PMID- 24972134 OWN - NLM STAT- MEDLINE DCOM- 20150414 LR - 20191210 IS - 1095-8304 (Electronic) IS - 0195-6663 (Linking) VI - 81 DP - 2014 Oct TI - Parental feeding practices and associations with child weight status. Swedish validation of the Child Feeding Questionnaire finds parents of 4-year-olds less restrictive. PG - 232-41 LID - S0195-6663(14)00275-X [pii] LID - 10.1016/j.appet.2014.06.027 [doi] AB - The Child Feeding Questionnaire (CFQ) assesses parental feeding attitudes, beliefs and practices concerned with child feeding and obesity proneness. The questionnaire has been developed in the U.S., and validation studies in other countries are limited. The aim of this study was to examine the psychometric properties of the CFQ in Sweden and the associations between parenting practices and children's weight status. Based on records from the Swedish population register, all mothers of 4-year-olds (n = 3007) from the third largest city in Sweden, Malmo, were contacted by mail. Those who returned the CFQ together with a background questionnaire (n = 876) received the CFQ again to enable test-retest evaluation; 564 mothers completed the CFQ twice. We used confirmatory factor analysis to test whether the original 7-factor model was supported. Good fit (CFI = 0.94, TLI = 0.95, RMSEA = 0.04, SRMR = 0.05) was obtained after minor modifications such as dropping 2 items on restriction and adding 3 error covariances. The internal reliability and the 2-week test-retest reliability were good. The scores on restriction were the lowest ever reported. When the influence of parenting practices on child BMI (dependent variable) was examined in a structural equation model (SEM), child BMI had a positive association with restriction and a negative association with pressure to eat. Restriction was positively influenced by concern about child weight. The second SEM treated parenting practices as dependent variables. Parental foreign origin and child BMI had direct effects on restriction, while pressure to eat was also influenced by parental education. While the results of the study support the usefulness of the CFQ in Sweden, carefully designed cross-cultural comparisons are needed to explain why the levels of restrictive feeding in Swedish families are the lowest reported. CI - Copyright (c) 2014 The Authors. Published by Elsevier Ltd.. All rights reserved. FAU - Nowicka, Paulina AU - Nowicka P AD - Division of Pediatrics, Department of Clinical Science, Intervention and Technology (CLINTEC), B62, Karolinska Institute, 141 86 Stockholm, Sweden. Electronic address: paulina.nowicka@ki.se. FAU - Sorjonen, Kimmo AU - Sorjonen K AD - Department of Clinical Neuroscience, Division of Psychology, Karolinska Institute, 171 65 Solna, Sweden. FAU - Pietrobelli, Angelo AU - Pietrobelli A AD - Pediatric Unit, Verona University Medical School, Policlinic GB. Rossi, P.le LA. Scuro, 1, 37134 Verona, Italy; Pennington Biomedical Research Center, Baton Rouge, LA, USA. FAU - Flodmark, Carl-Erik AU - Flodmark CE AD - Childhood Obesity Unit, Childhood Centre Malmo, Skane University Hospital, 205 02 Malmo, Sweden. FAU - Faith, Myles S AU - Faith MS AD - Department of Nutrition, Gillings School of Global Public Health, University of North Carolina - Chapel Hill, 2211 McGavran Greenberg Hall, CB 7461, Chapel Hill, NC 27599-7461, USA. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Validation Study DEP - 20140624 PL - England TA - Appetite JT - Appetite JID - 8006808 SB - IM MH - Adult MH - Body Mass Index MH - *Body Weight MH - Child, Preschool MH - Cross-Cultural Comparison MH - Cross-Sectional Studies MH - Educational Status MH - Factor Analysis, Statistical MH - *Feeding Behavior MH - Female MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Obesity/ethnology/prevention & control MH - Parent-Child Relations MH - *Parenting MH - Parents MH - *Surveys and Questionnaires MH - Sweden OTO - NOTNLM OT - Children OT - Obesity OT - Overweight OT - Parenting practices OT - Parents OT - Validation EDAT- 2014/06/28 06:00 MHDA- 2015/04/15 06:00 CRDT- 2014/06/28 06:00 PHST- 2014/02/18 00:00 [received] PHST- 2014/06/17 00:00 [revised] PHST- 2014/06/20 00:00 [accepted] PHST- 2014/06/28 06:00 [entrez] PHST- 2014/06/28 06:00 [pubmed] PHST- 2015/04/15 06:00 [medline] AID - S0195-6663(14)00275-X [pii] AID - 10.1016/j.appet.2014.06.027 [doi] PST - ppublish SO - Appetite. 2014 Oct;81:232-41. doi: 10.1016/j.appet.2014.06.027. Epub 2014 Jun 24.