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Ek, A., Lewis Chamberlain, K., Sorjonen, K., Hammar, U., Etminan Malek, M., Sandvik, P., . . . Nowicka, P. (2019). A Parent Treatment Program for Preschoolers With Obesity: A Randomized Controlled Trial. Pediatrics, 144(2), Article ID e20183457.
Open this publication in new window or tab >>A Parent Treatment Program for Preschoolers With Obesity: A Randomized Controlled Trial
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2019 (English)In: Pediatrics, ISSN 0031-4005, E-ISSN 1098-4275, Vol. 144, no 2, article id e20183457Article in journal (Refereed) Published
Abstract [en]

Background And Objectives: Early obesity treatment seems to be the most effective, but few treatments exist. In this study, we examine the effectiveness of a parent-only treatment program with and without booster sessions (Booster or No Booster) focusing on parenting practices and standard treatment (ST).

Methods: Families of children 4 to 6 years of age with obesity were recruited from 68 child care centers in Stockholm County and randomly assigned to a parent-only program (10 weeks) with or without boosters (9 months) or to ST. Treatment effects on primary outcomes (BMI z score) and secondary outcomes (BMI and waist circumference) during a 12-month period were examined with linear mixed models. The influence of sociodemographic factors was examined by 3-way interactions. The clinically significant change in BMI z score (−0.5) was assessed with risk ratios.

Results: A total of 174 children (mean age: 5.3 years [SD = 0.8]; BMI z score: 3.0 [SD = 0.6], 56% girls) and their parents (60% foreign background; 39% university degree) were included in the analysis (Booster, n = 44; No Booster, n = 43; ST, n = 87). After 12 months, children in the parent-only treatment had a greater reduction in their BMI z score (0.30; 95% confidence interval [CI]: −0.45 to −0.15) compared with ST (0.07; 95% CI: −0.19 to 0.05). Comparing all 3 groups, improvements in weight status were only seen for the Booster group (−0.54; 95% CI: −0.77 to −0.30). The Booster group was 4.8 times (95% CI: 2.4 to 9.6) more likely to reach a clinically significant reduction of ≥0.5 of the BMI z score compared with ST.

Conclusion: A parent-only treatment with boosters outperformed standard care for obesity in preschoolers.

Keywords
primary care, intervention, family support, children
National Category
Pediatrics
Research subject
Pediatrics
Identifiers
urn:nbn:se:uu:diva-389455 (URN)10.1542/peds.2018-3457 (DOI)000484366800015 ()31300528 (PubMedID)
Funder
Swedish Research Council, K2015-99X-22713-01-3-Vinnova, 2011-3443The Karolinska Institutet's Research FoundationMagnus Bergvall FoundationFredrik och Ingrid Thurings StiftelseHelge Ax:son Johnsons stiftelse
Available from: 2019-07-14 Created: 2019-07-14 Last updated: 2019-10-18Bibliographically approved
Ek, A., Delisle Nyström, C., Chirita-Emandi, A., Tur, J. A., Nordin, K., Bouzas, C., . . . Nowicka, P. (2019). A randomized controlled trial for overweight and obesity in preschoolers: the More and Less Europe study – an intervention within the STOP project. BMC Public Health, 19, Article ID 945.
Open this publication in new window or tab >>A randomized controlled trial for overweight and obesity in preschoolers: the More and Less Europe study – an intervention within the STOP project
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2019 (English)In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 19, article id 945Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Childhood overweight and obesity is a serious public health issue with an increase being observed in preschool-aged children. Treating childhood obesity is difficult and few countries use standardized treatments. Therefore, there is a need to find effective approaches that are feasible for both health care providers and families. Thus, the overall aim of this study is to assess the acceptance and effectiveness of a parent support program (the More and Less, ML) for the management of overweight and obesity followed by a mobile health (mHealth) program (the MINISTOP application) in a socially diverse population of families.

