More controlling child-feeding practices are found among parents of boys with an average body mass index compared with parents of boys with a high body mass index

Objective To determine if differences existed in mothers' and fathers' perceptions of their sons' weight, controlling child-feeding practices (ie, restriction, monitoring, and pressure to eat), and parenting styles (ie, authoritarian, authoritative, and permissive) by their sons' body mass index (BMI). Design One person (L.S.B.) interviewed mothers and boys using validated questionnaires and measured boys' weight and height; fathers completed questionnaires independently. Subjects/setting Subjects were white, preadolescent boys and their parents. Boys were grouped by their BMI into an average BMI group (n=25; BMI percentile between 33rd and 68th) and a high BMI group (n=24; BMI percentile >= 85th). Statistical analyses performed Multivariate analyses of variance and analyses of variance. Results Mothers and fathers of boys with a high BMI saw their sons as more overweight (mothers P=.03, fathers P=.01), were more concerned about their sons' weight (P <.0001, P=.004), and used pressure to eat with their sons less often than mothers and fathers of boys with an average BMI (P <.0001, P <.0001). In addition, fathers of boys with a high BMI monitored their sons' eating less often than fathers of boys with an average BMI (P=.006). No differences were found in parenting by boys' BMI groups for either mothers or fathers. Conclusions More controlling child-feeding practices were found among mothers (pressure to eat) and fathers (pressure to eat and monitoring) of boys with an average BMI compared with parents of boys with a high BMI. A better understanding of the relationships between feeding practices and boys' weight is necessary. However, longitudinal research is needed to provide evidence of causal association.