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Decreasing food fussiness in children with obesity leads to greater weight loss in family‐based treatment
Author(s) -
Hayes Jacqueline F.,
Altman Myra,
Kolko Rachel P.,
Balantekin Katherine N.,
Holland Jodi Cahill,
Stein Richard I.,
Saelens Brian E.,
Welch R. Robinson,
Perri Michael G.,
Schechtman Kenneth B.,
Epstein Leonard H.,
Wilfley Denise E.
Publication year - 2016
Publication title -
obesity
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.438
H-Index - 199
eISSN - 1930-739X
pISSN - 1930-7381
DOI - 10.1002/oby.21622
Subject(s) - overweight , medicine , body mass index , obesity , childhood obesity , anthropometry , weight loss , child obesity , weight change , pediatrics , demography , sociology
Objective Food fussiness (FF), or the frequent rejection of both familiar and unfamiliar foods, is common among children and, given its link to poor diet quality, may contribute to the onset and/or maintenance of childhood obesity. This study examined child FF in association with anthropometric variables and diet in children with overweight/obesity participating in family‐based behavioral weight loss treatment (FBT). Change in FF was assessed in relation to FBT outcome, including whether change in diet quality mediated the relation between change in FF and change in child weight. Methods Child ( N = 170; age = 9.41 ± 1.23) height and weight were measured, and parents completed FF questionnaires and three 24‐h recalls of child diet at baseline and post‐treatment. Healthy Eating Index‐2005 scores were calculated. Results At baseline, child FF was related to lower vegetable intake. Average child FF decreased from start to end of FBT. Greater decreases in FF were associated with greater reductions in child body mass index and improved overall diet quality. Overall, diet quality change through FBT mediated the relation between child FF change and child body mass index change. Conclusions Children with high FF can benefit from FBT, and addressing FF may be important in childhood obesity treatment to maximize weight outcomes.