Abstract
Research findings suggest parent weight-talk is associated with negative health outcomes among youth, and weight must be discussed with caution. Yet, it remains unclear the extent to which different approaches to weight-talk affect different health-related outcomes. The objective of this systematic review is to characterize varying parent weight-talk approaches with respect to adolescent health-related and psychosocial outcomes and to identify methodological shortcomings in this body of literature. Included articles were published between January 2010 and January 2020, included adolescents ages 11–18, addressed weight-talk between parents and adolescents, and excluded clinical populations (e.g., eating disorder diagnosis, bariatric and/or diabetic population). A systematic search of three databases and a hand search of two peer-reviewed journals resulted in 16 articles meeting inclusion criteria. While findings remain preliminary, the research indicates that overall health-based conversations are more productive and cause less harmful consequences than overt conversations about adolescent weight. The findings also demonstrate that research lacks dyadic data between parents and adolescents for weight-talk, fathers are underrepresented in this research, and adolescent preferences/perceptions of comments and discussions with parents remain unknown. More research is needed to examine different types of weight-talk between parents and adolescents and health outcomes associated with engaging in such conversations and/or comments.
Similar content being viewed by others
References
Abdalla, S., Buffarini, R., Weber, A. M., Cislaghi, B., Costa, J. C., Menezes, A. M. B., … & Darmstadt, G. L. (2020). Parent-related normative perceptions of adolescents and later weight control behavior: Longitudinal analysis of cohort data from Brazil. Journal of Adolescent Health, 66(1), S9–S16. https://doi.org/10.1016/j.jadohealth.2019.09.007.
Allen, B. & Waterman, H. (2019). Stages of adolescence. American Academy of Pediatrics. https://www.healthychildren.org/English/ages-stages/teen/Pages/Stages-of-Adolescence.aspx.
Bauer, K. W., Bucchianeri, M. M., & Neumark-Sztainer, D. (2013). Mother-reported parental weight talk and adolescent girls’ emotional health, weight control attempts, and disordered eating behaviors. Journal of Eating Disorders, 1, 45. https://doi.org/10.1186/2050-2974-1-45.
Berge, J. M., Wall, M., Loth, K., & Neumark-Sztainer, D. (2010). Parenting style as a predictor of adolescent weight and weight-related behaviors. Journal of Adolescent Health, 46(4), 331–338. https://doi.org/10.1016/j.jadohealth.2009.08.004.
Berge, J. M., MacLehose, R., Loth, K. A., Eisenberg, M., Bucchianeri, M. M., & Neumark-Sztainer, D. (2013). Parent conversations about healthful eating and weight: Associations with adolescent disordered eating behaviors. JAMA Pediatrics, 167(8), 746–753. https://doi.org/10.1001/jamapediatrics.2013.78.
Berge, J. M., MacLehose, R. F., Loth, K. A., Eisenberg, M. E., Fulkerson, J. A., & Neumark-Sztainer, D. (2015). Parent–adolescent conversations about eating, physical activity and weight: Prevalence across sociodemographic characteristics and associations with adolescent weight and weight-related behaviors. Journal of Behavioral Medicine, 38(1), 122. https://doi.org/10.1007/s10865-014-9584-3.
Berge, J. M., Meyer, C., MacLehose, R. F., Loth, K., & Neumark-Sztainer, D. (2016). Do parents treat siblings similarly or differently with regard to feeding practices, weight-related conversations, and support for physical activity? An exploratory analysis. Childhood Obesity, 12(2), 87–93. https://doi.org/10.1089/chi.2015.0049.
Berge, J. M., Winkler, M. R., Larson, N., Miller, J., Haynos, A. F., & Neumark-Sztainer, D. (2018). Intergenerational transmission of parent encouragement to diet from adolescence into adulthood. Pediatrics, 141(4). https://doi.org/10.1542/peds.2017-2955.
