Skip to main content
Erschienen in: Journal of Immigrant and Minority Health 2/2017

03.01.2017 | Original Paper

Perception of Child Weight and Feeding Styles in Parents of Chinese-American Preschoolers

verfasst von: Lucy Y. Chang, Alan L. Mendelsohn, Arthur H. Fierman, Loretta Y. Au, Mary Jo Messito

Erschienen in: Journal of Immigrant and Minority Health | Ausgabe 2/2017

Einloggen, um Zugang zu erhalten

Abstract

Parent perception of weight and feeding styles are associated with obesity in other racial groups but have not been explored in-depth in Chinese-American preschoolers. Cross-sectional survey of 253 Chinese-American parents with preschoolers was performed in a community clinic. Regression analysis was used to assess relationships between parental perception of weight and feeding styles. Parent under-perception of weight was common but more likely in boys than girls (χ2 = 4.91, p = 0.03). Pressuring was also greater in boys [adjusted mean difference (95% CI) 0.24 (0.004, 0.49)]. In girls, pressuring was lower for children perceived as overweight [adjusted mean difference in CFQ scores −0.75 (−1.27, −0.23)]; in boys, pressuring was high regardless of perceived child weight. Weight perceptions and feeding styles related to childhood obesity in other groups were identified in Chinese-American families. Parent under-perception of child weight and pressure to eat were more common in boys. These factors should be addressed in Chinese-American preschooler obesity prevention programs.
Literatur
1.
Zurück zum Zitat Jain A, et al. Prevalence of obesity among young Asian-American children. Child Obes. 2012;8(6):518–25.CrossRefPubMed Jain A, et al. Prevalence of obesity among young Asian-American children. Child Obes. 2012;8(6):518–25.CrossRefPubMed
2.
Zurück zum Zitat Au L, et al. Prevalence of overweight and obesity in Chinese American children in New York City. Journal of immigrant and minority health. Cent Minor Public Health. 2009;11(5):337–41. Au L, et al. Prevalence of overweight and obesity in Chinese American children in New York City. Journal of immigrant and minority health. Cent Minor Public Health. 2009;11(5):337–41.
4.
Zurück zum Zitat Doolen J, et al. Parental disconnect between perceived and actual weight status of children: a metasynthesis of the current research. J Am Acad Nurse Pract. 2009;21(3):160–6.CrossRefPubMed Doolen J, et al. Parental disconnect between perceived and actual weight status of children: a metasynthesis of the current research. J Am Acad Nurse Pract. 2009;21(3):160–6.CrossRefPubMed
5.
Zurück zum Zitat de Lauzon-Guillain B, et al. Parental feeding practices in the United States and in France: relationships with child’s characteristics and parent’s eating behavior. J Am Diet Assoc. 2009;109(6):1064–9.CrossRefPubMed de Lauzon-Guillain B, et al. Parental feeding practices in the United States and in France: relationships with child’s characteristics and parent’s eating behavior. J Am Diet Assoc. 2009;109(6):1064–9.CrossRefPubMed
6.
Zurück zum Zitat Francis LA, et al. Predictors of maternal child-feeding style: maternal and child characteristics. Appetite. 2001;37(3):231–43.CrossRefPubMed Francis LA, et al. Predictors of maternal child-feeding style: maternal and child characteristics. Appetite. 2001;37(3):231–43.CrossRefPubMed
7.
Zurück zum Zitat Boyington JA, Johnson AA. Maternal perception of body size as a determinant of infant adiposity in an African-American community. J Natl Med Assoc. 2004;96(3):351–62.PubMedPubMedCentral Boyington JA, Johnson AA. Maternal perception of body size as a determinant of infant adiposity in an African-American community. J Natl Med Assoc. 2004;96(3):351–62.PubMedPubMedCentral
8.
Zurück zum Zitat Maynard LM, et al. Maternal perceptions of weight status of children. Pediatrics. 2003;111(5 Pt 2):1226–31.PubMed Maynard LM, et al. Maternal perceptions of weight status of children. Pediatrics. 2003;111(5 Pt 2):1226–31.PubMed
9.
Zurück zum Zitat Baughcum AE, et al. Maternal perceptions of overweight preschool children. Pediatrics. 2000;106(6):1380–6.CrossRefPubMed Baughcum AE, et al. Maternal perceptions of overweight preschool children. Pediatrics. 2000;106(6):1380–6.CrossRefPubMed
10.
