Jacqueline F Hayes1, Myra Altman2, Rachel P Kolko3, Katherine N Balantekin2, Jodi Cahill Holland2, Richard I Stein4, Brian E Saelens5, R Robinson Welch2, Michael G Perri6, Kenneth B Schechtman7, Leonard H Epstein8, Denise E Wilfley2. 1. Department of Psychiatry, Washington University in St. Louis, St. Louis, Missouri, USA. hayesj@psychiatry.wustl.edu. 2. Department of Psychiatry, Washington University in St. Louis, St. Louis, Missouri, USA. 3. Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA. 4. Department of Internal Medicine, Washington University in St. Louis, St. Louis, Missouri, USA. 5. Seattle Children's Research Institute, Seattle, Washington, USA. 6. Department of Clinical and Health Psychology, University of Florida, Gainesville, Florida, USA. 7. Department of Biostatistics, Washington University in St. Louis, St. Louis, Missouri, USA. 8. Department of Pediatrics, University at Buffalo School of Medicine and Biomedical Sciences, Buffalo, New York, USA.
Abstract
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.
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 childFF 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, childFF was related to lower vegetable intake. Average childFF 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 childFF 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.
Authors: Myra Altman; Jodi Cahill Holland; Delaney Lundeen; Rachel P Kolko; Richard I Stein; Brian E Saelens; R Robinson Welch; Michael G Perri; Kenneth B Schechtman; Leonard H Epstein; Denise E Wilfley Journal: J Acad Nutr Diet Date: 2015-05-08 Impact factor: 4.910
Authors: Jodi Cahill Holland; Rachel P Kolko; Richard I Stein; R Robinson Welch; Michael G Perri; Kenneth B Schechtman; Brian E Saelens; Leonard H Epstein; Denise E Wilfley Journal: Obesity (Silver Spring) Date: 2014-03-25 Impact factor: 5.002
Authors: Sophia A Rotman; Lauren A Fowler; Mary Katherine Ray; Richard I Stein; Jacqueline F Hayes; Rachel P Kolko; Katherine N Balantekin; Alexis Engel; Brian E Saelens; R Robinson Welch; Michael G Perri; Leonard H Epstein; Denise E Wilfley Journal: Child Obes Date: 2019-12-12 Impact factor: 2.992
Authors: Katherine N Balantekin; Jacqueline F Hayes; Daniel H Sheinbein; Rachel P Kolko; Richard I Stein; Brian E Saelens; Kelly Theim Hurst; R Robinson Welch; Michael G Perri; Kenneth B Schechtman; Leonard H Epstein; Denise E Wilfley Journal: Obesity (Silver Spring) Date: 2017-10-06 Impact factor: 5.002