scholarly journals Examining correlates of feeding practices among parents of preschoolers

2021 ◽  
pp. 026010602110328
Author(s):  
Deepa Srivastava ◽  
Lucy R. Zheng ◽  
Dipti A. Dev

Background: Parent feeding practices play a critical role in children’s eating behaviors. Limited research has explored child-level correlates of parent feeding practices. Aim: To identify correlates of feeding practices (responsive and controlling) among parents of preschoolers US. Methods: Participants included parents (n = 273) of preschoolers (3–5 years), recruited from Early Care and Education settings (n = 24) located in a metropolitan city in the US. Analysis included descriptives, correlations, and multiple regression. Results: For responsive feeding practices, positive associations included child's weight with unintentional modeling ( β = .17, 95% CI [0.12, 0.53]), child vegetable consumption with behavioral role modeling ( β = 0.22, 95% CI [0.17, 0.44]), and parent monitoring with verbal modeling ( β = 0.21, 95% CI [0.12, 0.34]). For controlling feeding practices, parent restriction was positively associated with child weight concern ( β = 0.22, 95% CI [0.13, 0.39]) and parent monitoring ( β = 0.13, 95% CI [0.01, 0.19]), whereas child vegetable consumption was negatively associated ( β = −0.16, 95% CI [−0.27, −0.05]). Pressure to eat was negatively associated with child weight concern ( β = −0.18, 95% CI [−0.45, −0.09]), child fruit consumption ( β = −0.12, 95% CI [−0.37, −0.01]), household income ( β = −0.13, 95% CI [−0.30, −0.02]), and parent weight ( β = −0.14, 95% CI [−0.60, −0.05]), Conclusions: Findings highlight the importance of child characteristics when examining correlates of parent feeding practices, demonstrating bidirectional interactions between parent feeding practices and children’s eating behaviors. Considering child-level correlates may improve the implementation of responsive feeding practices and reduce controlling feeding practices.

2020 ◽  
Vol 19 ◽  
pp. 101146
Author(s):  
Jerica M. Berge ◽  
Angela R. Fertig ◽  
Amanda Trofholz ◽  
Dianne Neumark-Sztainer ◽  
Elizabeth Rogers ◽  
...  

Author(s):  
Katherine R. Arlinghaus ◽  
Melissa N. Laska

The process of feeding is complex and highly dependent on parent, child, social, and environmental factors. Given the rising rates of food insecurity and concomitant poor nutrition and health, the purpose of this article was to outline the important and complex ways in which the context of food insecurity can impact parent feeding practices. Key factors discussed here include the impact of food insecurity on: expectations for motherhood, structural constraints, stress and depression, parents’ perceptions of health and child weight, and intergenerational transmission of parent feeding practices. Future research needs are also identified and discussed.


2021 ◽  
Author(s):  
Brittany Markides ◽  
Rachel Laws ◽  
Kylie Hesketh ◽  
Ralph Maddison ◽  
Elizabeth Denney-Wilson ◽  
...  

BACKGROUND Food fussiness is common in toddlerhood. Fussiness is associated with nonresponsive parent feeding practices, such as persuasive and instrumental feeding. Such feeding practices may reinforce fussy eating behaviors and are associated with poorer dietary intake and suboptimal growth trajectories. Parent feeding practices are known to cluster; however, no previous research has examined how feeding practices cluster in parents of fussy eaters. OBJECTIVE This study explored how feeding practices and factors known to influence these clustered among parents who perceived their toddler to be a fussy eater. METHODS Data were collected from parent discussions of fussy eating on an online parenting forum on the social media site, Reddit (80,366 posts). Latent Dirichlet Allocation was used to identify discussions of fussy eating. Relevant posts (1,542) made by users who identified as a parent of a fussy eater (n=630) underwent qualitative coding and thematic analysis. RESULTS Five clusters of parents were identified, ranging in size from 53 to 189 users. These were primarily characterized by parents’ degree of concern and feeding practices: 1) High Concern, Nonresponsive; 2) Concerned, Nonresponsive; 3) Low Concern, Responsive; 4) Low Concern, Mixed Strategies; 5) Low Concern, Indulgent. Parents who used responsive practices tended to be less concerned for fussy eating, have greater trust in their child’s ability to self-regulate hunger, have longer-term feeding goals, and exhibit a greater ability for personal self-regulation. CONCLUSIONS Factors related to parent feeding practices may cluster among parents who perceive their toddler to be a fussy eater. Future research should examine these constructs to identify how they may relate to each other and to parents’ feeding practices in order to learn how they could be leveraged in parent feeding interventions.


