Bi-directional associations between child fussy eating and parents' pressure to eat: Who influences whom?

Autor: Jansen PW; Institute of Psychology, Erasmus University Rotterdam, Netherlands; Department of Child and Adolescent Psychiatry, Psychology, Erasmus MC-Sophia, Netherlands. Electronic address: p.w.jansen@erasmusmc.nl., de Barse LM; The Generation R Study Group, Erasmus MC, University Medical Center, Rotterdam, Netherlands; Department of Epidemiology, Erasmus MC, University Medical Center, Rotterdam, Netherlands., Jaddoe VWV; The Generation R Study Group, Erasmus MC, University Medical Center, Rotterdam, Netherlands; Department of Epidemiology, Erasmus MC, University Medical Center, Rotterdam, Netherlands; Department of Pediatrics, Erasmus MC-Sophia, Netherlands., Verhulst FC; Department of Child and Adolescent Psychiatry, Psychology, Erasmus MC-Sophia, Netherlands., Franco OH; Department of Epidemiology, Erasmus MC, University Medical Center, Rotterdam, Netherlands., Tiemeier H; Department of Child and Adolescent Psychiatry, Psychology, Erasmus MC-Sophia, Netherlands; Department of Epidemiology, Erasmus MC, University Medical Center, Rotterdam, Netherlands; Department of Psychiatry, Erasmus MC, University Medical Center, Rotterdam, Netherlands.
Jazyk: angličtina
Zdroj: Physiology & behavior [Physiol Behav] 2017 Jul 01; Vol. 176, pp. 101-106. Date of Electronic Publication: 2017 Feb 16.
DOI: 10.1016/j.physbeh.2017.02.015
Abstrakt: Background: Fussy eating is common in young children, often raising concerns among parents. The use of pressuring feeding practices may provoke or worsen child fussiness, but these practices could equally be a parent's response to child fussy eating.
Objective: In longitudinal analyses, we assessed directionality in the relation between fussy eating and parent's pressure to eat across childhood.
Methods: Study participants were 4845 mother-child dyads from the population-based Generation R cohort in the Netherlands. The Child Behavior Checklist was used to assess fussy eating (2 items) at child ages 1½, 3 and 6years. Parents' pressure to eat was assessed with the Child Feeding Questionnaire (4 items) when children were 4years old. All scale scores were standardized.
Results: Linear regression analyses indicated that preschoolers' fussy eating prospectively predicted higher levels of parents' pressure to eat at child age 4years, independently of confounders (adjusted B=0.24, 95% CI: 0.21, 0.27). Pressure to eat at 4years also predicted more fussiness in children at age 6years, independently of confounders and of fussy eating at baseline (adjusted B=0.14, 95% CI: 0.11, 0.17). Path analyses indicated that the relation from fussy eating at 3years to parenting one year later was stronger than from pressure at 4years to fussy eating two years later (p<0.001).
Conclusions: Our findings suggest bi-directional associations with parental pressuring feeding strategies being developed in response to children's food avoidant behaviors, but also seemingly having a counterproductive effect on fussiness. Thus, the use of pressure to eat should be reconsidered, while providing parents alternative techniques to deal with their child's fussy eating.
(Copyright © 2017 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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