Exploratory factor analysis of The Comprehensive Feeding Practices Questionnaire (CFPQ) in a low-income hispanic sample of preschool aged children

Arlinghaus, Katherine R.; Hernandez, Daphne C.; Eagleton, Sally G.; Chen, Tzu-An; Power, Thomas G.; Hughes, Sheryl O.

doi:10.1016/j.appet.2019.04.029

Cited by 23 publications

(42 citation statements)

References 45 publications

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“…"; α = 0.80); pressure to eat (e.g., "My child should always eat all of the food on his/her plate"; α = 0.66); restriction for health (e.g., "I have to be sure that my child does not eat too many sweets"; α = 0.74); and restriction for weight control (e.g., "I restrict the food my child eats that might make him/her fat"; α = 0.80). Internal consistency estimates are similar to those reported by others, (54,57,58) including lower estimates on the food as reward and child control subscales. Each subscale consisted of 3 to 8 items, and response options ranged from 1 (never/disagree) to 5 (always/agree).…”

Section: Food Parenting Practicessupporting

confidence: 84%

Profiles of Behavioral Self-Regulation and Appetitive Traits in Preschool Children: Associations With BMI and Food Parenting Practices

et al. 2022

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Appetitive traits that contribute to appetite self-regulation have been shown to relate to non-food-related regulation in general domains of child development. Latent profile analysis (LPA) was used to identify typologies of preschool children's behavioral self-regulation (BSR) and appetitive traits related to appetite self-regulation (ASR), and we examined their relation with children's BMIz and food parenting practices. Participants included 720 children and their parents (90% mothers), drawn from the baseline assessment of a childhood obesity preventive intervention. BSR measures included teacher reports of children's inhibitory control, impulsivity and attentional focusing, as well as an observed measure of inhibitory control. ASR was assessed using parents' reports of children's appetitive traits related to food avoidance (e.g., satiety responsiveness, slowness in eating) and food approach (e.g., enjoyment of food, food responsiveness). Children's body mass index z-score (BMIz) was calculated from measured height and weight. Parents' BMI and food parenting practices were also measured. Four profiles were identified that characterized children with dysregulated behavior, higher food approach and lower food avoidance (16%), dysregulated behavior but lower food approach and higher food avoidance (33%), regulated behavior but highest food approach and lowest food avoidance (16%), and highly-regulated behavior, lowest food approach and highest food avoidance (35%). Children's BMIz was highest in the profile consisting of children with dysregulated behavior, higher food approach and lower food avoidance. BMI was similar in the profile with children with regulated behavior but highest food approach and lowest food avoidance; children in this profile also had parents who reported the highest levels of controlling food parenting practices, and the lowest levels of parental modeling of healthy eating. Compared to all other profiles, children in the profile characterized by highly-regulated behavior, lowest food approach and highest food avoidance had the lowest BMIz and had parents who reported food parenting practices characterized by the highest levels of child control in feeding and the lowest levels of pressure to eat. These findings provide evidence of differing patterns of relations between self-regulation across behavioral and eating domains, and children's obesity risk may vary based on these different patterns.

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Section: Food Parenting Practicessupporting

confidence: 84%

Profiles of Behavioral Self-Regulation and Appetitive Traits in Preschool Children: Associations With BMI and Food Parenting Practices

et al. 2022

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“…The culture-specific feeding items to assess parental using food as a reward were added to the C-CFQ, which has showed better factor structures than the initial instrument developed by Birth et al (46) among Chinese samples. The C-CFQ assesses four types of feeding practices: four items of monitoring (the extent to oversee their child's eating (46) ), six items of restriction (strict limitations on the child's access to foods or opportunities to consume unhealthy foods (47) ), four items of pressure to eat (insists, demands or physically struggles with the child in order to get the child to eat more food (46)(47)(48) ) and two items of food as a reward (use of desired foods as a way to regulate the child's eating or behaviours (48) ). Each item was rated on a five-point Likert scale.…”

Section: Maternal Feeding Practicesmentioning

confidence: 99%

Maternal perception of child weight and concern about child overweight mediates the relationship between child weight and feeding practices

Wang

Zhu

Cheng³

et al. 2022

Public Health Nutr.

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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.

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“…Maternal feeding practices were evaluated using the Chinese version of the Child Feeding Questionnaire (C-CFQ). The C-CFQ assesses four types of non-responsive feeding practices: four items of monitoring (the extent to oversee their child’s eating [37]), six items of restriction (strict limitations on the child’s access to foods or opportunities to consume unhealthy foods [38]), four items of pressure to eat (insists, demands, or physically struggles with the child in order to get the child to eat more food [37-39]), and two items of food as a reward (use of desired foods as a way to regulate the child’s eating or behaviors [39]). Each item was rated on a 5-point Likert scale.…”

Section: Methodsmentioning

confidence: 99%

“…perpetuity. preprint (which was not certified by peer review) is the author/funder, who has granted medRxiv a license to display the preprint in The copyright holder for this this version posted November 18, 2020. ; https://doi.org/10.1101/2020.11.16.20232421 doi: medRxiv preprint child's eating or behaviors [39]). Each item was rated on a 5-point Likert scale.…”

Section: Maternal Feeding Practicesmentioning

confidence: 99%

Maternal perception of child weight and concern about child overweight mediates the relationship between child weight and non-responsive feeding practices

Wang

Zhu

Cheng³

et al. 2020

Preprint

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We 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.

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Exploratory factor analysis of The Comprehensive Feeding Practices Questionnaire (CFPQ) in a low-income hispanic sample of preschool aged children

Cited by 23 publications

References 45 publications

Profiles of Behavioral Self-Regulation and Appetitive Traits in Preschool Children: Associations With BMI and Food Parenting Practices

Profiles of Behavioral Self-Regulation and Appetitive Traits in Preschool Children: Associations With BMI and Food Parenting Practices

Maternal perception of child weight and concern about child overweight mediates the relationship between child weight and feeding practices

Maternal perception of child weight and concern about child overweight mediates the relationship between child weight and non-responsive feeding practices

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