu/ffci/publications/2010/v15-n1-2010-spring/williams-agate-cason-griffin.php. Accessed 20 Apr 2017.

23.

Vauthier, J. M., Lluch, A., Lecomte, E., Artur, Y., & Herbeth, B. (1996). Family resemblance in energy and macronutrient intakes: The stanislas family study. International Journal of Epidemiology, 25(5), 1030–1037.CrossRefPubMed

24.

Branen, L., & Fletcher, J. (1999). Comparison of college students’ current eating habits and recollections of their childhood food practices. Journal of Nutrition Education, 31(6), 304–310.CrossRef

25.

Ramsay, S. A., Branen, L. J., Fletcher, J., Price, E., Johnson, S. L., & Sigman-Grant, M. (2010). “Are you done?” child care providers’ verbal communication at mealtimes that reinforce or hinder children’s internal cues of hunger and satiation. Journal of Nutrition Education and Behavior, 42(4), 265–270.CrossRefPubMed

26.

Dev, D. A., McBride, B. A., Fiese, B. H., Jones, B. L., & Cho, H. (2013). Risk factors for overweight/obesity in preschool children: An ecological approach. Childhood. Obesity, 9(5), 399–408. doi:10.1089/chi.2012.0150.

27.

Ostbye, T., Malhotra, R., Stroo, M., et al. (2013). The effect of the home environment on physical activity and dietary intake in preschool children. International Journal of Obesity, 37(10), 1314–1321.CrossRefPubMedPubMedCentral

28.

Kitzman-Ulrich, H., Wilson, D. K., St George, S. ,M., Lawman, H., Segal, M., & Fairchild, A. (2010). The integration of a family systems approach for understanding youth obesity, physical activity, and dietary programs. Clinical Child and Family Psychology Review, 13(3), 231–253. doi:10.1007/s10567-010-0073-0.CrossRefPubMedPubMedCentral

29.

Trost, S. G., Kerr, L. M., Ward, D. S., & Pate, R. R. (2001). Physical activity and determinants of physical activity in obese and non-obese children. International Journal of Obesity & Related Metabolic Disorders, 25(6), 822.CrossRef

30.

Loprinzi, P. D., & Trost, S. G. (2010). Parental influences on physical activity behavior in preschool children. Preventive Medicine, 50(3), 129–133. doi:10.1016/j.ypmed.2009.11.010.CrossRefPubMed

31.

Sebire, S. J., Jago, R., Wood, L., Thompson, J. L., Zahra, J., & Lawlor, D. A. (2016). Examining a conceptual model of parental nurturance, parenting practices and physical activity among 5–6 year olds. Social Science & Medicine, 148, 18–24. doi:10.1016/j.socscimed.2015.11.022.CrossRef

32.

Kakinami, L., Barnett, T. A., Sguin, L., & Paradis, G. (2015). Parenting style and obesity risk in children. Preventive Medicine, 75, 18–22. doi:10.1016/j.ypmed.2015.03.005.CrossRefPubMed

33.

Garrow, J. S., & Webster, J. (1985). Quetelet’s index (W/H2) as a measure of fatness. International Journal of Obesity, 9(2), 147–153.PubMed

34.

Ihmels, M. A., Welk, G. J., Eisenmann, J. C., & Nusser, S. M. (2009). Development and preliminary validation of a family nutrition and physical activity (FNPA) screening tool. The International Journal of Behavioral Nutrition and Physical Activity, 6, 14. doi:10.1186/1479-5868-6-14.CrossRefPubMedPubMedCentral

35.

Ihmels, M. A., Welk, G. J., Eisenmann, J. C., Nusser, S. M., & Myers, E. F. (2009). Prediction of BMI change in young children with the family nutrition and physical activity (FNPA) screening tool. Annals of Behavioral Medicine: A Publication of the Society of. Behavioral Medicine, 38(1), 60–68. doi:10.1007/s12160-009-9126-3.CrossRef

36.

Arredondo, E. M., Elder, J. P., Ayala, G. X., Campbell, N., Baquero, B., & Duerksen, S. (2006). Is parenting style related to children’s healthy eating and physical activity in Latino families? Health Education Research, 21(6), 862–871.CrossRefPubMed

37.

Nachar, N. (2008). The mann-whitney U: A test for assessing whether two independent samples come from the same distribution. Tutorials in Quantitative Methods for Psychology, 4(1), 13–20.CrossRef

38.

Bland, J. M., & Altman, D. G. (1995). Multiple significance tests: The bonferroni method. BMJ, 310(6973), 170.CrossRefPubMedPubMedCentral

39.

U.S. Census Bureau, (2015). State & county Quickfacts: Oconee County, SC. Retrieved November 23, 2016, from http://www.census.gov/quickfacts/table/PST045215/45073.

40.

West, F., Sanders, M. R., Cleghorn, G. J., & Davies, P. S. W. (2010). Randomised clinical trial of a family-based lifestyle intervention for childhood obesity involving parents as the exclusive agents of change. Behaviour Research & Therapy, 48(12), 1170–1179. doi:10.1016/j.brat.2010.08.008.CrossRef

41.

Magarey, A. M., Perry, R. A., Baur, L. A., et al. (2011). A parent-led family-focused treatment program for overweight children aged 5 to 9 years: The PEACH RCT. Pediatrics, 127(2), 214–222. doi:10.1542/peds.2009-1432.CrossRefPubMed

42.

Ball, G. D. C., Ambler, K. A., Keaschuk, R. A., et al. (2012). Parents as agents of change (PAC) in pediatric weight management: The protocol for the PAC randomized clinical trial. BMC Pediatrics, 12, 114. doi:10.1186/1471-2431-12-114.CrossRefPubMedPubMedCentral

Title: Associations Between Parental BMI and the Family Nutrition and Physical Activity Environment in a Community Sample
Authors: Joel E. Williams
Brian Helsel
Sarah F. Griffin
Jessica Liang
Publication date: 01-12-2017
Publisher: Springer US
Published in: Journal of Community Health / Issue 6/2017
Print ISSN: 0094-5145
Electronic ISSN: 1573-3610
DOI: https://doi.org/10.1007/s10900-017-0375-y

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Associations Between Parental BMI and the Family Nutrition and Physical Activity Environment in a Community Sample

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