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Parent Conversations About Healthful Eating and Weight

Jerica M. Berge · Rich MacLehose · Katie A. Loth · Marla E. Eisenberg · Michaela M. Bucchianeri · Dianne Neumark‐Sztainer

167 citations0/0 files storedArchives of Pediatrics and Adolescent Medicine

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Eating Disorders and Behaviors Nutrition, Health and Food Behavior Obesity, Physical Activity, Diet

Abstract

IMPORTANCE: The prevalence of weight-related problems in adolescents is high. Parents of adolescents may wonder whether talking about eating habits and weight is useful or detrimental. OBJECTIVE: To examine the associations between parent conversations about healthful eating and weight and adolescent disordered eating behaviors. DESIGN: Cross-sectional analysis using data from 2 linked multilevel population-based studies. SETTING: Anthropometric assessments and surveys completed at school by adolescents and surveys completed at home by parents in 2009-2010. PARTICIPANTS: Socioeconomically and racially/ethnically diverse sample (81% ethnic minority; 60% low income) of adolescents from Eating and Activity in Teens 2010 (EAT 2010) (n = 2793; mean age, 14.4 years) and parents from Project Families and Eating and Activity in Teens (Project F-EAT) (n = 3709; mean age, 42.3 years). EXPOSURE Parent conversations about healthful eating and weight/size. MAIN OUTCOMES AND MEASURES: Adolescent dieting, unhealthy weight-control behaviors, and binge eating. RESULTS: Mothers and fathers who engaged in weight-related conversations had adolescents who were more likely to diet, use unhealthy weight-control behaviors, and engage in binge eating. Overweight or obese adolescents whose mothers engaged in conversations that were focused only on healthful eating behaviors were less likely to diet and use unhealthy weight-control behaviors. Additionally, subanalyses with adolescents with data from 2 parents showed that when both parents engaged in healthful eating conversations, their overweight or obese adolescent children were less likely to diet and use unhealthy weight-control behaviors. CONCLUSIONS AND RELEVANCE: Parent conversations focused on weight/size are associated with increased risk for adolescent disordered eating behaviors, whereas conversations focused on healthful eating are protective against disordered eating behaviors.

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References

1985Social Foundations of Thought and Action : A Social Cognitive Theory 2008Ecological models of health behavior.2002Weight-teasing among adolescents: correlations with weight status and disordered eating behaviors 2001Peer, Parent, and Media Influences on the Development of Weight Concerns and Frequent Dieting Among Preadolescent and Adolescent Girls and Boys 2007Shared Risk and Protective Factors for Overweight and Disordered Eating in Adolescents 2002Ethnic/racial differences in weight-related concerns and behaviors among adolescent girls and boys 2010Family Weight Talk and Dieting: How Much Do They Matter for Body Dissatisfaction and Disordered Eating Behaviors in Adolescent Girls?2006Weight Teasing and Disordered Eating Behaviors in Adolescents: Longitudinal Findings From Project EAT (Eating Among Teens)

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2016Can it be harmful for parents to talk to their child about their weight? A meta-analysis 2018The role of fat talk in eating pathology and depressive symptoms among mother-daughter dyads

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