Adolescent obesity and maternal and paternal sensitivity and monitoring
Author(s)Davis, R. Neal
Appugliese, Danielle P.
Corwyn, Robert F.
Bradley, Robert H.
Lumeng, Julie C.
Contributor(s)Child Health and Evaluation Research (CHEAR) Unit, Division of General Pediatrics, University of Michigan, Ann Arbor, Michigan
Center for Human Growth and Development, University of Michigan, Ann Arbor, Michigan
Department of Pediatrics and Communicable Diseases, University of Michigan, Ann Arbor, Michigan, USA
Data Coordinating Center, Boston University School of Public Health, Boston, Massachusetts
Department of Psychology, University of Arkansas at Little Rock, Little Rock, Arkansas
Family & Human Dynamics Research Institute, Arizona State University, Tempe, Arizona
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AbstractObjective . To determine if adolescent obesity is associated with parenting characterized by lower sensitivity and lower monitoring of adolescent activities. Methods . We used data from 744 adolescents in the National Institute of Child Health and Human Development Study of Early Child Care and Youth Development. Height and weight were measured at age 15?? years and obesity defined as body mass index ??? 95th percentile for age and sex. Maternal and paternal sensitivity were assessed by direct observation of a parent???adolescent interaction task. Maternal and paternal monitoring were assessed by parent report. Lower sensitivity and lower monitoring were each defined as the lowest quartiles. Two separate multivariate logistic regression models were created to evaluate, individually for mothers and fathers, associations of sensitivity and monitoring with adolescent obesity, controlling for adolescent sex and race, family income???to???needs ratio, and parental obesity. Results . Fourteen percent of the adolescents were obese. Lower sensitivity was associated with adolescent obesity in the maternal parenting model (adjusted odds ratio [AOR] 2.36, 95% confidence interval [CI] 1.44???3.86, n = 709), but not paternal parenting model (AOR = 0.79, 95% CI 0.38???1.63, n = 460). Neither maternal nor paternal monitoring was associated with adolescent obesity (AOR = 1.03, 95% CI 0.63???1.68; AOR = 1.07, 95% CI 0.52???2.22, respectively). Conclusion . Lower maternal sensitivity, measured by direct observation of parent???adolescent interactions, was associated with adolescent obesity. Efforts to prevent and treat childhood obesity, both at the practitioner level and the community level, may be enhanced by educating parents that their reactions to their children's behaviors may have consequences related to obesity.
Davis, R. Neal ; Ashba, Jacqueline ; Appugliese, Danielle P. ; Kaciroti, Niko ; Corwyn, Robert F. ; Bradley, Robert H. ; Lumeng, Julie C. (2011). "Adolescent obesity and maternal and paternal sensitivity and monitoring." International Journal of Pediatric Obesity 6(2Part2): e457-e463. <http://hdl.handle.net/2027.42/93554>
International Journal of Pediatric Obesity
National Institute of Child Health and Human Development Study of Early Childhood Care and Youth Development. Operations Manual: Health and Physical Development Assessment (HPDA) Visit. Available at: https:secc.rti.orgdisplay.cfmtm&iChapter_85_1. Accessed 7 Aug 2009..
Maccoby E, Martin J. Socialization in the context of the family: parent???child interaction. Hetherington E, Handbook of Child Psychology: Socialization, Personality and Social Development. New York: Wiley; 1983. 1 ??? 101.
Rhee KE, Lumeng JC, Appugliese DP, Kaciroti N, Bradley RH. Parenting styles and overweight status in first grade. Pediatrics. 2006; 117 ( 6 ): 2047 ??? 54.
Zeller MH, Boles RE, Reiter???Purtill J. The additive and interactive effects of parenting style and temperament in obese youth seeking treatment. Int J Obesity (Lond). 2008; 32 ( 10 ): 1474 ??? 80.