Blewitt, C., Bergmeier, H., Macdonald, J. A., Olsson, C. A., & Skouteris, H. (2016). Associations between parent–child relationship quality and obesogenic risk in adolescence: A systematic review of recent literature. Obesity Reviews, 17(7), 612–622. https://doi.org/10.1111/obr.12413.
Boutelle, K. N., Feldman, S., & Neumark-Sztainer, D. (2012). Parenting an overweight or obese teen: Issues and advice from parents. Journal of Nutrition Education and Behavior, 44(6), 500–506. https://doi.org/10.1016/j.jneb.2011.12.005.
Bucchianeri, M. M., Eisenberg, M. E., & Neumark-Sztainer, D. (2013). Weightism, racism, classism, and sexism: Shared forms of harassment in adolescents. Journal of Adolescent Health, 53(1), 47–53. https://doi.org/10.1016/j.jadohealth.2013.01.006.
Cardel, M. I., Jastreboff, A. M., & Kelly, A. S. (2019). Treatment of adolescent obesity in 2020. JAMA, 322(17), 1707–1708. https://doi.org/10.1001/jama.2019.14725.
Cardel, M. I., Atkinson, M. A., Taveras, E. M., Holm, J. C., & Kelly, A. S. (2020). Obesity treatment among adolescents: A review of current evidence and future directions. JAMA Pediatrics. https://doi.org/10.1001/jamapediatrics.2020.0085.
Centers for Disease Control and Prevention. (2018). About child & teen BMI. https://www.cdc.gov/healthyweight/assessing/bmi/childrens_bmi/about_childrens_bmi.html.
Centers for Disease Control and Prevention. (2020). Young teens (12–14 years of age). https://www.cdc.gov/ncbddd/childdevelopment/positiveparenting/adolescence.html.
Chow, C. M., & Tan, C. C. (2018). The role of fat talk in eating pathology and depressive symptoms among mother–daughter dyads. Body Image, 24, 36–43. https://doi.org/10.1016/j.bodyim.2017.11.003.
Corning, A. F., Gondoli, D. M., Bucchianeri, M. M., & Salafia, E. H. B. (2010). Preventing the development of body issues in adolescent girls through intervention with their mothers. Body Image, 7(4), 289–295. https://doi.org/10.1016/j.bodyim.2010.08.001.
Davis, J. L., Goar, C., Manago, B., & Reidinger, B. (2018). Distribution and disavowal: Managing the parental stigma of children’s weight and weight loss. Social Science & Medicine, 219, 61–69. https://doi.org/10.1016/j.socscimed.2018.10.015.
Fisher, C. L., Wolf, B. M., Fowler, C., & Canzona, M. R. (2017). Experiences of “openness” between mothers and daughters during breast cancer: Implications for coping and healthy outcomes. Psycho-oncology, 26(11), 1872–1880. https://doi.org/10.1002/pon.4253.
Fryar, C. D., Carroll, M. D., & Ogden, C. L. (2018). Prevalence of overweight, obesity, and severe obesity among children and adolescents aged 2–19 years: United States, 1963–1965 through 2015–2016. https://www.cdc.gov/nchs/data/hestat/obesity_child_15_16/obesity_child_15_16.pdf.
Gaffney, H., Farrington, D. P., Espelage, D. L., & Ttofi, M. M. (2019). Are cyberbullying intervention and prevention programs effective? A systematic and meta-analytical review. Aggression and Violent Behavior, 45, 134–153. https://doi.org/10.1016/j.avb.2018.07.002.
Galvan, J. L., & Galvan, M. C. (2017). Writing literature reviews: A guide for students of the social and behavioral sciences. New York, NY: Routledge.
Gillison, F. B., Lorenc, A. B., Sleddens, E. F., Williams, S. L., & Atkinson, L. (2016). Can it be harmful for parents to talk to their child about their weight? A meta-analysis. Preventive Medicine, 93, 135–146. https://doi.org/10.1016/j.ypmed.2016.10.010.