METHODS/DESIGN: A two-arm, parallel design randomized controlled trial in 300 2-to 6-year-old children with overweight and obesity from Romania, Spain and Sweden (n = 100 from each). Following baseline assessments children are randomized into the intervention or control group in a 1:1 ratio. The intervention, the ML program, consists of 10-weekly group sessions which focus on evidence-based parenting practices, followed by the previously validated MINISTOP application for 6-months to support healthy eating and physical activity behaviors. The primary outcome is change in body mass index (BMI) z-score after 9-months and secondary outcomes include: waist circumference, eating behavior (Child Eating Behavior Questionnaire), parenting behavior (Comprehensive Feeding Practices Questionnaire), physical activity (ActiGraph wGT3x-BT), dietary patterns (based on metabolic markers from urine and 24 h dietary recalls), epigenetic and gut hormones (fasting blood samples), and the overall acceptance of the overweight and obesity management in young children (semi-structured interviews). Outcomes are measured at baseline and after: 10-weeks (only BMI z-score, waist circumference), 9-months (all outcomes), 15- and 21-months (all outcomes except physical activity, dietary patterns, epigenetics and gut hormones) post-baseline.

DISCUSSION: This study will evaluate a parent support program for weight management in young children in three European countries. To boost the effect of the ML program the families will be supported by an app for 6-months. If the program is found to be effective, it has the potential to be implemented into routine care to reduce overweight and obesity in young children and the app could prove to be a viable option for sustained effects of the care provided.

Keywords
Children, Family, Obesity, Overweight, Stop, Treatment, mHealth
National Category
Pediatrics
Research subject
Food, Nutrition and Dietetics
Identifiers
urn:nbn:se:uu:diva-389638 (URN)10.1186/s12889-019-7161-y (DOI)000475744600002 ()31307412 (PubMedID)
Funder
EU, Horizon 2020, 774548
Note

Anna Ek and Christine Delisle Nyström contributed equally to this work.

Available from: 2019-07-19 Created: 2019-07-19 Last updated: 2019-08-15Bibliographically approved
Neuman, N., Eli, K. & Nowicka, P. (2019). Feeding the extended family: Gender, generation, and socioeconomic disadvantage in food provision to children. Food, Culture, and Society: an international journal of multidisciplinary research, 22(1), 45-62
Open this publication in new window or tab >>Feeding the extended family: Gender, generation, and socioeconomic disadvantage in food provision to children
2019 (English)In: Food, Culture, and Society: an international journal of multidisciplinary research, ISSN 1552-8014, E-ISSN 1751-7443, Vol. 22, no 1, p. 45-62Article in journal (Refereed) Published
Abstract [en]

This paper examines how US parents and grandparents describe their provision of food to preschool-age children. Drawing on 49 interviews with 16 families, most of which were socio-economically disadvantaged, we argue that gender and generation intersect in everyday efforts to care for children’s eating. The analysis explores gendered divisions of foodwork, highlights the struggles of single mothers, and examines fathers’ redefinitions of the paternal role to include feeding and caring for children. At the core of the analysis, however, is the participants’ emphasis on grandmothers as sources of knowledge and support, with both fathers and mothers citing grandmothers and other women of earlier generations as culinary influences and as role models for good parenting. We thus discuss “feeding the extended family,” and conclude with a discussion about moving beyond the couple-focused paradigm of parenting in research on food and the gendered division of foodwork.

Place, publisher, year, edition, pages
Routledge, 2019
National Category
Sociology (excluding Social Work, Social Psychology and Social Anthropology) Cultural Studies Gender Studies Other Health Sciences
Research subject
Food, Nutrition and Dietetics
Identifiers
urn:nbn:se:uu:diva-357920 (URN)10.1080/15528014.2018.1547066 (DOI)000471768600005 ()
Available from: 2018-08-22 Created: 2018-08-22 Last updated: 2019-08-05Bibliographically approved
Sandvik, P., Ek, A., Eli, K., Somaraki, M., Bottai, M. & Nowicka, P. (2019). Picky eating in an obesity intervention for preschool-aged children - what role does it play, and does the measurement instrument matter?. International Journal of Behavioral Nutrition and Physical Activity, 16, Article ID 76.
Open this publication in new window or tab >>Picky eating in an obesity intervention for preschool-aged children - what role does it play, and does the measurement instrument matter?
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2019 (English)In: International Journal of Behavioral Nutrition and Physical Activity, ISSN 1479-5868, E-ISSN 1479-5868, Vol. 16, article id 76Article in journal (Refereed) Published
Abstract [en]

Introduction: Research on picky eating in childhood obesity treatment is limited and inconsistent, with various instruments and questions used. This study examines the role of picky eating in a randomized controlled obesity intervention for preschoolers using subscales from two instruments: The Child Eating Behavior Questionnaire (CEBQ) and the Lifestyle Behavior Checklist (LBC).

