Associations between parent behavior and adolescent weight control

J Pediatr Psychol. 2011 May;36(4):451-60. doi: 10.1093/jpepsy/jsq105. Epub 2010 Nov 26.

Abstract

Objective: To evaluate associations between parent behaviors (i.e., parent weight change, self-monitoring of their behavior, and feeding practices and attitudes) and changes in adolescent BMI and weight following 16-weeks of behavioral weight control (BWC) intervention.

Method: Adolescents (N = 86) 13-16 years old and 30-90% overweight (M = 60.54%, SD = 15.10%) who completed BWC intervention and their parents. Adolescents were randomized to 1 of 2 interventions involving 16 consecutive weeks of active treatment with 4 biweekly maintenance sessions. Adolescent weight and BMI were measured at baseline and 16-weeks. Feeding practices were measured at baseline. Parent self-monitoring was measured during the intervention.

Results: The only independently significant predictor of adolescent BMI change (p < .01) was parent BMI change. Greater parent self-monitoring (p < .01) predicted greater adolescent weight loss. Greater parent pressure to eat predicted less adolescent weight loss (p < .01).

Conclusions: Findings highlight the potential importance of parent weight-related behaviors and feeding practices in the context of adolescent BWC.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Adolescent Behavior / psychology*
  • Body Mass Index
  • Diet, Reducing
  • Eating / psychology
  • Feeding Behavior / psychology*
  • Female
  • Humans
  • Male
  • Overweight / psychology*
  • Overweight / therapy
  • Parent-Child Relations*
  • Parents / psychology*