{"title":"Sex-Specific Associations Between Parenting Practices and Dietary Quality Within Male and Female Adolescents in the Western Region of Saudi Arabia","authors":"Hebah Alawi Kutbi PhD, RD , Dana Firas AlShangiti MSc , Hatoon Yousef Bawarith BSc , Wala Abdulrahim Alamoodi BSc , Lujain Ahmed Bahubaish BSc, RD , Rana Hisham Mosli PhD, RD , Walaa Abdullah Mumena PhD","doi":"10.1016/j.jand.2025.156248","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Consistent evidence indicates existing associations between food parenting practices and children’s dietary quality, yet these associations are likely to be different in adolescents as they are exposed to a wider social network.</div></div><div><h3>Objective</h3><div>To expand the existing literature by examining sex-specific associations between maternal and paternal food parenting practices and the dietary quality of male and female adolescents using sex-stratified analyses.</div></div><div><h3>Design</h3><div>A cross-sectional study was conducted between October 2021 and January 2022.</div></div><div><h3>Participants/setting</h3><div>A total of 2000 adolescents and their parents were recruited from 16 schools located in the western region of Saudi Arabia. A triadic dataset of 656 adolescents (aged 11 to 18 years) and their mothers and fathers was included in the analytic sample.</div></div><div><h3>Main outcome measures</h3><div>Food parenting practices questionnaires were completed for each adolescent by their mothers and fathers separately using the Comprehensive Feeding Practice Questionnaire-Arabic. Dietary quality of adolescents was assessed using a modified version of the Short Form Food Frequency Questionnaire.</div></div><div><h3>Statistical analyses performed</h3><div>Sex-stratified linear regression analyses were conducted to examine the association between each food parenting practice and dietary quality score of adolescents, adjusting for adolescents’ age, maternal education status, city of residence, and family income.</div></div><div><h3>Results</h3><div>In male adolescents, maternal modeling, teaching about nutrition, and monitoring (B = .37; 95% CI, 0.14 to 0.60; B = .26, 95% CI, 0.01 to 0.51; and B = .31; 95% CI, 0.08 to .54, respectively) and paternal restriction for weight (B = .22; 95% CI, 0.01 to 0.44) were associated with higher dietary quality scores. In female adolescents, maternal restriction for health was associated with a lower dietary quality score (B = –.24; 95% CI, –0.43 to –0.05), whereas paternal teaching about nutrition was positively associated (B = .21; 95% CI, 0.02 to 0.40).</div></div><div><h3>Conclusions</h3><div>Findings suggest distinct patterns of association between maternal and paternal food parenting practices and dietary quality within male and female adolescents. Future interventions aimed at enhancing adolescent dietary quality may benefit from considering sex-specific associations between parental practices and dietary quality.</div></div>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"126 3","pages":"Article 156248"},"PeriodicalIF":4.0000,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the Academy of Nutrition and Dietetics","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2212267225008585","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/11/21 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"NUTRITION & DIETETICS","Score":null,"Total":0}
引用次数: 0
Abstract
Background
Consistent evidence indicates existing associations between food parenting practices and children’s dietary quality, yet these associations are likely to be different in adolescents as they are exposed to a wider social network.
Objective
To expand the existing literature by examining sex-specific associations between maternal and paternal food parenting practices and the dietary quality of male and female adolescents using sex-stratified analyses.
Design
A cross-sectional study was conducted between October 2021 and January 2022.
Participants/setting
A total of 2000 adolescents and their parents were recruited from 16 schools located in the western region of Saudi Arabia. A triadic dataset of 656 adolescents (aged 11 to 18 years) and their mothers and fathers was included in the analytic sample.
Main outcome measures
Food parenting practices questionnaires were completed for each adolescent by their mothers and fathers separately using the Comprehensive Feeding Practice Questionnaire-Arabic. Dietary quality of adolescents was assessed using a modified version of the Short Form Food Frequency Questionnaire.
Statistical analyses performed
Sex-stratified linear regression analyses were conducted to examine the association between each food parenting practice and dietary quality score of adolescents, adjusting for adolescents’ age, maternal education status, city of residence, and family income.
Results
In male adolescents, maternal modeling, teaching about nutrition, and monitoring (B = .37; 95% CI, 0.14 to 0.60; B = .26, 95% CI, 0.01 to 0.51; and B = .31; 95% CI, 0.08 to .54, respectively) and paternal restriction for weight (B = .22; 95% CI, 0.01 to 0.44) were associated with higher dietary quality scores. In female adolescents, maternal restriction for health was associated with a lower dietary quality score (B = –.24; 95% CI, –0.43 to –0.05), whereas paternal teaching about nutrition was positively associated (B = .21; 95% CI, 0.02 to 0.40).
Conclusions
Findings suggest distinct patterns of association between maternal and paternal food parenting practices and dietary quality within male and female adolescents. Future interventions aimed at enhancing adolescent dietary quality may benefit from considering sex-specific associations between parental practices and dietary quality.
期刊介绍:
The Journal of the Academy of Nutrition and Dietetics is the premier source for the practice and science of food, nutrition, and dietetics. The monthly, peer-reviewed journal presents original articles prepared by scholars and practitioners and is the most widely read professional publication in the field. The Journal focuses on advancing professional knowledge across the range of research and practice issues such as: nutritional science, medical nutrition therapy, public health nutrition, food science and biotechnology, foodservice systems, leadership and management, and dietetics education.