Method: The study includes 130 children (mean age 5.2 years (SD 0.7), 54% girls, mean Body Mass Index (BMI) z-score 2.9 (SD 0.6)) and their parents (nearly 60% of non-Swedish background, 40% with university degree). Families were randomized to a parent-group treatment focusing on evidence-based parenting practices or to standard treatment focusing on lifestyle changes. The children’s heights and weights (BMI z-score) were measured at baseline, and at 3, 6 and 12 months post baseline. At these time-points, picky eating was reported by parents using the CEBQ (Food Fussiness scale, 6 items) and 5 items from the LBC. Child food intake was reported with a Food Frequency Questionnaire (FFQ). Pearson correlation was used to study associations between baseline picky eating and baseline BMI z-scores and food intake. Mixed effects models were used to study associations between the two measurements of picky eating and changes in picky eating, to assess the effects of changes in picky eating on BMI z-scores, and to evaluate baseline picky eating as a predictor of changes in BMI z-scores.

Results: Neither the standard treatment nor the parent-group treatment reduced the degree of picky eating (measured with CEBQ or LBC). Baseline picky eating measured with the CEBQ was associated with a lower BMI z-score and lower intake of vegetables. Children with a higher degree of picky eating at baseline (measured with the CEBQ) displayed a lower degree of weight loss. When degree of picky eating was examined, for 25% of the children, the CEBQ and the LBC yielded diverging results.

Conclusions: Baseline picky eating may weaken the effectiveness of obesity treatment, and assessments should be conducted before treatment to adjust the treatment approach. Different measurements of picky eating may lead to different results. The CEBQ seems more robust than the LBC in measuring picky eating.

Keywords
Child Eating Behavior Questionnaire, Food Fussiness, Lifestyle Behavior Checklist, Parents, Randomized Controlled Trial
National Category
Nutrition and Dietetics
Research subject
Food, Nutrition and Dietetics
Identifiers
urn:nbn:se:uu:diva-392756 (URN)10.1186/s12966-019-0845-y. (DOI)000483763700001 ()
Funder
Swedish Research Council, 2014-02404Vinnova, 2011‐3443Swedish Society for Medical Research (SSMF)Sven Jerring FoundationMagnus Bergvall FoundationFredrik och Ingrid Thurings StiftelseHelge Ax:son Johnsons stiftelse
Available from: 2019-09-09 Created: 2019-09-09 Last updated: 2019-10-08Bibliographically approved
Sjunnestrand, M., Nordin, K., Eli, K., Nowicka, P. & Ek, A. (2019). Planting a seed - child health care nurses' perceptions of speaking to parents about overweight and obesity: a qualitative study within the STOP project. BMC Public Health, 19, Article ID 1494.
Open this publication in new window or tab >>Planting a seed - child health care nurses' perceptions of speaking to parents about overweight and obesity: a qualitative study within the STOP project
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2019 (English)In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 19, article id 1494Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Nurses in child health care (CHC) centers in Sweden play a key role in the early detection and management of childhood overweight/obesity, through meeting families early, regularly and over many years. However, research focusing on CHC nurses' perceptions of their role in childhood overweight/obesity management is scarce. As part of the EU-funded project "Science and Technology in childhood Obesity Policy" (STOP), this study examines CHC nurses' perceptions of speaking to parents about children's overweight/obesity and of their role in referring children to treatment for overweight/obesity.

METHODS: All registered CHC nurses in Stockholm County (n = 442) received an email invitation letter explaining the study. Individual face-to-face visits (n = 15) in selected centers, and phone calls (n = 24) to nurses working in these centres were also conducted. In total, 17 CHC nurses (all female, average work experience 6.7 years (SD ± 4.9 years)) from 10 municipalities (including four of the top five municipalities with the highest prevalence of overweight and obesity) in Stockholm County were interviewed. The interviews were conducted by phone, transcribed and analyzed using thematic analysis.

RESULTS: Two main themes were developed through the analysis: 1) The relationship between the nurse and the parent and 2) Glitch in the system. Under the first theme, nurses reported that weight-related discussions were facilitated by building and maintaining trust with parents. However, nurses also said they were reluctant to address children's weights if this could compromise parents' trust. Under the second theme, nurses highlighted several organizational barriers to addressing a child's weight with parents, including insufficient cooperation with other healthcare providers and limited time for visits. Nurses also identified lack of sufficient knowledge about what to offer the family and lack of confidence in their communication skills as additional barriers.

