Effects of children's self-regulation of eating on parental feeding practices and child weight

Cross, Matthew B.; Hallett, Allen M.; Ledoux, Tracey; O’Connor, Daniel P.; Hughes, Sheryl O.

doi:10.1016/j.appet.2014.06.014

Cited by 29 publications

(26 citation statements)

References 54 publications

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“…This maternal concern about undereating in turn was associated with more pressuring feeding practices believed to be maladaptive. 4,5 …”

Section: Discussionmentioning

confidence: 99%

“…Pediatric providers are motivated to assuage this maternal concern because excessive concern is believed to potentially contribute to maladaptive feeding practices, 4–6 such as excessive control 7,8 or pressuring the child to eat. 9 Furthermore, unnecessary maternal concern about child undereating may detract the mother’s cognitive and emotional energy from more salient issues affecting child health and development.…”

Section: Introductionmentioning

confidence: 99%

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Maternal Concern for Child Undereating

Brown

Pesch

Perrin

et al. 2016

Academic Pediatrics

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OBJECTIVE To describe features of maternal concern for her child undereating; examine maternal and child correlates of maternal concern for undereating; and determine whether maternal concern for undereating is associated with feeding practices. METHODS This was a cross-sectional analysis of an observational study with 286 mother-child dyads (mean child age 71 months). Maternal concern for undereating was assessed using a semi-structured interview. Mothers completed questionnaires to assess picky eating, food neophobia, and feeding practices. Feeding practices were further assessed by videotaped mealtime observations. Logistic regression assessed the association of maternal and child characteristics with maternal concern for undereating. Regression assessed the association of maternal concern for undereating with feeding practices, controlling for covariates. RESULTS Over a third of mothers (36.5%) expressed concern that their child does not eat enough. Correlates of concern for undereating included child BMIz (OR 0.58, 95% CI 0.43–0.77) and picky eating (OR 2.41, 95% CI 1.26–4.59). Maternal concern for undereating was associated with greater reported pressure to eat (RR 1.97, 95% CI 1.55–2.50); and greater observed bribery (OR 2.63, 95% CI 1.50–4.60) and higher observed pressure (OR 1.90, 95% CI 1.08–3.36) during mealtimes. CONCLUSIONS Mothers of children who are picky eaters and have a lower BMIz are more likely to be concerned that their children do not eat enough, and maternal concern for undereating is associated with pressuring and bribing their children to eat. Pediatricians might address maternal concern for undereating by advising feeding practices that do not involve pressure and bribery, particularly among healthy weight children.

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“…This maternal concern about undereating in turn was associated with more pressuring feeding practices believed to be maladaptive. 4,5 …”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Maternal Concern for Child Undereating

Brown

Pesch

Perrin

et al. 2016

Academic Pediatrics

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“…Whether snacking poses the same risk of dietary excess for all children is also unknown. Heavier children have been reported to be less responsive to satiety cues and more responsive to food cues . In turn, there is evidence that these appetitive traits may influence weight gain in early development .…”

Section: Introductionmentioning

confidence: 99%

Interrelationships of child appetite, weight and snacking among Hispanic preschoolers

et al. 2016

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SummaryBackgroundSnacking among US preschoolers has increased in recent decades, raising questions about whether snacking contributes to dietary excess.ObjectivesThis research aimed to characterize snacking contributions to dietary excess and to evaluate associations with appetite and weight among preschool‐aged children.MethodsThis study is a cross‐sectional, observational study of 187 Hispanic low‐income preschoolers. Three 24‐h dietary recalls were used to assess snacking frequency and parameters of dietary excess including energy, saturated fat, trans fats and added sugars. Parental reports of child satiety responsiveness, food responsiveness, and enjoyment of food were obtained. Child height and weight were measured.ResultsChildren consumed 28% (395 kcal) of daily energy from snacks eaten at 2.3 ± 1.0 occasions per day. Greater snacking frequency was associated with greater daily intakes of energy (p < 0.05) and added sugars (p < 0.001). Among overweight/obese children, higher enjoyment of food was associated with more frequent snacking and greater energy intake from snacks (p = 0.01). Inverse associations of enjoyment of food with snacking frequency and energy intake were seen among normal weight children (p < 0.05).ConclusionsMore frequent snacking among low‐income Hispanic preschoolers may contribute to excessive intakes of energy and added sugars, particularly among overweight/obese children with greater motivation to eat.

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“…Mothers in this group used greater pressure to eat as measured by the CFQ and were thinner. Prior work has identified greater pressure to eat in thinner mothers, 48 and those with thinner children. 48 It is unknown if the children of mothers with the Shared Control phenotype have more challenging feeding temperaments from a young age, which may have shaped the mothers' feeding approach.…”

Section: Discussionmentioning

confidence: 99%

Phenotypes of controlling feeding behaviours in mothers of toddlers: A mixed methods study

Pesch

Julian

et al. 2020

Pediatric Obesity

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Summary Background Maternal feeding behaviours, in particular controlling behaviours, are associated with risk of childhood obesity. Objectives To qualitatively examine patterns of mothers' beliefs and behaviours around controlling feeding through a semi‐structured interview and to examine associations of those patterns with participant demographic characteristics and classical child feeding instruments. Methods A convenience sample of mothers (N = 35) of toddlers (mean age 25 months) participated in a semi‐structured interview about their child feeding beliefs and behaviours. Anthropometrics were measured. Transcripts were analyzed using narrative analysis for patterns from which two emerged, known as phenotypes. A coding scheme was created and reliably applied. Bivariate correlates of the phenotypes with participant child characteristics and mother self‐reported feeding behaviours were examined. Results The phenotypes were High Covert Control (n = 12) and Shared Control (n = 23). High Covert Control phenotype membership was correlated with higher child and mother BMI (body mass index) and child female sex. Shared Control phenotype membership was correlated with lower child and mother BMI and greater pressure to eat. Conclusions Two controlling feeding phenotypes emerged among mothers of toddlers, which were associated with participant characteristics including BMI, but did not map onto classical child feeding instruments.

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Effects of children's self-regulation of eating on parental feeding practices and child weight

Cited by 29 publications

References 54 publications

Maternal Concern for Child Undereating

Maternal Concern for Child Undereating

Interrelationships of child appetite, weight and snacking among Hispanic preschoolers

Phenotypes of controlling feeding behaviours in mothers of toddlers: A mixed methods study

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