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. 2014 May 13:14:450.
doi: 10.1186/1471-2458-14-450.

Why do mothers encourage their children to control their weight? A cross-sectional study of possible contributing factors

Collaborators, Affiliations

Why do mothers encourage their children to control their weight? A cross-sectional study of possible contributing factors

Anja C Schreiber et al. BMC Public Health. .

Abstract

Background: Mothers encouraging their children to control their weight is problematic as it is associated with children's body dissatisfaction and weight concerns as well as further weight gain. The aim of this study was to identify factors in children and mothers associated with mothers encouraging their children to control their weight and possible gender differences therein.

Methods: Cross-sectional questionnaire data was available from 1658 mothers of primary school children (mean age 7.1 ±0.6 years, 50.4% boys) participating in the Baden-Württemberg Study. Children's body weight and height were measured in a standardised manner. Logistic regressions were computed separately for boys and girls, adjusted odds ratios (OR) and 95% confidence intervals (CI) from the final model are reported.

Results: 29% of children were encouraged by their mothers, girls (32.4%) significantly more often than boys (25.6%). Child BMI (girls OR 1.77, CI 1.57 to 1.99; boys OR 1.88, CI 1.66 to 2.13), and child migration background (girls OR 2.14, CI 1.45 to 3.16; boys OR 1.60, CI 1.07 to 2.37) were significantly associated with encouragement by mothers. For girls, maternal body dissatisfaction (OR 1.59, CI 1.10 to 2.30) and maternal perception of a low influence on health (OR 0.51, CI 0.29 to 0.89) were also significantly associated with maternal encouragement. For boys, this was true of mothers self-efficacy to influence their children's physical activity (OR 0.58, CI 0.40 to 0.85).

Conclusion: Different factors are associated with mothers encouraging boys and girls to control their weight. Identifying correlates and underlying processes of maternal encouragement can inform preventive measures targeting weight and eating related problems in children.

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Figures

Figure 1
Figure 1
Overview of sample size. *Cases with complete data on encouragement by mothers, child gender and child age were considered eligible for analysis.
Figure 2
Figure 2
Maternal encouragement to control weight in under-, normal- and overweight boys and girls. Comparison of the percentage of mothers of boys vs. mothers of girls encouraging their children to control their weight stratified by children’s weight group. *** χ2(1)=10.419, p=.001.

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