Parent-adolescent conversations about eating, physical activity and weight: prevalence across sociodemographic characteristics and associations with adolescent weight and weight-related behaviors
- 758 Downloads
This paper aims to describe the prevalence of parent-adolescent conversations about eating, physical activity and weight across sociodemographic characteristics and to examine associations with adolescent body mass index (BMI), dietary intake, physical activity and sedentary behaviors. Data from two linked epidemiological studies were used for cross-sectional analysis. Parents (n = 3,424; 62 % females) and adolescents (n = 2,182; 53.2 % girls) were socioeconomically and racially/ethnically diverse. Fathers reported more parent-adolescent conversations about healthful eating and physical activity with their sons and mothers reported more weight-focused conversations with their daughters. Parents of Hispanic/Latino and Asian/Hmong youth and parents from lower socioeconomic status categories engaged in more conversations about weight and size. Adolescents whose mothers or fathers had weight-focused conversations with them had higher BMI percentiles. Adolescents who had two parents engaging in weight-related conversations had higher BMI percentiles. Healthcare providers may want to talk about the types of weight-related conversations parents are having with their adolescents and emphasize avoiding conversations about weight specifically.
KeywordsWeight conversations Parents Adolescents Obesity Dietary intake Physical activity
Research is supported by grant number R03 HD074677 from the National Institute of Child Health and Human Development (CO-PI’s: Berge and MacLehose), R01 HL093247 (PI: Neumark-Sztainer), R01 HL084064 from the National Heart, Lung, and Blood Institute (PI: Neumark-Sztainer), and by the Children’s Discovery Fund of the University of Minnesota’s Department of Pediatrics at the University of Minnesota (Co-PIs: Eisenberg and Neumark-Sztainer). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Heart, Lung and Blood Institute, the National Institute of Child Health and Human Development, the National Cancer Institute or the National Institutes of Health. The funding bodies had no role in study design; collection, analysis or interpretation of data; report writing or decisions to submit manuscripts.
Conflict of Interest
Jerica M. Berge, Richard F. MacLehose, Katie A. Loth, Marla E. Eisenberg, Jayne A. Fulkerson and Dianne Neumark-Sztainer declare that they have no conflict of interest.
Human and Animal Rights and Informed Consent
All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained from all patients for being included in the study.
- Bauer, K. W., Nelson, M. C., Boutelle, K. N., & Neumark-Sztainer, D. (2008). Parental influences on adolescents’ physical activity and sedentary behavior: Longitudinal findings from Project EAT-II. International Journal of Behavioral Nutrition and Physical Activity, 5, 12–13. doi: 10.1186/1479-5868-5-12 PubMedCentralPubMedCrossRefGoogle Scholar
- Berge, J. M., MacLehose, R., Eisenberg, M., Neumark-Sztainer, D., & Laska, M. N. (2012a). How significant is the’significant other’: Associations between significant others’ health behaviors and young adults’ health outcomes. International Journal of Behavioral Nutrition and Physical Activity, 9, 35–43.PubMedCentralPubMedCrossRefGoogle Scholar
- Berge, J., Maclehose, R., Loth, K., Eisenberg, M., Bucchianeri, M., & Neumark-Sztainer, D. (2013). Parent conversations about healthful eating and weight: Associations with adolescent disordered eating behaviors. Journal of the American Medical Association Pediatrics, 167, 746–753.PubMedCentralPubMedGoogle Scholar
- Godin G. (1997). Godin Leisure-Time Exercise Questionnaire. Medicine and Science in Sports and Exercise, 29(Suppl 6), S36–S38.Google Scholar
- Himes, J. H., & Dietz, W. H. (1994). Guidelines for overweight in adolescent preventive services: Recommendations from an expert committee. The Expert Committee on Clinical Guidelines for Overweight in Adolescent Preventive Services. American Journal of Clinical Nutrition, 59, 307–316.Google Scholar
- Horacek, T. M., White, A., Betts, N. M., Hoerr S, Georgiou, C., Nitzke, S., et al. (2002). Self-efficacy, perceived benefits, and weight satisfaction discriminate among stages of change for fruit and vegetable intakes for young men and women. Journal of the American Dietetic Association, 102, 1466–1470.Google Scholar
- Kuczmarski, R. J., Ogden, C. L., Guo, S. S., Flegal, K. M., Mei Z., Wei, R., et al. (2002). 2000 CDC Growth Charts for the United States: Methods and development. Vital and health statistics, 11, 1–190.Google Scholar
- Larson, N. I., & Story, M. (2011). Adolescent nutrition and physical activity. In M. Fisher, E. Alderman, R. Kreipe, & W. Rosenfeld (Eds.), Textbook of adolescent health care (pp. 127–147). Elk Grove Village, IL: American Academy of Pediatrics.Google Scholar
- Minuchin, S. (1974). Families and family therapy. Cambridge, MA: Harvard University Press.Google Scholar
- Neumark-Sztainer, D. (2005). “I’m, like, SO fat!”: Helping your teen make healthy choices about eating and exercise in weight-obsessed world. New York: The Guilford Press.Google Scholar
- Neumark-Sztainer, D., Bauer, K. W., Friend, S., Hannan, P. J., Story, M., & Berge, J. M. (2010). Family weight talk and dieting: How much do they matter for body dissatisfaction and disordered eating behaviors in adolescent girls? Journal of Adolescent Health, 47, 270–276.PubMedCentralPubMedCrossRefGoogle Scholar
- Pollack, K. I., Alexander, S. C., Ostbye, T., Lyna, P., Tulsky, J. A., Dolor, R. J., et al. (2009). Primary care physicians’ discussion of weight-related topics with overweight and obese adolescents: Results from the Teen CHAT Pilot Project. Journal of Adolescent Health, 45, 205–207.CrossRefGoogle Scholar
- Sallis, J. F., Owen, N., & Fisher, E. B. (2008). Ecological models of health behavior. In K. Glanz, B. K. Rimer, & K. Viswanath (Eds.), Health behavior and health education: Theory, research, and practice (4th ed., pp. 465–485). San Francisco, CA: Josey-Bass.Google Scholar
- Singh, G. K., Kogan, M. D., Van Dyck, P. C., & Siahpush, M. (2008). Racial/ethnic, socioeconomic, and behavioral determinants of childhood and adolescent obesity in the United States: Analyzing independent and joint associations. Annals of Epidemiology, 18, 682–695. doi: 10.1016/j.annepidem.2008.05.001 PubMedCrossRefGoogle Scholar
- Van Cleave, J., Gortmaker, S. L., Perrin J. M. (2010). Dynamics of obesity and chronic health conditions among children and youth. Journal of the American Medical Association, 303, 623–630.Google Scholar
- Whitchurch, G. G., & Constantine, L. L. (1993). Systems theory. In P. G. Boss, W. J. Doherty, R. LaRossa, W. R. Schumm, & S. K. Steinmetz (Eds.), Sourcebook on family theories and methods: A contextual approach. New York, NY: Plenum Press.Google Scholar