scholarly journals The Moderating Effects of the Families Improving Together (FIT) for Weight Loss Intervention and Parenting Factors on Family Mealtime in Overweight and Obese African American Adolescents

Nutrients ◽  
2021 ◽  
Vol 13 (6) ◽  
pp. 1745
Author(s):  
Dawn K. Wilson ◽  
Allison M. Sweeney ◽  
Mary Quattlebaum ◽  
Haylee Loncar ◽  
Colby Kipp ◽  
...  
Keyword(s):  
Weight Loss ◽  
African American ◽  
Parenting Styles ◽  
Positive Association ◽  
African American Adolescents ◽  
Motivational Strategies ◽  
Moderating Effects ◽  
Parental Feeding Practices ◽  
Parental Concerns ◽  
Parental Feeding

Few studies have integrated positive parenting and motivational strategies to address dietary outcomes such as frequency of family mealtime. The Families Improving Together (FIT) for Weight Loss trial was a randomized group cohort trial (n = 241 dyads) testing the efficacy of integrating a motivational plus family weight loss (M + FWL) intervention for healthy eating and weight loss in overweight and obese African American adolescents. The current study tested the interaction of parenting styles (responsiveness, demandingness) and parental feeding practices (restriction, concern about child’s weight, pressure to eat) and the FIT intervention on frequency of family mealtime over 16 weeks. Multilevel modeling demonstrated significant interactions between the group-based treatment and responsiveness (p = 0.018) and demandingness (p = 0.010) on family mealtime. For the group-based M + FWL intervention, increased responsiveness and reduced demandingness were associated with increased frequency of family mealtime from baseline to 16 weeks. There was also a negative association between parental restriction and frequency of family mealtime, but a positive association between parental concerns about their adolescent’s weight and frequency of mealtime. These findings are the first to demonstrate that an authoritative or nurturing parenting style moderated intervention effects for improving the frequency of family mealtime in overweight and obese African American adolescents.

scholarly journals Moderating Effects of Parental Feeding Practices and Emotional Eating on Dietary Intake among Overweight African American Adolescents

Nutrients ◽  
2021 ◽  
Vol 13 (6) ◽  
pp. 1920
Author(s):  
Mary Quattlebaum ◽  
Dawn K. Wilson ◽  
Allison M. Sweeney ◽  
Nicole Zarrett
Keyword(s):  
African American ◽  
Parental Monitoring ◽  
Emotional Eating ◽  
Saturated Fat ◽  
Feeding Practices ◽  
African American Adolescents ◽  
Family Systems Theory ◽  
Dietary Quality ◽  
Parental Feeding Practices ◽  
Parental Feeding

This study examined the effects of parental feeding practices and adolescent emotional eating (EE) on dietary outcomes among overweight African American adolescents. Based on Family Systems Theory, it was hypothesized that parental feeding practices, such as parental monitoring and responsibility, would buffer the effects of EE on poor dietary quality, whereas practices such as concern about a child’s weight, restriction, and pressure-to-eat would exacerbate this relationship. Adolescents (N = 127; Mage = 12.83 ± 1.74; MBMI% = 96.61 ± 4.14) provided baseline data from the Families Improving Together (FIT) for Weight Loss trial and an ancillary study. Dietary outcomes (fruit and vegetables (F&Vs), energy intake, sweetened beverage, total fat, and saturated fat) were assessed using random 24-h dietary recalls. Validated surveys were used to assess adolescent-reported EE and parental feeding practices. Results demonstrated a significant interaction between EE and parental monitoring (adjusted analyses; B = 0.524, SE = 0.176, p = 0.004), restriction (B = −0.331, SE = 0.162, p = 0.043), and concern (B = −0.602, SE = 0.171, p = 0.001) on F&V intake; under high monitoring, low restriction, and low concern, EE was positively associated with F&V intake. There were no significant effects for the other dietary outcomes. These findings indicate that parental feeding practices and EE may be important factors to consider for dietary interventions, specifically for F&V intake, among overweight African American adolescents.

