Observations of parent–adolescent interactions relate to food parenting practices and adolescent disordered eating in adolescents at risk for adult obesity

• Published in: Family process 2023-12, Vol.62 (4), p.1687-1708
• Main Authors: Smith, Amy D., Sanchez, Natalia, Harrison, Kadyn, Bourne, Caitlin, Clark, Emma L. M., Miller, Reagan L., Melby, Christopher L., Johnson, Sarah A., Lucas‐Thompson, Rachel G., Shomaker, Lauren B.
• Format: Article
• Language: English
• Subjects: adolescence; Adolescent; Adolescents; Adult; Adults; At risk populations; Autonomy; Body mass index; Body weight; Communication skills; disordered eating; Dyads; Eating behavior; Eating disorders; Feeding and Eating Disorders; Food; food parenting practices; Healthy food; Humans; Insulin; Insulin Resistance; Mental health; Mutuality; Obesity; parent; Parent-adolescent relations; Parent-Child Relations; Parenting; Parenting style; Parents; Parents & parenting; Resistance; Risk; Surveys and Questionnaires; Teenagers; 父母; 胰岛素; 青春期; 食物方面的养育实践; 饮食失调
• ISSN: 0014-7370; 1545-5300
• DOI: 10.1111/famp.12829

Adolescent disordered eating and obesity are interrelated and adversely relate to mental and metabolic health. Parental feeding practices have been associated with adolescent disordered eating and obesity. Yet, observable interactions related to food parenting have not been well characterized. To address this gap, N = 30 adolescents (M ± SD 14 ± 2 year) at risk for adult obesity due to above‐average body mass index (BMI ≥70th percentile) or parental obesity (BMI ≥30 kg/m2) participated in a video‐recorded parent–adolescent task to discuss a food/eating‐related disagreement. Interactions were coded for individual/dyadic affect/content using the Interactional Dimensions Coding System. We examined associations of interaction qualities with parent‐reported food practices, adolescent disordered eating behaviors/attitudes, and insulin resistance. Reported parenting practices were correlated with multiple interaction qualities (p‐values