scholarly journals Maternal feeding style and child weight status among Hispanic families with low-income levels: a longitudinal study of the direction of effects

Author(s):  
Sheryl O. Hughes ◽  
Thomas G. Power ◽  
Teresia M. O’Connor ◽  
Jennifer O. Fisher ◽  
Nilda E. Micheli ◽  
...  

Abstract Background The home environment is a central and modifiable influence on the development of childhood obesity. Evidence supports the central role of parents in shaping problematic child eating behaviors and excess weight. Most studies of feeding emphasize parent-driven influences without taking into account the child’s role in eating interactions. Few studies have addressed the bi-directional nature of feeding dynamics in studies of young children. Methods The goals of this study were: 1) to examine if parental feeding styles during preschool (4–5 years) predict child weight status at 7–9 years, and 2) to examine the direction of effects between parental feeding styles and child weight status over time. Participants were part of a larger longitudinal study of Hispanic Head Start families living in the West South Central United States. Data from mother/child dyads were collected at three time points: Time 1 (ages 4–5), Time 2 (ages 5 ½-6 ½), and at Time 3 (ages 7–9). Only data from the Times 1 and 3 were used in the current analyses. A total of 128 mothers and their children had data on all variables needed for the analyses. Assessments included parent-reported feeding styles, feeding practices, acculturation, child eating behaviors, and child height and weight. Hierarchical regression was used to examine the first aim; a cross-lagged panel analysis examined the second aim. Results An indulgent parental feeding style at ages 4–5 was associated with increased child BMI z-score at ages 7–9. Indulgent feeding significantly contributed to child BMI z-score beyond demographics, baseline child BMI z-score, parental acculturation, and child eating behaviors. Regarding the direction of effects in parental feeding interactions, the cross-lagged analyses showed that both indulgent feeding style and authoritative feeding style at Time 1 positively predicted child BMI z-scores at Time 3. Child effects were significant as well. Child BMI z-score at Time 1 positively predicted indulgent feeding and negatively predicted authoritarian feeding at Time 3. Conclusions Indulgent feeding should be addressed in future family-focused childhood obesity initiatives focused on young children and their parents.

Author(s):  
Megan O. Bensignor ◽  
Rebecca L. Freese ◽  
Nancy E. Sherwood ◽  
Jerica M. Berge ◽  
Alicia Kunin-Batson ◽  
...  

Obesity ◽  
2006 ◽  
Vol 14 (11) ◽  
pp. 2026-2033 ◽  
Author(s):  
Scott W. Powers ◽  
Leigh A. Chamberlin ◽  
Kelly B. van Schaick ◽  
Susan N. Sherman ◽  
Robert C. Whitaker

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1666-1666
Author(s):  
Adeyosola Oke ◽  
Marcela Vizcarra Catalan ◽  
Maria Stecher ◽  
Carolina Navarro ◽  
Andiara Schwingel

Abstract Objectives To evaluate the moderating effect of feeding styles on the association between satiety responsiveness and child BMI z-scores in children aged 3-to-5 in Santiago, Chile. Methods Participants were recruited from childcare centers serving low- and middle-income families in 2017 and 2018. During a face-to-face individual interview, the Caregiver Feedings styles Questionnaire and food responsiveness subscale of the Child Eating Behavior Questionnaire were applied to parents. Weight and height were obtained for children and caregivers. Multiple linear regressions were conducted to test the moderating effect of feeding styles on the relationship between satiety responsiveness and child BMI z-scores. Results 92.5% of caregivers were mothers, the parent BMI was 29.2 (SD = 5.7). No feeding style moderated the association between satiety responsiveness and BMI z-score Satiety responsiveness had a significant main effect on child BMI z score. None of the feeding styles was significantly associated with child BMI z-score. Only satiety responsiveness was significantly associated with child BMI z score (B = –.32, P < 0.05) after controlling for parent BMI (B = .047, P < .05). This model accounted for 12% of the variance of the child BMI z-score. 1.1% of the children were underweight, 22.4% normal, 37.9% overweight and 38.5% obese Conclusions Parent perceptions of higher satiety responsiveness suggests an association with lower child BMI z-scores. This study suggests that how children respond to food may play an important role in explaining child weight status. than the parent's or caregiver style of feeding in determining a child's weight status. Further research is required to discard interaction effects between appetite traits and feeding styles to explain child weight status. Funding Sources National Comission of scientific Research and Technology (CONICYT) and its Becas Chile program 2016 (#72,110,561) Center of Latin American Studies (CLACS) University of Illinois at Urbana-Champaign.


