Journal of Youth and Adolescence

, Volume 42, Issue 1, pp 52–66 | Cite as

Continuity in Primary School Children’s Eating Problems and the Influence of Parental Feeding Strategies

  • Annelies Matton
  • Lien Goossens
  • Caroline Braet
  • Kim Van Durme
Empirical Research


Eating problems are highly prevalent and seem to show continuity in children. Nevertheless, the effect of different maternal and paternal feeding practices on changes in these problems is not fully understood yet. This study examines short-term continuity in primary school children’s overeating, loss of control (over eating), restraint and concerns (about eating, body shape and weight) and the predictive value of parental feeding strategies on change in these eating problems. Children (8–12 years, n = 613, 46.5 % girls) completed the Child Eating Disorder Examination Questionnaire (ChEDE-Q) twice with the second measurement (T2) taking place 6 months after the first (T1). Parents (n = 714, 57.7 % mothers) completed the Child Feeding Questionnaire (CFQ) at T1 to assess the level of controlling feeding strategies. More overeating, restraint and concerns at T1 predicted higher levels of the same eating problems 6 months later, whereas more of loss of control at T1 predicted lower levels of loss of control 6 months later. Additionally, the interaction between maternal pressure and the gender of the child was predictive for increases in overeating, whereas the interaction between paternal monitoring and gender of the child was a marginally significant predictor for decreases in overeating. These findings point to the possible negative and positive effects of parental feeding practices as well as to the possible larger influence of mothers on their daughters’ and of fathers on their sons’ eating behaviors. The importance of studying mothers and fathers, as well as daughters and sons, and of including different feeding strategies and eating problems is discussed.


Eating problems Childhood Continuity Etiology Parental feeding practices 



The first author is research assistant at the Research Foundation Flanders (FWO). The second and fourth author were sponsored by the Special Research Funds of Ghent University (BOF).

Conflict of interest

The authors declare that they have no conflict of interest.