Hadley, W., McCullough, M. B., Rancourt, D., Barker, D., & Jelalian, E. (2015). Shaking up the system: The role of change in maternal-adolescent communication quality and adolescent weight loss. Journal of Pediatric Psychology, 40(1), 121–131. https://doi.org/10.1093/jpepsy/jsu073.
Harriger, J. A., & Thompson, J. K. (2012). Psychological consequences of obesity: Weight bias and body image in overweight and obese youth. International Review of Psychiatry, 24(3), 247–253. https://doi.org/10.3109/09540261.2012.678817.
Helfert, S., & Warschburger, P. (2011). A prospective study on the impact of peer and parental pressure on body dissatisfaction in adolescent girls and boys. Body Image, 8(2), 101–109. https://doi.org/10.1016/j.bodyim.2011.01.004.
Helsen, M., Vollebergh, W., & Meeus, W. (2000). Social support from parents and friends and emotional problems in adolescence. Journal of Youth and Adolescence, 29(3), 319–335. https://doi.org/10.1023/A:1005147708827.
Hillard, E. E., Gondoli, D. M., Corning, A. F., & Morrissey, R. A. (2016). In it together: Mother talk of weight concerns moderates negative outcomes of encouragement to lose weight on daughter body dissatisfaction and disordered eating. Body Image, 16, 21–27. https://doi.org/10.1016/j.bodyim.2015.09.004.
Hirschfeld-Dicker, L., Samuel, R. D., Tiram Vakrat, E., & Dubnov-Raz, G. (2019). Preferred weight-related terminology by parents of children with obesity. Acta Paediatrica. https://doi.org/10.1111/apa.14538.
Hunger, J. M., & Tomiyama, A. J. (2018). Weight labeling and disordered eating among adolescent girls: Longitudinal evidence from the National Heart, Lung, and Blood Institute growth and health study. Journal of Adolescent Health, 63(3), 360–362. https://doi.org/10.1016/j.jadohealth.2017.12.016.
Jelalian, E., Hadley, W., Sato, A., Kuhl, E., Rancourt, D., Oster, D., & Lloyd-Richardson, E. (2015). Adolescent weight control: An intervention targeting parent communication and modeling compared with minimal parental involvement. Journal of Pediatric Psychology, 40(2), 203–213. https://doi.org/10.1093/jpepsy/jsu082.
Jones, D. C., & Crawford, J. K. (2006). The peer appearance culture during adolescence: Gender and body mass variations. Journal of Youth and Adolescence, 35(2), 243. https://doi.org/10.1007/s10964-005-9006-5.
Karazsia, B. T., Murnen, S. K., & Tylka, T. L. (2017). Is body dissatisfaction changing across time? A cross-temporal meta-analysis. Psychological Bulletin, 143(3), 293. https://doi.org/10.1037/bul0000081.
Keijsers, L., Voelkle, M. C., Maciejewski, D., Branje, S., Koot, H., Hiemstra, M., & Meeus, W. (2016). What drives developmental change in adolescent disclosure and maternal knowledge? Heterogeneity in within-family processes. Developmental Psychology, 52(12), 2057. https://doi.org/10.1037/dev0000220.
Koepke, S., & Denissen, J. J. (2012). Dynamics of identity development and separation–individuation in parent–child relationships during adolescence and emerging adulthood—A conceptual integration. Developmental Review, 32(1), 67–88. https://doi.org/10.1016/j.dr.2012.01.001.
Langford, R., Bonell, C., Komro, K., Murphy, S., Magnus, D., Waters, E., … & Campbell, R. (2017). The health promoting schools framework: Known unknowns and an agenda for future research. Health Education & Behavior, 44(3), 463–475. https://doi.org/10.1177/1090198116673800.
