A mixed methods analysis of maternal response to children's consumption of a palatable food - differences by child weight status_2019.pdf

<div>Summary</div><div>Background: Little is known about how mothers respond to their child eating</div><div>palatable foods.</div><div>Objectives: The objectives of the study are to examine maternal behaviours</div><div>when children are presented with a large portion of energy-dense palatable food</div><div>in an experimental setting and to examine differences by child weight status.</div><div>Methods: Mother–child dyads (N = 37) (mean child age 70.8 months) participated</div><div>in a videotaped eating protocol with cupcakes. Anthropometrics were measured.</div><div>Videos were analysed using discourse analysis and were reliably coded for</div><div>the presence or absence of the most salient theme. Analysis of variance examined</div><div>theme presence by child and mother weight status.</div><div>Results: Mothers disavowed responsibility for their child’s eating. Mothers</div><div>were observed to roll their eyes at the child, throw their hands up in exasperation</div><div>and distance themselves both physically and emotionally when the child ate the</div><div>cupcakes voraciously or with high enjoyment. Mothers of children with obesity (vs</div><div>recommended weight) engaged in more counts of disavowal (p = 0.01).</div><div>Conclusions: Mothers of children with obesity distanced themselves from</div><div>their child, seeming to disavow responsibility for the child’s eating of ‘junk food’.</div><div>Mothers may respond to their child’s seemingly gluttonous eating by disavowing responsibility</div><div>due to the stigma of being a parent of a child with obesity.</div>