Examination of the longitudinal impact of within- and between-day fluctuations in food parenting practices on child dietary intake

检查食物养育实践的日内和日间波动对儿童膳食摄入的纵向影响

• 批准号: 10560662
• 负责人: Katie Ann Loth
• 金额: $ 66.89万
• 依托单位: UNIVERSITY OF MINNESOTA
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-04-01 至 2028-01-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10560662
• 关键词: Behavior; Child; Child Behavior; Child Rearing; Chronic Disease; Clinic; Data; Data Collection; Development; Diet; Dietary intake; Disease Outcome; Disparity; Eating; Eating Behavior; Ecological momentary assessment; Ethnic Origin; Family; Food; Goals; Growth and Development function; Health Food; Healthy Eating; Hour; Intake; Intervention; Interview; Life; Location; Longitudinal Studies; Measures; Moods; Occupations; Outcome; Parents; Pattern; Population; Prevention; Questionnaires; Race; Recommendation; Reporting; Research; Sampling; Schedule; Single Parent; Stress; Structure; Surveys; Time; Variant; Work; design; dietary; early childhood; early experience; evidence base; experience; feeding; flexibility; follow-up; handheld equipment; improved; indexing; innovation; parental influence; prevent; public health intervention; response; shift work; socioeconomics; therapy design

PROJECT SUMMARY/ABSTRACT A healthful diet during early childhood is important for healthy growth and development and contributes to the prevention of chronic diseases. Parents influence children’s dietary intake through their use of food parenting practices. Research to date shows positive associations of structure- and autonomy support- food parenting practices with healthful dietary intake and eating behaviors in children, whereas coercive controlling and indulgent practices have been associated with unhealthful dietary intake and the development of maladaptive eating behaviors over time. While research has historically evaluated parents’ “usual” approach to feeding children via questionnaires, recent evidence reveals important within- and between-day variation in use of food parenting practices across time and contexts. Parents have identified a range of momentary factors (e.g., activities, limited time, stress) in everyday family life that alter their usual approach. Parents described shifts from the use of structure- and autonomy support- feeding practices to more indulgent and controlling practices in the face of external challenges. We have recently obtained quantitative evidence of these within- and between-day shifts in food parenting practices through the use of Ecological Momentary Assessment (EMA); EMA uses short surveys delivered to hand-held devices in real time throughout the day to capture dynamic changes in behaviors across time and context. For instance, we have observed that parental stress early in the day is associated with greater use of controlling feeding practices later in the day. Our goal is to build on and extend the evidence-base of food parenting approaches for preventing poor dietary intake among children. We argue that parents’ approach to feeding varies across time and context and that a deepened understanding of the variability in food parenting practices and associated outcomes is necessary to design interventions to help parents maintain consistent use of supportive practices despite challenging circumstances. We propose to comprehensively investigate the impact of within- and between-day fluctuations in food parenting practices on children’s dietary intake overtime using a longitudinal study conducted with a sample (n=240) of racially/ ethnically- and socioeconomically- diverse parent-preschooler dyads. Data will be collected via state-of-the-art measures, including EMA and interview-led 24-hour diet recalls every 6 months for two years. The proposed study represents a significant and necessary next step to inform the development of clinic-based recommendations and public health interventions that account for- and are responsive to- momentary factors found to influence parent’s use of specific food parenting practices.

项目摘要/摘要 儿童早期的健康饮食对健康的成长和发展很重要，并有助于 预防慢性病。父母通过父母对食物的使用影响孩子的饮食摄入量 练习。 到目前为止的研究表明，结构和自主性支持与食物养育有积极的关联 在儿童中进行健康饮食摄入和饮食行为的做法，而强制控制和 放纵的做法与不健康的饮食摄入和适应不良的发展有关 随时间推移的进食行为。虽然历来有研究评估父母“通常”的喂养方式 儿童通过问卷调查，最近的证据显示在一天内和两天之间食物使用的重要变化 跨越时间和背景的育儿实践。父母已经确定了一系列瞬时因素(例如， 日常家庭生活中的活动、有限的时间、压力)，改变了他们通常的做法。父母描述了变化 从使用结构性和自主性的支持喂养做法到更放纵和控制的做法 面对外部挑战。我们最近获得了这些方面的定量证据--和 通过使用生态瞬时评估(EMA)来改变食品育儿做法的日间变化； EMA使用全天实时发送到手持设备的短期调查来捕获动态 跨越时间和背景的行为变化。例如，我们观察到父母在早年的压力 一天与一天晚些时候更多地使用控制喂养的做法有关。我们的目标是在 扩大食物养育方法的证据基础，以防止儿童饮食摄入不足。我们 认为父母的喂养方式因时间和环境的不同而不同，加深对 食品育儿实践和相关结果的可变性对于设计干预措施是必要的，以帮助 即使在充满挑战的环境中，父母仍保持一贯的支持性做法。我们建议 全面调查食品养育做法的日内和日间波动对 儿童超时膳食摄入量的纵向研究(n=240) 种族和社会经济上不同的父母-学龄前儿童二人组。数据将通过最先进的方式收集 措施，包括EMA和访谈主导的24小时饮食召回，在两年内每6个月召回一次。建议数 这项研究是为以临床为基础的发展提供信息的重要和必要的下一步 考虑并响应瞬间因素的建议和公共卫生干预措施 被发现影响父母对特定食物养育做法的使用。