Zurück zum Zitat Faith MS, et al. Parent–child feeding strategies and their relationships to child eating and weight status. Obes Res. 2004;12(11):1711–22.CrossRefPubMed Faith MS, et al. Parent–child feeding strategies and their relationships to child eating and weight status. Obes Res. 2004;12(11):1711–22.CrossRefPubMed
11.
Zurück zum Zitat Powers SW, et al. Maternal feeding strategies, child eating behaviors, and child BMI in low-income African-American preschoolers. Obesity. 2006;14(11):2026–33.CrossRefPubMed Powers SW, et al. Maternal feeding strategies, child eating behaviors, and child BMI in low-income African-American preschoolers. Obesity. 2006;14(11):2026–33.CrossRefPubMed
12.
Zurück zum Zitat Matheson DM, et al. Do Mexican–American mothers’ food-related parenting practices influence their children’s weight and dietary intake? J Am Diet Assoc. 2006;106(11):1861–5.CrossRefPubMed Matheson DM, et al. Do Mexican–American mothers’ food-related parenting practices influence their children’s weight and dietary intake? J Am Diet Assoc. 2006;106(11):1861–5.CrossRefPubMed
13.
Zurück zum Zitat Rhee KE, et al. Factors associated with parental readiness to make changes for overweight children. Pediatrics. 2005;116(1):e94–101.CrossRefPubMed Rhee KE, et al. Factors associated with parental readiness to make changes for overweight children. Pediatrics. 2005;116(1):e94–101.CrossRefPubMed
14.
Zurück zum Zitat Kroke A, et al. Maternal perceptions of her child’s body weight in infancy and early childhood and their relation to body weight status at age 7. Eur J Pediatr. 2006;165(12):875–83.CrossRefPubMed Kroke A, et al. Maternal perceptions of her child’s body weight in infancy and early childhood and their relation to body weight status at age 7. Eur J Pediatr. 2006;165(12):875–83.CrossRefPubMed
15.
Zurück zum Zitat Johnson SL, Birch LL. Parents’ and children’s adiposity and eating style. Pediatrics. 1994;94(5):653–61.PubMed Johnson SL, Birch LL. Parents’ and children’s adiposity and eating style. Pediatrics. 1994;94(5):653–61.PubMed
16.
Zurück zum Zitat Birch LL, Fisher JO. Development of eating behaviors among children and adolescents. Pediatrics. 1998;101(3 Pt 2):539–49.PubMed Birch LL, Fisher JO. Development of eating behaviors among children and adolescents. Pediatrics. 1998;101(3 Pt 2):539–49.PubMed
17.
Zurück zum Zitat Guendelman S, et al. Maternal perceptions of early childhood ideal body weight differ among Mexican-origin mothers residing in Mexico compared to California. J Am Diet Assoc. 2010;110(2):222–9.CrossRefPubMed Guendelman S, et al. Maternal perceptions of early childhood ideal body weight differ among Mexican-origin mothers residing in Mexico compared to California. J Am Diet Assoc. 2010;110(2):222–9.CrossRefPubMed
18.
Zurück zum Zitat Rivera-Soto WT, Rodriguez-Figueroa L. Childhood obesity among Puerto Rican children: discrepancies between child’s and parent’s perception of weight status. Int J Environ Res Public Health. 2012;9(4):1427–37.CrossRefPubMedPubMedCentral Rivera-Soto WT, Rodriguez-Figueroa L. Childhood obesity among Puerto Rican children: discrepancies between child’s and parent’s perception of weight status. Int J Environ Res Public Health. 2012;9(4):1427–37.CrossRefPubMedPubMedCentral
19.
Zurück zum Zitat Wehrly SE, et al. Controlling parental feeding practices and child body composition in ethnically and economically diverse preschool children. Appetite. 2014;73:163–71.CrossRefPubMed Wehrly SE, et al. Controlling parental feeding practices and child body composition in ethnically and economically diverse preschool children. Appetite. 2014;73:163–71.CrossRefPubMed
21.
Zurück zum Zitat Pai HL, Contento I. Parental perceptions, feeding practices, feeding styles, and level of acculturation of Chinese Americans in relation to their school-age child’s weight status. Appetite. 2014;80:174–82.CrossRefPubMed Pai HL, Contento I. Parental perceptions, feeding practices, feeding styles, and level of acculturation of Chinese Americans in relation to their school-age child’s weight status. Appetite. 2014;80:174–82.CrossRefPubMed
22.
Zurück zum Zitat Liou D, Bauer KD. Exploratory investigation of obesity risk and prevention in Chinese Americans. J Nutr Educ Behav. 2007;39(3):134–41.CrossRefPubMed Liou D, Bauer KD. Exploratory investigation of obesity risk and prevention in Chinese Americans. J Nutr Educ Behav. 2007;39(3):134–41.CrossRefPubMed
23.
