Children's eating behavior, feeding practices of parents and weight problems in early childhood: results from the

Pauline W Jansen1, Sabine J Roza, Vincent Wv Jaddoe

  • 1The Generation R Study Group, Erasmus MC-University Medical Center Rotterdam, Rotterdam, The Netherlands. p.w.jansen@erasmusmc.nl

Insights

Early childhood eating behaviors and parental feeding practices significantly influence children's body mass index (BMI). Interventions targeting both child eating habits and parental feeding are crucial for preventing unhealthy weight in preschoolers.

Area of Science:

  • Pediatric Nutrition
  • Child Psychology
  • Public Health

Background:

  • Early childhood weight problems often persist into later life.
  • Understanding modifiable factors in early childhood is key to addressing unhealthy weight.
  • Preschoolers' eating behaviors and parental feeding practices are potential targets for intervention.

Purpose of the Study:

  • To examine the association between preschoolers' eating behaviors and parental feeding practices with body mass index (BMI) and weight status.
  • To replicate previous findings in a large population sample of four-year-olds.
  • To investigate the interplay between child eating behaviors and parental feeding in relation to child weight.

Main Methods:

  • Cross-sectional study of 4987 four-year-olds from a Dutch population-based cohort.
  • Utilized the Child Eating Behaviour Questionnaire and Child Feeding Questionnaire.
  • Objective measurement of Body Mass Index (BMI) for all participants.

Main Results:

  • 13% of preschoolers were underweight, 8% overweight, and 2% obese.
  • Food responsiveness, enjoyment of food, and parental restriction were linked to higher BMI.
  • Emotional undereating, satiety responsiveness, fussiness, and pressure to eat were linked to lower BMI.
  • Parental feeding practices partially mediated the link between child eating behaviors and BMI (20-43%), and vice versa (33-47%).

Conclusions:

  • Significant differences in eating behaviors and feeding patterns exist across weight status groups in preschoolers.
  • The high prevalence of unhealthy weight underscores the need for early intervention.
  • Interventions should consider modifying both child eating behaviors and parental feeding strategies to address unhealthy weight in young children.
Abstract

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