Published online November 30, 2007
PEDIATRICS Vol. 120 No. 6 December 2007, pp. e1520-e1527 (doi:10.1542/peds.2006-3707)
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ARTICLE

Preschooler Obesity and Parenting Styles of Mothers and Fathers: Australian National Population Study

Melissa Wake, MDa,b,c, Jan M. Nicholson, PhDb,d, Pollyanna Hardy, MSca,b,e and Katherine Smith, BSca,b,e

a Centre for Community Child Health
e Clinical Epidemiology and Biostatistics Unit, Royal Children's Hospital, Parkville, Victoria, Australia
b Murdoch Children Research Institute, Parkville, Victoria, Australia
c Department of Paediatrics, University of Melbourne, Parkville, Victoria, Australia
d Griffith Psychological Health Research Centre, Griffith University, Queensland, Australia

OBJECTIVE. The purpose of this work was to determine relationships between BMI status at ages 4 to 5 years and mothers' and fathers' parenting dimensions and parenting styles.

PARTICIPANTS AND METHODS. Participants were composed of all 4983 of the 4- to 5-year-old children in wave 1 of the nationally representative Longitudinal Study of Australian Children with complete BMI and maternal parenting data. Mothers and fathers self-reported their parenting behaviors on 3 multi-item continuous scales (warmth, control, and irritability) and were each categorized as having 1 of 4 parenting styles (authoritative, authoritarian, permissive, and disengaged) using internal warmth and control tertile cut points. Using a proportional odds model, odds ratios for children being in a higher BMI category were computed for mothers and fathers separately and together, after adjustment for factors associated with child BMI, including mothers' and fathers' BMI status.

RESULTS. The sample was composed of 2537 boys and 2446 girls with a mean age 56.9 months; 15% were overweight and 5% were obese (International Obesity Task Force criteria). Mothers' parenting behaviors and styles were not associated in any model with higher odds of children being in a heavier BMI category, with or without multiple imputation to account for missing maternal BMI data. Higher father control scores were associated with lower odds of the child being in a higher BMI category. Compared with the reference authoritative style, children of fathers with permissive and disengaged parenting styles had higher odds of being in a higher BMI category.

CONCLUSIONS. This article is the first, to our knowledge, to examine the parenting of both parents in relation to preschoolers' BMI status while also adjusting for parental BMI status. Fathers' but not mothers' parenting behaviors and styles were associated with increased risks of preschooler overweight and obesity. Longitudinal impacts of parenting on BMI gain remain to be determined.

Key Words: parenting • mothers • fathers • obesity • child • preschool

Abbreviations: LSAC—Longitudinal Study of Australian Children • SEIFA—Socio-Economic Indexes for Areas • OR—odds ratio • CI—confidence interval

Accepted May 16, 2007.


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