Caregivers’ feeding behaviour, children's eating behaviour and weight status among children of preschool age in China

Yuan, Jing; Jiang, Xun; Zhu, Tongyu; Zhang, Yuhai; Wang, Yue; Yang, Xiangdong; Shang, Lei

doi:10.1111/jhn.12869

Cited by 10 publications

(11 citation statements)

References 48 publications

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“…Scarce financial resources, overloaded parents and/or caregivers with household tasks and homework, added to working from home, may impact the behaviour and dietary patterns of this population, leading to a greater search for ready‐to‐eat, fast‐to‐prepare and easily acceptable food 10,11 . At the same time, parental feeding practices can partially influence children's eating behaviours and weight status, which becomes important during a pandemic, when families spend more time together 12 . In addition, social isolation plays a key role in increasing families’ stress levels, 13 favouring cases of hyperalimentation in response to negative emotions, such as sadness, anger, frustration, boredom, uncertainty about the future or the fear of contracting the disease 14…”

Section: Introductionmentioning

confidence: 99%

Eating habits of children and adolescents during the COVID‐19 pandemic: The impact of social isolation

Teixeira

Vitorino

Silva

et al. 2021

J Human Nutrition Diet

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Background The social isolation enforced as a result of the new coronavirus (COVID‐19) pandemic may impact families’ lifestyle and eating habits. The present study aimed to assess the behaviour and dietary patterns of Brazilian children and adolescents during the social isolation imposed by the COVID‐19 pandemic. Methods The present study was conducted using an online, anonymous cross‐sectional survey with 589 children and 720 adolescents from Brazil during a nationwide social isolation policy. The Mann–Whitney U‐test or the Kruskal–Wallis with the Dunn post‐hoc method and a radar chart were used to compare the weekly consumption of each food by age group and isolation status. p < 0.05 was considered statistically significant. Analyses were conducted using R statistical software, version 4.0.2 (R Foundation for Statisitical Computing). Results We found that isolated families showed breakfast eating habits and the consumption of raw salad, vegetables, beans and soft drinks. Lower‐class isolated families and those from the Northeast region consumed fruits, juices, vegetables and beans less frequently. Compared to children, adolescents were less isolated (p = 0.016), less active (p < 0.001), exposed to longer screen time (p < 0.001), showed an inadequate sleeping pattern (p = 0.002) and were from lower‐class families (p < 0.001). Conclusions Social isolation affected the eating habits of children and adolescents. Non‐isolated families presented a lower consumption of healthy food, especially those among the lower class, from Northeast Brazil, as well as adolescents.

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Section: Introductionmentioning

confidence: 99%

Eating habits of children and adolescents during the COVID‐19 pandemic: The impact of social isolation

Teixeira

Vitorino

Silva

et al. 2021

J Human Nutrition Diet

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“…Preschool children (age: 3–6 years) are still undergoing rapid physical, psychological, and behavioral development, which increases their need for several nutrients, such as protein, polyunsaturated fatty acid, calcium, iron, zinc, vitamin A, B vitamins, vitamin C, and vitamin D ( 1 , 2 ). Additionally, during this period, children’s self-awareness, curiosity, and imitation ability are also enhanced, and they are prone to developing various unhealthy eating and lifestyle habits, putting them at risk of nutritional imbalance ( 3 , 4 ). Therefore, preschool children’s balanced nutrition should be provided by a balanced diet composed of a variety of foods, which should be further strengthened and consolidated to lay a foundation for healthy and good dietary behavior throughout their lives.…”

Section: Introductionmentioning

confidence: 99%

Dairy fortification as a good option for dietary nutrition status improvement of 676 preschool children in China: A simulation study based on a cross-sectional diet survey (2018–2019)

