Parental intuitive eating behaviors and their association with infant feeding styles among low-income families

Khalsa, Amrik Singh; Woo, Jessica G.; Kharofa, Roohi Y.; Geraghty, Sheela R.; DeWitt, Thomas G.; Copeland, Kristen A.

doi:10.1016/j.eatbeh.2019.01.001

Cited by 21 publications

(22 citation statements)

References 67 publications

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“…given that much of the research regarding restrained eating and restrictive feeding has been conducted in high-income White samples, 26,27,29 previous research examining this relationship only between-individuals, may have neglected the more episodic aspects of the association, which may be more prominent among low-income samples. 30,52 Ideally, future research will take into account the ecological fallacy, and examine both overall, as well as fluctuating episodic associations. Focusing exclusively on the overall effects of food insecurity may continue to distort the impact of food insecurity on children and families.…”

Section: Child Feeding Practicesmentioning

confidence: 99%

Hunger in the household: Food insecurity and associations with maternal eating and toddler feeding

2020

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Summary Background Research is needed to identify how food insecurity affects maternal eating behavior and child feeding practices, factors that may pose intergenerational risks for obesity. Objectives This longitudinal study investigated whether maternal restrained eating mediated the association between household food insecurity and feeding practices. Methods Participants included 277 WIC‐eligible mothers (69% below the poverty line, 70% African American) and their toddlers (Mage = 20.11 months, SD = 5.50) participating in a childhood obesity prevention trial. Maternal reports of household food insecurity, restrained eating, and child feeding practices (restrictive and responsive) were collected at baseline, 6 and 12 months and analyzed using multilevel mediation. Results Forty percent of mothers reported some degree of household food insecurity over 12 months. Within‐person analyses showed that relative increases in household food insecurity were indirectly related to increases in restrictive and decreases in responsive child feeding practices, mediated through increases in mothers' own restrained eating. Conclusions Relative change in household food insecurity (rather than overall severity) appears to have indirect effects on toddler feeding practices, through mothers' own eating. Stable household food security without transient food insecurity may improve health and wellbeing for both mothers and children.

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Section: Child Feeding Practicesmentioning

confidence: 99%

Hunger in the household: Food insecurity and associations with maternal eating and toddler feeding

2020

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“…The majority of studies were conducted in the USA ( n = 20), 24–43 followed by Australia ( n = 10), 44–53 United Kingdom ( n = 8), 54–61 New Zealand ( n = 1), 62 Norway ( n = 2), 63,64 and Sweden ( n = 1) 65 . Thirty‐four studies, reported in 33 papers, employed a quantitative design, including RCTs of an intervention ( n = 5), 32,39,50,62,63 observational cohort studies ( n = 8), 24,27–29,35,54,59,60 cross‐sectional studies ( n = 11), 24,30,38,41–44,46,48,53,64 a case–control study, 26 a within‐subject experimental study, 40 a quasi‐experimental study, 51 and observational descriptive/measurement development 31 . Six studies undertook secondary analyses; two used cross‐sectional data, 25,37 two studies used data from observational cohort studies, 33,45 one used control group data, 34 and one used data from an RCT 36 .…”

Section: Resultsmentioning

confidence: 99%

“…The influence of psychological capability on responsive feeding was identified in 17 studies 32,36,39,43,47,49–52,55–58,61–63,65 . Four barriers and enablers were identified related to psychological capability: (1) responsive feeding skills; (2) knowledge and understanding of feeding, appetite, and nutrition; (3) caregiver attitude to who controls feeding; and (4) education to support responsive feeding.…”

Section: Resultsmentioning

confidence: 99%

Barriers and enablers to caregivers' responsive feeding behaviour: A systematic review to inform childhood obesity prevention

et al. 2021

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Summary Responsive infant feeding is a critical component of childhood obesity prevention. However, there is little guidance for caregivers on how to do this successfully. The first step to developing an intervention to promote responsive feeding is to systematically identify its barriers and enablers. Searches were conducted in CINAHL, Cochrane Library, Medline, Embase, PubMed, PsycINFO, Maternity, and Infant Care from inception to November 2020. All study designs were included if they reported a barrier or enabler to responsive feeding during the first 2 years of life. We used a “best fit” framework synthesis, with the Capacity, Opportunity, Motivation, and Behaviour (COM‐B) model. The Mixed Method Appraisal Tool (MMAT) was used to assess study quality. Forty‐three studies were included in the review. Barriers (n = 36) and enablers (n = 21) were identified across five COM‐B domains: psychological capacity, physical and social opportunity, and reflective and automatic motivation. Enablers were recognition of infant feeding cues, feeding knowledge and family and friends. Caregiver attitude toward control of feeding was a barrier, together with health care professional advice about formula feeding and breastfeeding expectation. These barriers and enablers provide a comprehensive evidence base to guide intervention development to improve responsive feeding and prevent obesity across individual and population levels.

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“…Interestingly, the study by French et al, 42 comparing maternal‐focussed obesity‐risk messaging or infant‐focussed messaging to routine care, found more significant infant dietary outcomes in the maternal‐focussed group, despite these participants not receiving any specific infant feeding/dietary advice. Maternal eating style has been associated with infant feeding style, 57 and among a population of predominantly African American, low‐income mothers, parents who themselves ate intuitively were more likely to use a responsive feeding style with their infant 58 . Interventions exclusively targeting maternal dietary intake may produce a trickle‐down effect of improved infant dietary intake, but further research is needed.…”

Section: Discussionmentioning

confidence: 99%

“…Maternal eating style has been associated with infant feeding style, 57 and among a population of predominantly African American, lowincome mothers, parents who themselves ate intuitively were more likely to use a responsive feeding style with their infant. 58 59 There was no discernible pattern of intervention success for those based on anticipatory guidance, with results being mixed.…”

Section: Differences In Intervention Duration Content Theoreticalmentioning

confidence: 98%

Systematic review of randomised controlled trials to improve dietary intake for the prevention of obesity in infants aged 0–24 months

et al. 2020

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Improving dietary intake early in life is a common behavioural target in obesity prevention trials. We undertook a systematic review of randomised controlled trials aiming to improve dietary intake of complementary foods during infancy (0-24 months). PubMed, Cochrane Library, EMBASE, Medline, and PsycInfo were searched for trials focussed on obesity prevention conducted between January 2000 and August 2019 where dietary intake was an outcome. Two reviewers screened studies and extracted data from selected articles. Risk of bias was assessed using the Cochrane Collaboration Risk of Bias 2 tools. The protocol was registered on Open Science Framework (https://osf.io/6srg7/). Seventeen articles from 12 trials were selected for data extraction. Statistically significant group differences in outcomes were observed in 36 of 165 (21.8%) of dietary variables examined. Measurement and analysis of outcomes varied between studies. Overall risk of bias was rated as high, primarily due to missing outcome data. Improving dietary intake at this age appears challenging based on a relatively limited number of studies. Future research could consider dietary pattern analyses, which may provide more meaningful outcomes for this age group. Opportunities exist for further exploration of maternal-focussed interventions, responsive feeding interventions, and interventions delivered outside of homes.

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Parental intuitive eating behaviors and their association with infant feeding styles among low-income families

Cited by 21 publications

References 67 publications

Hunger in the household: Food insecurity and associations with maternal eating and toddler feeding

Hunger in the household: Food insecurity and associations with maternal eating and toddler feeding

Barriers and enablers to caregivers' responsive feeding behaviour: A systematic review to inform childhood obesity prevention

Systematic review of randomised controlled trials to improve dietary intake for the prevention of obesity in infants aged 0–24 months

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