scholarly journals Infant Appetitive Phenotypes: A Group-Based Multi-Trajectory Analysis

2021 ◽  
Vol 8 ◽  
Author(s):  
Catherine G. Russell ◽  
Jessica Appleton ◽  
Alissa J. Burnett ◽  
Chris Rossiter ◽  
Cathrine Fowler ◽  
...  
Keyword(s):  
Trajectory Analysis ◽  
Feeding Practices ◽  
Structure Questionnaire ◽  
Health Records ◽  
Parent Feeding Practices ◽  
Parent Characteristics ◽  
Child Bmi ◽  
Parent Feeding ◽  
Analytical Approaches ◽  
Over Time

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 <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.

scholarly journals Associations between parental stress, parent feeding practices, and child eating behaviors within the context of food insecurity

2020 ◽  
Vol 19 ◽  
pp. 101146
Author(s):  
Jerica M. Berge ◽  
Angela R. Fertig ◽  
Amanda Trofholz ◽  
Dianne Neumark-Sztainer ◽  
Elizabeth Rogers ◽  
...  
Keyword(s):  
Food Insecurity ◽  
Parental Stress ◽  
Eating Behaviors ◽  
Feeding Practices ◽  
Parent Feeding Practices ◽  
Child Eating ◽  
Child Eating Behaviors ◽  
Parent Feeding

scholarly journals Examining correlates of feeding practices among parents of preschoolers

2021 ◽  
pp. 026010602110328
Author(s):  
Deepa Srivastava ◽  
Lucy R. Zheng ◽  
Dipti A. Dev
Keyword(s):  
Eating Behaviors ◽  
Vegetable Consumption ◽  
Critical Role ◽  
Feeding Practices ◽  
Weight Concern ◽  
Negatively Associated ◽  
Child Weight ◽  
Parent Monitoring ◽  
Parent Feeding Practices ◽  
Parent Feeding

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.

scholarly journals Childhood fussy/picky eating behaviours: a systematic review and synthesis of qualitative studies

2020 ◽  
Vol 17 (1) ◽  
Author(s):  
Hazel Wolstenholme ◽  
Colette Kelly ◽  
Marita Hennessy ◽  
Caroline Heary
Keyword(s):  
Quantitative Research ◽  
Feeding Practices ◽  
Clinical Samples ◽  
Parent Beliefs ◽  
Eating Behaviours ◽  
Subjective Experiences ◽  
Picky Eating ◽  
Parent Feeding Practices ◽  
Fussy Eating ◽  
Parent Feeding

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

scholarly journals Food Insecurity, the Home Food Environment, and Parent Feeding Practices in the Era of COVID‐19

Obesity ◽  
2020 ◽  
Vol 28 (11) ◽  
pp. 2056-2063 ◽  
Author(s):  
Elizabeth L. Adams ◽  
Laura J. Caccavale ◽  
Danyel Smith ◽  
Melanie K. Bean
Keyword(s):  
Food Insecurity ◽  
Food Environment ◽  
Feeding Practices ◽  
Home Food Environment ◽  
Home Food ◽  
Parent Feeding Practices ◽  
Parent Feeding

scholarly journals How Time in the US and Race/Ethnicity Shape Parents Feeding Practices and Child Diet Quality

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 986-986
Author(s):  
Sally Othman ◽  
Amanda Trofholz ◽  
Jerica Berge
Keyword(s):  
Childhood Obesity ◽  
Dietary Intake ◽  
Diet Quality ◽  
Feeding Practices ◽  
Blood Institute ◽  
The Us ◽  
National Heart Lung ◽  
Parent Feeding Practices ◽  
Race Ethnicity ◽  
Parent Feeding

