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. 2020 Oct;16(4):e13024.
doi: 10.1111/mcn.13024. Epub 2020 Jul 7.

Body size preferences and food choice among mothers and children in Malawi

Valerie L Flax  1 , Chrissie Thakwalakwa  2 , John C Phuka  3 , Lindsay M Jaacks  4
Affiliations

Body size preferences and food choice among mothers and children in Malawi

Valerie L Flax et al. Matern Child Nutr. 2020 Oct.

Abstract

Overweight in mothers and children in sub-Saharan Africa is rapidly increasing and may be related to body size perceptions and preferences. We enrolled 268 mother-child (6-59 months) pairs in central Malawi; 71% of mothers and 56% of children were overweight/obese, and the remainder were normal weight. Interviewers used seven body silhouette drawings and a questionnaire with open- and closed-ended questions to measure mothers' perceptions of current, preferred and healthy maternal and child body sizes and their relation to food choices. Overweight/obese and normal weight mothers' correct identification of their current weight status (72% vs. 64%), preference for overweight/obese body size (68% both) and selection of an overweight/obese silhouette as healthy (94% vs. 96%) did not differ by weight status. Fewer overweight/obese than normal weight mothers' preferred body silhouette was larger than their current silhouette (74% vs. 29%, p < .001). More mothers of overweight than normal weight children correctly identified the child's current weight status (55% vs. 42%, p < .05) and preferred an overweight/obese body size for the child (70% vs. 58%, p < .01), and both groups selected overweight/obese silhouettes as healthy for children. More than half of mothers in both groups wanted their child to be larger than the current size. Mothers said that increasing consumption of fruits, vegetables, meat, milk, grains, fizzy drinks and fatty foods could facilitate weight gain, but many cannot afford to purchase some of these foods. Their desired strategies for increasing weight indicate that body size preferences may drive food choice but could be limited by affordability.

Keywords: Malawi; body size perceptions; child; food choice; mother; overweight; sub-Saharan Africa.

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Conflict of interest statement

The authors declare that they have no conflicts of interest.

Figures

FIGURE 1
FIGURE 1
Mother and child body silhouettes
FIGURE 2
FIGURE 2
Current, preferred and healthy mother and child body silhouette selections by weight status (Mothers: normal weight, N = 78, overweight/obese, N = 190; Children: normal weight, N = 118, overweight/obese, N = 150)
FIGURE 3
FIGURE 3
Difference in mothers' selections of preferred versus current body silhouettes for herself and her child by maternal and child weight status (Mothers: normal weight, N = 78, overweight/obese, N = 190; Children: normal weight, N = 118, overweight/obese, N = 150)
See this image and copyright information in PMC

References

    1. Adeniyi, O. F. , Ekure, E. , Olatona, F. A. , Ajayi, E. O. , & Nworgu, N. (2018). Nutritional assessment and maternal perception of toddler body size using toddler silhouette scale in Nigeria a developing country. International Journal of Maternal and Child Health and AIDS, 7, 9–16. 10.21106/ijma.217 - DOI - PMC - PubMed
    1. Ajzen, I. (1992). A comparison of the theory of planned behavior and the theory of reasoned action. Personality and Social Psychology Bulletin, 18, 3–9.
    1. Akindele, M. O. , Phillips, J. , Igumbor, E. , & Useh, U. (2017). Body weight misperception and dissatisfaction among overweight and obese adult Nigerians. JMIR Public Health and Surveillance, 3, e56 10.2196/publichealth.7047 - DOI - PMC - PubMed
    1. Akinpelu, A. O. , Oyewole, O. O. , & Adekanla, B. A. (2015). Body size perceptions and weight status of adults in a Nigerian rural community. Annals of Medical and Health Sciences Research, 5, 358–364. - PMC - PubMed
    1. Appiah, C. A. , Otoo, G. E. , & Steiner‐Asiedu, M. (2016). Preferred body size in urban Ghanaian women: Implication on the overweight/obesity problem. The Pan African Medical Journal, 23, 239.

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