  1. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington, DC: American Psychiatric Association.Google Scholar
  2. Ashcroft, J., Semmler, C., Carnell, S., van Jaarsveld, C. H. M., & Wardle, J. (2008). Continuity and stability of eating behaviour traits in children. European Journal of Clinical Nutrition, 62, 985–990. doi: 10.1038/sj.ejcn.1602855.PubMedCrossRefGoogle Scholar
  3. Birch, L. L., & Fisher, J. O. (2000). Mothers’ child-feeding practices influence daughters’ eating and weight. American Journal of Clinical Nutrition, 71, 1054–1061.PubMedGoogle Scholar
  4. Birch, L. L., Fisher, J. O., & Davison, K. K. (2003). Learning to overeat: maternal use of restrictive feeding practices promotes girls’ eating in the absence of hunger. American Journal of Clinical Nutrition, 78, 215–220.PubMedGoogle Scholar
  5. Birch, L. L., Fisher, J. O., Grimm-Thomas, K., Markey, C. N., Sawyer, R., & Johnson, S. L. (2001). Confirmatory factor analysis of the child feeding questionnaire: a measure of parental attitudes, beliefs and practices about child feeding and obesity proneness. Appetite, 36, 201–210. doi: 10.1006/appe.2001.0398.PubMedCrossRefGoogle Scholar
  6. Braet, C., & Prins, P. (2008). Ontwikkeling en psychopathologie. [Development and Psychopathology]. In P. Prins & C. Braet (Eds.), Handboek klinische ontwikkelingspychologie. [Manual clinical developmental psychology] (pp. 3–63). Houten: Bohn Stafleu van Loghum.CrossRefGoogle Scholar
  7. Brownell, K. D., Schwartz, M. B., Puhl, R. M., Henderson, K. E., & Harris, J. L. (2009). The need for bold action to prevent adolescent obesity. Journal of Adolescent Health, 45, 8–17. doi: 10.1016/j.adohealth.2009.03.004.CrossRefGoogle Scholar
  8. Brunner, R., & Resch, F. (2006). Eating disorders—An increasing problem in children and adolescents? Therapeutische Umschau., 63, 545–549. doi: 10.1024/0040-5930.63.8.545.PubMedCrossRefGoogle Scholar
  9. Bryant-Waugh, R., Cooper, P., Taylor, C., & Lask, B. (1996). The use of the eating disorder examination with children: A pilot study. International Journal of Eating Disorders, 19, 391–397. doi: 10.1002/(SICI)1098-108X(199605)19:4<391:AID-EAT6>3.0.CO;2-G.PubMedCrossRefGoogle Scholar
  10. Costanzo, P. R., & Woody, E. Z. (1985). Domain-specific parenting styles and their impact on the childs development of particular deviance-the example of obesity proneness. Journal of Social and Clinical Psychology, 3, 425–445. doi: 10.1521/jscp.CrossRefGoogle Scholar
  11. Davison, K. K., Markey, C. N., & Birch, L. L. (2003). A longitudinal examination of patterns in girl’s weight concerns and body dissatisfaction from ages 5 to 9 years. International Journal of Eating Disorders, 3, 320–332. doi: 10.1002/eat.10142.CrossRefGoogle Scholar
  12. Decaluwé, V., & Braet, C. (1999). Child eating disorder examinationquestionnaire. Dutch translation and adaptation of the eating disorder examinationquestionnaire, authored by C. Fairburn & S. Beglin. Unpublished Manuscript.Google Scholar
  13. Decaluwé, V., & Braet, C. (2004). Assessment of eating disorder psychopathology in obese children and adolescents: Interview versus self-report questionnaire. Behaviour Research and Therapy, 42, 799–811. doi: 10.1016/j.brat.2003.07.008.PubMedCrossRefGoogle Scholar
  14. Fairburn, C. G., Cooper, Z., & Shafran, R. (2003). Cognitive behaviour therapy for eating disorders: a “Transdiagnostic” theory and treatment. Behaviour Research and Therapy, 41, 509–528. doi: 10.1037/0022-0066X.71.1.103:.PubMedCrossRefGoogle Scholar
  15. Faith, M. S., Berkowitz, R. I., Stallings, V. A., Kerns, J., Storey, M., & Stunkard, A. J. (2004). Parental feeding attitudes and styles and child body mass index: Prospective analysis of a gene-environment interaction. Pediatrics, 114, 429–436.CrossRefGoogle Scholar
  16. Falkner, N. H., Neumark-Sztainer, D., Story, M., Jeffry, R. W., Beuhring, T., & Resnick, M. D. (2001). Social, educational, and psychological correlates of weight status in adolescents. Obesity Research, 9, 32–42. doi: 10.1038/oby.2001.5.PubMedCrossRefGoogle Scholar
  17. Field, A. E., Austin, S. B., Taylor, C. B., Malspeis, S., Rosner, B., Rockett, H. R., et al. (2003). Relation between dieting and weight change among preadolescents and adolescents. Pediatrics, 112, 900–906. doi: 10.1542/peds.112.4.900.PubMedCrossRefGoogle Scholar
  18. Field, A., Camargo, C., Taylor, C., Berkey, C., Roberts, S., & Colditz, G. (2001). Peer, parent, and media influences on the development of weight concerns and frequent dieting among preadolescent and adolescent girls and boys. Pediatrics, 107, 54–60.PubMedCrossRefGoogle Scholar
  19. Field, A. E., & Colditz, G. A. (2001). Frequent dieting and the development of obesity among children and adolescents. Nutrition, 17, 355–356. doi: 10.1016/S0899-9007(01)00504-4.PubMedCrossRefGoogle Scholar
