Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Pediatric Highlight
  • Published:

The additive and interactive effects of parenting style and temperament in obese youth seeking treatment

Abstract

Objective:

To examine maternal parenting behaviors, child temperament and their potential interactions in families of obese children and demographically similar families of nonoverweight children.

Design:

A total of 77 obese youth (M body mass index (BMI) z-score values, zBMI=2.4; ages 8–16, 59% female, 50% African American) and their parents were recruited from a pediatric weight management clinic and compared to 69 families of nonoverweight youth (M zBMI=−0.03). Comparison youth were classmates of each obese participant matched on gender, race and age.

Measurements:

Maternal report of child temperament, parenting style and anthropometric assessments were obtained.

Results:

Compared to nonoverweight youth, mothers of obese youth described their child as having a more difficult temperament and their parenting style as lower in behavioral control. A logistic regression model indicated that difficult temperament, lower behavioral control and the interaction of low maternal warmth and difficult child temperament were associated with increased odds of a child being classified as obese.

Conclusions:

Treatment-seeking obese youth and their parents are characterized by different parent and child factors when compared to nonoverweight comparison families. These findings direct investigators to test more complex models of the relation between parent and child characteristics and their mutual role in the weight-related behavior change process.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

References

  1. Johnson-Taylor WL, Everhart JE . Modifiable environmental and behavioral determinants of overweight among children and adolescents: report of a workshop. Obesity 2006; 14: 929–966.

    Article  Google Scholar 

  2. Call KT, Riedel AA, Hein K, McLoyd V, Petersen A, Kipke M . Adolescent health and well-being in the twenty-first century: a global perspective. J Res Adolesc 2002; 12: 69–98.

    Article  Google Scholar 

  3. Epstein LH, Paluch RA, Roemmich JN, Beecher MD . Family-based obesity treatment, then and now: twenty-five years of pediatric obesity treatment. Health Psychol 2007; 26: 381–391.

    Article  Google Scholar 

  4. Golan M, Crow S . Targeting parents exclusively in the treatment of childhood obesity: long-term results. Obes Res 2004; 12: 357–361.

    Article  Google Scholar 

  5. Birch LL, Fisher JO . Mothers' child-feeding practices influence daughters' eating and weight. Am J Clin Nutr 2000; 71: 1054–1061.

    Article  CAS  Google Scholar 

  6. Francis LA, Birch LL . Maternal influences on daughters' restrained eating behavior. Health Psychol 2005; 24: 548–554.

    Article  Google Scholar 

  7. Robinson TN, Kiernan M, Matheson DM, Haydel KF . Is parental control over children's eating associated with childhood obesity? Results from a population-based sample of third graders. Obes Res 2001; 9: 306–312.

    CAS  PubMed  Google Scholar 

  8. Rhee KE, Lumeng JC, Appugliese DP, Kaciroti N, Bradley RH . Parenting styles and overweight status in first grade. Pediatrics 2006; 117: 2047–2054.

    Article  Google Scholar 

  9. Agras WS, Hammer LD, McNicholas F, Kraemer HC . Risk factors for childhood overweight: a prospective study from birth to 9.5 years. Pediatrics 2004; 145: 20–25.

    Article  Google Scholar 

  10. Gable S, Lutz S . Household, parent, and child contributions to childhood obesity. Family Relations 2000; 49: 293–300.

    Article  Google Scholar 

  11. Thomas A, Chess S . Temperament and Development. Brunner/Mazel: Oxford, England, 1977.

    Google Scholar 

  12. Windle M . Revised Dimensions of Temperament Survey (DOTS-R): simultaneous group confirmatory factor analysis for adolescent gender groups. Psychol Assess 1992; 4: 228–234.

    Article  Google Scholar 

  13. Sanson A, Hemphill SA, Smart D . Connections between temperament and social development: a review. Social Development 2004; 13: 142–170.

    Article  Google Scholar 

  14. Carey WB, Hegvik RL, McDevitt SC . Temperamental factors associated with rapid weight gain and obesity in middle childhood. J Dev Behav Pediatr 1988; 9: 194–198.

    Article  CAS  Google Scholar 

  15. Pulkki-Raback L, Elovainio M, Kivimaki M, Raitakari OT, Keltikangas-Jarvinen L . Temperament in childhood predicts body mass in adulthood: the Cardiovascular Risk in Young Finns Study. Health Psychol 2005; 24: 307–315.

    Article  Google Scholar 

  16. Pliner P, Loewen ER . Temperament and food neophobia in children and their mothers. Appetite 1997; 28: 239–254.

    Article  CAS  Google Scholar 

  17. Kagan J . Temperamental factors in human development. Am Psychol 1991; 46: 856–862.

    Article  CAS  Google Scholar 

  18. Zeller MH, Reiter-Purtill J, Modi AC, Gutzwiller J, Vannatta K, Davies WH . Controlled study of critical parent and family factors in the obesigenic environment. Obesity 2007; 15: 126–136.

    Article  Google Scholar 

  19. Beardslee WR, Versage EM, Gladstone TR . Children of affectively ill parents: a review of the past 10 years. J Am Acad Child Adolesc Psychiatry 1998; 37: 1134–1141.

