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.

项目总结/摘要 幼儿期健康的饮食对健康的生长和发育很重要， 预防慢性病。父母通过对食物的养育来影响孩子的饮食摄入 实践 迄今为止的研究表明，结构和自主性支持-食物养育 健康的饮食摄入和饮食行为的做法，而强制控制， 放纵的行为与不健康的饮食摄入和适应不良的发展有关。 饮食习惯随着时间的推移。虽然研究历来评估父母的“通常”喂养方法， 最近的证据显示，在使用食物方面， 不同时间和背景下的育儿实践。家长们已经确定了一系列的瞬时因素（例如， 活动、有限的时间、压力），改变了他们的惯常做法。家长们描述说， 从使用结构-和自主支持-喂养实践到更放纵和控制的实践 面对外部挑战。我们最近获得了定量证据， 通过使用生态瞬时评估（EMA），在食物养育实践中的日间变化; EMA使用全天以真实的时间发送到手持设备的简短调查， 行为在时间和环境中的变化。例如，我们已经观察到，父母的压力在孩子的早期 一天中，更多地使用控制喂养的做法在当天晚些时候。我们的目标是建立在和 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而异， 食物养育实践和相关结果的可变性对于设计干预措施以帮助 尽管情况严峻，父母仍坚持采用支持性做法。我们建议 全面调查食物养育实践中的日内和日间波动对 儿童的饮食摄入量随时间的推移，使用一项纵向研究进行的样本（n=240）的种族/ 在种族和社会经济上都是不同的父母-学龄前儿童二人组。数据将通过最先进的 措施，包括EMA和面试主导的24小时饮食召回每6个月一次，为期两年。拟议 这项研究是一个重要的和必要的下一步，以告知发展基于临床的 建议和公共卫生干预措施，说明-并响应-瞬间因素 发现影响父母使用特定的食物育儿做法。