Maternal and Child Health Journal

, Volume 14, Issue 4, pp 548–556 | Cite as

Mealtime Television Viewing and Dietary Quality in Low-Income African American and Caucasian Mother–Toddler Dyads

  • Mildred A. Horodynski
  • Manfred Stommel
  • Holly E. Brophy-Herb
  • Lorraine Weatherspoon


To examine maternal demographic characteristics and depressive symptoms as predictors of TV viewing during mealtimes, and to investigate how mealtime TV viewing predicts mothers’ and toddlers’ food consumption. A prospective, cross-sectional survey design was employed with 199 African American and 200 Caucasian, low-income, mother–toddler dyads enrolled in eight Early Head Start programs in a Midwestern state. Mothers completed the Toddler–Parent Mealtime Behavior Questionnaire to assess toddler mealtime behavior. Data were analyzed using a three-step multiple regression: (a) step one was to determine what characteristics predicted family TV viewing during mealtime; (b) step two was to determine whether TV viewing during mealtime predicted maternal food consumption, and (c) step three was to determine whether TV viewing during mealtime predicted toddler food consumption. Direct and indirect effects of TV watching were explored via path models. Maternal race, education, and depressive symptoms predicted 8% of the variance in TV viewing during mealtime (P ≤ 0.001). African American mothers and mothers who had fewer years of schooling and exhibited more depressive symptoms tended to watch more TV during mealtime. More TV viewing during mealtime predicted mothers’ intake of ‘more’ unhealthy foods. Mothers’ food consumption was the single best predictor of toddlers’ food consumption, while TV viewing during mealtime had an indirect effect through mothers’ TV viewing. TV viewing practices affect mothers’ food consumption and mealtime behaviors; this, in turn, impacts toddlers’ food consumption. Practical interventions are needed to positively influence the nutritional habits of lower-income mothers. Reducing mothers’ “unhealthy” food consumption while watching TV may offer one effective strategy.


