Effects of Parenting Styles and Family Contributors on Physical Activity Behaviors in Arab Children Ages 6-10 Years Old Living in the US

Authors

  • Suzan Tami Department of Food and Nutritional Sciences, King Faisal University, KSA
  • Debra Reed Department of Nutritional Sciences, Texas Tech University, USA

DOI:

https://doi.org/10.6000/1929-4247.2020.09.02.3

Keywords:

Arab mothers, childhood obesity, parenting styles, parenting practices, physical activity, focus groups, mixed methods.

Abstract

The purpose of this study was to explore the effects of parenting styles and family contributors on physical activity behaviors in Arab children living in the US. This mixed-method study included the Caregiver's Feeding Style Questionnaire (CFSQ), Family Nutrition Physical Activity (FNPA) survey, and five focus group discussions (FGD), guided by the Social Cognitive Theory (SCT). Twenty-three Arab mothers of 37 children aged 6-10 years old participated in this study. Seventeen mothers were overweight or obese, and six children were overweight or obese. Although all Arab mothers self-assessed that they were authoritative, only seven mothers were categorized as having an authoritative feeding style based on their CFSQ scores. The FNPA overall mean was 3.15, indicating less obesogenic family environments and behaviors. Across FGDs, common physical activity barriers included lack of time, the child being distracted by technology, and lack of a mother's interest in a child's physical activity due to culture and fear. Positive approaches included considering the child's interest in sports and involvement in physical activity with the child. Negative attitudes included pushing the child to do sports and the mother's lack of interest in physical activity. In correlation analyses, the mother's BMI was significantly correlated with the child's BMI z-scores (r = 0.325, p = 0.005). No significant associations were found between reported feeding styles (CFSQ), obesogenic family environments (FNPA), and child's BMI z-scores. This study can guide future efforts in developing effective education programs, including physical activity behaviors for Arab families.