Loth, K., Wall, M., Choi, C. W., Bucchianeri, M., Quick, V., Larson, N., & Neumark-Sztainer, D. (2015). Family meals and disordered eating in adolescents: Are the benefits the same for everyone? International Journal of Eating Disorders, 48(1), 100–110. https://doi.org/10.1002/eat.22339.
Maor, M., & Cwikel, J. (2016). Mothers’ strategies to strengthen their daughters’ body image. Feminism & Psychology, 26(1), 11–29. https://doi.org/10.1177/0959353515592899.
Neumark-Sztainer, D., Bauer, K. W., Friend, S., Hannan, P. J., Story, M., & Berge, J. M. (2010). Family weight talk and dieting: How much do they matter for body dissatisfaction and disordered eating behaviors in adolescent girls? Journal of Adolescent Health, 47(3), 270–276. https://doi.org/10.1016/j.jadohealth.2010.02.001.
Nickelson, J., Bryant, C. A., McDermott, R. J., Buhi, E. R., & DeBate, R. D. (2012). A modified obesity proneness model predicts adolescent weight concerns and inability to Self-Regulate eating. Journal of School Health, 82(12), 560–571. https://doi.org/10.1111/j.1746-1561.2012.00737.x.
Obesity Action Coalition. (2020). Yes: You Can Be Body Positive and Still Want to Lose Weight. Obesity Action Coalition. https://www.obesityaction.org/community/news/community-news/yes-you-can-be-body-positive-and-still-want-to-lose-weight/.
Ogden, C. L., Carroll, M. D., Lawman, H. G., Fryar, C. D., Kruszon-Moran, D., Kit, B. K., & Flegal, K. M. (2016). Trends in obesity prevalence among children and adolescents in the united states, 1988–1994 through 2013–2014. JAMA, 315(21), 2292–2299. https://doi.org/10.1001/jama.2016.6361.
Parker, A. K. (2010). A longitudinal investigation of young adolescents’ self-concepts in the middle grades. RMLE Online, 33(10), 1–13. https://doi.org/10.1080/19404476.2010.11462073.
Parletta, N., Peters, J., Owen, A., Tsiros, M. D., & Brennan, L. (2012). Parenting styles, communication and child/adolescent diets and weight status: Let’s talk about it. Early Child Development and Care, 182(8), 1089–1103. https://doi.org/10.1080/03004430.2012.678597.
Pearl, R. L. (2018). Weight bias and stigma: Public health implications and structural solutions. Social Issues and Policy Review, 12(1), 146–182. https://doi.org/10.1111/sipr.12043.
Pudney, E. V., Himmelstein, M. S., & Puhl, R. M. (2019). The role of weight stigma in parental weight talk. Pediatric Obesity, 14(10), e12534. https://doi.org/10.1111/ijpo.12534.
Puhl, R. M., & Himmelstein, M. S. (2018). A word to the wise: Adolescent reactions to parental communication about weight. Childhood Obesity, 14(5), 291–301. https://doi.org/10.1089/chi.2018.0047.
Puhl, R. M., Himmelstein, M. S., Armstrong, S. C., & Kingsford, E. (2017). Adolescent preferences and reactions to language about body weight. International Journal of Obesity, 41(7), 1062. https://doi.org/10.1038/ijo.2017.55.
Quick, V., Wall, M., Larson, N., Haines, J., & Neumark-Sztainer, D. (2013). Personal, behavioral and socio-environmental predictors of overweight incidence in young adults: 10-yr longitudinal findings. International Journal of Behavioral Nutrition and Physical Activity, 10(1), 37. https://doi.org/10.1186/1479-5868-10-37.
Rodgers, R., & Chabrol, H. (2009). Parental attitudes, body image disturbance and disordered eating amongst adolescents and young adults: A review. European Eating Disorders Review: The Professional Journal of the Eating Disorders Association, 17(2), 137–151. https://doi.org/10.1002/erv.907.
