Parenting Styles and Family Contributors to the Development of Dietary Behaviors in Arab Children Ages 6-10 Years Old Living in the US


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



Arab mothers, childhood obesity, parenting styles, dietary behaviors, focus groups, mixed methods


Parenting styles and family contributors are the main determinants of obesity risk in children. To date, no research has been reported on parenting styles/practices and family contributors to the development of dietary behaviors in Arab children living in the US. The objectives of this exploratory mixed-method study were to collect data on parenting feeding styles (Caregiver’s Feeding Style Questionnaire- CFSQ) of Arab mothers and family contributors (Family Nutrition Physical Activity- FNPA) to the development of dietary behaviors in their children; and to collect data on Arab mothers' challenges and strategies to promote healthier dietary behaviors in their children. Although all Arab mothers (n=23) 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 environment and behaviors. Across focus groups, barriers to desirable dietary intake included low vegetable intake and child being distracted by sweets, junk foods, and technology. All mothers wanted their children to have healthier dietary habits and used positive and negative approaches to achieve that. Positive approaches included no pressure to eat and providing healthier alternative foods. Negative approaches included pressuring the child to eat and rewarding with sweets and technology. In correlation analyses, the mother's BMI was significantly correlated with the child's BMI z-scores (r = 0.325, p = 0.005). This study can guide future efforts in assessing parenting style and assessing the home environment regarding the dietary behaviors of Arab families.


WHO. Fact sheet: Obesity and overweight [Internet]. 2017 [cited 2020 March 25]. Available from:

CDC. Childhood obesity causes & consequences [Internet]. 2016 [cited 2020 March 25]. Available from:

Hughes SO, Power TG, Papaioannou MA, Cross MB, Nicklas, TA, Hall, SK, 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 DOI:

Johnson R, Welk G, Saint-Maurice PF, Ihmels M. Parenting styles, and home obesogenic environments. Int J Environ Res Public Health 2012; 9(4): 1411-26. https://doi:10.3390/ijerph9041411 DOI:

Berge JM. A review of familial correlates of child and adolescent obesity: What has the 21st Century taught us so far? Int J Adolesc Med Health 2009; 21(4): 457-83. DOI:

Ventura AK, Birch LL. Does parenting affect children's eating and weight status? Int J Behav Nutr Phys Act 2008; 17(5): 15-27. https://doi:10.1186/1479-5868-5-15 DOI:

Baumrind D. The influence of parenting style on adolescent competence and substance use. J Early Adolesc 1991; 11(1): 56-95. DOI:

Baumrind D. Current patterns of parental authority. Dev Psychol 1971; 4(1, Pt.2); 1-103. DOI:

Arnett JJ. Human development: A cultural approach. New Jersey: Pearson 2012.

Kopko K. Parenting styles and adolescents [Internet]. Cornell University: Cornell Cooperative Extension 2007. [cited 2020 March 25]. Available from: http://www.countrysidemontessori. org/wp-content/uploads/2014/09/Parenting-Styles-and-Adolescents.pdf

Darling N. Steinberg I. Parenting style as context: An integrative model. Psychol Bull 1993; 113(3): 487-96. DOI:

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 DOI:

Abudabbeh N. Arab families: An overview. In McGoldrick M, Giordano J, Garcia-Preto N (3rd Ed.), Ethnicity and family therapy. New York: Guilford Press 2005; pp. 423-436.

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. DOI:

Bhugra D. Migration, distress and cultural identity. B Med Bull 2004; 69(1): 129-141. https://doi:10.1093/bmb/ldh007 DOI:

Gray VB, Cossman JS, Dodson WL, Byrd SH. Dietary acculturation of Hispanic immigrants in Mississippi. Salud Publica Mex 2005; 47(5): 351-360. https://doi:10.1590/S0036-36342005000500005 DOI:

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.