    Article  CAS  Google Scholar 

  20. Burke L . The impact of maternal depression on familial relationships. Int Rev Psychiatry 2003; 15: 243–255.

    Article  CAS  Google Scholar 

  21. Zeller MH, Reiter-Purtill J, Ramey C . Negative peer perceptions of obese children in the classroom environment. Obesity 2008; 16: 755–762.

    Article  Google Scholar 

  22. Kirk S, Zeller MH, Claytor R, Santangelo M, Khoury PR, Daniels SR . The relationship of health outcomes to improvement in BMI in children and adolescents. Obes Res 2005; 13: 876–882.

    Article  Google Scholar 

  23. Zeller MH, Kirk S, Claytor R, Khoury P, Grieme J, Santangelo M et al. Predictors of attrition from a pediatric weight management program. J Pediatr 2004; 144: 466–470.

    Article  Google Scholar 

  24. Stevens G, Featherman DL . A revised socioeconomic index of occupational status. Soc Sci Res 1981; 10: 364–395.

    Article  Google Scholar 

  25. Nakao K, Treas J . The 1989 Socioeconomic Index of Occupations: Construction from the 1989 Occupational Prestige Scores. University of Chicago, National Opinion Research Center: Chicago, 1992.

    Google Scholar 

  26. Windle M, Lerner RM . Reassessing the dimensions of temperament individuality across the life span: the revised dimensions of temperament survey. J Adolesc Res 1986; 1: 213–230.

    Article  Google Scholar 

  27. Windle M . Temperament and social support in adolescence: interrelations with depressive symptoms and delinquent behaviors. J Youth Adolesc 1992; 21: 1–21.

    Article  CAS  Google Scholar 

  28. Schludermann E, Schludermann S . Replicability of factors in children′s report of parent behavior (CRPBI). J Psychol 1970; 76: 239–249.

    Article  Google Scholar 

  29. Schwarz JC, Barton-Henry ML, Pruzinsky T . Assessing child-rearing behaviors: a comparison of ratings made by mother, father, child, and sibling on the CRPBI. Child Dev 1985; 56: 462–479.

    Article  CAS  Google Scholar 

  30. Kuczmarski RJ, Ogden CL, Grummer-Strawn LM, Flegal KM, Guo SS, Wei R et al. CDC growth charts: United States. Adv Data 2000; 8: 1–27.

    Google Scholar 

  31. Holland BS, Copenhaver MD . Improved Bonferroni-type multiple testing procedure. Psychol Bull 1988; 104: 145–149.

    Article  Google Scholar 

  32. Cohen J . A power primer. Psychol Bull 1992; 112: 155–159.

    Article  CAS  Google Scholar 

  33. Tabachnick BG, Fidell LS . Using Multivariate Statistics 4th edn. Harper Collins: New York, 2001.

    Google Scholar 

  34. Moens E, Braet C, Soetens B . Observation of family functioning at mealtime: a comparison between families of children with and without overweight. J Pediatr Psychol 2007; 32: 52–63.

    Article  Google Scholar 

  35. Darling N, Steinberg L . Parenting style as context: an integrative model. Psychol Bull 1993; 113: 487–496.

    Article  Google Scholar 

  36. Ventura A, Birch L . Does parenting affect children's eating and weight status? Int J Behav Nutr Phys Act 2008; 5: 15.

    Article  Google Scholar 

  37. Kelly ML, Power TG, Wimbush DD . Determinants of disciplinary practices in low-income black mothers. Child Dev 1992; 63: 573–582.

    Article  CAS  Google Scholar 

  38. Freedman DS, Khan LK, Serdula MK, Ogden CL, Dietz WH . Racial and ethnic differences in secular trends for childhood BMI, weight, and height. Obesity 2006; 14: 301–308.

    Article  Google Scholar 

  39. McLean N, Griffin S, Toney K, Hardeman W . Family involvement in weight control, weight maintenance and weight-loss interventions: a systematic review of randomised trials. Int J Obes Relat Metab Disord 2003; 27: 987–1005.

    Article  CAS  Google Scholar 

  40. Stein RI, Epstein LH, Raynor HA, Kilanowski CK, Paluch RA . The influence of parenting change on pediatric weight control. Obesity Res 2005; 13: 1749–1755.

    Article  Google Scholar 

Download references

Acknowledgements

This research was funded by a grant from the National Institutes of Health (K23 DK60031) awarded to the first author (MHZ). Additional support of effort for this research was funded by a post-doctoral training grant from the National Institutes of Health (T32 DK063929) awarded to the second author (REB). We extend our gratitude to Christina Ramey for her role in managing the data collection, and the staff and families of the HealthWorks! program at Cincinnati Children's Hospital Medical Center.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to M H Zeller.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Zeller, M., Boles, R. & Reiter-Purtill, J. The additive and interactive effects of parenting style and temperament in obese youth seeking treatment. Int J Obes 32, 1474–1480 (2008). https://doi.org/10.1038/ijo.2008.125

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/ijo.2008.125

Keywords

This article is cited by

Search

Quick links