CONCLUSIONS: We found that pediatric nurses perceive relational and organizational factors as barriers to address childhood obesity with parents. To improve care, it is necessary to provide nurses with continuing education about obesity and communication skills and organizational support to improve communication within the healthcare system.

TRIAL REGISTRATION: ClinicalTrials.gov NCT03800823; 11 Jan 2019, prospectively registered.

Keywords
Children, Nursing, Obesity, Overweight, Primary care, Qualitative research, STOP project, Thematic analysis
National Category
Nutrition and Dietetics Public Health, Global Health, Social Medicine and Epidemiology Pediatrics
Research subject
Food, Nutrition and Dietetics
Identifiers
urn:nbn:se:uu:diva-396863 (URN)10.1186/s12889-019-7852-4 (DOI)000496430800001 ()31706318 (PubMedID)
Funder
EU, Horizon 2020, 774548
Available from: 2019-11-11 Created: 2019-11-11 Last updated: 2019-12-04Bibliographically approved
Bergman, K., Eli, K., Persson Osowski, C., Lövestam, E. & Nowicka, P. (2019). Public expressions of trust and distrust in governmental dietary advice in Sweden. Qualitative Health Research, 29(8), 1161-1173
Open this publication in new window or tab >>Public expressions of trust and distrust in governmental dietary advice in Sweden
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2019 (English)In: Qualitative Health Research, ISSN 1049-7323, E-ISSN 1552-7557, Vol. 29, no 8, p. 1161-1173Article in journal (Refereed) Published
Abstract [en]

We examine public trust and distrust in governmental food and nutrition authorities, through analyzing 727 letters sent electronically to the Swedish National Food Agency by lay people. Using thematic analysis, four themes were developed, defining public expressions of trust and distrust in official dietary advice. Trust was expressed as (a) seeking to confirm and clarify dietary advice, or (b) seeking official arbitration between competing dietary advice. Distrust was expressed as (c) questioning and scrutinizing dietary advice, or (d) protesting and resisting dietary advice. Notably, expressions of distrust employed discursive practices that both mirrored authoritative discourses and subverted official advice, by appealing to scientific language and 'alternative' evidence. All letters positioned the agency as the ultimate authority on healthy eating; notwithstanding whether the agency’s advice was to be followed or resisted. Thus, the letters revealed how the same authoritative discourses can simultaneously be a site of public trust and distrust.

National Category
Sociology Social Sciences Interdisciplinary Other Health Sciences
Research subject
Food, Nutrition and Dietetics
Identifiers
urn:nbn:se:uu:diva-371985 (URN)10.1177/1049732318825153 (DOI)000471163000007 ()30741093 (PubMedID)
Available from: 2019-01-04 Created: 2019-01-04 Last updated: 2019-10-13Bibliographically approved
Ek, A., Nordin, K., Nyström, C. D., Sandvik, P., Eli, K. & Nowicka, P. (2019). Responding positively to "children who like to eat": Parents' experiences of skills-based treatment for childhood obesity.. Appetite, 145, Article ID 104488.
Open this publication in new window or tab >>Responding positively to "children who like to eat": Parents' experiences of skills-based treatment for childhood obesity.
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2019 (English)In: Appetite, ISSN 0195-6663, E-ISSN 1095-8304, Vol. 145, article id 104488Article in journal (Refereed) Published
Abstract [en]

This study aims to understand the challenges parents of preschoolers with obesity face. We assessed parents' experiences of a group treatment program focused on parenting skills; the treatment program was evaluated in a randomized controlled trial in Stockholm County. After completing the program's 10 weekly sessions, parents were invited to participate in a semi-structured interview. The interviews were audio recorded, transcribed and analyzed using thematic analysis. In total, 36 parents (67% mothers, mean age 39 years, 33% foreign background, 50% with university degree) were interviewed. Two main themes were developed: Emotional burden and Skills and strength from others. Emotional burden encompassed the parents' experiences of raising a child with obesity. Parents spoke about the difficulties of managing their child's appetite and of seeking help and treatment, as well as their feelings about the social stigma attached to obesity. Skills and strength from others encompassed the parents' experiences of participating in group treatment. Parents reported that they appreciated the practical behavior change techniques taught, especially those regarding food and how to make everyday life more predictable, and said the focus on parenting skills gave them the confidence to apply the techniques in everyday life. Parents also highlighted the strength of the group setting, saying it enabled them to discuss perceived challenges and learn from other parents. Our findings show that childhood obesity carries social and emotional implications for parents, and that an intervention that provides parents with skill-building and a discussion space can help in negotiating these implications. This suggests that childhood obesity intervention programs benefit from including a parent-based approach which offers training in parenting skills and support in managing socially and emotionally challenging situations.