Toddler Television watching Mealtime behavior Food consumption 


  1. 1.
    Irigoyen, M., Glassman, M. E., Chen, S., & Findley, S. E. (2008). Early onset of overweight and obesity among low-income 1- to 5-year olds in New York City. Journal of Urban Health, 85(4), 545–554.CrossRefPubMedGoogle Scholar
  2. 2.
    Centers for Disease Control and Prevention. (2005). Preventing obesity and chronic diseases through good nutrition and physical activity fact sheet. Retrieved June 1, 2008, from
  3. 3.
    Styne, D. M. (2001). Childhood and adolescent obesity. Prevalence and significance. Pediatric Clinics of North America, 48(4), 823–854, vii.CrossRefPubMedGoogle Scholar
  4. 4.
    Fagot-Campagna, A., Pettitt, D. J., Engelgau, M. M., Burrows, N. R., Geiss, L. S., Valdez, R., et al. (2000). Type 2 diabetes among North American children and adolescents: An epidemiologic review and a public health perspective. The Journal of Pediatrics, 136(5), 664–672.CrossRefPubMedGoogle Scholar
  5. 5.
    Osmond, C., & Barker, D. J. (2000). Fetal, infant, and childhood growth are predictors of coronary heart disease, diabetes, and hypertension in adult men and women. Environmental Health Perspectives, 108(Suppl. 3), 545–553.CrossRefPubMedGoogle Scholar
  6. 6.
    American Academy of Pediatrics Committee on Nutrition. (2003). Policy statement: Prevention of pediatric overweight and obesity. Pediatrics, 112(2), 424–430.CrossRefGoogle Scholar
  7. 7.
    Birch, L. L., & Davison, K. K. (2001). Family environmental factors influencing the developing behavioral controls of food intake and childhood overweight. Pediatric Clinics of North America, 48(4), 893–907.CrossRefPubMedGoogle Scholar
  8. 8.
    Matheson, D. M., Wang, Y., Klesges, L. M., Beech, B. M., Kraemer, H. C., & Robinson, T. N. (2004). African-American girls’ dietary intake while watching television. Obesity, 12(S9), 32S–37S.CrossRefGoogle Scholar
  9. 9.
    Matheson, D. M., Killen, J. D., Wang, Y., Varady, A., & Robinson, T. N. (2004). Children’s food consumption during television viewing. American Journal of Clinical Nutrition, 79(6), 1088–1094.Google Scholar
  10. 10.
    Harrison, K., & Marske, A. L. (2005). Nutritional content of foods advertised during the television programs children watch most. American Journal of Public Health, 95(9), 1568–1574.CrossRefPubMedGoogle Scholar
  11. 11.
    Feldman, S., Eisenberg, M. E., Neumark-Sztainer, D., & Story, M. (2007). Associations between watching TV during family meals and dietary intake among adolescents. Journal of Nutrition Education and Behavior, 39(5), 257–263.CrossRefPubMedGoogle Scholar
  12. 12.
    Coon, K. A., Goldberg, J., Rogers, B. L., & Tucker, K. L. (2001). Relationships between use of television during meals and children’s food consumption patterns. Pediatrics, 107(1), e7.CrossRefPubMedGoogle Scholar
  13. 13.
    Cleland, V. J., Schmidt, M. D., Dwyer, T., & Venn, A. J. (2008). Television viewing and abdominal obesity in young adults: is the association mediated by food and beverage consumption during viewing time or reduced leisure-time physical activity? The American Journal of Clinical Nutrition, 87, 1148–1155.PubMedGoogle Scholar
  14. 14.
    Hoerr, S. L., Lee, S. Y., Schiffman, R. F., Horodynski, M. O., & McKelvey, L. (2006). Beverage consumption of mother–toddler dyads in families with limited income. Journal of Pediatrics Nursing, 21, 403–411.CrossRefGoogle Scholar
  15. 15.
    Burdette, H. L., Whitaker, R. C., Kahn, R. S., & Harvey-Berino, J. (2003). Association of maternal obesity and depressive symptoms with television-viewing time in low-income preschool children. Archives of Pediatrics and Adolescent Medicine, 157(9), 894–899.CrossRefPubMedGoogle Scholar
  16. 16.
    Caroli, M., Argentieri, L., Cardone, M., & Masi, A. (2004). Role of television in childhood obesity prevention. International Journal of Obesity, 28(S3), S104–S108.CrossRefPubMedGoogle Scholar
  17. 17.
    Dennison, B. A., Erb, T. A., & Jenkins, P. L. (2002). Television viewing and television in bedroom associated with overweight risk among low-income preschool children. Pediatrics, 109(6), 1028–1035.Google Scholar
  18. 18.
    Office of Head Start. (1998). Head start program performance standards and other regulations. Retrieved June 19, 2005, from
  19. 19.
    Stommel, M., Horodynski, M. A., Brophy-Herb, H., & Weatherspoon, L. (2008, June). Observational validation of mealtime behavior self-reports of African American and White low-income mothers of toddlers. Paper presented at the Head Start’s 9th National Research Conference, Washington, DC.Google Scholar
  20. 20.
    Block, G. (1998). Block dietary data systems (98 version). Berkeley, CA.Google Scholar
  21. 21.
