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

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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.

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References

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

    Google Scholar 

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

    Article  PubMed  Google Scholar 

  3. 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.

    Article  PubMed  Google Scholar 

  4. 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.

    Article  Google Scholar 

  5. 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.

    Article  PubMed  Google Scholar 

  6. 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.

    Article  CAS  PubMed  Google Scholar 

  7. 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.

    Article  Google Scholar 

  8. 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.

    Article  CAS  PubMed  Google Scholar 

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

    Google Scholar 

  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.

    Article  CAS  PubMed  Google Scholar 

  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.

    Article  CAS  PubMed  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

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

    PubMed  Google Scholar 

  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.

    Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

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

    Article  CAS  PubMed  Google Scholar 

  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.

    Google Scholar 

  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.

    Article  PubMed  Google Scholar 

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

    CAS  PubMed  Google Scholar 

  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.

    Article  CAS  PubMed  Google Scholar 

  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.

    Article  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  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.

    Google Scholar 

  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.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  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.

    Article  PubMed  PubMed Central  Google Scholar 

  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.

    Article  CAS  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  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.

    Article  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  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.

    CAS  PubMed  Google Scholar 

  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.

    Article  PubMed  PubMed Central  Google Scholar 

  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.

    Article  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  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.

    Article  Google Scholar 

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

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  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.

    Article  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  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.

    Article  PubMed  PubMed Central  Google Scholar 

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Funding

This study is the result of unfunded independent research.

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Authors and Affiliations

  1. Department of Public Health Sciences, Clemson University, P.O. Box 340745, Clemson, SC, 29634-0745, USA

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

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  1. Joel E. Williams
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  3. Sarah F. Griffin
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  4. Jessica Liang
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Correspondence to Joel E. Williams.

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IRB: The Clemson University Institutional Review Board approved the study protocol.

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Williams, J.E., Helsel, B., Griffin, S.F. et al. Associations Between Parental BMI and the Family Nutrition and Physical Activity Environment in a Community Sample. J Community Health 42, 1233–1239 (2017). https://doi.org/10.1007/s10900-017-0375-y

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