References

[1] Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of obesity and trends in body mass index among US children and adolescents, 1999–2010. J Am Med Assoc 2012; 307(5): 483-90.
https://doi:10.1001/jama.2012.40
[2] Farrag NS, Cheskin LJ, Farag MK. A systematic review of childhood obesity in the Middle East and North Africa (MENA) region: Prevalence and risk factors meta-analysis. Adv Pediatr Res 2017; 4: 8.
https://doi:10.12715/apr.2017.4.8
[3] Dehghan M, Akhtar-Danesh N, Merchant AT. Childhood obesity, prevalence and prevention. Nutr J 2005; 4(24).
https://doi:10.1186/1475-2891-4-24
[4] CDC. Childhood obesity causes & consequences [Internet]. 2015. [cited 2020 March 27]. Available from: http://www.cdc.gov/obesity/childhood/causes.html
[5] Coplan RJ, Hastings PD, Lagace-Seguin DG, Moulton CE. Authoritative and authoritarian mothers' parental goals, attributions and emotions across different childrearing contexts. Parent Sci Pract 2002; 2(1): 1-26.
https://doi:10.1207/S15327922PAR0201
[6] Baumrind D. The influence of parenting style on adolescent competence and substance use. J Early Adolesc 1991; 11(1): 56-95.
[7] Baumrind D. Current patterns of parental authority. Dev Psychol 1971; 4(1, Pt.2); 1-103.
https://doi.org/10.1037/h0030372
[8] Arnett JJ. Human development: A cultural approach. New Jersey: Pearson 2012.
[9] Arredondo EM, Elder JP, Ayala GX, Campbell N, Baquero B, Duerksen S. Is parenting style related to children's healthy eating and physical activity in Latino families? Health Educ Res 2006; 21(6): 862-71.
https://doi:10.1093/her/cyl110
[10] Abudabbeh N. Arab families: An overview. In McGoldrick M, Giordano J, Garcia-Preto N (3rd Ed.), Ethnicity and family therapy (pp. 423-436). New York: Guilford Press 2005.
[11] Park S, Paik H, Skinner J, Ok S, Spindler A. Mothers' acculturation and eating behaviors of Korean American families in California. J Nutr Edu Behav 2003; 35(3): 142-7.
[12] Bornstein M, Bohr Y. Immigration, acculturation and parenting. Centre of Excellence for Early Child Develop 2011. [cited 2020 March 25]. Available from: http://www.child-encyclopedia.com/pages/pdf/bornstein-bohrangxp1.pd
[13] Hughes S, Power T, Fisher J, Mueller S, Nicklas T. The development of the caregiver's feeding styles questionnaire. J Am Diet Assoc 2003; 103(9): A-18.
[14] Ihmels MA, Welk GJ, Eisenmann JC, Nusser, SM. Development and preliminary validation of a Family Nutrition and Physical Activity (FNPA) screening tool. Inter J Behav Nutr Phy Act 2009; 6(14).
https://doi:10.1186/1479-5868-6-14
[15] Zoellner J, Harris JE. Mixed-Methods Research in Nutrition and Dietetics. J Acad Nutr Diet 2017; 117(5): 683-97.
https://doi:10.1016/j.jand.2017.01.018
[16] Tami, SH, Reed DB, Trejos E, Boylan M, Wang S. Pilot study: Survey tools for assessing parenting styles and family contributors to the development of obesity in Arab children ages 6 to 12 years. Ethn Dis 2015; 25(4): 463-68.
https://doi:10.18865/ed.25.4.463
[17] Bandura A. Self-efficacy: Toward a unifying theory of behavioral change. Psychol Rev 1977; (84): 191-215.
[18] Bandura A. Social foundations of thought and action: A social cognitive theory. Prentice-Hall, Englewood Cliffs, New Jersey 1986.
[19] Tami SH, Reed DB, Boylan M, Zvonkovic A. Assessment of the effect of acculturation on dietary and physical activity behaviors of Arab mothers in Lubbock, Texas. Ethn Dis 2012; 22(2): 192-7
[20] CDC. Growth chart training: A SAS Program for the 2000 CDC Growth Charts (ages 0 to <20 years) [Internet]. 2019 [cited 2020 March 27]. Available from: https://www.cdc.gov/ nccdphp/dnpao/growthcharts/resources/sas.htm
[21] Neuendorf KA. The Content Analysis Guidebook. California: Sage 2002.
[22] Auld GW, Diker A, Bock MA, et al. Development of a decision tree to determine appropriateness of NVivo in analyzing qualitative data sets. J Nutr Edu Behav 2007; 39(1): 37-47.
https://doi:10.1016/j.jneb.2006.09.006
[23] Frey LR, Botan CH, Kreps GL. Investigating communication: An introduction to research methods. (2nd ed.) Allyn & Bacon. Massachusetts 2002.
[24] Lindsay AC, Wasserman M, Muñoz MA, Wallington SF, Greaney ML. Examining influences of parenting styles and practices on physical activity and sedentary behaviors in Latino children in the United States: Integrative review. JMIR Public Health Surveill (2018); 4(1): e14.
https://doi:10.2196/publichealth.8159
[25] Van der Geest KE, Mérelle SYM, Rodenburg G, Van de Mheen D, Renders CM. Cross-sectional associations between maternal parenting styles, physical activity and screen sedentary time in children. BMC Public Health 2017; 17(1): 753.
https://doi:10.1186/s12889-017-4784-8
[26] Xu H, Wen LM, Rissel C. Associations of parental influences with physical activity and screen time among young children: a systematic review. J Obes 2015; 2015: 546925.
https://doi:10.1155/2015/546925
[27] Gibson LY, Byrne SM, Davis EA, Blair E, Jacoby P, Zubrick SR. The role of family and maternal factors in childhood obesity. Med J Aust 2007; 186(11): 591-5.
[28] Freedman DS, Khan LK, Dietz WH, Srinivasan SR, Berenson GS. Relationship of childhood obesity to coronary heart disease risk factors in adulthood: The Bogalusa Heart Study. Pediatr 2001; 108(3): 712-8.
[29] Schaefer-Graf UM, Pawliczak J, Passow D, Hartmann R, Rossi R, Bührer C, et al. Birth weight and parental BMI predict overweight in children from mothers with gestational diabetes. Diabetes Care 2005; 28(7): 1745-50.
[30] Wang Z, Patterson CM, Hills AP. Association between overweight or obesity and household income and parental body mass index in Australian youth: Analysis of the Australian National Nutrition Survey, 1995. Asia Pac J Clin Nutr 2002; 11(3): 200-05.
[31] Gibson LY, Byrne SM, Davis EA, Blair E, Jacoby P, Zubrick SR. The role of family and maternal factors in childhood obesity. Med J Aust 2007; 186(11): 591-5.
[32] Hughes SO, Power TG, Fisher JO, Mueller S, Nicklas TA. Revisiting a neglected construct: Parenting styles in a child feeding context. Appetite 2005; 44(1): 83-92.
[33] Maccoby E, Martin J. Handbook of Child Psychology; Socialization in the context of the family: Parent-child interaction. Wiley: New York 1983.
[34] Hennessy E, Hughes SO, Goldberg JP, Hyatt RR, Economos CD. Parent behavior and child weight status among a diverse group of underserved rural families. Appetite 2010; 54(2): 369-77.
https://doi:10.1016/j.appet.2010.01.004
[35] Hughes SO, Power TG, Papaioannou MA, Cross MB, Nicklas, TA, Hall, S K, Shewchuk, RM. Emotional climate, feeding practices, and feeding styles: An observational analysis of the dinner meal in Head Start families. Int J Behav Nutr Phys Act 2011; 8(60).
https://doi:10.1186/1479-5868-8-60
[36] Hughes SO, Shewchuk RM, Baslin ML, Nicklas TA, Qu H. Indulgent feeding style and children’s weight status in preschool. J Develop Behav Pediatr 2008; 29(5): 403-10.
https://doi:10.1097/DBP.0b013e318182a976
[37] Tovar A, Hennessy E, Pirie A, Must A, Gut, DM, Hyatt RR et al. Feeding styles and child weight status among recent immigrant mother-child dyads. Inter J Behav Nutr Phys Act 2012; 29(9): 62.
https://doi:10.1186/1479-5868-9-62
[38] Davids EL, Roman NV. A systematic review of the relationship between parenting styles and children’s physical activity. Afr J Phys Health Educ Recreat Dance 2014; (Supplement 2:1): 228-46.
[39] Dwairy M, Achoui M, Abouserie R, Farah A, Sakhleh AA, Fayad M, Khan HK. Parenting styles in Arab societies: A first cross-regional research study. J Cross Cult Psychol 2006; 37(3): 230-47.
[40] Bentley GF, Goodred JK, Jago R, Sebire SJ, Lucas PJ, Fox KR et al. Parents’ views on child physical activity and their implications for physical activity parenting interventions: a qualitative study. BMC Pediatr 2012; 12(180).
https://doi:10.1186/1471-2431-12-180
[41] Rhodes RE, Lim C. Promoting parent and child physical activity together: Elicitation of potential intervention targets and preferences. Health Edu Behav 2018; 45(1): 112-23.
https://doi:10.1177/1090198117704266
[42] Garcia AS, Takahashi S, Anderson-Knott M, Dev D. Determinants of Physical Activity for Latino and White Middle School-Aged Children. J School Health 2019; 89(1): 3-10.
https://doi:10.1111/josh.12706