  20. Field, A. E., Javaras, K. M., Aneja, P., Kitos, N., Camargo, C. A., Taylor, C. B., et al. (2008). Family, peer and media predictors of becoming eating disordered. Archives of Pediatrics and Adolescent Medicine, 162, 574–579. doi: 10.1001/archpedi.162.6.574.PubMedCrossRefGoogle Scholar
  21. Fisher, J. O., & Birch, L. L. (2002). Eating in the absence of hunger and overweight in girls from 5 to 7 years of age. American Journal of Clinical Nutrition, 76, 226–231.PubMedGoogle Scholar
  22. Francis, L. A., & Birch, L. L. (2005). Maternal weight status modulates the effects of restriction on daughters’ eating and weight. International Journal of Obesity, 29, 942–949. doi: 10.1037/0278-6133.24.6.548.PubMedCrossRefGoogle Scholar
  23. Fredriks, A. M., van Buuren, S., Wit, J. M., & Verloove-Vanhorick, S. P. (2000). Body index measurements in 1996–7 compared with 1980. Archives of Disease in Childhood, 82, 107–112. doi: 10.1136/adc.82.2.107.PubMedCrossRefGoogle Scholar
  24. Goldschmidt, A. B., Aspen, V. P., Sinton, M. M., Tanofsky-Kraff, M., & Wilfley, D. E. (2008). Disordered eating attitudes and behaviors in overweight youth. Obesity, 16, 257–264. doi: 10.1038/oby.2007.48.PubMedCrossRefGoogle Scholar
  25. Goldschmidt, A. B., Sinton, M. M., Aspen, V. P., Tibbs, T. L., Stein, R. I., Saelens, B. E., et al. (2010). Psychosocial and familial impairment among overweight youth with social problems. International Journal of Pediatric Obesity, 5, 428–435. doi: 10.3109/17477160903540727.PubMedCrossRefGoogle Scholar
  26. Goossens, L., Braet, C., Bosmans, G., & Decaluwé, V. (2011). Loss of control over eating in pre-adolescent youth: The role of attachment and self-esteem. Eating Behaviors, 12, 289–295. doi: 10.1016/j.eatbeh.2011.07.005.PubMedCrossRefGoogle Scholar
  27. Goossens, L., Soenens, B., & Braet, C. (2009). Prevalence and characteristics of binge eating in an adolescent community sample. Journal of Clinical Child & Adolescent Psychology, 38, 342–353. doi: 10.1080/15374410902851697.CrossRefGoogle Scholar
  28. Haines, J., Kleinman, K. P., Rifas-Shiman, S. L., Field, A. E., & Austin, S. B. (2010). Examination of shared risk and protective factors for overweight and disordered eating among adolescents. Archives of Pediatrics and Adolescent Medicine, 164, 336–343.PubMedCrossRefGoogle Scholar
  29. Herman, C. P., & Polivy, J. (1975). Anxiety, restraint, and eating behavior. Journal of Abnormal Psychology, 84, 666–672. doi: 10.1037//0021-843X.84.6.666.CrossRefGoogle Scholar
  30. Hoek, H. W., & van Hoeken, D. (2003). Review of the prevalence and incidence of eating disorders. International Journal of Eating Disorders, 34, 383–396. doi: 10.1002/eat.10222.PubMedCrossRefGoogle Scholar
  31. Hollingshead, A. B. (1965). Two-factor index of social position. New Haven, CT: Yale Station.Google Scholar
  32. Hudson, J. I., Hiripi, E., Pope, H. G., & Kessler, R. C. (2007). The prevalence and correlates of eating disorders in the national comorbidity survey replication. Biological Psychiatry, 61, 348–358. doi: 10.1016/j.biopsych.2006.03.040.PubMedCrossRefGoogle Scholar
  33. Johnson, S. L., & Birch, L. L. (1994). Parents’ and childrens’ adiposity and eating style. Pediatrics, 94, 653–661.PubMedGoogle Scholar
  34. Jozefiak, T., Larsson, B., & Wichstrom, L. (2009). Changes in quality of life among norwegian school children: A six-month follow-up study. Health and Quality of Life Outcomes, 7. doi: 10.1186/1477-7525-7-7.
  35. Lam, C. B., & McHale, S. M. (2012). Developmental patterns and family predictors of adolescent weight concerns: A replication and extension. International Journal of Eating Disorders, 45, 524–530. doi: 10.1002/eat.20974.PubMedCrossRefGoogle Scholar
  36. Loeb, K. L., Pike, K. M., Walsh, T. B., & Wilson, T. G. (1994). Assessment of diagnostic features of bulimia nervosa: Interview versus self-report format. International Journal of Eating Disorders, 16, 75–81. doi: 10.1002/1098-108X(199407)16:1<75:AID-EAT2260160108>3.0CO;2-E.PubMedCrossRefGoogle Scholar
  37. Marcus, M. D., & Kalarchian, M. A. (2003). Binge eating in children and adolescents. International Journal of Eating Disorders, 34, 47–57.Google Scholar
  38. Moens, E., & Braet, C. (2007). Predictors of disinhibited eating in children with and without overweight. Behaviour Research and Therapy, 45, 1357–1368. doi: 10.1016/j.brat.2006.10.001.PubMedCrossRefGoogle Scholar
  39. Moens, E., Braet, C., & Soetens, B. (2007). Observation of family functioning at mealtime: A comparison between families of children with and without overweight. Journal of Pediatric Psychology, 32, 52–63. doi: 10.1093/jpepsy/jsl011.PubMedCrossRefGoogle Scholar
  40. Mönks, F. J., & Knoers, A. M. P. (1990). Ontwikkelingspsychologie. Inleiding tot de verschillende deelgebieden. Assen: Dekker & van de Vegt.Google Scholar
