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

Francis, Lori A.; Rollins, Brandi Y.; Keller, Kathleen L.; Nix, Robert L.; Savage, Jennifer S.

doi:10.3389/fnut.2022.796580

Cited by 10 publications

(6 citation statements)

References 89 publications

(117 reference statements)

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“…Additionally, congruent with our findings, it has previously been shown that both childhood obesity and early puberty are independently predictive of obesity in adulthood [56,57], again with stronger associations in girls than in boys [56,58]. Previous studies have observed that eating behavior phenotypes characterized by disordered eating (e.g., binge eating, emotional eating) and dysregulated appetitive traits (e.g., food responsiveness, enjoyment of food) are associated with higher weight status in youth [36,37]. Among children and adolescents, disordered eating behaviors are associated with high levels of body dissatisfaction [43] and depressive symptoms [59,60].…”

Section: Discussionsupporting

confidence: 91%

“…These studies have found that phenotypes of youth characterized by unhealthy eating behaviors, low activity levels, high screen time, and substance use have a higher prevalence of youth with overweight or obesity [39, 41]. Additional studies have included indicators of appetitive traits such as food and satiety responsiveness [37, 42], loss of control eating [18, 43], and psychological functioning (e.g., depression, anxiety) [44, 45] to characterize phenotypes of children and adolescents with higher prevalence of overweight and obesity.…”

Section: Discussionmentioning

confidence: 99%

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Phenotyping children and adolescents with obesity using behavioral, psychological, and familial data

St Fleur,

Tanofsky‐Kraff,

Yanovski

et al. 2023

Obesity

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ObjectiveThis prospective cohort study aimed to empirically derive phenotypes of children and adolescents with overweight and obesity.MethodsLatent class analyses using Mplus were carried out in the Growing Up Today Study. Information on participants' weight status, disordered eating behaviors, body image and weight concerns, depressive symptoms, and pubertal timing, as well as and maternal weight status, were included in the latent class analyses, which were stratified by sex. Mixed‐effects regression was used to examine associations of the obesity phenotypes with adult weight gain, between age 20 and 35 years, independent of weight at beginning of follow‐up and duration of follow‐up.ResultsAmong the girls, four obesity phenotypes were identified: 1) “early puberty”; 2) “mothers with obesity”; 3) “high weight concerns”; and 4) “mixed.” Only three phenotypes were identified among the boys: 1) “high weight concerns”; 2) “mothers with obesity”; and 3) “mixed.” Participants who had overweight or obesity in childhood or adolescence gained more weight in young adulthood than their leaner peers, but the patterns of weight gain in young adulthood varied by phenotype of obesity in childhood and adolescence.ConclusionsThese results support examining risk factors for and treatment outcomes by obesity phenotypes.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Phenotyping children and adolescents with obesity using behavioral, psychological, and familial data

St Fleur,

Tanofsky‐Kraff,

Yanovski

et al. 2023

Obesity

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“…Attention has been directed to conceptualising and measuring both the bottom-up processes, including hedonic responses to food and food cues [ 95 – 97 ], aversive or avoidant reactions to food as in food fussiness and food neophobia [ 36 , 98 ], and the top-down regulatory processes. In the latter case, there have been investigations of the role of inhibitory control [ 99 – 102 ].…”

Section: Resultsmentioning

confidence: 99%

“…Its contribution at present seems mainly to suggest the presence of different phenotypes that involve a combination or pattern of individual eating behaviours and eating behaviour trajectories. For example, a phenotype of food avoidance trending towards low food approach in infancy, or a phenotype of high and continuing food approach in infancy [ 194 ] or a phenotype of dysregulated behaviour (low inhibitory control and high impulsivity) together with higher food approach and lower food avoidance in childhood [ 102 ]. The person-centred approach therefore moves the conceptualisation of eating behaviour from individual variables to integrated combinations of variables and trajectories [ 102 , 193 , 194 ].…”

Section: Discussionmentioning

confidence: 99%

“…For example, a phenotype of food avoidance trending towards low food approach in infancy, or a phenotype of high and continuing food approach in infancy [ 194 ] or a phenotype of dysregulated behaviour (low inhibitory control and high impulsivity) together with higher food approach and lower food avoidance in childhood [ 102 ]. The person-centred approach therefore moves the conceptualisation of eating behaviour from individual variables to integrated combinations of variables and trajectories [ 102 , 193 , 194 ]. It places an emphasis on the dynamic interplay between behaviours rather than on individual eating behaviours.…”

Section: Discussionmentioning

confidence: 99%

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Children’s eating behaviours and related constructs: conceptual and theoretical foundations and their implications

Russell

Jansen

Burnett

et al. 2023

Int J Behav Nutr Phys Act

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Background There is a substantial body of research on children’s eating behaviours (e.g., food responsiveness and fussiness) and related constructs (e.g., eating in the absence of hunger, appetite self-regulation). This research provides a foundation for understanding children’s dietary intakes and healthy eating behaviours, as well as efforts at intervention, whether in relation to food avoidance, overeating and/or trajectories to excess weight gain. The success of these efforts and their associated outcomes is dependent on the theoretical foundation and conceptual clarity of the behaviours and constructs. This, in turn contributes to the coherence and precision of the definitions and measurement of these behaviours and constructs. Limited clarity in these areas ultimately creates uncertainty around the interpretation of findings from research studies and intervention programs. At present there does not appear to be an overarching theoretical framework of children’s eating behaviours and associated constructs, or for separate domains of children’s eating behaviours/constructs. The main purpose of the present review was to examine the possible theoretical foundations of some of the main current questionnaire and behavioural measures of children’s eating behaviours and related constructs. Methods We reviewed the literature on the most prominent measures of children’s eating behaviours for use with children aged ~ 0–12 years. We focused on the explanations and justifications for the original design of the measures and whether these included theoretical perspectives, as well as current theoretical interpretations (and difficulties) of the behaviours and constructs. Results We found that the most commonly used measures had their foundations in relatively applied or practical concerns rather than theoretical perspectives. Conclusions We concluded, consistent with Lumeng & Fisher (1), that although existing measures have served the field well, to advance the field as a science, and better contribute to knowledge development, increased attention should be directed to the conceptual and theoretical foundations of children’s eating behaviours and related constructs. Suggestions for future directions are outlined.

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Cognitive Stimulation and Maternal Feeding Styles in Families with Low Incomes: Impacts from a Randomized Clinical Trial

Miller,

Hails,

Canfield

et al. 2024

Academic Pediatrics

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

Cited by 10 publications

References 89 publications

Phenotyping children and adolescents with obesity using behavioral, psychological, and familial data

Phenotyping children and adolescents with obesity using behavioral, psychological, and familial data

Children’s eating behaviours and related constructs: conceptual and theoretical foundations and their implications

Cognitive Stimulation and Maternal Feeding Styles in Families with Low Incomes: Impacts from a Randomized Clinical Trial

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