A Bidirectional Analysis of Feeding Practices and Eating Behaviors in Parent/Child Dyads from Low-Income and Minority Households
A Bidirectional Analysis of Feeding Practices and Eating Behaviors in Parent/Child Dyads from Low-Income and Minority Households
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DOI：
10.1016/j.jpeds.2020.02.001
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发表时间：
2020-06-01
影响因子：
5.1
通讯作者：
French, Simone A.
中科院分区：
文献类型：
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作者：
Berge, Jerica M.;Miller, Jonathan;French, Simone A.
目的前瞻性研究3年来低收入、多民族学龄前儿童父母喂养方式（如工具喂养、鼓励进食）与儿童进食行为（如食物反应性、情绪性进食）的双向关系。研究设计父母/孩子（基线年龄2-4岁）对（n = 222非西班牙裔；n = 312西班牙裔）参加了NET-Works（现在大家一起为神奇和健康的孩子），这是一项在明尼苏达州城市地区的社区和家庭环境中进行的随机对照试验。在基线和12、24和36个月收集数据。本研究使用交叉滞后模型进行二次数据分析，以确定父母喂养方式与儿童饮食行为之间的双向关联。结果三个模型均存在显著的交叉滞后效应（P < 0.05）：模型1，父母工具喂养影响儿童后期食物反应；模型2，父母情绪性喂养影响儿童后期食物反应；模型3：父母情绪性喂养对后期儿童进食饱腹感的影响。模型1显示了显著的双向时间路径，而模型2和模型3显示了显著的单向时间路径。结论父母工具性和情绪性喂养方式对儿童食物反应性和饱腹感有影响。本研究证明了父母喂养方式与儿童饮食行为之间的因果关系。卫生保健提供者可能希望在与学龄前儿童的父母进行健康儿童访问时，将有关父母喂养做法的发现作为其预期指导的一部分。
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.