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.

项目概要/摘要 幼儿期的健康饮食对于健康成长和发展非常重要，并有助于 预防慢性病。父母通过食物养育影响孩子的饮食摄入 做法。 迄今为止的研究表明，结构性支持和自主性支持食物养育之间存在积极联系 对儿童实行健康的饮食摄入和饮食行为，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 随着时间的推移饮食行为。虽然研究历史上评估过父母的“通常”喂养方式 通过对儿童进行问卷调查，最近的证据揭示了食物使用的重要的日内和日间差异 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。家长描述了转变 从使用结构性和自主性支持喂养做法到更加放纵和控制的做法 面对外部挑战。我们最近获得了这些内部和外部的定量证据 通过使用生态瞬时评估（EMA），在食物养育实践中进行日间轮换； EMA 使用全天实时发送到手持设备的简短调查来捕获动态 行为随时间和环境的变化。例如，我们观察到，父母在孩子早期所承受的压力 这一天与当天晚些时候更多地使用控制喂养方法有关。我们的目标是建立并 扩大食物养育方法的证据基础，以防止儿童饮食摄入不良。我们 认为父母的喂养方式会因时间和环境的不同而有所不同，并且加深对喂养的理解 食物育儿实践和相关结果的可变性对于设计干预措施来帮助 尽管面临困难，父母仍坚持使用支持性做法。我们建议 全面调查食物育儿实践的日内和日间波动对 使用对种族/种族样本（n = 240）进行的纵向研究来确定儿童的膳食摄入量 种族和社会经济上多样化的家长-学龄前儿童二人组。数据将通过最先进的技术收集 措施，包括 EMA 和访谈主导的 24 小时饮食召回，持续两年每 6 个月一次。拟议的 研究代表了重要且必要的下一步，为基于临床的药物的开发提供信息 考虑并响应瞬时因素的建议和公共卫生干预措施 发现会影响父母对特定食物育儿实践的使用。