Parental Concerns About Child Disordered Eating Common Among Youth With High Weights in Behavioral Intervention

A new study in the Journal of Nutrition Education and Behavior (JNEB), published by Elsevier, examined parental concerns about child disordered eating among families participating in a long-term, motivational interviewing (MI)-based behavioral intervention. Disordered eating refers to a range of unhealthy eating-related thoughts and behaviors, such as loss of control eating, excessive concern about weight or shape, or restrictive eating, that may not meet the criteria for a diagnosed eating disorder. Researchers found that nearly half (44.9%) of parents reported at least one concern related to disordered eating at the start of the intervention.

The research evaluated parents of children aged 3–11 years with high body weights enrolled in the Population Effects of Motivational Interviewing on Pediatric Obesity in Primary Care (BMI²+) study. The intervention included up to six MI-based nutrition counseling calls with study registered dietitians, which most parents completed over the course of approximately 2.0–2.5 years. Given the developmental stages of the children in this study, parents played a central role in influencing their children’s behavioral changes, with food-related parenting practices and the home environment serving as key factors in driving these changes.

The most common parental concerns expressed were the loss of control eating and preoccupation with weight or shape. Children with higher BMIs and those perceived by parents as overweight or obese were significantly more likely to have parents report concerns. However, the study observed no significant changes in parental concerns over time, suggesting that the MI-based counseling approach, delivered remotely by registered dietitians, did not exacerbate or resolve disordered eating concerns during the intervention. Importantly, baseline concerns did not affect whether families remained engaged in the program.

“This study shows that concerns about disordered eating behaviors are common among parents of young children with high weights, but these concerns do not appear to worsen when families engage in supportive, autonomy-focused counseling,” said lead investigator Kendrin R. Sonneville, ScD, RD, Department of Nutritional Sciences, University of Michigan School of Public Health. “Motivational interviewing may provide a protective environment that encourages healthy routines without reinforcing weight stigma or unhealthy weight-control behaviors.”

These findings highlight the importance of sensitive, developmentally appropriate screening tools for disordered eating in pediatric populations, especially younger children, for whom validated measures are limited. The authors emphasize that guidance from trained clinicians and registered dietitians may help families navigate weight-related behaviors in ways that support both physical and emotional well-being.

Notes for editors

The article is "Parental Concerns About Child Disordered Eating Among Youth With High Weights Participating in a Motivational Interviewing-Based Behavioral Intervention," by Lenora P. Goodman, MPH, RDN; Emerson Delacroix, LLP, MACP; Sarah McNally, MPH; Ken Resnicow, PhD; Shannon Considine, MSW, MPH; Jennifer Steffes, MSW; Donna Harris, MA; Heide Woo, MD; Melissa S. Stockwell, MD, MPH; and Kendrin R. Sonneville, ScD, RD (https://doi.org/10.1016/j.jneb.2025.09.005). It appears in the Journal of Nutrition Education and Behavior, volume 58, issue 1 (January 2026), published by Elsevier.

The article is openly available for 90 days at https://www.jneb.org/article/S1499-4046(25)00428-2/fulltext.

Full text of the article is also available to credentialed journalists upon request; contact Eileen Leahy at +1 732 406 1313 or [email protected] to obtain a copy. To schedule an interview with the author(s), please contact Kendrin Sonneville ScD, RD, at [email protected].

An audio podcast featuring an interview with Kendrin R. Sonneville, ScD, RD, and other information for journalists are available at https://www.jneb.org/content/media. Excerpts from the podcast may be reproduced by the media with permission from Eileen Leahy.

About the Journal of Nutrition Education and Behavior (JNEB)

The Journal of Nutrition Education and Behavior (JNEB), the official journal of the Society for Nutrition Education and Behavior (SNEB), is a refereed, scientific periodical that serves as a resource for all professionals with an interest in nutrition education and dietary/physical activity behaviors. The purpose of JNEB is to document and disseminate original research, emerging issues, and practices relevant to nutrition education and behavior worldwide and to promote healthy, sustainable food choices. It supports the society’s efforts to disseminate innovative nutrition education strategies and communicate information on food, nutrition, and health issues to students, professionals, policy makers, targeted audiences, and the public.

The Journal of Nutrition Education and Behavior features articles that provide new insights and useful findings related to nutrition education research, practice, and policy. The content areas of JNEB reflect the diverse interests of health, nutrition, education, Cooperative Extension, and other professionals working in areas related to nutrition education and behavior. As the Society's official journal, JNEB also includes occasional policy statements, issue perspectives, and member communications. www.jneb.org

Acerca de Elsevier

Como líder mundial en información y análisis científicos, Elsevier ayuda a los investigadores y profesionales de la salud a hacer avanzar la ciencia y mejorar los resultados de salud en beneficio de la sociedad. Lo hacemos facilitando conocimientos y la toma de decisiones críticas con soluciones innovadoras basadas en contenido confiable y basado en evidencia y tecnologías digitales avanzadas habilitadas por IA. Hemos apoyado el trabajo de nuestras comunidades de investigación y atención médica durante más de 140 años. Nuestros 9500 empleados en todo el mundo, incluidos 2300 tecnólogos, se dedican a apoyar a investigadores, bibliotecarios, líderes académicos, financiadores, gobiernos, empresas intensivas en I+D, médicos, enfermeras, futuros profesionales de la salud y educadores en su trabajo crítico. Nuestras 2900 revistas científicas y libros de referencia icónicos incluyen los títulos más importantes en sus campos, incluidos Cell Press, The Lancet y Gray's Anatomy. Junto con Elsevier Foundation, trabajamos en asociación con las comunidades a las que servimos para promover la inclusión y la diversidad en la ciencia, la investigación y la atención médica en los países en desarrollo y en todo el mundo. Elsevier es parte de RELX, un proveedor global de herramientas de toma de decisiones y análisis basados ​​en información para clientes profesionales y comerciales. Para obtener más información sobre nuestro trabajo, soluciones digitales y contenido, visite www.elsevier.com.