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Journal of Child and Family Studies

, Volume 25, Issue 11, pp 3236–3246 | Cite as

Childhood Overweight and Obesity: Maternal and Family Factors

  • Lisa Y. Gibson
  • Karina L. Allen
  • Susan M. Byrne
  • Kim Clark
  • Eve Blair
  • Elizabeth Davis
  • Stephen R. Zubrick
Original Paper

Abstract

Treatment programs for childhood overweight and obesity have highlighted the importance of the family in treatment. Considering this, it is surprising that few studies have examined the role of family factors in the development of childhood overweight and obesity. The objective of this study was to examine which family and maternal factors predict increases in weight in boys and girls during middle to late childhood. This study used longitudinal data from the childhood growth and development (GAD) Study. The GAD Study involved 286 healthy weight, overweight and obese children, aged 6–13 years at baseline, who completed baseline, 1-year follow-up and 2-year follow-up assessments. Overweight/obese children were recruited from clinical and community settings. A broad range of maternal and family factors were assessed. Linear mixed models were used to identify which factors predicted child Body Mass Index (BMI) z-scores over time. For community-based children, maternal BMI and single-parent family structure were significant longitudinal predictors of child BMI z-scores. For the clinical participants, low family income was the only significant multivariate predictor of child BMI z-scores. The strong association between child BMI, maternal BMI and family structure confirms the need to target prevention and intervention efforts for childhood overweight and obesity towards families with overweight parents, particularly single-parent families.

Keywords

Childhood overweight Longitudinal design Family functioning Child Body Mass Index Maternal Body Mass Index 

Notes

Acknowledgments

This research is funded by a WA Health Promotion (Healthway) Project Grant, a WA Health Promotion (Healthway) Research Fellowship, the Health Benefit Fund (HBF), and the Raine Medical Foundation.

Compliance with Ethical Standards

Conflict of interest

The authors declare no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The study protocol was approved by the WA Women’s and Children’s Health Service Ethics Committee.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