  41. Neumark-Sztainer, D., Wall, M., Haines, J., Story, M., & Eisenberg, M. E. (2007). Why does dieting predict weight gain in adolescents? Findings from project EAT-II: A 5-year longitudinal study. Journal of the American Dietetic Association, 107, 448–455. doi: 10.1016/j.jada.2006.12.013.PubMedCrossRefGoogle Scholar
  42. Neumark-Sztainer, D., Wall, M., Larson, N. I. K., Eisenberg, M. E., & Loth, K. (2011). Dieting and disordered eating behaviors from adolescence to young adulthood: Findings from a 10-year longitudinal study. Journal of the American Dietetic Association, 111, 1004–1011. doi: 10.1016/j.jada.2011.04.012.PubMedCrossRefGoogle Scholar
  43. Patrick, H., Nicklas, T. A., Hughes, S. O., & Morales, M. (2005). The benefits of authoritative feeding style: Caregiver feeding styles and children’s food consumption patterns. Appetite, 44, 243–249. doi: 10.1016/j.appet.2002.07.001.PubMedCrossRefGoogle Scholar
  44. Rhee, K. E., Appugliese, D. P., Prisco, A., Kaciroti, N. A., Corwyn, R. F., Bradley, R. H., et al. (2010). Controlling maternal feeding practices associated with decreased dieting behavior in sixth-grade children. Journal of the American Dietetic Association, 110, 619–623. doi: 10.1016/j.jada.2009.12.018.PubMedCrossRefGoogle Scholar
  45. Rodgers, R., & Chabrol, H. (2009). Parental attitudes, body image disturbance and disordered eating amongst adolescents and young adults: A review. European Eating Disorders Review, 17, 137–151. doi: 10.1016/j.encep.2008.05.003.PubMedCrossRefGoogle Scholar
  46. Schur, E. A., Sanders, M., & Steiner, H. (2000). Body dissatisfaction and dieting in young children. International Journal of Eating Disorders, 27, 74–82. doi: 10.1002/(SICI)1098-108X(200001)27:1<74:AID-EAT8>3.0CO;2-K.PubMedCrossRefGoogle Scholar
  47. Sinton, M. M., Goldschmidt, A. B., Aspen, V., Theim, K. R., Stein, R. I., Saelens, B. E., et al. (2012). Psychosocial correlates of shape and weight concerns in overweight pre-adolescents. Journal of Youth and Adolescence, 41, 67–75. doi: 10.1007/s10964-011-9686-y.PubMedCrossRefGoogle Scholar
  48. Stice, E. (2002). Risk and maintenance factors for eating pathology: A meta-analytic review. Psychological Bulletin, 128, 825–848.PubMedCrossRefGoogle Scholar
  49. Tanofsky-Kraff, M., Goossens, L., Eddy, K. T., Ringham, R., Goldschmidt, A., Yanovski, S. Z., et al. (2007). A multisite investigation of binge eating behaviors in children and adolescents. Journal of Consulting and Clinical Psychology, 75, 905–913. doi: 10.1037/0022-006X.75.6.901.CrossRefGoogle Scholar
  50. Tanofsky-Kraff, M., Morgan, C. M., Yanovski, S. Z., Marmarosh, C., Wilfley, D. E., & Yanovski, J. A. (2003). Comparison of assessments of children’s eating-disordered behaviors by interview and questionnaire. International Journal of Eating Disorders, 33, 213–224. doi: 10.1002/eat.10128.PubMedCrossRefGoogle Scholar
  51. Tanofsky-Kraff, M., Yanovski, S. Z., Wilfley, D. E., Marmarosh, C., Morgan, C. M., & Yanovski, J. A. (2004). Eating-disordered behaviors, body fat, and psychopathology in overweight and normal-weight children. Journal of Consulting and Clinical Psychology, 72, 53–61. doi: 10.1037/0022-006X.72.1.53.PubMedCrossRefGoogle Scholar
  52. Uhrlass, D. J., Schofield, C. A., Coles, M. E., & Gibb, B. E. (2009). Self-perceived competence and prospective changes in symptoms of depression and social anxiety. Journal of Behavior Therapy and Experimental Psychiatry, 40, 329–337. doi: 10.1016/j.jbtep.2009.01.001.PubMedCrossRefGoogle Scholar
  53. Van Winckel, M., & Van Mil, E. (2001). Wanneer is dik té dik? [When is fat too fat?]. In C. Braet & M. Van Winckel (Eds.), Behandelstrategieën bij kinderen met overgewicht [Treatment strategies in overweight children] (pp. 11–26). Houten/Diegem: Bohn Stafleu Van Loghum.Google Scholar
  54. Verbeken, S., Braet, C., Lammertyn, J., Goossens, L., & Moens, E. (2012). How is reward sensitivity related to bodyweight in children? Appetite, 58, 478–483. doi: 10.1016/j.appet.2011.11.018.PubMedCrossRefGoogle Scholar
  55. Wright, M., Banerjee, R., Hoek, W., Rieffe, C., & Novin, S. (2010). Depression and social anxiety in children: Differential links with coping strategies. Journal of Abnormal Child Psychology, 38, 405–419. doi: 10.1007/s10802-009-9375-4.PubMedCrossRefGoogle Scholar
  56. Yanover, T., & Thompson, J. K. (2008). Self-reported interference with academic functioning and eating disordered symptoms: Associations with multiple dimensions of body image. Body Image, 5, 326–328. doi: 10.1016/j.bodyim.2008.03.008.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Annelies Matton
    • 1
  • Lien Goossens
    • 1
  • Caroline Braet
    • 1
  • Kim Van Durme
    • 1
  1. 1.Department of Developmental-, Personality- and Social PsychologyUniversity of GhentGhentBelgium

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