Changes in parental feeding practices and preschoolers’ food intake following a randomized controlled childhood obesity trial

Childhood obesity treatment involving parents is most effective during the preschool age. However, the mechanisms of change are not known. The present study reports on secondary outcomes (changes in parental feeding practices and child food intake) of early obesity treatment. The More and Less study...

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Bibliographic Details
Published in:Appetite 2020-11, Vol.154, p.104746-104746, Article 104746
Main Authors: Somaraki, Maria, Eli, Karin, Sorjonen, Kimmo, Ek, Anna, Sandvik, Pernilla, Nowicka, Paulina
Format: Article
Language:English
Subjects:
Child eating
Child feeding questionnaire
Family-based treatment
Food and Nutrition
Food, Nutrition and Dietetics
Kostvetenskap
Life Sciences
Medicin och hälsovetenskap
Parental feeding practices
Randomized controlled trial
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Summary:Childhood obesity treatment involving parents is most effective during the preschool age. However, the mechanisms of change are not known. The present study reports on secondary outcomes (changes in parental feeding practices and child food intake) of early obesity treatment. The More and Less study is a randomized controlled trial conducted in Stockholm County, Sweden. Children with obesity (n = 174, mean BMI SDS 3.0, mean age 5 years, 56% girls) and their parents (60% with foreign background, 40% with a university degree) were randomized to: 1) standard treatment focusing on lifestyle recommendations (ST), 2) a parent support program with boosters (PGB), and 3) a parent support program without boosters (PGNB). The Child Feeding Questionnaire (CFQ) was used to measure parental feeding practices. Child food intake was assessed with a Food Frequency Questionnaire (FFQ). We calculated the monthly changes in CFQ practices and FFQ items based on four measurements. We did not find any significant between-group differences in parental feeding practices and child food intake over time. However, general linear models showed that changes in certain feeding practices predicted changes in child food intake. When ST was compared to the parent support groups, some associations moved in opposite directions. For example, increasing maternal restriction predicted increased consumption of cookies/buns in PGNB (b = 2.3, p 
ISSN:0195-6663
1095-8304
1095-8304
DOI:10.1016/j.appet.2020.104746