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We thank Tatjana van Strien for the use of her Dutch translation of the Child Feeding Questionnaire, Sid Schaeken for his contribution to manufacturing the miniature grocery store, and Leontien de Kwaadsteniet for her advice during the pilot.
A version of this paper has been published as a chapter the doctoral thesis of the first author: “Families on the balance. Eating behaviour and weight status of adolescents and their families.”
The following study compared the food choices made by overweight and non-overweight preschoolers while role-playing a mother who bought food for a family, and examined the influence of maternal restriction on food choice. After screening 619 children for height and weight, 56 overweight children (equal sex distribution, ages 4-6) and 56 non-overweight children (matched on age, sex, demographics) were selected to participate. Children's purchases of low and high caloric snacks, drinks, and dinner products in a miniature supermarket were recorded. Mother and child-reported maternal restriction were assessed using the Child Feeding Questionnaire (CFQ) and the Kid's CFQ. Compared to non-overweight children, overweight children choose more high-calorie foods when role-playing a mother. Maternal restriction did not differ between overweight and non-overweight children. Both children's and mothers' reported maternal restriction were unrelated to food choices and there were no significant interactions between restriction and weight status on food choices. In conclusion, while parental restriction seems to be unrelated to children's food choices, family food patterns might have great impact already at young ages.
Environmental factors may play an important role in the development of overweight since genetic factors alone cannot account for its worldwide rapid increase in the past decennia (