Keywords
Appetite regulation, Childhood obesity, Emotion regulation, Family, Feeding, Hunger, Interventions, Stigma
National Category
Health Sciences
Research subject
Food, Nutrition and Dietetics
Identifiers
urn:nbn:se:uu:diva-396765 (URN)10.1016/j.appet.2019.104488 (DOI)31626835 (PubMedID)
Funder
Swedish Research Council, 2014- 02404
Available from: 2019-11-08 Created: 2019-11-08 Last updated: 2019-11-15Bibliographically approved
Eiffener, E., Eli, K., Ek, A., Sandvik, P., Somaraki, M., Kremers, S., . . . Nowicka, P. (2019). The influence of preschoolers' emotional and behavioural problems on obesity treatment outcomes: Secondary findings from a randomized controlled trial. Pediatric Obesity, 14(11), Article ID e12556.
Open this publication in new window or tab >>The influence of preschoolers' emotional and behavioural problems on obesity treatment outcomes: Secondary findings from a randomized controlled trial
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2019 (English)In: Pediatric Obesity, ISSN 2047-6302, E-ISSN 2047-6310, Vol. 14, no 11, article id e12556Article in journal (Refereed) Published
Abstract [en]

Background: Few studies have explored the influence of preschoolers' behavioural problems on obesity treatment.

Objectives: To assess emotional and behavioural problems before and after an obesity intervention and examine relationships between changes in child behaviour and changes in weight status.

Method: The study included 77 children (4‐6 years old, 53% girls, mean body mass index [BMI] z‐score of 3.0 [SD 0.6]) who participated in the More and Less Study, a randomized controlled trial. Families were randomized to a parenting program or to standard treatment. The children's heights and weights (BMI z‐score, primary outcome) were measured at baseline and 12 months post baseline. Parents rated their children's behaviours (secondary outcome) on the Child Behavior Checklist (CBCL) for ages 1.5 to 5 years, a questionnaire that measures psychosocial health and functioning, encompassing emotional and behavioural problems. Changes in child behaviour during treatment were examined through paired samples t tests; the influence of child behaviour on treatment effects was examined through linear regressions.

Results: Child emotional and behavioural problems significantly improved after obesity treatment. Lower scores were found for Emotional Reactivity, Sleep Problems, Affective Problems, Aggressive Behaviour, Externalizing Behaviours, Oppositional Defiant Problems, and Total Problems. Child behaviour significantly affected obesity treatment results: Attention Problems and attention deficit hyperactivity disorder (ADHD) at baseline contributed to increasing BMI z‐scores, whereas Oppositional Defiant Problems, Externalizing Behaviours, and a higher number of behavioural problems predicted decreasing BMI z‐scores.

Conclusions: Child behaviours at baseline influenced treatment results. Child emotional and behavioural problems improved post treatment. The results suggest that obesity treatment may help in reducing emotional distress among preschoolers.

Place, publisher, year, edition, pages
John Wiley & Sons, 2019
Keywords
ADHD, CBCL, CBCL/1.5‐5, Child Behavior Checklist, depression, family, parents
National Category
Nutrition and Dietetics Pediatrics
Research subject
Pediatrics
Identifiers
urn:nbn:se:uu:diva-389360 (URN)10.1111/ijpo.12556 (DOI)000494800900002 ()
Funder
Swedish Research Council, K2015-99X-22717-01-3Vinnova, 2011‐3443Sven Jerring FoundationSwedish Society of MedicineFredrik och Ingrid Thurings StiftelseMagnus Bergvall FoundationHelge Ax:son Johnsons stiftelse
Available from: 2019-07-10 Created: 2019-07-10 Last updated: 2019-11-27Bibliographically approved
Lövestam, E., Neuman, N. & Nowicka, P. (2018). Kritisk dietetik: självreflektion, ödmjukhet och dialog [Letter to the editor]. DietistAktuellt, XXVII(2), 46-48
Open this publication in new window or tab >>Kritisk dietetik: självreflektion, ödmjukhet och dialog
2018 (Swedish)In: DietistAktuellt, Vol. XXVII, no 2, p. 46-48Article in journal, Letter (Other (popular science, discussion, etc.)) Published
Abstract [sv]

