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Published on: June 27, 2014
Parental influence on children's early eating environments and obesity risk: implications for prevention
S L Anzman1, B Y Rollins, L L Birch
1The Center for Childhood Obesity Research, The Pennsylvania State University, University Park, PA 16802, USA.
Insights
Early life interventions, including prenatal and postnatal periods, show promise for preventing childhood obesity. Focusing on parental feeding practices and behaviors offers a new strategy for effective obesity prevention.
Area of Science:
- Pediatrics
- Public Health
- Developmental Psychology
Background:
- Current childhood obesity prevention strategies targeting school-age children and adolescents have yielded limited success.
- Early life stages (prenatal, suckling, diet transition) exhibit high plasticity and parental influence, presenting unique intervention opportunities.
- Persistent effects of early environments on eating behaviors and obesity risk underscore the need for early interventions.
Purpose of the Study:
- To review evidence on early environmental influences on children's eating behaviors and obesity risk.
- To highlight the impact of parental feeding practices and behaviors on child outcomes.
- To advocate for experimental research on early life interventions for childhood obesity prevention.
Main Methods:
- Review of observational and experimental evidence.
- Analysis of parental feeding practices and behaviors.
- Identification of critical early developmental periods for intervention.
Main Results:
- Early life environments significantly shape eating behaviors and long-term obesity risk.
- Parental feeding practices and parental role modeling are key environmental factors.
- The early years represent a critical window for effective obesity prevention.
Conclusions:
- Interventions during the prenatal and early postnatal periods are crucial for childhood obesity prevention.
- Parents are central figures and potential agents of change in early preventive strategies.
- Further experimental research is needed to validate early life interventions targeting parental factors for obesity prevention.
Abstract:
Most childhood obesity prevention efforts have focused on school-age children and adolescents and have had limited success. We argue that the first years of life, including the prenatal period, the postnatal suckling period and the transition to the modified adult diet, may provide opportunities for preventive interventions. These early periods are characterized by high plasticity and rapid transitions, and parents have a high degree of control over children's environments and experiences. Observational and experimental evidence reveal persistent effects of early environments on eating behavior and obesity risk, suggesting that interventions should be tested during these early periods. The central task parents have in early development points to their potential as key targets and agents of change in early preventive interventions. In this paper, we review evidence of early environmental effects on children's eating and obesity risk, highlighting ways that parental feeding practices and parents' own behaviors impact these outcomes and calling for further experimental research to elucidate whether these factors are indeed promising targets for childhood obesity preventive interventions.
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