2020 ◽  
Author(s):  
Jian Wang ◽  
Daqiao Zhu ◽  
Xuwen Cheng ◽  
Yicong LiuZhou ◽  
Bingqian Zhu ◽  
...  

AbstractWe aimed to examine the mediating effects of maternal perception of child weight (weight perception) and concern about overweight (weight concern) on the paths between child weight and non-responsive feeding practices. We recruited a convenience sample of 1164 mothers who were primary caregivers of preschool children. Child body mass index (BMI) Z-score was calculated to assess child weight. The Chinese version of the Child Feeding Questionnaire (C-CFQ) was used to measure four common non-responsive feeding practices, weight perception and weight concern. Structural equation modeling (SEM) was used to examine the associations between child BMI Z-scores, maternal feeding practices, and other covariates. Sixty percent of the mothers perceived their overweight/obese children as normal weight or even underweight. The disagreement between actual child weight and maternal weight perception was statistically significant (Kappa = 0.212, P < 0.001). SEM indicated that weight perception fully mediated the relationship between child BMI Z-scores and pressure to eat. Weight concern fully mediated the relationships between child BMI Z-scores and the other three feeding practices. The serial mediating effects of weight perception and concern were statistically significant for the paths between child BMI Z-score and monitoring (β = 0.035, P < 0.001), restriction (β = 0.022, P < 0.001), and food as a reward (β = -0.017, P < 0.05).ConclusionChild weight may influence maternal feeding practices through weight perception and concern. Thus, interventions are needed to increase the accuracy of weight perception, which may influence several maternal feeding practices and thereby contribute to child health.What is KnownNon-responsive feeding practices may contribute to childhood obesity or eating disorders.Relationships between maternal weight perception and concern, child weight, and feeding practices have been mixed.What is NewChild weight may influence maternal non-responsive feeding practices through maternal weight perception and concern.Interventions are needed to increase the accuracy of caregivers’ perception of child weight which may influence maternal feeding practices and thereby contribute to child health.


2021 ◽  
Vol 8 ◽  
Author(s):  
Catherine G. Russell ◽  
Jessica Appleton ◽  
Alissa J. Burnett ◽  
Chris Rossiter ◽  
Cathrine Fowler ◽  
...  

Background: Examining appetitive traits with person-centered analytical approaches can advance the understanding of appetitive phenotype trajectories across infancy, their origins, and influences upon them. The objective of the present study was to empirically describe appetitive phenotype trajectories in infancy and examine the associations with infant and parent factors.Materials and Methods: In this longitudinal cohort study of Australian infants, parents completed three online surveys ~3 months apart, beginning when the infant was &lt;6 months. Appetitive traits were assessed with the Baby Eating Behavior Questionnaire (BEBQ) and parent feeding practices with the Feeding Practices and Structure Questionnaire (FPSQ) infant and toddler version. Parent demographics and cognitions were also collected. Infant weight and length were transcribed from health records and converted to a BMI z-score. Group-based trajectory modeling identified appetitive phenotype trajectories using the BEBQ. Multilevel modeling examined change in feeding practices and child BMI z-score over time by appetitive phenotype trajectories.Results: At time 1, 380 participants completed the survey (mean infant age 98 days), 178 at time 2 (mean infant age 198 days), and 154 at time 3 (mean infant age 303 days). Three multi-trajectory appetitive phenotype groups were identified and labeled as (Phenotype 1) food avoidant trending toward low food approach (21.32% of infants), (Phenotype 2) persistently balanced (50.53% of infants), and (Phenotype 3) high and continuing food approach (28.16% of infants). Formula feeding was more common in Phenotype 1 (p = 0.016). Parents of infants in Phenotype 1 were more likely to rate them as being more difficult than average, compared to infants with phenotypes 2 or 3. Phenotype 2 had the greatest increase in persuasive feeding over time [0.30; 95% CI (0.12, −0.47)].Conclusions: Distinct multi-trajectory appetitive phenotype groups emerge early in infancy. These trajectories appear to have origins in both infant and parent characteristics as well as parent behaviors and cognitions. The infant multi-trajectory appetitive phenotype groups suggest that for some infants, difficulties in self-regulating appetite emerge early in life. Investigation of infant multi-trajectory appetitive phenotype groups that utilize a range of measures, examine relationships to key covariates and outcomes, and extend from infancy into childhood are needed.