The Moderating Effects of Culture on Peer Deviance and Alcohol Use among High-Risk African-American Adolescents

2007 ◽  
Vol 37 (3) ◽  
pp. 335-363 ◽  
Author(s):  
Aashir Nasim ◽  
Faye Z. Belgrave ◽  
Robert J. Jagers ◽  
Karen D. Wilson ◽  
Kristal Owens
Keyword(s):  
African American ◽  
Ethnic Identity ◽  
Alcohol Use ◽  
Risk Behaviors ◽  
African American Youth ◽  
African American Adolescents ◽  
Protective Effects ◽  
Moderating Effects ◽  
Heavy Alcohol ◽  
Cultural Variables

African-American adolescents have lower rates of alcohol consumption than White youth. However, African-American youth suffer disproportionately more adverse social, mental, and physical health outcomes related to alcohol use. Affiliating with negative peers is a risk factor for alcohol initiation and consumption. Cultural variables have shown moderating effects against other risk factors for African-American youth and therefore were the focus of this study. Specifically, we tested whether three culturally-relevant variables, Africentric beliefs, religiosity, and ethnic identity were promotive or protective for alcohol initiation and use within the context of negative peer affiliations. The sample consisted of 114 at-risk African-American adolescents whose ages ranged from 13 to 20. Participants were administered a questionnaire with measures of alcohol initiation and use, peer risk behaviors, ethnic identity, Africentric beliefs, religiosity, and demographic items. Peer risk behaviors accounted for significant percentages of the variance in age of alcohol initiation, lifetime use, and current and heavy alcohol use after adjusting for age and gender. Cultural variables showed both promotive and protective effects. Africentric beliefs were promotive of delayed alcohol initiation, whereas both Africentrism and religiosity moderated peer risk behaviors effect on alcohol initiation. Africentric beliefs were also inversely related to lifetime alcohol use revealing a promotive effect. Moreover, there were significant protective effects of ethnic identity and religiosity on heavy alcohol consumption. One implication of these findings is that prevention programs that infuse cultural values and practices such as Africentrism, ethnic identity, and religiosity may delay alcohol initiation and reduce use especially for youth with high risk peers.

scholarly journals A Qualitative Study of Stress and Coping to Inform the LEADS Health Promotion Trial for African American Adolescents with Overweight and Obesity

Nutrients ◽  
2021 ◽  
Vol 13 (7) ◽  
pp. 2247
Author(s):  
Mary Quattlebaum ◽  
Colby Kipp ◽  
Dawn K. Wilson ◽  
Allison Sweeney ◽  
Haylee Loncar ◽  
...  
Keyword(s):  
Health Promotion ◽  
Weight Loss ◽  
African American ◽  
High Stress ◽  
African American Adolescents ◽  
Health Behavior Change ◽  
Stress And Coping ◽  
Overweight And Obesity ◽  
Health Promotion Program ◽  
And Coping

The purpose of this study was to conduct in-depth individual interviews with 30 African American adolescents with overweight and obesity and their families (caregiver/adolescent dyads) to gain a better understanding of how to integrate stress and coping essential elements into an existing family-based health promotion program for weight loss. Interview data from 30 African American adolescents with overweight and obesity (Mage = 15.30 ± 2.18; MBMI%-ile = 96.7 ± 3.90) were transcribed and coded for themes using inductive and deductive approaches by two independent coders. Inter-rater reliability was acceptable (r = 0.70–0.80) and discrepancies were resolved to 100% agreement. The themes were guided by the Relapse Prevention Model, which focuses on assessing barriers of overall coping capacity in high stress situations that may undermine health behavior change (physical activity, diet, weight loss). Prominent themes included feeling stressed primarily in response to relationship conflicts within the family and among peers, school responsibilities, and negative emotions (anxiety, depression, anger). A mix of themes emerged related to coping strategies ranging from cognitive reframing and distraction to avoidant coping. Recommendations for future programs include addressing sources of stress and providing supportive resources, as well as embracing broader systems such as neighborhoods and communities. Implications for future intervention studies are discussed.

scholarly journals Do parental feeding practices predict authoritative, authoritarian, and permissive parenting styles?

2008 ◽  
Vol 22 (S1) ◽  
Author(s):  
Laura Hubbs‐Tait ◽  
Tay S. Kennedy ◽  
Melanie C. Page ◽  
Glade L. Topham ◽  
Amanda W. Harrist
Keyword(s):  
Parenting Styles ◽  
Feeding Practices ◽  
Parental Feeding Practices ◽  
Parental Feeding ◽  
Permissive Parenting
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