Bornstein M, Bohr Y. Immigration, acculturation and parenting. Centre of Excellence for Early Child Develop 2011. [cited 2020 March 25]. Available from:

Non AL, León-Pérez G, Glass H, Kelly E, Garrison NA. Stress across generations: A qualitative study of stress, coping, and caregiving among Mexican immigrant mothers. Ethn Health 2017; 1-17. https://doi:10.1080/13557858.2017.1346184 DOI:

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. DOI:

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 DOI:

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 DOI:

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 DOI:

Bandura A. Self-efficacy: Toward a unifying theory of behavioral change. Psychol Rev 1977; (84): 191-215. DOI:

Bandura A. Social foundations of thought and action: A social cognitive theory. Prentice-Hall, Englewood Cliffs, New Jersey 1986.

CDC. Growth chart training: A SAS Program for the 2000 CDC Growth Charts (ages 0 to <20 years) [Internet]. 2019 [cited 2020 March 25]. Available from: nccdphp/dnpao/growthcharts/resources/sas.htm

Neuendorf KA. The Content Analysis Guidebook. California: Sage; 2002.

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 DOI:

Frey LR, Botan CH, Kreps GL. Investigating communication: An introduction to research methods. (2nd ed.) Allyn & Bacon. Massachusetts 2002.

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 DOI:

Reed DB, Patterson PJ, Wasserman N. Obesity in rural youth: Looking beyond nutrition and physical activity. J Nutr Edu Behav 2011; 43(5): 401-8. https://doi:10.1016/j.jneb.2010.12.005 DOI:

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.

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. DOI:

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. DOI:

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. DOI:

Gibson LY, Byrne SM, Davis EA, Blair E, Jacoby P, Zubrick S R. The role of family and maternal factors in childhood obesity. Med J Aust 2007; 186(11): 591-5. DOI:

Shloim N, Edelson LR, Martin N, Hetherington MM. Parenting styles, feeding styles, feeding practices, and weight status in 4–12 year-old children: A systematic review of the literature. Front Psychol 2015; 6(1849). https://doi:10.3389/fpsyg.2015.01849

Hancock KJ, Lawrence D, Zubrick SR. Higher maternal protectiveness is associated with higher odds of child overweight and obesity: A longitudinal Australian study. PLoS One 2014; 9(6): e100686. https://doi:10.1371/journal.pone.0100686 DOI:

Olvera N, Power TG. Brief report: Parenting styles and obesity in Mexican American children: A longitudinal study. J Pediatr Psychol 2010; 35(3): 243-249. https://doi:10.1093/jpepsy/jsp071 DOI:

Rodenburg G, Kremers SP, Oenema A, van de Mheen D. Associations of children’s appetitive traits with weight and dietary behaviours in the context of general parenting. PLoS One 2012; 7 (12): e50642. https://doi:10.1371/journal.pone.0050642 DOI:

Ihmels MA, Welk GJ, Eisenmann JC, Nusser SM. Prediction of BMI change in young children with the family nutrition and physical activity (FNPA) screening tool. Ann Behav Med 2009; 38(1). https://doi:10.1007/s12160-009-9126-3 DOI:

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. DOI:

Maccoby E, Martin J. Handbook of Child Psychology; Socialization in the context of the family: Parent-child interaction. Wiley: New York 1983.

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 DOI:

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 DOI:

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 DOI:

Moens E, Brae, C, Soetens B. Observation of family functioning at mealtime: A comparison between families of children with and without overweight. J Pediatr Psychol 2007; 32(1): 52-63. https://doi:10.1093/jpepsy/jsl011 DOI:

Patrick H, Nicklas TA, Hughes SO, Morales M. The benefits of authoritative feeding style: Caregiver feeding styles and children's food consumption patterns. Appetite 2005; 44(2): 243-9. DOI:

Vollmer RL, Mobley AR. Parenting styles, feeding styles, and their influence on child obesogenic behaviors and body weight: A review. Appetite 2013; 71: 232-41. https://doi:10.1016/j.appet.2013.08.015 DOI:

Kakinami L, Barnett TA, Séguin L, Paradis G. Parenting style and obesity risk in children. Prev Med 2015; 75: 18-22. https://doi:10.1016/j.ypmed.2015.03.005 DOI:

Rhee K. Child overweight and the relationship between parent behaviors, parenting style, and family functioning. Ann Am Acad Pol Soc Sci 2008; 615(1): 11-37. https://doi:10.1177/0002716207308400 DOI:

Faith MS, Scranlon KS, Birch LL, Francis LA, Sherry B. Parent-child feeding strategies and their relationships to child eating and weight status. Obesity Research 2004; 12(11): 1711-22. https://doi:10.1038/oby.2004.212 DOI:

Worobey J, Trytko U. Associations between maternal feeding style and child overweight. Child Obes Nutr 2014; 6(4): 216-20. https://doi:10.1177/1941406414541292 DOI:

Seher CL. Parent-child interaction during feeding: How it may influence kids’ weight and relationship with food. Today’s Diet 2011; 3(4): 32. [cited 2020 March 25]. Available from:

Fulkerson JA, Story M, Neumark-Sztainer D, Rydell S. Family meals: Perceptions of benefits and challenges among parents of 8- to 10-year-old children. J Am Diet Assoc 2008; 108(4): 706-709. https://doi:10.1016/j.jada.2008.01.005 DOI:

Brown R, Ogden J. Children's eating attitudes and behaviour: A study of the modelling and control theories of parental influence. Health Edu Res 2004; 19(3): 261-71. https://doi:10.1093/her/cyg040 DOI:

Neumark-Sztainer D, Hannan PJ, Story M, Croll J, Perry C. Family meal patterns: Associations with sociodemographic characteristics and improved dietary intake among adolescents. J Am Diet Assoc 2003; 103: 317-322. https://doi:0002-8223/03/10303-0001 DOI:

Campbell KJ, Crawford DA, Ball K. Family food environment and dietary behaviors likely to promote fatness in 5-6 year-old children. Inter J Obes 2006; 30: 1272-80. https://doi:10.1038/sj.ijo.0803266 DOI:

Rhee KE, Coleman SM, Appugliese DP, Kaciroti NA, Corwyn RF, Davidson NS. Maternal feeding practices become more

controlling after and not before excessive rates of weight gain. Obes 2009; 17: 1724-29. https://doi:10.1038/oby.2009.54 DOI:

Tysoe J, Wilson C. Influences of the family and childcare food environments on preschoolers’ healthy eating. Aust J Early Child 2010; 35: 105-10. DOI:

Webber L, Hill C, Cooke L, Carnell S, Wardle J. Associations between child weight and maternal feeding styles are mediated by maternal perceptions and concerns. E J Clin Nutr 2010; 64: 259-265. https://doi:10.1038/ejcn.2009.146 DOI:

Frankel LA, Hughes SO, O'Connor TM, Power TG, Fisher JO, Hazen NL. Parental influences on children's self-regulation of energy intake: Insights from developmental literature on emotion regulation. J Obes 2012; 327259. https://doi:10.1155/2012/327259 DOI:

Savage JS, Fisher JO, Birch LL. Parental influence on eating behavior: Conception to adolescence. J Law Med Ethics 2007; 35(1): 22-34. https://doi:10.1111/j.1748-720X.2007.00111.x DOI:

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. DOI:

Rhee KE, McEachern R, Jelalian E. 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 DOI:

Strolla LO, Gans KM, Risica PM. Using qualitative and quantitative formative research to develop tailored nutrition intervention materials for a diverse low-income audience. Health Edu Res 2006; 21(4): 465-76. DOI:




How to Cite

Tami, S. ., & Reed, . D. . (2020). Parenting Styles and Family Contributors to the Development of Dietary Behaviors in Arab Children Ages 6-10 Years Old Living in the US. International Journal of Child Health and Nutrition, 9(2), 81–92.



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