[43] Hatch KE. Determining the effects of technology on children. University of Rhode Island [Internet]. 2011 [cited 2020 March 27]. Available from: https://digitalcommons.uri.edu/ cgi/viewcontent.cgi?article=1212&context=srhonorsprog
[44] Rideout VJ, Foehr UG, Roberts DF. Generation M2: Media in the Lives of 8-18-Year-Olds. Menlo Park, CA: Henry J. Kaiser Family Foundation [Internet]. 2010. [cited 2020 March 27]. Available from: http://www.kff.org/entmedia/ upload/8010.pdf
[45] Gordon-Larsen P, Griffiths P, Bentley ME, Ward DS, Kelsey K, Shields K, et al. Barriers to physical activity: Qualitative data on caregiver–daughter perceptions and practices. Am J Prev Med 2004; 27(3): 218-23.
[46] Shaw B, Shaw I. Determinants of physical activity in children and adolescents: Implications for the increasing prevalence of childhood obesity. Afr J Phys Health Educ Recreat Dance 2014; 2: 91-101
[47] Emma L, Jarrett M. How we play—cultural determinants of physical activity in young children [Internet]. 2010. [cited 2020 March 27]. Available from: http://www.playscotland.org/ wp-content/uploads/assets/HowWePlayLitReview.pdf
[48] Hearst MO, Sherwood NE, Klein EG, Pasch KE, Lytle LA. Parental perceptions of their adolescent's weight status: The ECHO study. Am J Health Behav 2011; 35(2): 248-55.
[49] Rhee KE, McEachern R, Jelalian E. (2014). Parent readiness to change differs for overweight child dietary and physical activity behaviors. J Acad Nutr Diet 2014; 114(10): 1601-10.
https://doi:10.1016/j.jand.2014.04.029
[50] Welk G, Morrow J, Saint-Maurice P. Measures registry user guide: Individual physical activity. Washington (DC): National Collaborative on Childhood Obesity Research [Internet]. 2017. [cited 2020 March 27]. Available from: http://nccororgms.wpengine.com/tools-mruserguides/wp-content/uploads/sites/2/2017/NCCOR_MR_User_Guide_Individual_PA-FINAL.pdf

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Published

2020-06-02

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