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      Childhood Overweight Dependence on Mother-Child Relationship

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          Abstract

          The causes of childhood overweight are numerous and inter-related. The mother-child relationship is of great significance for the child’s health. Previous studies have found patterns of dysfunctional interaction in families with obese children. Therefore, development of childhood overweight could be due to the mother-child relationship. The aim of this study was to investigate how, and to what degree, the mother-child relationship, assessed by the mothers, was related to overweight among children aged seven to nine years. The study was a cross sectional case-controlled one. It included 111 overweight and 149 non-overweight seven to nine year old children and their mothers. Weight status was determined according to the International Obesity Task Force reference for children Body Mass Index, age and gender adjusted. An interviewer-administered questionnaire was used to categorize the mother-child relationship as: complementary, asymmetrical, symmetrical or symbiotic prototypes. There was no difference in mother-child relationships – characterized by the prototypes – between the overweight and non-overweight mother-child pairs. Therefore, we conclude that the mother-child relationship has no bearing on the child’s weight status according to the prototypes. It is suggested that it is more the culture, or the universal phenomenon of expressing love through food, than the mother-child relationship, which influences the development of childhood overweight, or that the mothers are not capable of assess the true attachment style between themselves and their children.

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          Most cited references26

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          Cultural sensitivity in public health: defined and demystified.

          There is consensus that health promotion programs should be culturally sensitive (CS). Yet, despite the ubiquitous nature of CS within public health research and practice, there has been surprisingly little attention given to defining CS or delineating a framework for developing culturally sensitive programs and practitioners. This paper describes a model for understanding CS from a public health perspective; describes a process for applying this model in the development of health promotion and disease prevention interventions; and highlights research priorities. Cultural sensitivity is defined by two dimensions: surface and deep structures. Surface structure involves matching intervention materials and messages to observable, "superficial" characteristics of a target population. This may involve using people, places, language, music, food, locations, and clothing familiar to, and preferred by, the target audience. Surface structure refers to how well interventions fit within a specific culture. Deep structure involves incorporating the cultural, social, historical, environmental and psychological forces that influence the target health behavior in the proposed target population. Whereas surface structure generally increases the "receptivity" or "acceptance" of messages, deep structure conveys salience. Techniques, borrowed from social marketing and health communication theory, for developing culturally sensitive interventions are described. Research is needed to determine the effectiveness of culturally sensitive programs.
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            Growth and maturation during adolescence.

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              Why don't low-income mothers worry about their preschoolers being overweight?

              Mothers are in an important position to prevent obesity in their children by shaping early diet and activity patterns. However, many mothers of overweight preschool children are not worried about their child's weight. To explore mothers' perceptions about how they determine when a child is overweight, why children become overweight, and what barriers exist to preventing or managing childhood obesity. Three focus groups with 6 participants in each. Participant comments were transcribed and analyzed. Themes were coded independently by the 6 authors who then agreed on common themes. A clinic of the Special Supplemental Nutrition Program for Women, Infants, and Children in Cincinnati, Ohio. Eighteen low-income mothers (13 black, 5 white) of preschool children (mean age of 44 months) who were at-risk for later obesity. All but 1 mother had a body mass index (BMI) >/=25 kg/m(2), and 12 mothers had a BMI >/=30 kg/m(2). All but 1 child had a BMI >/=85th percentile for age and sex, and 7 had a BMI >/=95th percentile. Results. Mothers did not define overweight or obese in their children according to how height and weight measurements were plotted on the standard growth charts used by health professionals. Instead, mothers were more likely to consider being teased about weight or developing limitations in physical activity as indicators of their child being overweight. Children were not believed to be overweight if they were active and had a healthy diet and/or a good appetite. Mothers described overweight children as thick or solid. Mothers believed that an inherited tendency to be overweight was likely to be expressed in the child regardless of environmental factors. In trying to shape their children's eating, mothers believed that their control over the child's diet was challenged by other family members. If a child was hungry, despite having just eaten, it was emotionally difficult for mothers to deny additional food. Health professionals should not assume that defining overweight according to the growth charts has meaning for all mothers. Despite differing perceptions between mothers and health professionals about the definition of overweight, both groups agree that children should be physically active and have healthy diets. Health professionals may be more effective in preventing childhood obesity by focusing on these goals that they share with mothers, rather than on labeling children as overweight.
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                Author and article information

                Journal
                Health Psychol Res
                Health Psychol Res
                HPR
                Health Psychology Research
                PAGEPress Publications, Pavia, Italy
                2420-8124
                04 September 2014
                26 April 2014
                : 2
                : 2
                : 1583
                Affiliations
                [1 ]Department of Paediatrics, Hvidovre Hospital, Copenhagen University , Denmark
                [2 ]Nursing Research Unit, Institute of Clinical Research, University of Southern Denmark , Odense, Denmark
                [3 ]Department of Neuro-rehabilitation, TBI Unit, Glostrup Hospital, Copenhagen University , Denmark
                Author notes
                Department of Paediatrics - Unit 460, Copenhagen University, Hospital Hvidovre, Kettegård Allé 30, DK-2650 Hvidovre, Denmark. +45.3862.3862. anne.broedsgaard.madsen@ 123456regionh.dk

                Contributions: AB was responsible for the design, data collection, data analysis and the drafting of the manuscript; LW and IP supervised the design and data analysis and made critical revisions to the manuscript.

                Conflict of interests: the authors declare no potential conflict of interests.

                Article
                10.4081/hpr.2014.1583
                4768551
                26973939
                1e154aed-b4a9-49ca-bb4b-a5cab59deadc
                ©Copyright A. Brødsgaard et al.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 18 April 2013
                : 19 April 2013
                Page count
                Figures: 1, Tables: 3, Equations: 0, References: 52, Pages: 6
                Funding
                Funding: Lundbeck Foundation/UCSF, Åse & Ejnar Danielsens Foundation, Nurses Research Foundation, Hvidovre Hospital Research Foundation, Rosalie Petersens Foundation, Beckett-Foundation, King Christian X Foundation, Else Poulsens Memorial Award.
                Categories
                Article

                childhood overweight,attachment,bonding,mother-child relationship,children

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