2006 ◽  
Vol 96 (6) ◽  
pp. 1149-1153 ◽  
Author(s):  
Colette Montgomery ◽  
Diane M. Jackson ◽  
Louise A. Kelly ◽  
John J. Reilly

Parental feeding style, as measured by the Child Feeding Questionnaire (CFQ), may be an important influence on child feeding behaviour and weight status in early to mid childhood, but more evidence on parental feeding style is required from samples outside the USA. We aimed to use the CFQ in a sample of 117 Scottish children (boys n 53, girls n 64 mean age 4·6 (sd 0·5) years) to: characterise gender differences and changes over time (in forty of the 117 children studied over 2 years); test associations between parental feeding style, free-living energy intake (measured over 3 days using the multiple pass 24-h recall), and weight status (BMI sd score). No dimensions of parental feeding style changed significantly over 2 years in the longitudinal study (P>0·05 in all cases). No aspects of parental feeding style as measured by the CFQ differed significantly between the sexes (P>0·05 in all cases). Parental perceptions of child weight status were generally significantly positively correlated with child weight status as measured by the BMI sd score. In this sample and setting, measures of parental control over child feeding were generally not associated with child energy intake or weight status.


2016 ◽  
Vol 2016 ◽  
pp. 1-9 ◽  
Author(s):  
Sheryl O. Hughes ◽  
Thomas G. Power ◽  
Teresia M. O’Connor ◽  
Jennifer Orlet Fisher ◽  
Tzu-An Chen

Objective. The aim was to investigate the influence of feeding styles and food parenting practices on low-income children’s weight status over time.Method. Participants were 129 Latina parents and their Head Start children participating in a longitudinal study. Children were assessed at baseline (4 to 5 years old) and again eighteen months later. At each time point, parents completed questionnaires and height and weight measures were taken on the child.Results. The indulgent feeding style (parent-report at baseline) was associated with increased child BMIz-score eighteen months later compared to other feeding styles. Authoritative, authoritarian, and uninvolved feeding styles were not significantly associated with increased child BMIz-score. Child BMIz-score at Time 1 (strongest) and maternal acculturation were positive predictors of child BMIz-score at Time 2. Maternal use of restriction positively predicted and maternal monitoring negatively predicted Time 2 BMIz-score, but only when accounting for feeding styles.Conclusion. This is the first study to investigate the impact of feeding styles on child weight status over time. Results suggest that indulgent feeding predicts later increases in children’s weight status. The interplay between feeding styles and food parenting practices in influencing child weight status needs to be further explored.


2013 ◽  
Vol 17 (5) ◽  
pp. 960-969 ◽  
Author(s):  
Gerda Rodenburg ◽  
Stef PJ Kremers ◽  
Anke Oenema ◽  
Dike van de Mheen

AbstractObjectiveTo examine cross-sectional and longitudinal (one-year follow-up) associations of parental feeding styles with child snacking behaviour and weight in the context of general parenting, taking into account the multidimensionality of the controlling feeding style.DesignLinear regression analyses were performed. Parents completed a questionnaire to measure five feeding style dimensions (Instrumental Feeding, Emotional Feeding, Encouragement, Overt Control and Covert Control) and children's fruit, energy-dense snack and sugar-sweetened beverage (SSB) intakes. Children's height and weight were measured to calculate their BMI Z-scores. Moderation by parenting style was tested by adding interaction terms to the regression analyses.SettingObservational study in the Netherlands.SubjectsParent–child dyads (n 1275) participating in the INPACT (IVO Nutrition and Physical Activity Child cohorT) study; children were (on average) 9 years of age.ResultsInstrumental Feeding and Emotional Feeding were negatively related to child fruit intake one year later and positively to (changes in) child energy-dense snack intake. Encouragement was negatively related to child energy-dense snacking and SSB intake one year later. Overt Control was cross-sectionally and prospectively related to (changes in) child energy-dense snacking and SSB intake in a negative direction. Covert Control showed similar associations with child energy-dense snacking and SSB intake as Overt Control. Although Covert Control was also positively related to child fruit intake and (changes in) child BMI Z-score, bootstrapping analyses revealed only a differential effect of Overt Control and Covert Control on child BMI Z-score one year later, with Covert Control displaying a stronger, positive association. Moderation analyses showed that some significant associations between parental feeding styles and outcome measures were dependent on the degree of psychological control and behavioural control.ConclusionsInstrumental Feeding and Emotional Feeding may have a detrimental impact on children's snacking behaviour, while Encouragement, Overt Control and Covert Control may lead to less energy-dense snacking and less SSB intake. Overt Control and Covert Control have differential effects on child BMI Z-score one year later, which supports the idea that they should be treated as separate constructs. Prospective studies with a longer follow-up may elucidate the causal pathways between the various feeding styles and children's snacking behaviour and weight, as well as the moderating influences of psychological and behavioural control.