Kim MJ, McIntosh WA, Anding J, Kubena KS, Reed DB, Moon GS. Perceived parenting behaviours predict young adolescents' nutritional intake and body fatness. Matern Child Nutr. 2008; 4 ( 4 ): 287 ??? 303.
Berge JM, Wall M, Loth K, Neumark???Sztainer D. Parenting style as a predictor of adolescent weight and weight???related behaviors. J Adol Health. 2010; 46 ( 4 ): 331 ??? 8.
Wake M, Nicholson JM, Hardy P, Smith K. Preschooler obesity and parenting styles of mothers and fathers: Australian National Population Study. Pediatrics. 2007; 120 ( 6 ): E1520 ??? 7.
Agras WS, Hammer LD, McNicholas F, Kraemer HC. Risk factors for childhood overweight: a prospective study from birth to 9.5 years. J Pediatr. 2004; 145 ( 1 ): 20 ??? 5.
Gable S, Lutz S. Household, parent, and child contributions to childhood obesity. Kansas City, Missouri: National Council Family Relations; 1998. 293 ??? 300.
Nader PR, O'Brien M, Houts R. Identifying risk for obesity in early childhood. Pediatrics. 2006; 118 ( 3 ): e594 ??? 601.
Whitaker RC, Wright JA, Pepe MS, Seidel KD, Dietz WH. Predicting obesity in young adulthood from childhood and parental obesity. New Engl J Med. 1997: 869 ??? 73.
Weiss R, Dziura J, Burgert TS, et al.. Obesity and the metabolic syndrome in children and adolescents. New Engl J Med. 2004; 350 ( 23 ): 2362 ??? 74.
Sinha R, Fisch G, Teague B, et al.. Prevalence of impaired glucose tolerance among children and adolescents with marked obesity. New Engl J Med. 2002; 346 ( 11 ): 802 ??? 10.
Hill NE, Bromell L, Tyson F, Flint R. Developmental commentary: ecological perspectives on parental influences during adolescence. J Clin Child Adolesc. 2007; 36 ( 3 ): 367 ??? 77.
Hoeve M, Dubas JS, Eichelsheim VI, van der Laan PH, Smeenk W, Gerris JRM. The relationship between parenting and delinquency: a meta???analysis. J Abnorm Child Psychol. 2009; 37 ( 6 ): 749 ??? 75.
Dishion TJ, McMahon RJ. Parental monitoring and the prevention of child and adolescent problem behavior: a conceptual and empirical formulation. Clin Child Fam Psychol Rev. 1998; 1 ( 1 ): 61 ??? 75.
DeVore ER, Ginsburg KR. The protective effects of good parenting on adolescents. Curr Opin Pediatr. 2005; 17 ( 4 ): 460 ??? 5.
Lee H, Harris KM, Gordon???Larsen P. Life course perspectives on the links between poverty and obesity during the transition to young adulthood. Popul Res Policy Rev. 2009; 28: 505 ??? 32.
The National Institute of Child Health and Human Development Study of Early Childhood Care and Youth Development. Study summary. Available at: http:secc.rti.orgsummary.cfm. Accessed 13 Oct 2009..
Centers for Disease Control and Prevention. CDC Growth Charts. http:www.cdc.govgrowthchartsclinical_charts.htm. Accessed 15 Dec 2009..
Allen JP, Hauser ST, Bell KL, O'Connor TG. Longitudinal assessment of autonomy and relatedness in adolescent???family interactions as predictors of adolescent ego development and self???esteem. Child Dev. 1994; 65 ( 1 ): 179 ??? 94.
Owen MT, Klausli J, Aultman C, Brown G, Little I, Milling L. National Institute of Child Health and Human Development Study of Early Childhood Care and Youth Development, Age 15 Parent???Adolescent Interaction Task: Addendum D, Age 15 Parent???Adolescent Interaction Coding System. Available at: https:secc.rti.orgdisplay.cfmtm&iChapter_91_05. Accessed 11 Aug 2009..