Sawyer, S. M., Afifi, R. A., Bearinger, L. H., Blakemore, S. J., Dick, B., Ezeh, A. C., & Patton, G. C. (2012). Adolescence: A foundation for future health. The Lancet, 379(9826), 1630–1640. https://doi.org/10.1016/S0140-6736(12)60072-5.
Shrewsbury, V. A., King, L. A., Hattersley, L. A., Howlett, S. A., Hardy, L. L., & Baur, L. A. (2010). Adolescent–parent interactions and communication preferences regarding body weight and weight management: A qualitative study. International Journal of Behavioral Nutrition and Physical Activity, 7(1), 16. https://doi.org/10.1186/1479-5868-7-16.
Sokol, R. L., Qin, B., & Poti, J. M. (2017). Parenting styles and body mass index: A systematic review of prospective studies among children. Obesity Reviews, 18(3), 281–292. https://doi.org/10.1111/obr.12497.
Solís, M. V., Smetana, J. G., & Comer, J. (2015). Associations among solicitation, relationship quality, and adolescents’ disclosure and secrecy with mothers and best friends. Journal of Adolescence, 43, 193–205. https://doi.org/10.1016/j.adolescence.2015.05.016.
Sonneville, K. R., Mulpuri, L., Khreizat, I., Nichols, L. P., Plegue, M. A., & Chang, T. (2019). Youth preferences for weight-related conversations. Health Communication. https://doi.org/10.1080/10410236.2019.1631566.
Stevic, A., Schmuck, D., Matthes, J., & Karsay, K. (2019). ‘Age Matters’: A panel study investigating the influence of communicative and passive smartphone use on well-being. Behaviour & Information Technology. https://doi.org/10.1080/0144929X.2019.1680732.
Valois, D. D., Davis, C. G., Buchholz, A., Obeid, N., Henderson, K., Flament, M., & Goldfield, G. S. (2019). Effects of weight teasing and gender on body esteem in youth: A longitudinal analysis from the REAL study. Body Image, 29, 65–73. https://doi.org/10.1016/j.bodyim.2019.02.009.
Verduyn, P., Gugushvili, N., Massar, K., Täht, K., & Kross, E. (2020). Social comparison on social networking sites. Current Opinion in Psychology. https://doi.org/10.1016/j.copsyc.2020.04.002.
Voelker, D. K., Reel, J. J., & Greenleaf, C. (2015). Weight status and body image perceptions in adolescents: Current perspectives. Adolescent Health, Medicine and Therapeutics, 6, 149. https://doi.org/10.2147/AHMT.S68344.
Wansink, B., Latimer, L., & Pope, L. (2017). “Don’t eat so much:” How parent comments relate to female weight satisfaction. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 22(3), 475–481. https://doi.org/10.1007/s40519-016-0292-6.
World Health Organization. (2019). Adolescent health. http://www.who.int/maternal_child_adolescent/adolescence/en/.
Acknowledgements
We thank Victoria Garman, an undergraduate research assistant at the University of Florida, for assisting with screening and identifying articles for eligibility. Preregistration This review is registered with National Institute for Health Research (NIHR) international prospective register of systematic reviews (PROSPERO). ID CRD42020183971.
Funding
This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
Author information
Authors and Affiliations
Contributions
JY conceived of the study, participated in its design and coordination, and drafted the manuscript; YB participated in screening articles for eligibility; JD and MC participated in the study design and process and reviewed drafts of the manuscript. All authors read and approved the final manuscript.
Corresponding author
Ethics declarations
Conflict of interest
Dr. Cardel has conducted paid consulting for WW and has consulted for NovoNordisk but did not accept personal fees for these services.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Yourell, J.L., Doty, J.L., Beauplan, Y. et al. Weight-Talk Between Parents and Adolescents: A Systematic Review of Relationships with Health-Related and Psychosocial Outcomes. Adolescent Res Rev 6, 409–424 (2021). https://doi.org/10.1007/s40894-021-00149-2
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s40894-021-00149-2