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Journal of Pediatric Psychology Advance Access originally published online on September 1, 2006
Journal of Pediatric Psychology 2007 32(1):64-68; doi:10.1093/jpepsy/jsl026
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© The Author 2006. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

Family Mealtime Interactions and Overweight Children with Asthma: Potential for Compounded Risks?

Matthew P. Jacobs, BA and Barbara H. Fiese, PhD

Department of Psychology, Syracuse University

All correspondence concerning this article should be addressed to Barbara H. Fiese, PhD, 430 Huntington Hall, Department of Psychology, Syracuse University, Syracuse, New York 13240. E-mail: bhfiese{at}syr.edu.


  Abstract

Objective Exploratory study aimed to examine differences in family interaction patterns during a routine mealtime between overweight, at-risk for overweight, and average weight children with asthma. Methods Eighty families of children with asthma, aged 5–12 years, were videotaped during a mealtime in their homes. The videotapes were rated using the McMaster Mealtime Family Interaction Coding System (MICS). Structural aspects of the meal such as presence of sugary drinks and whether the television was on were also coded. Results Significant differences were found on the MICS with families of children with asthma who were overweight scoring lower on task accomplishment, affect management, interpersonal involvement, and roles. Families of overweight children with asthma also displayed an increased presence of sugary beverages, shorter meal length, and fewer adults at the table. Conclusions Preliminary findings suggest that families with children with asthma who are overweight may have a more difficult time managing mealtimes and feel overwhelmed by this family routine.

Key words: childhood overweight; family interaction; pediatric asthma.


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