The Association between Sibship Composition and Maternal Feeding Behaviors

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Rana Mosli


Siblings, Maternal Feeding, Monitoring, Perceived Responsibility, Preschoolers


Objective: To examine the association between sibship composition and maternal feeding behaviors.

Method: A total of 309 Saudi mothers of children aged 3 to 5 years old were recruited. The study questionnaire, comprising of the previously validated Child Feeding Questionnaire-Arabic (CFQ-A) and questions assessing sibship composition and sociodemographic characteristics, was completed over the telephone. Descriptive and bivariate analyses, and multiple linear regression adjusting for covariates were performed.

Results: We found a negative association between number of siblings (b: -0.11, 95% CI: -0.15, 0.01), number of older siblings (b: -0.15, 95% CI: -0.13, -0.02), and number of older sisters (b: -0.17, 95% CI: -0.29, -0.05) and perceived responsibility. There was a negative association between number of siblings (b: -0.16, CI: -0.16, -0.03), number of older siblings (b: -0.14, 95% CI: -0.12, -0.02), and number of older sisters (b: -0.21, 95% CI: -0.29, -0.09) and monitoring. Increase in number of siblings was associated with higher concern about child’s weight (b: 0.17, 95% CI: 0.01, 0.23) and higher concern about child’s diet (b: 0.14, 95% CI: 0.02, 0.23).

Conclusion: Children who have more siblings, specifically older siblings and older sisters may experience unique maternal feeding behaviors that have been previously linked to poor dietary patterns, as mothers may share feeding responsibilities with older siblings/sisters. Further research is needed to identify the association between sibship composition and dietary habits/intake. Educating older siblings and older sisters on healthy eating may help them become positive reinforcers of a healthy lifestyle for younger siblings.


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1. Santiago-Torres M, Cui Y, Adams AK, et al. Structural equation modeling of the associations between the home environment and obesity-related cardiovascular fitness and insulin resistance among Hispanic children. Appetite. 2016;101:23-30.
2. Philips N, Sioen I, Michels N, et al. The influence of parenting style on health related behavior of children: findings from the ChiBS study. International Journal of Behavioral Nutrition and Physical Activity. 2014;11(1):95.
3. Zaslow MJ, Weinfield NS, Gallagher M, et al. Longitudinal prediction of child outcomes from differing measures of parenting in a low-income sample. Developmental Psychology. 2006;1(27).
4. Hoffmann DA, Marx JM, Kiefner-Burmeister A, et al. Influence of maternal feeding goals and practices on children's eating behaviors. Appetite. 2016;107:21-27.
5. Hughes SO, Power TG, O’Connor TM, et al. Maternal feeding styles and food parenting practices as predictors of longitudinal changes in weight status in Hispanic preschoolers from low-income families. Journal of Obesity. 2016.
6. Quah PL, Syuhada G, Fries LR, et al. Maternal feeding practices in relation to dietary intakes and BMI in 5 year-olds in a multi-ethnic Asian population. PloS one. 2018;13(9):e0203045.
7. Arlinghaus KR, Vollrath K, Hernandez DC, et al. Authoritative parent feeding style is associated with better child dietary quality at dinner among low-income minority families. The American Journal of Clinical Nutrition. 2018;108:730-736.
8. Burton ET, Wilder T, Beech BM, et al. Caregiver feeding practices and weight status among african american adolescents: the jackson heart kids pilot study. Eating behaviors. 2017;27:33-38.
9. Furman W. Parenting siblings. In Bornstein MH, (Ed). Handbook of parenting Children and parenting: Lawrence Erlbaum Associates, Inc. 1995:143–162.
10. Strohschein L, Gauthier AH, Campbell R, et al. Parenting as a dynamic process: A test of the resource dilution hypothesis. Journal of Marriage and Family. 2008;70(3):670-683.
11. Senguttuvan U, Whiteman SD, Jensen AC. Family relationships and adolescents' health attitudes and weight: the understudied role of sibling relationships. Family Relations. 2014;63(3):384-396.
12. Mosli RH, Lumeng JC, Kaciroti N, et al. Higher weight status of only and last-born children. Maternal feeding and child eating behaviors as underlying processes among 4–8 year olds. Appetite. 2015;1(92):167-172.
13. Ruggiero C, Birch L, Paul I, et al. Mothers Use More Structure-Based Feeding in Firstborns Than Secondborn Siblings (P11-117-19). Current Developments in Nutrition. 2019;Supplement 1:nzz048.P011-117-019.
14. Hunsberger M, Formisano A, Reisch LA, et al. Overweight in singletons compared to children with siblings: the IDEFICS study. Nutrition & diabetes. 2012;2(7):e35-.
15. Park SH, Cormier E. Influence of siblings on child health behaviors and obesity: a systematic Review. Journal of Child and Family Studies. 2018;27(7):2069-2081.
16. Mosli RH. Validation of the Child Feeding Questionnaire among Saudi pre-schoolers in Jeddah city. Public Health Nutrition. 2020;23(4):599-608.
17. Mosli RH, Bakhsh JA, Madani NA, et al. Indulgence and stress around feeding: Initial evidence from a qualitative study of Saudi mothers. Appetite. 2019;138:242-251.
18. Bank TW. Fertility Rate, Total (Births per Woman)- Saudi Arabia Available:
19. Birch LL, Fisher JO, Grimm-Thomas K, et al. Confirmatory factor analysis of the Child Feeding Questionnaire: A measure of parental attitudes, beliefs and practices about child feeding and obesity proneness. Appetite. 2001;36(3):201-210.
20. Anderson SE, Must A, Curtin C, et al. Meals in our household: reliability and initial validation of a questionnaire to assess child mealtime behaviors and family mealtime environments. Journal of the Academy of Nutrition and Dietetics. 2012;112(2):276-284.
21. DeVellis RF. Scale development: Theory and applications (2nd ed.). Thousand Oaks, CA: Sage Publications. 2003.
22. Durão C, Andreozzi V, Oliveira A, et al. Maternal child-feeding practices and dietary inadequacy of 4-year-old children. Appetite. 2015;92:15-23.
23. Gregory JE, Paxton SJ, Brozovic AM. Maternal feeding practices, child eating behaviour and body mass index in preschool-aged children: a prospective analysis. International Journal of Behavioral Nutrition and Physical Activity. 2010;7(1):55.
24. Melbye EL, Øverby NC, Øgaard T. Child consumption of fruit and vegetables: The roles of child cognitions and parental feeding practices. Public Health Nutrition. 2012;15(6):1047-1055.
25. Haines J, Downing KL, Tang L, et al. Associations between maternal concern about child’s weight and related behaviours and maternal weight-related parenting practices: A cross-sectional study. International Journal of Behavioral Nutrition and Physical Activity. 2018;15(1):104.
26. Dunn J. Sibling relationships in early childhood. Child Development. 1983:787-811.
27. Mosli RH, Miller AL, Peterson KE, et al. Maternal behavior as a predictor of sibling interactions during mealtimes. Eating Behaviors. 2016(21):76-79.
28. Seginer R. Sibling relationships in early adolescence: A study of Israeli Arab sisters. The Journal of Early Adolescence. 1992;12(1):96-110.
29. Nowicka P, Sorjonen K, Pietrobelli A, et al. Parental feeding practices and associations with child weight status. Swedish validation of the Child Feeding Questionnaire finds parents of 4-year-olds less restrictive. Appetite. 2014;81(232):41.
30. Boles RE, Nelson TD, Chamberlin LA, et al. Confirmatory factor analysis of the Child Feeding Questionnaire among low-income African American families of preschool children. Appetite. 2010;54(2):402-405.