2017 ◽  
Vol 21 (6) ◽  
pp. 1123-1130 ◽  
Author(s):  
Xiaotong Wei ◽  
Yanan Ma ◽  
Jiajin Hu ◽  
Wenjing Lin ◽  
Zhongyi Zhao ◽  
...  

AbstractObjectiveTo investigate caregiver type as a potential moderating effect in the relationship between feeding style and weight status among Chinese pre-school children.DesignCross-sectional data collected with the Caregiver’s Feeding Style Questionnaire (CFSQ), anthropometric data, childcare and sociodemographic information.SettingShenyang, China.SubjectsCaregiver–child dyads (n 857).ResultsAfter controlling for confounders, authoritarian feeding style was associated with a 0·30 lower BMI Z-score. Fathers as primary caregivers were related to lower BMI Z-score (β=−0·66), while grandparents as main caregivers were associated with higher BMI Z-score (β=0·66) after adjusting for covariates. Mothers buffered the relationship between authoritarian (β=0·50, 95 % CI 0·04, 0·95) or indulgent (β=−0·60, 95 % CI −1·06, −0·14) feeding styles and BMI Z-score. Grandparents strengthened the trend that indulgent feeding style was related to higher BMI Z-score (β=0·54, 95 % CI 0·01, 1·08).ConclusionsThe results of independent and interactive effects of specific feeding styles and caregiver types had different influences on child BMI Z-scores. Longitudinal investigations are needed to evaluate the effect of fathers’ and grandparents’ feeding on their children’s nutrition and weight status.


2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Marcela Vizcarra ◽  
Po-Chia Tseng ◽  
Ruopeng An

Abstract Objectives The prevalence of obesity in children of Latin American and Caribbean countries (LAC) has increased, becoming a public health priority while undernutrition is decreasing. Associations between caregiver's feeding practices (FP) and feeding styles (FS) with child BMI and/or overweight/obesity (OW/OB) have been reported in developed countries, but little is known in LAC. This review synthesizes the existing evidence on the associations between caregiver's FP and FS with weight status of 2-to-12-year-old children in LAC. Methods The study eligibility criteria included 2-to-12-year-old children and their parents/caregivers; LAC/nationality; Child weight status (CWS) as main outcome; peer-reviewed publications; and articles in English or Spanish. Keywords and MESH terms involving FS and FP, childhood stage, and CWS were used to search in PubMed. The key words were adjusted to search until March 2018 in the Web of Science, PsycINFO, and CINAHL. Titles and abstracts of the articles were screened against the selection criteria. Two researchers independently screened titles and abstracts and conducted the retrieval. A full-text-evaluation was conducted on potentially relevant papers. Results Among 1237 articles identified, 25 were full-text revised and 6 were finally selected. Among the 6 articles, 5 were cross-sectional and 1 was case-control. The studies were conducted in Chile, Mexico and Brazil and involved self-report measures of FP and FS. 5 studies reported a positive association between restrictive parental feeding and higher child BMI z-score or higher likelihood of being OW/OB. While 1 study found pressure to eat negatively associated with child BMI z-score, 1 study found uninvolved and indulgent FS associated with higher child BMI. Conclusions Restrictive feeding, and indulgent and uninvolved FS have been linked to heavier weight or higher risk of being OW/OB in children of LAC. The research of the associations between FP and FS with CWS is scarce and limited to three countries. In addition, most studies are cross-sectional, which does not permit to establish the direction of the effect. Therefore, longitudinal studies are needed to improve understanding of causal relations and stability of FP and FS; finally, studies involving observations to compare with self-report measures of FP and PS are also needed. Funding Sources CONICYT Becas Chile Grant number 72170608.


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