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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. - PowerPoint PPT Presentation
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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