Tack vare medel från Vetenskapsrådet och Letterstedtska föreningen anordnade vi den 25 augusti konferensen ”The 1st Scandinavian Critical Dietetics Conference”, som syftade till att introducera ämnet kritisk dietetik i Sverige. I Dietistaktuellt nr 6 2017 skriver redaktören Magnus Forslin en personlig reflektion på åtta sidor där han angriper konferensen och de diskussioner som fördes där. Tonen i texten – kombinerat med associationer till bl a förintelseförnekelse och stalinism samt hånfulla illustrationer – inbjuder tyvärr inte till dialog. Istället för att ge oss in i en debatt på de premisserna tar vi tillfället i akt att kort och koncist lyfta några punkter om kritisk dietetik som vi gärna förtydligar. Då många av de antaganden och insinuationer som görs i artikeln saknar grund vill vi också bjuda in Dietistaktuellts läsare att själva ta del av konferensens presentationer, vilka ligger öppet på Institutionen för kostvetenskap, Uppsala Universitets webbplats.

Place, publisher, year, edition, pages
Bjuv: , 2018
Keywords
dietetik, kostvetenskap, socioekonomi, ojämlikhet
National Category
Health Sciences
Research subject
History of Art
Identifiers
urn:nbn:se:uu:diva-341378 (URN)
Funder
Swedish Research Council, 2016-06849
Available from: 2018-02-07 Created: 2018-02-07 Last updated: 2018-02-13Bibliographically approved
Somaraki, M., Eli, K., Sorjonen, K., Flodmark, C.-E., Marcus, C., Faith, M. S., . . . Nowicka, P. (2018). Perceived child eating behaviours and maternal migrant background. Appetite, 125, 302-313
Open this publication in new window or tab >>Perceived child eating behaviours and maternal migrant background
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2018 (English)In: Appetite, ISSN 0195-6663, E-ISSN 1095-8304, Vol. 125, p. 302-313Article in journal (Refereed) Published
Abstract [en]

The Child Eating Behaviour Questionnaire (CEBQ) is a well-established instrument in the study of obesity-related eating behaviours among children. However, research using the CEBQ in multicultural samples is limited. This study aims to identify and examine differences in child eating behaviours as reported by Swedish-born and non-Swedish-born mothers living in Sweden. Mothers (n = 1310, 74 countries of origin, mean age 36.5 years, 63.6% with higher education, 29.2% with overweight or obesity) of children aged 3–8 years (mean age 4.8 years, 18.1% with overweight or obesity) completed the CEBQ. Responses were analysed using CEBQ subscales Food Responsiveness, Emotional Overeating, Enjoyment of Food, and Desire to Drink, clustering into Food Approach, and subscales Satiety Responsiveness, Slowness in Eating, Emotional Undereating, and Food Fussiness, clustering into Food Avoidance. Data were compared across seven regional groups, divided by maternal place of birth: (1) Sweden (n = 941), (2) Nordic and Western Europe (n = 68), (3) Eastern and Southern Europe (n = 97), (4) the Middle East and North Africa (n = 110), (5) East, South and Southeast Asia (n = 52), (6) Sub-Saharan Africa (n = 16), and (7) Central and South America (n = 26). Crude, partly and fully adjusted linear regression models controlled for child's age, gender and weight status, and mother's education, weight status and concern about child weight. The moderation effect of maternal concern about child weight was examined through interaction analyses. Results showed that while Food Approach and Food Avoidance behaviours were associated with maternal migrant background, associations for Food Fussiness were limited. Notably, mothers born in the Middle East and North Africa reported higher frequencies of both Food Approach (except for Enjoyment of Food) and Food Avoidance. The study highlights the importance of examining how regionally-specific maternal migrant background affects mothers' perceptions of child eating behaviours.

Keywords
appetite, children, culture, family, overweight, obesity
National Category
Nutrition and Dietetics
Research subject
Food, Nutrition and Dietetics
Identifiers
urn:nbn:se:uu:diva-341465 (URN)10.1016/j.appet.2018.02.010 (DOI)000430777900035 ()29438715 (PubMedID)
Funder
Swedish Research Council, 2014-02404Vinnova, 2011-03443Swedish Society of MedicineSven Jerring FoundationMagnus Bergvall FoundationFredrik och Ingrid Thurings StiftelseHelge Ax:son Johnsons stiftelse
Available from: 2018-02-09 Created: 2018-02-09 Last updated: 2019-06-27Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-9707-8768

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