2022 ◽  
pp. 1-26
Author(s):  
Jian Wang ◽  
Daqiao Zhu ◽  
Xuwen Cheng ◽  
Yicong LiuZhou ◽  
Bingqian Zhu ◽  
...  

Abstract Objective: To examine the mediating effects of maternal perception of child weight (weight perception) and concern about overweight (weight concern) on the paths between child weight and maternal feeding practices. Setting: Pudong District, Shanghai, China. Participants: A convenience sample of 1164 mothers who were primary caregivers of preschool children. Results: Sixty percent of the mothers perceived their overweight/obese children as normal weight or even underweight. The disagreement between actual child weight and maternal weight perception was statistically significant (Kappa = 0.212, P < 0.001). Structural equation modeling (SEM) indicated that weight perception fully mediated the relationship between child BMI Z-scores and pressure to eat. Weight concern fully mediated the relationships between child BMI Z-scores and the other three feeding practices. The serial mediating effects of weight perception and concern were statistically significant for the paths between child BMI Z-score and monitoring (β = 0.035, P < 0.001), restriction (β = 0.022, P < 0.001), and food as a reward (β = -0.017, P < 0.05). Conclusion: Child weight may influence maternal feeding practices through weight perception and concern. Thus, interventions are needed to increase the accuracy of weight perception, which may influence several maternal feeding practices and thereby contribute to child health.


Author(s):  
Hazel Wolstenholme ◽  
Colette Kelly ◽  
Marita Hennessy ◽  
Caroline Heary

AbstractFussy/picky eating behaviours are common across childhood. Recent reviews of the fussy eating literature focus on quantitative research and do not adequately account for families’ subjective experiences, perceptions and practices. This review aims to synthesise the increasing volume of qualitative work on fussy eating. A systematic search of relevant databases was carried out. Studies were included if they were qualitative, published since 2008, with a primary focus on families’ experiences, perceptions and practices regarding fussy eating, food neophobia, or food refusal in children (aged one to young adult). Studies with clinical samples, or relating to children under one year were excluded. Ten studies were eligible for this review and were synthesised using meta-ethnography (developed by Noblit and Hare). This review provides a comprehensive description and definition of fussy eating behaviours. A conceptual model of the family experience of fussy eating was developed, illustrating relationships between child characteristics (including fussy eating behaviours), parent feeding beliefs, parent feeding practices, mealtime emotions and parent awareness of food preference development. Our synthesis identified two ways in which fussy eating relates to mealtime emotions (directly and via parent feeding practices) and three distinct categories of parent beliefs that relate to fussy eating (self-efficacy, attributions and beliefs about hunger regulation). The model proposes pathways which could be explored further in future qualitative and quantitative studies, and suggests that parent beliefs, emotions, and awareness should be targeted alongside parent feeding practices to increase effectiveness of interventions. The majority of studies included in this review focus on pre-school children and all report the parent perspective. Further research is required to understand the child’s perspective, and experiences of fussy eating in later childhood.PROSPERO Registration:CRD42017055943


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