Content and perception of weight-related maternal messages communicated to adult daughters

This study examined communication between mothers and overweight daughters on weight or weight-related behaviors through the perspective of adult daughters. Qualitative thematic analysis was used to analyze in-depth individual interviews conducted with 15 adult daughters. Mothers who actively engaged in weight management behaviors, such as dieting and exercising regularly, transmitted these behaviors through modeling and served as continuous sources of verbal guidance on the topic. Weight management was discussed frequently and explicitly. Daughters relied on mothers for motivation in the form of supportive statements consisting of specific recommendations on weight management practices, encouragement to attempt or continue weight management practices, empathy with the struggle of managing weight, and affirmation of practices conducive to weight management. Mothers who did not engage in weight management behaviors were not viewed as credible sources for advice on diet and exercise. Daughters did most of the advice giving and modeling on weight management behaviors. Weight management was discussed infrequently and cautiously. Daughters perceived weight-related messages from mothers as unsolicited and critical. The results suggest that shared lifestyle goals among family members are important for facilitating supportive communication and engagement in health-promoting behaviors and have implications for family-based weight management interventions.