References

  1. Allen, K. L., Byrne, S. M., Blair, E. M., & Davis, E. A. (2006). Why do some overweight children experience psychological problems? The role of weight and shape concern. International Journal of Pediatric Obesity, 1, 239–247.CrossRefPubMedGoogle Scholar
  2. Allen, K. L., Byrne, S. M., McLean, N. J., & Davis, E. A. (2008). Overconcern with weight and shape is not the same as body dissatisfaction: Evidence from a prospective study of pre-adolescent boys and girls. Body Image, 5, 261–270.CrossRefPubMedGoogle Scholar
  3. Arnold, D. S., O’Leary, S. G., Wolff, L. S., & Acker, M. M. (1993). The parenting scale: A measure of dysfunctional parenting discipline situations. Psychological Assessments, 5, 137–144.CrossRefGoogle Scholar
  4. Banis, H. T., Varni, J. W., Wallander, J. L., Korsch, B. M., Jay, S. M., Adler, R., & Negrete, V. (1988). Psychological and social adjustment of obese children and their families. Child: Care Health and Development, 14, 157–173.Google Scholar
  5. Beck, S., & Terry, K. (1985). A comparison of obese and normal-weight families’ psychological characteristics. The American Journal of Family Therapy, 13, 55–59.CrossRefGoogle Scholar
  6. Bruch, H. (1973). Eating disorders: Obesity, anorexia nervosa, and the person within. New York: Basic Books.Google Scholar
  7. Brugha, T., Bebbington, P., Tennant, C., & Hurry, J. (1985). The list of threatening experiences: A subset of 12 life event categories with considerable long-term contextual threat. Psychological Medicine, 18, 189–194.CrossRefGoogle Scholar
  8. Burke, V., Beilin, L., & Dunbar, D. (2001). Family lifestyle and parental body mass index as predictors of body mass index in Australian children: A longitudinal study. International Journal of Obesity and Related Metabolic Disorders, 25, 147–157.CrossRefPubMedGoogle Scholar
  9. Danielzik, S., Czerwinski-Mast, M., Langnase, K., Dilba, B., & Muller, M. J. (2004). Parental overweight, socioeconomic status and high birth weight are the major determinants of overweight and obesity in 5–7 y-old children: Baseline data of the Kiel Obesity Prevention Study (KOPS). International Journal of Obesity, 28, 1494–1502.CrossRefPubMedGoogle Scholar
  10. Epstein, N. B., Baldwin, L. M., & Bishop, D. S. (1983). The McMaster family assessment device. Journal of Martial and Family Therapy, 9, 171–180.CrossRefGoogle Scholar
  11. Epstein, L. H., Valoski, A., & Wing, R. R. (1990). Ten year follow-up of behavioural, family based treatment for obese children. Journal of the American Medical Association, 264, 2519–2523.CrossRefPubMedGoogle Scholar
  12. Gibson, L. Y., Byrne, S., Davis, E. A., Blaire, E., Jacoby, P., & Zubrick, S. R. (2007). The role of family and maternal factors in childhood obesity. The Medical Journal of Australia, 186, 591–595.PubMedGoogle Scholar
  13. Golan, M., & Crow, S. (2004). Targeting parents exclusively in the treatment of childhood obesity: Long-term results. Obesity Research, 12, 357–361.CrossRefPubMedGoogle Scholar
  14. Hesketh, K., Crawford, D., Salmon, J., Kackson, M., & Campbell, K. (2007). Associations between family circumstances and weight status of Australian children. International Journal of Paediatric Obesity, 2, 86–96.CrossRefGoogle Scholar
  15. Huang, R. C., De Klerk, N. H., Smith, A., Kendall, G. E., Landau, L. I., Mori, T. A., & Beilin, L. J. (2011). Lifecourse childhood adiposity trajectories associated with adolescent insulin resistance. Diabetes Care, 34, 1019–1025.CrossRefPubMedPubMedCentralGoogle Scholar
  16. Kinston, W., & Loader, P. (1984). Eliciting family interaction with a standardised clinical interview. Journal of Family Therapy, 6, 347–363.CrossRefGoogle Scholar
  17. Lissau, I., & Sorensen, T. I. (1994). Parental neglect during childhood and increased risk of obesity in young adulthood. Lancet, 343, 324–327.CrossRefPubMedGoogle Scholar
  18. Lovibond, S. H., & Lovibond, P. F. (1995). Manual for the Depression Anxiety Stress Scales. Sydney: Psychological Foundation Monograph.Google Scholar
  19. Mendelson, B. K., White, D. R., & Schliecker, E. (1995). Adolescents’ weight, sex and family functioning. International Journal of Eating Disorders, 17, 73–79.CrossRefPubMedGoogle Scholar
  20. Ogden, C. L., Kuczmarski, R. J., Flegal, K. M., Mei, Z., Guo, S., Wei, R., & Johnson, C. L. (2002). Center for Disease Control and Prevention 2000 growth charts for the United States: Improvements to the 1977 National Center for Health Statistics version. Pediatrics, 109, 45–60.CrossRefPubMedGoogle Scholar
  21. Oude, L. H., Baur, L., Jansen, H., Shrewsbury, V. A., O’Malley, C., Stolk, R. P., & Summerbell, C. D. (2009). Interventions for treating obesity in children. Cochrane Database Systematic Reviews. doi: 10.1002/14651858.CD001872.pub2.Google Scholar
  22. Rosenberg, M. (1989). Society and the Adolescent Self-Image. Middletown, CT: Wesleyan University Press. (revised edition).Google Scholar
  23. Strauss, R. S., & Knight, J. (1999). Influence of the home environment on the development of obesity in children. Pediatrics, 103, 85–93.CrossRefGoogle Scholar
  24. Tate, E. B., Wood, W., Liao, Y., & Dunton, G. F. (2015). Do stressed mothers have heavier children? A meta-analysis on the relationship between maternal stress and child body mass index. Obesity Reviews, 16, 351–361.CrossRefPubMedPubMedCentralGoogle Scholar
  25. Wang, Z., Patterson, C. M., & Hills, A. P. (2002). Association between overweight or obesity and household income and parental body mass index in Australian youth: Analysis of the Australian National Nutrition Survey. Asia Pacific Journal of Clinical Nutrition, 11, 200–205.CrossRefPubMedGoogle Scholar
  26. West, F., Sanders, M., Cleghorn, G. J., & Davies, P. S. W. (2010). Randomised clinical trial of a family-based lifestyle intervention for childhood obesity involving parents as the exclusive agents of change. Behaviour Research and Therapy, 48, 1170–1179.CrossRefPubMedGoogle Scholar
  27. Whitaker, R. C., Wright, J. A., Pepe, M. S., Seidel, K. D., & Dietz, W. H. (1997). Predicting obesity in young adulthood from childhood and parental obesity. New England Journal of Medicine, 337, 869–873.CrossRefPubMedGoogle Scholar
  28. World Health Organization. (2000). Obesity: Preventing and managing the global epidemic: Report of a WHO Consultation (WHO Technical Report Series: 894). Geneva: Author.Google Scholar

Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  • Lisa Y. Gibson
    • 1
  • Karina L. Allen
    • 1
  • Susan M. Byrne
    • 2
  • Kim Clark
    • 1
    • 5
  • Eve Blair
    • 1
  • Elizabeth Davis
    • 3
  • Stephen R. Zubrick
    • 4
  1. 1.Telethon Kids InstituteThe University of Western AustraliaPerthAustralia
  2. 2.School of PsychologyThe University of Western AustraliaPerthAustralia
  3. 3.Department of Endocrinology and DiabetesPrincess Margaret Hospital for ChildrenPerthAustralia
  4. 4.Telethon Kids Institute, Graduate School of EducationThe University of Western AustraliaPerthAustralia
  5. 5.School of Medical & Health SciencesEdith Cowan UniversityPerthAustralia

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