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 童年时期健康饮食对于健康的成长和发展很重要，并有助于 预防慢性疾病。父母通过使用食物育儿来影响孩子的饮食摄入量 实践。 迄今为止的研究显示了结构和自治支持的积极关联 - 食物育儿 儿童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 随着时间的流逝，饮食行为。虽然研究历史上已经评估了父母的“通常”喂养方法 通过问卷调查儿童，最近的证据揭示了食物使用的重要差异 跨时间和上下文的育儿实践。父母已经确定了一系列瞬时因素（例如 活动，有限的时间，压力）在每天的家庭生活中，改变他们通常的方法。父母描述了轮班 从使用结构和自主支持喂养实践到更加放纵和控制实践 面对外部挑战。我们最近获得了这些内在和内部的定量证据 通过使用生态瞬时评估（EMA），日常粮食育儿实践的转变； EMA全天实时交付给手持设备的简短调查以捕获动态 跨时间和上下文行为的变化。例如，我们已经观察到父母在早期的压力 一天与当天晚些时候更多地使用控制喂养实践有关。我们的目标是建立和 扩展食物育儿方法的证据基础，以防止儿童饮食不良。我们 认为父母在时间和上下文中喂养范围的方法，并加深了对 为了设计干预措施，需要进行食物育儿实践和相关结果的变异性 父母保持对支持实践的持续使用目的地挑战情况。我们建议 全面研究日内和日间的波动对食品育儿实践的影响 使用种族/种族样本（n = 240）进行的纵向研究，儿童饮食摄入的加班 种族和社会经济上的流派父母至上的二元组。数据将通过最新的 包括EMA和面试主导的24小时饮食在内的措施每6个月召回两年。提议 研究代表了为基于诊所的开发而告知开发的重要下一步 建议和公共卫生干预措施，这些干预措施是反应迅速的因素 发现会影响父母对特定食品育儿惯例的使用。