Kids whose moms encourage them to exercise and eat well, and model those
healthy behaviours themselves, are more likely to be active and healthy eaters,
according to researchers at Duke Medicine.
Their findings remind parents that they are role models for their children,
and underscore the importance of parental policies promoting physical activity
and healthy eating.
Exercise and healthy diets are critical in fighting childhood obesity, a
considerable problem in the United States, where over a quarter of kids ages two
to five are already overweight or obese.
"Obesity is a complex phenomenon, which is influenced by individual
biological factors and behaviours," said study author Truls Østbye, MD, PhD,
professor of community and family medicine at Duke. "But there are variations in
obesity from one society to another and from one environment to another, so
there is clearly something in the environment that strongly influences the
The home environment and parenting can influence a child's health by shaping
dietary and physical behaviours, such as providing access to fruits and
vegetables or encouraging kids to play outside.
"The 'obesiogenic' environment is broad and multi-faceted, including the
physical neighbourhood environment, media and advertising, and food tax
policies, but we feel that the home environment is critical, particularly among
children. However, we didn't have a lot of evidence as to how important this
was," Østbye said.
In this study, Østbye and his colleagues examined the relationship between
the home environment and behaviours related to obesity – dietary and exercise
habits – among preschoolers.
The researchers studied data from 190 kids, ages two to five, whose mothers
were overweight or obese. They collected information on the children's food
intake over the past week, with foods rated as junk food or healthy food. To
gauge their levels of physical activity, the children wore accelerometers for a
week, which measured moderate to vigorous physical activity as well as sedentary
The mothers reported information about their children's environments,
including family policies around food and physical activity, accessibility of
healthy versus junk foods, availability of physical activity equipment, and
whether they model healthy eating or exercise for their kids.
When they analysed the data, the researchers found significant associations
between these environmental measures and the preschoolers' physical activity and
healthy versus junk food intake. They concluded that to promote healthy
behaviours in children, a healthy home environment and parental role modelling
Lead by example
For example, limiting access to junk foods at home and parental policies
supporting family meals increased the amount of healthy foods kids ate. Overall,
the home environment had more influence on the children's dietary habits than on
their physical activity levels.
This study reminds parents that their children are watching and learning from
observing their behaviours, both good and bad.
"It's hard for parents to change their behaviours, but not only is this
important for you and your own health; it is also important for your children
because you are a role model for them," said Marissa Stroo, a co-investigator on
the study. "This might be common sense, but now we have some evidence to support
The researchers also looked at socioeconomic factors of the mothers,
including their education levels and whether they worked, to see if this had an
effect on the children's behaviours. The mother's socioeconomic factors did not
affect their kids' physical activity, but had mixed results when it came to
their dietary habits.
Further research is needed to better understand how a mother's socioeconomic
factors influence her child's health, but it is possible that different
strategies may be needed to prevent obesity in children depending on a mother's
education and work status. More research is also necessary to see if the
influence of the home environment changes as children get older, and if
parenting strategies should adapt accordingly.