Maternal encouragement and discouragement_2016.pdf

<div>Childhood obesity prevention practice guidelines recommend that parents encourage the intake of</div><div>certain types of foods and discourage the intake of others. It is unknown if parents of children of different</div><div>weight statuses encourage or discourage their child's intake differently based on food type. The objective</div><div>of this study was to determine the association of child weight status with maternal encouragement and</div><div>discouragement of for four different types of food. A total of 222 mother-child dyads were video-taped</div><div>during the standardized, sequential presentation of four foods to both participants: cupcakes (familiar</div><div>dessert), green beans (familiar vegetable), halva (unfamiliar dessert) and artichoke (unfamiliar vegetable).</div><div>Mother's encouragements and discouragements of child intake were reliably coded for each food</div><div>type. Poisson regression models were used to test the independent association of child weight status</div><div>(normal weight, overweight and obese) with encouragement and discouragement for each food type.</div><div>Mothers of an obese, vs. normal or overweight child, had lower rates of encouragement for a familiar</div><div>dessert (p ¼ 0.02), and a higher rates of discouragements for a familiar dessert (p ¼ 0.001), a familiar</div><div>vegetable (p ¼ 0.01), and an unfamiliar vegetable (p ¼ 0.001). There were no differences in encouragements</div><div>or discouragements between mothers of an overweight, vs. obese child, for any of the 4 food</div><div>types. Mothers of obese children may alter their feeding behavior differentially based on food type.</div><div>Future work should examine how interventions promoting maternal encouragement or discouragement</div><div>of different food types impact child weight status.</div>