title: Child-feeding strategies are associated with maternal concern about children becoming overweight, but not children's weight status.
abstract: BACKGROUND
  Research suggests that parents use specific child-feeding strategies to influence their child's weight based on perceptions and concerns about their child's overweight risk, but limited data are available on ethnically diverse low-income populations.
  
  
  OBJECTIVE
  This cross-sectional study examined associations between mothers' perception and concern about children's weight, child-feeding strategies, and child overweight in an ethnically diverse population.
  
  
  METHODS
  Mothers of preschool children (n=967) who participated in a federally funded nutrition program were asked how they fed their child, how they perceived child's weight, and whether or not they were concerned about their child becoming overweight.
  
  
  METHODS
  Logistic regression to calculate odds of maternal perception/concern given child weight, feeding strategy given maternal perception/concern, and child overweight given feeding strategy.
  
  
  RESULTS
  Only 21% (n=23/108) of overweight preschoolers were perceived as overweight. Maternal perception of overweight was not associated with feeding strategies. About 53% (n=76/144) of Hispanic, 42% (n=23/55) of African-American, and 29% (n=223/768) of white mothers reported concern about their child becoming overweight. Mothers reporting concern were more likely to restrict child's intake of select foods (odds ratio 5.94; 95% confidence interval 1.74 to 20.28) and less likely to pressure child to eat (odds ratio 0.39; 95% confidence interval 0.15 to 0.99); however, these strategies did not predict child overweight.
  
  
  CONCLUSIONS
  Mothers concerned about their child becoming overweight were more likely to restrict children's intake of specific foods and less likely to pressure their child to eat; however, this study did not detect an association between feeding strategies and child overweight.
authors.affiliation: Department of Human Development and Family Studies, The Pennsylvania State University, University Park, PA 16802, USA. alm429@psu.edu
authors.forename: Ashleigh L
authors.initials: AL
authors.lastname: May
authors.forename: Margaret
authors.initials: M
authors.lastname: Donohue
authors.forename: Kelley S
authors.initials: KS
authors.lastname: Scanlon
authors.forename: Bettylou
authors.initials: B
authors.lastname: Sherry
authors.forename: Karen
authors.initials: K
authors.lastname: Dalenius
authors.forename: Patricia
authors.initials: P
authors.lastname: Faulkner
authors.forename: Leann L
authors.initials: LL
authors.lastname: Birch
mesh_terms: D000328:Adult; D001741:Black or African American / Q000523:psychology; D001835:Body Weight / Q000502:physiology*; D002664:Child Nutritional Physiological Phenomena; D002675:Child, Preschool; D016001:Confidence Intervals; D005247:Feeding Behavior / Q000523:psychology*; D005260:Female; D006630:Hispanic or Latino / Q000523:psychology; D006801:Humans; D016015:Logistic Models; D008297:Male; D009035:Mothers / Q000523:psychology*; D009765:Obesity / Q000453:epidemiology* / Q000209:etiology / Q000523:psychology; D016017:Odds Ratio; D050177:Overweight / Q000502:physiology; D010465:Perception; D015995:Prevalence; D044465:White People / Q000523:psychology