Zurück zum Zitat Nobari TZ, et al. Asian American mothers’ perception of their children’s weight: a comparison with other racial/ethnic groups in Los Angeles. Ethn Dis. 2015;25(1):52–7.PubMed Nobari TZ, et al. Asian American mothers’ perception of their children’s weight: a comparison with other racial/ethnic groups in Los Angeles. Ethn Dis. 2015;25(1):52–7.PubMed
24.
Zurück zum Zitat Wen X, Hui SS. Chinese parents’ perceptions of their children’s weights and their relationship to parenting behaviours. Child Care Health Dev. 2011;37(3):343–51.CrossRefPubMed Wen X, Hui SS. Chinese parents’ perceptions of their children’s weights and their relationship to parenting behaviours. Child Care Health Dev. 2011;37(3):343–51.CrossRefPubMed
25.
Zurück zum Zitat Cummins LH, Lehman J. Eating disorders and body image concerns in Asian American women: assessment and treatment from a multicultural and feminist perspective. Eat Disord. 2007;15(3):217–30.CrossRefPubMed Cummins LH, Lehman J. Eating disorders and body image concerns in Asian American women: assessment and treatment from a multicultural and feminist perspective. Eat Disord. 2007;15(3):217–30.CrossRefPubMed
26.
Zurück zum Zitat Birch LL, et al. Confirmatory factor analysis of the child feeding questionnaire: a measure of parental attitudes, beliefs and practices about child feeding and obesity proneness. Appetite. 2001;36(3):201–10.CrossRefPubMed Birch LL, et al. Confirmatory factor analysis of the child feeding questionnaire: a measure of parental attitudes, beliefs and practices about child feeding and obesity proneness. Appetite. 2001;36(3):201–10.CrossRefPubMed
27.
Zurück zum Zitat Barlow SE, Dietz WH. Obesity evaluation and treatment: expert committee recommendations. The Maternal and Child Health Bureau, Health Resources and Services Administration and the Department of Health and Human Services. Pediatrics. 1998;102(3):E29.CrossRefPubMed Barlow SE, Dietz WH. Obesity evaluation and treatment: expert committee recommendations. The Maternal and Child Health Bureau, Health Resources and Services Administration and the Department of Health and Human Services. Pediatrics. 1998;102(3):E29.CrossRefPubMed
28.
Zurück zum Zitat Kuczmarski RJ, et al. Varying body mass index cutoff points to describe overweight prevalence among U.S. adults: NHANES III (1988 to 1994). Obes Res. 1997;5(6):542–8.CrossRefPubMed Kuczmarski RJ, et al. Varying body mass index cutoff points to describe overweight prevalence among U.S. adults: NHANES III (1988 to 1994). Obes Res. 1997;5(6):542–8.CrossRefPubMed
29.
30.
Zurück zum Zitat Robinson E, Sutin AR. Parental perception of weight status and weight gain across childhood. Pediatrics. 2016;137(5). Robinson E, Sutin AR. Parental perception of weight status and weight gain across childhood. Pediatrics. 2016;137(5).
31.
Zurück zum Zitat Wright DR, et al. Parental predictions and perceptions regarding long-term childhood obesity-related health risks. Acad Pediatr. 2016;16(5):475–81.CrossRefPubMed Wright DR, et al. Parental predictions and perceptions regarding long-term childhood obesity-related health risks. Acad Pediatr. 2016;16(5):475–81.CrossRefPubMed
32.
Zurück zum Zitat Mamun AA, et al. Predictors of maternal misclassifications of their offspring’s weight status: a longitudinal study. Int J Obes. 2008;32(1):48–54.CrossRef Mamun AA, et al. Predictors of maternal misclassifications of their offspring’s weight status: a longitudinal study. Int J Obes. 2008;32(1):48–54.CrossRef
33.
Zurück zum Zitat de Hoog ML, et al. Ethnic differences in maternal underestimation of offspring’s weight: the ABCD study. Int J Obes. 2012;36(1):53–60.CrossRef de Hoog ML, et al. Ethnic differences in maternal underestimation of offspring’s weight: the ABCD study. Int J Obes. 2012;36(1):53–60.CrossRef
34.
Zurück zum Zitat Anderson CB, et al. Cross-cultural equivalence of feeding beliefs and practices: the psychometric properties of the child feeding questionnaire among Blacks and Hispanics. Prev Med. 2005;41(2):521–31.CrossRefPubMed Anderson CB, et al. Cross-cultural equivalence of feeding beliefs and practices: the psychometric properties of the child feeding questionnaire among Blacks and Hispanics. Prev Med. 2005;41(2):521–31.CrossRefPubMed
35.
