Childhood Obesity Risk in Overweight Mothers

Abstract

Purpose. Family dietary and nutritional behaviors predispose children to obesity. The purpose of this study was to examine the childhood obesity risk among overweight women and to assess feasibility of using a screening tool in a busy clinic setting. Design. A cross-sectional study using the Family Nutrition Physical Activity (FNPA) tool was self-administered by 98 overweight mothers identifying risk factors for childhood obesity. Measures. Mothers completed demographic and a 20-item screening survey with subscales on family meal patterns, family eating habits, food choices, beverage choices, restriction/reward, screen time behavior and monitoring, healthy environment, family activity involvement, child activity involvement, and family routine. After completing the survey, a summary of recommended practices from the American Academy of Pediatrics was provided. Results. Ninety-eight mothers participated (of 172 children between 2 and 18 years old). Lower FNPA scores (obesogenic) were associated were higher body mass index, family income, race/ethnicity, education, and mother’s body mass index. Parents’ and children’s obesity was comparable to what is found in larger populations, whereas obesity in the age-group between 2 and 5 years was doubled. Conclusion. Findings support maternal obesity is significant predictor for the development of child obesity. FNPA identified risk and feasibility of use was demonstrated.