et al. 2022

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BackgroundChinese children are deficient in several essential nutrients due to poor dietary choices. Dairy products are a source of many under-consumed nutrients, but preschool children in China consume dairy products significantly less than the recommended level.MethodsFrom the cross-sectional dietary intake survey of infants and young children aged 0–6 years in China (2018–2019), preschool children (age: 3–6 years) (n = 676) were selected. The four-day dietary data (including 2 working days and 2 weekends) collected through an online diary with reference to the food atlas were used for analysis and simulation. In scenario 1, individual intake of liquid milk equivalents was substituted at a corresponding volume by soymilk, cow’s milk, or formulated milk powder for preschool children (FMP-PSC). In scenario 2, the amount of cow’s milk or FMP-PSC increased to ensure each child’s dairy intake reached the recommended amount (350 g/day). In both scenarios, the simulated nutrient intakes and nutritional inadequacy or surplus were compared to the survey’s actual baseline data.ResultsIt was suggested suggested that replacing dairy foods with FMP-PSC at matching volume is better than replacing them with soymilk or cow’s milk to increase the intake of DHA, calcium, iron, zinc, iodine, vitamin A, vitamin B1, vitamin B3, vitamin B12, vitamin C and vitamin D. Moreover, our results suggested that adding FMP-PSC to bring each child’s dairy intake to the recommended amount can bring the intakes of dietary fiber, DHA, calcium, iron, zinc, iodine, vitamin A, vitamin B1, vitamin B3, vitamin B9, vitamin B12, vitamin C and vitamin D more in line with the recommendations when compared with cow’s milk.ConclusionAccurate nutrition information should be provided to the parents of preschool children so as to guide their scientific consumption of dairy products and the usage and addition of fortified dairy products can be encouraged as needed.

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“…It seems that the children’s temperaments played an important role in these relationships, which might influence the estimates of paths if not added as covariates. In addition, we used cross-lagged analyses to explore the bidirectional associations between specific feeding practices and eating behaviors, whereas CEBs were influenced by a combination of food-related parenting practices in real time [ 15 , 51 ]. This may be one of the reasons that we found non-significant associations in most models.…”

Section: Discussionmentioning

confidence: 99%

Bidirectional Associations between Parental Feeding Practices and Child Eating Behaviors in a Chinese Sample

Wang,

Wu,

Wei

et al. 2023

Nutrients

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Background: Child eating behaviors (CEBs) and parental feeding practices (PFPs) play critical roles in childhood obesity. However, the bidirectional relationships between CEBs and PFPs remain equivocal. This longitudinal study aimed to explore their bidirectional relationships. Methods: A convenience sample of 870 parents with preschoolers was recruited in this longitudinal study (Shanghai, China). Three non-responsive feeding practices (NFPs), three responsive feeding practices (RFPs), five CEBs, and covariates were collected using validated questionnaires at baseline and the 6-month follow-up. Cross-lagged analyses using structural equation modeling (SEM) were performed to examine their bidirectional relationships. Results: Eight hundred and fifty-three parents completed questionnaires, with a response rate of 98%. The mean age of their children at baseline was 4.39 years (standard deviation = 0.72 years). Eighteen out of sixty longitudinal cross-lagged paths were statistically significant. Parental encouragement of healthy eating and content-restricted feeding were found to be bidirectionally associated with child food fussiness. Four parent-driven associations and one child-driven association were identified between RFPs and CEBs. For example, monitoring was negatively associated with children’s unhealthy eating habits (β = −0.066, standard error (SE) = 0.025, p < 0.01). Eight child-driven associations and one parent-driven association were observed between NFPs and CEBs. For example, higher child satiety responsiveness predicted a higher pressure to eat (β = 0.057, SE = 0.029, p < 0.01) and the use of food as a reward (β = 0.083, SE = 0.031, p < 0.01). Conclusions: There were bidirectional, parent-driven, and child-driven associations. Parents should be encouraged to adopt RFPs to shape CEBs. Increasing parents’ understanding of CEBs and providing them with reasonable coping strategies would help optimize PFPs.

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Caregivers’ feeding behaviour, children's eating behaviour and weight status among children of preschool age in China

Cited by 10 publications

References 48 publications

Eating habits of children and adolescents during the COVID‐19 pandemic: The impact of social isolation

Eating habits of children and adolescents during the COVID‐19 pandemic: The impact of social isolation

Dairy fortification as a good option for dietary nutrition status improvement of 676 preschool children in China: A simulation study based on a cross-sectional diet survey (2018–2019)

Bidirectional Associations between Parental Feeding Practices and Child Eating Behaviors in a Chinese Sample

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