FEEDING STYLES AND CHILD WEIGHT STATUS AMONG RECENT IMMIGRANT MOTHER-CHILD DYADS

by Jennie Kim

Introduction

Reason for choosing article Food habits strongly related to culture Increased interest in topic after coding

videos for Dr. Boles

The source

International Journal of Behavioral Nutrition and Physical Activity (IJBNPA) Peer-reviewed online journal Open access Analyze behavioral aspects of diet and

physical activity Impact factor (IF) of 3.58

Background

Immigrant population rapidly growing in the United States

Acculturation and the “obesogenic” environment

Importance of parenting Feeding styles and feeding practices

Background: feeding styles

Authoritative

Indulgent

Authoritarian

Uninvolved

Background: purpose

Indulgent feeding style linked to greater risk for childhood obesity

Hypothesis “We hypothesized that children of parents

with a low demanding/high responsive style would be at greater risk for overweight and obesity compared to those with a high demanding/high responsive style.”

Methods: participants

Baseline data (2009-2011) from Live Well

383 mother-child dyads Eligibility criteria

<10 years in the U.S. Haitian, Latino, or Brazilian descent 20-55 years of age Not pregnant (or >6 months postpartum) Has child between 3-12 years old Lives in Greater Boston area Willing to be randomized

Methods: participants

Informed consent obtained Assent for children >7 years old Written consent from caregiver for children

<7 years Measurement day at local school or non-

profit organization 9 children <3 years after being

randomized

Caregiver’s feeding styles questionnaire (CFSQ)

Covariates

Child birth date and gender Maternal age, race/ethnicity, marital

status, education, household size Center for Epidemiologic Studies

Depression Scale (CES-D) Perceived Stress Scale (PSS) Lifestyle in U.S. vs. home country

Statistical analysis

Use of median Typical in dietary analysis

Descriptive statistics Multiple linear regression

Results

Total populatio

n

Authoritative

Authoritarian

Indulgent Uninvolved

Child BMI-z score

0.9 0.7 0.7 1.2 1.0

Overweight/obese

42.7% 14.6% 28.1% 40.9% 16.5%

PSS 16.9 17.5 17.7 15.6 17.5

Results

Discussion

Authoritarian and indulgent feeding styles are most common

Relationship with stress Indulgent feeding style predictive of

child weight status Anti-immigrant feelings and actions

during time of study

Limitations

Generalizability is limited due to focus on Brazilian, Haitian, and Lationo families

Cross-sectional study Only some aspects of acculturation were

captured