National Institute of Child Health and Human Development Study of Early Childhood Care and Youth Development. Phase IV Instrument Documentation. Available at: https:secc.rti.orgPhase4InstrumentDoc.pdf. Accessed 8 Aug 2009..
Miech RA, Kumanyika SK, Stettler N, Link BG, Phelan JC, Chang VW. Trends in the association of poverty with overweight among US adolescents, 1971???2004. JAMA. 2006; 295 ( 20 ): 2385 ??? 93.
Ogden CL, Carroll MD, Curtin LR, McDowell MA, Tabak CJ, Flegal KM. Prevalence of overweight and obesity in the United States, 1999???2004. JAMA. 2006; 295 ( 13 ): 1549 ??? 55.
Hubbs???Tait L, Kennedy TS, Page MC, Topham GL, Harrist AW. Parental feeding practices predict authoritative, authoritarian, and permissive parenting styles. J Am Diet Assoc. 2008; 108 ( 7 ): 1154 ??? 61.
van der Horst K, Kremers S, Ferreira I, Singh A, Oenema A, Brug J. Perceived parenting style and practices and the consumption of sugar???sweetened beverages by adolescents. Health Educ Res. 2007; 22 ( 2 ): 295 ??? 304.
Schmitz KH, Lytle LA, Phillips GA, Murray DM, Birnbaum AS, Kubik MY. Psychosocial correlates of physical activity and sedentary leisure habits in young adolescents: The teens eating for energy and nutrition at school study. Prev Med. 2002; 34 ( 2 ): 266 ??? 78.
Denham SA, Workman E, Cole PM, Weissbrod C, Kendziora KT, Zahn???Waxler C. Prediction of externalizing behavior problems from early to middle childhood: the role of parental socialization and emotion expression. Dev Psychopathol. 2000; 12 ( 1 ): 23 ??? 45.
Vamosi M, Heitmann BL, Kyvik KO. The relation between an adverse psychological and social environment in childhood and the development of adult obesity: a systematic literature review. Obes Rev. 11 ( 3 ): 177 ??? 84.
Dallman MF. Stress???induced obesity and the emotional nervous system. Trends Endocrinol Metab. 2009; 21 ( 3 ): 159 ??? 65.
Pleck J, Masciadrelli B. Paternal involvement by U.S. residential fathers: Levels, sources, and consequences. Lamb M. The Role of the Father in Child Development. 4th Hoboken, NJ: Wiley; 2004.
Ellis DA, Templin TN, Naar???King S, Frey MA. Toward conceptual clarity in a critical parenting construct: parental monitoring in youth with chronic illness. J Pediatr Psychol. 2008; 33 ( 8 ): 799 ??? 808.
Ogden CL, Carroll MD, Curtin LR, Lamb MM, Flegal KM. Prevalence of High Body Mass Index in US children and adolescents, 2007???2008. JAMA. 2010; 303 ( 3 ): 242 ??? 9.
Rhee K. Childhood overweight and the relationship between parent behaviors, parenting style and family functioning. Ann Am Acad Polit SS. 2008; 615: 12 ??? 37.
Epstein LH, Valoski A, Wing RR, McCurley J. Ten???year outcomes of behavioral family???based treatment for childhood obesity. Health Psychol. 1994; 13 ( 5 ): 373 ??? 83.
Golan M, Crow S. Parents are key players in the prevention and treatment of weight???related problems. Nutr Rev. 2004; 62 ( 1 ): 39 ??? 50.
Lindsay AC, Sussner KM, Kim J, Gortmaker S. The role of parents in preventing childhood obesity. Future Child. 2006; 16 ( 1 ): 169 ??? 86.
Berge JM, Wall M, Bauer KW, Neumark???Sztainer D. Parenting characteristics in the home environment and adolescent overweight: A latent class analysis. Obesity. 2009; 18 ( 4 ): 818 ??? 25.