A Bidirectional Analysis of Feeding Practices and Eating Behaviors in Parent/Child Dyads from Low-Income and Minority Households

Jerica M. Berge, Jonathan Miller, Sara Veblen-Mortenson, Alicia Kunin-Batson, Nancy E. Sherwood, Simone A. French

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

Objective: To prospectively examine the bidirectional relationship between parental feeding practices (eg, instrumental feeding, encouragement to eat) and child eating behaviors (eg, food responsiveness, emotional eating) in low-income, ethnically diverse preschool children over a 3-year period. Study design: Parent/child (age 2-4 years at baseline) pairs (n = 222 non-Hispanics; n = 312 Hispanics) participated in NET-Works (Now Everybody Together for Amazing and Healthful Kids), a randomized controlled trial carried out in community and in-home settings in urban areas of Minnesota. Data were collected at baseline and 12, 24, and 36 months. The present study is a secondary data analysis using cross-lagged models to identify bidirectional associations between parental feeding practices and child eating behaviors. Results: Three models showed significant cross-lagged effects (P < .05): model 1, parental instrumental feeding influencing later child food responsiveness; model 2, parental emotional feeding influencing later child food responsiveness; and model 3, parental emotional feeding influencing later child eating satiety. Model 1 showed significant bidirectional temporal paths, whereas models 2 and 3 showed significant unidirectional temporal paths from parental feeding practices to child eating behaviors. Conclusions: Parental instrumental and emotional feeding practices prospectively influence child food responsiveness and satiety. This study demonstrates causal temporality between parental feeding practices and child eating behaviors. Heath care providers may want to use findings regarding parent feeding practices as part of their anticipatory guidance during well-child visits with parents of preschoolers.

Original languageEnglish (US)
Pages (from-to)93-98.e20
JournalJournal of Pediatrics
Volume221
DOIs
StatePublished - Jun 2020

Bibliographical note

Funding Information:
Supported by Award U01HD068990 (co-PIs: S.F. and N.S.; ClinicalTrials.gov : NCT01606891 ); the National Heart, Lung, and Blood Institute , the Eunice Kennedy Shriver National Institute of Child Health and Development and the Office of Behavioral and Social Sciences Research , and the National Institutes of Health . J.M. is supported by the National Cancer Institute (Grant T32CA163184 ; PI: Michele Allen). In addition, REDCap data collection was used, supported by the National Center for Advancing Translational Sciences (Grant UL1TR000114 ). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Heart, Lung and Blood Institute, the National Institute of Child Health and Human Development, the Office of Behavioral and Social Sciences Research or the National Institutes of Health. The authors declare no conflicts of interest.

Funding Information:
Supported by Award U01HD068990 (co-PIs: S.F. and N.S.; ClinicalTrials.gov: NCT01606891); the National Heart, Lung, and Blood Institute, the Eunice Kennedy Shriver National Institute of Child Health and Development and the Office of Behavioral and Social Sciences Research, and the National Institutes of Health. J.M. is supported by the National Cancer Institute (Grant T32CA163184; PI: Michele Allen). In addition, REDCap data collection was used, supported by the National Center for Advancing Translational Sciences (Grant UL1TR000114). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Heart, Lung and Blood Institute, the National Institute of Child Health and Human Development, the Office of Behavioral and Social Sciences Research or the National Institutes of Health. The authors declare no conflicts of interest. Funding and conflict of interest information is available at www.jpeds.com (Appendix).

Publisher Copyright:
© 2020 Elsevier Inc.

Copyright:
Copyright 2020 Elsevier B.V., All rights reserved.

Keywords

  • Hispanic/Latino
  • bi-directional influences
  • child eating behaviors
  • parental feeding practices
  • preschoolers

PubMed: MeSH publication types

  • Journal Article
  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

Fingerprint Dive into the research topics of 'A Bidirectional Analysis of Feeding Practices and Eating Behaviors in Parent/Child Dyads from Low-Income and Minority Households'. Together they form a unique fingerprint.

Cite this