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Mothers of Obese Children Use More Direct Imperatives to Restrict Eating.

ABSTRACT: OBJECTIVE:To examine the association of mother and child characteristics with use of direct imperatives to restrict eating. METHODS:A total of 237 mother-child dyads (mean child age, 70.9 months) participated in a video-recorded, laboratory-standardized eating protocol with 2 large portions of cupcakes. Videos were reliably coded for counts of maternal direct imperatives to restrict children's eating. Anthropometrics were measured. Regression models tested the association of participant characteristics with counts of direct imperatives. RESULTS:Child obese weight status and maternal white non-Hispanic race/ethnicity were associated with greater levels of direct imperatives to restrict eating (p?=?.0001 and .0004, respectively). CONCLUSIONS AND IMPLICATIONS:Mothers of obese children may be using more direct imperatives to restrict eating so as to achieve behavioral compliance to decrease their child's food intake. Future work should consider the effects direct imperatives have on children's short- and long-term eating behaviors and weight gain trajectories.

SUBMITTER: Pesch MH

PROVIDER: S-EPMC5893350 | biostudies-literature | 2018 Apr

REPOSITORIES: biostudies-literature

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Mothers of Obese Children Use More Direct Imperatives to Restrict Eating.

Pesch Megan H MH Miller Alison L AL Appugliese Danielle P DP Rosenblum Katherine L KL Lumeng Julie C JC

Journal of nutrition education and behavior 20171212 4

<h4>Objective</h4>To examine the association of mother and child characteristics with use of direct imperatives to restrict eating.<h4>Methods</h4>A total of 237 mother-child dyads (mean child age, 70.9 months) participated in a video-recorded, laboratory-standardized eating protocol with 2 large portions of cupcakes. Videos were reliably coded for counts of maternal direct imperatives to restrict children's eating. Anthropometrics were measured. Regression models tested the association of parti ...[more]

PMID: 29242139

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Project description:BACKGROUND:Lifestyles habits such as eating unhealthy foodscommence at home and are associated with the development of obesity and comorbidities such as insulin resistance, metabolic syndrome, and chronic degenerative diseases, which are the main causes of death in adults. The present study compared changes in dietary habits, behaviors and metabolic profiles of obese children whose mothers attended at the hospital to group sessions, with those who received the usual nutritional consultation. METHODS:Randomized clinical trial, 177 mother/obese child pairs participated, 90 in the intervention group and 87 in the control group. The intervention group attended six group education sessions to promote healthy eating, being this an alternative of change of habits in children with obesity. The control group received the usual nutritional consultation; both groups were followed up for 3 months. Frequency of food consumption, behaviors during feeding in the house and metabolic profile was evaluated. Mixed effect linear regression models were used to evaluate the effect of the intervention on the variables of interest, especially in HOMA-IR. RESULTS:The intervention group reduced the filling of their dishes (p?=?0.009), forcing the children to finish meals (p?=?0.003) and food substitution (p?<? 0.001), moreover increased the consumption of roasted foods (p?=?0.046), fruits (p?=?0.002) and vegetables (p?<? 0.001). The children in the control group slightly increased HOMA-IR levels (0.51; 95% CI -?0.48 to 1.50), while the children in the intervention group significantly decreased (-?1.22; 95% CI -?2.28 to -?1.16). The difference in HOMA-IR between the control and intervention group at the end of the follow-up was -?1.67; 95% CI: -?3.11 to -?0.24. CONCLUSIONS:The educational intervention improved some eating habits at home, as well as HOMA-IR levels; why we consider that it can be an extra resource in the management of childhood obesity. TRIAL REGISTRATION:Clinicaltrials.gov, NCT04374292 (Date assigned: May 5, 2020). Retrospectively registered.

Project description:BACKGROUND:Low adherence to dietary guidelines and a concurrent rise of obesity-related chronic diseases emphasize the need for effective interventions to promote healthy eating. There is growing recognition that behavior change interventions should draw on theories of behavior change. Online interventions grounded in theory lead to increased effectiveness for health behavior change; however, few theory-driven social media-based health promotion interventions have been described in the literature. OBJECTIVE:The objective of this study was to describe the application of the Intervention Mapping (IM) protocol to develop an evidence-informed blog to promote healthy eating among French-Canadian mothers of preschool and school-aged children. METHODS:The following six steps of the IM protocol were performed. In Step 1, a preliminary needs assessment included a literature search on theoretical domains predicting Vegetables and Fruits intakes and Milk and Alternatives intakes in adults (ie, knowledge, beliefs about capabilities, beliefs about consequences, intention/goals) and a qualitative study including focus groups to identify female Internet users' perceptions of their use of healthy eating blogs. In Step 2, two behavioral outcomes were selected (ie, increase daily intakes of Vegetables and Fruits and Milk and Alternatives of mothers to reach Canadian dietary recommendations) and subsequently divided into six performance objectives inspired by national and international dietary recommendations such as planning for healthy meals. A matrix of change objectives was then created by crossing performance objectives with theoretical domains predicting Vegetables and Fruits intakes and Milk and Alternatives intakes in adults. Step 3 consisted of selecting theory-based intervention methods (eg, modeling and goal setting) and translating them into practical applications for the context of a dietary intervention delivered through a blog. A 6-month intervention was developed in Step 4 in which we aimed to address one performance objective per month in weekly blog publications written by a registered dietitian. For Step 5, we sought to include engagement-promoting methods (eg, peer and counselor support) to promote mothers' use of the blog and adherence to the intervention. Finally in Step 6, a randomized controlled trial has been launched to evaluate the effects of the blog on dietary behaviors of French-Canadian mothers. RESULTS:The intervention study is expected to be completed in March 2018. CONCLUSIONS:An intervention mapping protocol allowed for effective decision making in the development of a novel knowledge translation tool to increase adherence to dietary recommendations among mothers of preschool and school-aged children.

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Mothers of Obese Children Use More Direct Imperatives to Restrict Eating.

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Mothers of Obese Children Use More Direct Imperatives to Restrict Eating.

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