    Giammattei, J., Blix, G., Marshak, H. H., Wollitzer, A. O., & Pettitt, D. J. (2003). Television watching and soft drink consumption: Associations with obesity in 11- to 13-year-old schoolchildren. Archives of Pediatrics and Adolescent Medicine, 157(9), 882–886.CrossRefPubMedGoogle Scholar
  22. 22.
    Radloff, L. S. (1977). The CES-D Scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385–401.CrossRefGoogle Scholar
  23. 23.
    Omar (Horodynski), M. A., Coleman, G., Contreras, D., & Hoerr, S. L. (October, 2001–September, 2004). Nutrition education aimed at toddlers program (NEAT). Department of Health and Human Services: Administration on Children, Youth, and Families.Google Scholar
  24. 24.
    Centers for Disease Control and Prevention. (2008). Measuring height and weight accurately at home. Retrieved September 17, 2008, from
  25. 25.
    Kuczmarski, R. J., Ogden, C. L., Grummer-Strawn, L. M., Flegal, K. M., Guo, S. S., Wei, R., et al. (2000). CDC growth charts: United States. Retrieved July 20, 2007, from
  26. 26.
    Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182.CrossRefPubMedGoogle Scholar
  27. 27.
    Draper, N. R., & Smith, H. (1998). Applied regression analysis (3rd ed). Probability and Statistics. New York: Wiley.Google Scholar
  28. 28.
    Wall, S. M., Taylor, N. E., Liebow, H., Sabatino, C. A., Mayer, L. M., Farber, M. Z., et al. (2005). Early head start and access to early intervention services: A qualitative investigation. Topics in Early Childhood Special Education, 25(4), 218–231.CrossRefGoogle Scholar
  29. 29.
    Centers for Disease Control and Prevention. (2008). Healthy weight. Retrieved June 1, 2008, from
  30. 30.
    McCaffree, J. (2003). Childhood eating patterns: The roles parents play. Journal of the American Dietetic Association, 103(12), 1587.CrossRefPubMedGoogle Scholar
  31. 31.
    Crespo, C. J., Smit, E., Troiano, R. P., Bartlett, S. J., Macera, C. A., & Andersen, R. E. (2001). Television watching, energy intake, and obesity in U.S. children: Results from the third national health and nutrition examination survey, 1988–1994. Archives of Pediatrics and Adolescent Medicine, 155(3), 360–365.PubMedGoogle Scholar
  32. 32.
    Satter, E. M. (2005). Children, the feeding relationship and weight, selected annotated references. Retrieved June 19, 2008, from
  33. 33.
    Skinner, J. A., Ziegler, P., Pac, S., & DeVaney, B. (2004). Meal and snack patterns of infants and toddlers. Journal of the American Dietetic Association, 104, S65–S70.CrossRefPubMedGoogle Scholar
  34. 34.
    Cullen, K. W., Baranowski, T., Rittenberry, L., Cosart, C., Hebert, D., & de Moor, C. (2001). Child-reported family and peer influences on fruit, juice and vegetable consumption: Reliability and validity of measures. Health Education Research, 16(2), 187–200.CrossRefPubMedGoogle Scholar
  35. 35.
    Gortmaker, S. L., Must, A., Sobol, A. M., Peterson, K., Colditz, G. A., & Dietz, W. H. (1996). Television viewing as a cause of increasing obesity among children in the United States, 1986–1990. Archives of Pediatrics and Adolescent Medicine, 150(4), 356–362.PubMedGoogle Scholar
  36. 36.
    Certain, L. K., & Kahn, R. S. (2002). Prevalence, correlates, and trajectory of television viewing among infants and toddlers. Pediatrics, 109(4), 634–642.CrossRefPubMedGoogle Scholar
  37. 37.
    Jacob, T., Tennenbaum, D., Seilhamer, R. A., Bargiel, K., & Sharon, T. (1994). Reactivity effects during naturalistic observation of distressed and nondistressed families. Journal of Family Psychology, 8(3), 354–363.CrossRefGoogle Scholar
  38. 38.
    Pett, M. A., Wampold, B. E., Vaughan-Cole, B., & East, T. D. (1992). Consistency of behaviors within a naturalistic setting: An examination of the impact of context and repeated observations on mother–child interactions. Behavioral Assessment, 14, 367–385.Google Scholar
  39. 39.
    Gardner, F. (2000). Methodological issues in the direct observation of parent–child interaction: Do observational findings reflect the natural behavior of participants? Clinical Child and Family Psychology Review, 3(3), 185–198.CrossRefPubMedGoogle Scholar
  40. 40.
    Dietz, W. H., & Gortmaker, S. L. (2001). Preventing obesity in children. Annual Review of Public Health, 22, 337–353.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Mildred A. Horodynski
    • 1
  • Manfred Stommel
    • 2
  • Holly E. Brophy-Herb
    • 3
  • Lorraine Weatherspoon
    • 4
  1. 1.College of NursingMichigan State UniversityEast LansingUSA
  2. 2.College of Nursing, W149 Owen Graduate CenterMichigan State UniversityEast LansingUSA
  3. 3.Department of Family and Child EcologyMichigan State UniversityEast LansingUSA
  4. 4.Department of Food Science and Human NutritionMichigan State UniversityEast LansingUSA

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