Zurück zum Zitat Farrow CV, Blissett J. Controlling feeding practices: cause or consequence of early child weight? Pediatrics. 2008;121(1):e164–9.PubMed Farrow CV, Blissett J. Controlling feeding practices: cause or consequence of early child weight? Pediatrics. 2008;121(1):e164–9.PubMed
36.
Zurück zum Zitat Gross RS, et al. Maternal controlling feeding styles during early infancy. Clin Pediatr. 2011;50(12):1125–33.CrossRef Gross RS, et al. Maternal controlling feeding styles during early infancy. Clin Pediatr. 2011;50(12):1125–33.CrossRef
38.
39.
Zurück zum Zitat Spruijt-Metz D, et al. Relation between mothers’ child-feeding practices and children’s adiposity. Am J Clin Nutr. 2002;75(3):581–6.PubMed Spruijt-Metz D, et al. Relation between mothers’ child-feeding practices and children’s adiposity. Am J Clin Nutr. 2002;75(3):581–6.PubMed
40.
Zurück zum Zitat Santos JL, et al. Maternal anthropometry and feeding behavior toward preschool children: association with childhood body mass index in an observational study of Chilean families. Int J Behav Nutri Phys Act. 2009;6. doi:10.1186/1479-5868-6-93. Santos JL, et al. Maternal anthropometry and feeding behavior toward preschool children: association with childhood body mass index in an observational study of Chilean families. Int J Behav Nutri Phys Act. 2009;6. doi:10.​1186/​1479-5868-6-93.
41.
Zurück zum Zitat Chao RK. Beyond parental control and authoritarian parenting style: understanding Chinese parenting through the cultural notion of training. Child Dev. 1994;65(4):1111–9.CrossRefPubMed Chao RK. Beyond parental control and authoritarian parenting style: understanding Chinese parenting through the cultural notion of training. Child Dev. 1994;65(4):1111–9.CrossRefPubMed
42.
Zurück zum Zitat Chen JL, Kennedy C. Factors associated with obesity in Chinese-American children. Pediatr Nurs. 2005;31(2):110–5.PubMed Chen JL, Kennedy C. Factors associated with obesity in Chinese-American children. Pediatr Nurs. 2005;31(2):110–5.PubMed
43.
Zurück zum Zitat Geng G, et al. Confirmatory factor analysis of the child feeding questionnaire (CFQ) in Japanese elementary school children. Appetite. 2009;52(1):8–14.CrossRef Geng G, et al. Confirmatory factor analysis of the child feeding questionnaire (CFQ) in Japanese elementary school children. Appetite. 2009;52(1):8–14.CrossRef
44.
Zurück zum Zitat Nader PR, et al. Identifying risk for obesity in early childhood. Pediatrics. 2006;118(3):e594–601.CrossRef Nader PR, et al. Identifying risk for obesity in early childhood. Pediatrics. 2006;118(3):e594–601.CrossRef
45.
Zurück zum Zitat Kristiansen AL, et al. Tracking of body size from birth to 7 years of age and factors associated with maintenance of a high body size from birth to 7 years of age—the Norwegian Mother and Child Cohort study (MoBa). Public Health Nutr. 2015;18(10):1746–55.CrossRef Kristiansen AL, et al. Tracking of body size from birth to 7 years of age and factors associated with maintenance of a high body size from birth to 7 years of age—the Norwegian Mother and Child Cohort study (MoBa). Public Health Nutr. 2015;18(10):1746–55.CrossRef
46.
Zurück zum Zitat Cheah CS, Van Hook J. Chinese and Korean immigrants’ early life deprivation: an important factor for child feeding practices and children’s body weight in the United States. Soc Sci Med (1982). 2012;74(5):744–52.CrossRef Cheah CS, Van Hook J. Chinese and Korean immigrants’ early life deprivation: an important factor for child feeding practices and children’s body weight in the United States. Soc Sci Med (1982). 2012;74(5):744–52.CrossRef
47.
Zurück zum Zitat Zhou N, et al. A cultural understanding of Chinese immigrant mothers’ feeding practices. A qualitative study. Appetite. 2015;87:160–7.CrossRef Zhou N, et al. A cultural understanding of Chinese immigrant mothers’ feeding practices. A qualitative study. Appetite. 2015;87:160–7.CrossRef
Metadaten
Titel
Perception of Child Weight and Feeding Styles in Parents of Chinese-American Preschoolers
verfasst von
Lucy Y. Chang
Alan L. Mendelsohn
Arthur H. Fierman
Loretta Y. Au
Mary Jo Messito
Publikationsdatum
03.01.2017
Verlag
Springer US
Erschienen in
Journal of Immigrant and Minority Health / Ausgabe 2/2017
Print ISSN: 1557-1912
Elektronische ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-016-0541-9

Weitere Artikel der Ausgabe 2/2017

Journal of Immigrant and Minority Health 2/2017 Zur Ausgabe