NDLI: Modifications in parent feeding practices and child diet during family-based behavioral treatment improve child zBMI.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Holland, Jodi Cahill Kolko, Rachel P. Stein, Richard I. Welch, R. Robinson Perri, Michael G. Schechtman, Kenneth B. Saelens, Brian E. Epstein, Leonard H. Wilfley, Denise E.
Description	Country affiliation: United States Author Affiliation: Holland JC ( Department of Psychiatry, Washington University School of Medicine, St. Louis, Missouri, USA.)
Abstract	OBJECTIVE: To examine associations between modifications in parent feeding practices, child diet, and child weight status after treatment and to evaluate dietary mediators. METHODS: Children classified as overweight or obese and 7-11 years old (N = 170) completed a 16-session family-based behavioral weight loss treatment (FBT) program. Anthropometrics (standardized body mass index (zBMI)), Child Feeding Questionnaire, and 24-hr dietary recalls were collected at baseline and post-FBT. Linear regression predicted child zBMI change. Single and multiple mediation tested child dietary modifications as mediators between change in parent feeding practices and child zBMI. RESULTS: Restrictive parent feeding practices significantly decreased during FBT. Reductions in parent restriction, child weight concern, child's total energy intake, and percent energy from fat, and increases in parent perceived responsibility, and child percent energy from protein, predicted reductions in child zBMI. Change in child total energy intake mediated the relation between parent restriction and child zBMI change after accounting for covariates and additional dietary mediators. CONCLUSIONS: FBT is associated with a decrease in parental restriction, which is associated with reductions in child relative weight, which was mediated by a decrease in child energy intake. Teaching parents to reduce children's energy intake without being overly restrictive may improve child weight.
File Format	HTM / HTML
ISSN	19307381
e-ISSN	1930739X
DOI	10.1002/oby.20708
Journal	Obesity
Issue Number	5
Volume Number	22
Language	English
Publisher	Wiley-Blackwell
Publisher Date	2014-05-01
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Discipline Endocrinology Body Mass Index Feeding Behavior Health Behavior Obesity Therapy Parenting Behavior Therapy Diet Records Dietary Fats Administration & Dosage Dietary Proteins Energy Intake Linear Models Mental Recall Motor Activity Questionnaires Weight Loss Weight Reduction Programs Research Support, N.i.h., Extramural
Content Type	Text
Resource Type	Article
Subject	Nutrition and Dietetics Endocrinology, Diabetes and Metabolism Endocrinology

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