Abstract Objectives Childhood obesity is a critical public health issue with short and long-term health and financial burdens. Studies show that childhood obesity is higher among children of immigrant/refugee households compared to children whose parents were born in the United States. Poor child dietary intake is a critical risk factor for elevated obesity prevalence. Nonetheless, parents feeding practices are known to be associated with child dietary intake. Thus, this study aimed to examine the associations between length of residence time in the US of migrants/refugees, parents feeding practices, and child diet quality while also taking into consideration race/ethnicity. Methods Data are from baseline measures of a longitudinal cohort study called Family Matters. The sample includes 1307 children ages 5–9 and their families from six racial/ethnic backgrounds. Results Results showed that feeding practices of immigrant/refugee parents changed in relation to their length of residency in the US, in particular, with regard to using directive (e.g., restriction), non-directive (e.g., modeling), and emotional feeding practices. Additionally, race/ethnicity was found to influence the relation between time length in the US and parents feeding practices. Moreover, the diet quality score changed in relation to parents' length of time in the US. For example, Hmong children had the poorest diet quality compared to African American, Native American, Hispanic, Somali, and White children. Conclusions Future research should consider studying more in-depth why parent feeding practices may change when parents move to the US and explore whether there is a combination of parent feeding practices that are most useful in promoting healthful child diet quality. It is also important to further examine why child diet quality declines (e.g., Hmong children) with parents' time living in the US as a migrant/refugee. Funding Sources Research is supported by grant number R01HL126171 from the National Heart, Lung, and Blood Institute (PI: Berge). Content is solely the responsibility of the authors and does not necessarily represent the official views of the National Heart, Lung, and Blood Institute of the National Institutes of Health.

scholarly journals Changes to child snacking and parent feeding practices around snacking during the COVID-19 pandemic: A qualitative exploration

Appetite ◽  
2021 ◽  
pp. 105806
Author(s):  
Amanda Trofholz ◽  
Derek Hersch ◽  
Kristin Norderud ◽  
Jerica M. Berge ◽  
Katie Loth
Keyword(s):  
Feeding Practices ◽  
Parent Feeding Practices ◽  
Parent Feeding ◽  
Qualitative Exploration

scholarly journals Describing Ecological Momentary Assessment Methods for Collecting Dietary Intake in a Racially/Ethnically Diverse Sample

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 886-886
Author(s):  
Amanda Trofholz ◽  
Jerica !Berge
Keyword(s):  
Physical Activity ◽  
Dietary Intake ◽  
Low Income ◽  
Ecological Momentary Assessment ◽  
Ethnically Diverse ◽  
Feeding Practices ◽  
Parent Feeding Practices ◽  
Ecological Momentary ◽  
Parent Feeding ◽  
Momentary Assessment

Abstract Objectives Ecological momentary assessment (EMA) is an innovative tool being used in the obesity field to capture real-time information about people's health. A recent systematic review regarding the use of EMA to assess dietary intake and physical activity in youth found the need for standardized reporting of EMA measures and methods. This presentation will discuss EMA methods used in the NIH-funded Family Matters study, including survey design, registration/technology, EMA protocols, implementation, and lessons learned for future EMA studies. Methods Family Matters is an incremental, two-phased (Phase I = 150 participants; Phase II = 627 participants), mixed-methods study conducted with a racially/ethnically diverse and immigrant/refugee sample from largely low-income households. Across two phases, the Family Matters research team designed and administered EMA surveys to parents of 5–9 year olds to measure momentary factors of importance to child weight and weight-related behaviors including parent feeding practices, child eating behaviors, meal preparation, and foods served at family meals. Results EMA data allowed for many cutting-edge research questions to be addressed, innovative analyses to be run, and methodological approaches to be advanced. Many diet-related topics were investigated, including 1) the investigation of both within-and across-day relationships between transient and chronic stress and parent feeding practices; 2) parental stress and mood earlier in the day and its association with parent feeding practices later in the day; and 3) family meal characteristics by meal type and day of the week. Additionally, concordance between diet-related EMA measures and objectively collected 24-hour dietary recalls was examined. Family Matters EMA diet-related measures will be presented and related results discussed. Conclusions This presentation will be valuable for researchers interested in using EMA for collecting obesity-related measures, such as dietary intake, physical activity, parent feeding practices, and stress/mood. Funding Sources Research is supported by grant number R01HL126171 from the National Heart, Lung, and Blood Institute (PI: Berge).

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