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Does child temperament modify the overweight risk associated with parent feeding behaviors and child eating
Allan D Tate1, Amanda Trofholz2, Kathleen Moritz Rudasill3
1Division of Epidemiology and Community Health, University of Minnesota, Minneapolis, MN, USA.
Insights
Child temperament influences overweight risk. Difficult temperament children eating emotionally face higher overweight risk, while easy temperament children eating fussily face higher risk.
Area of Science:
- Pediatrics
- Child Psychology
- Public Health
Background:
- Child temperament describes inherent behavioral tendencies.
- Parent feeding and child eating behaviors are linked to childhood overweight.
- The interaction between temperament and these behaviors on overweight risk is not fully understood.
Purpose of the Study:
- To investigate if child temperament moderates the association between parent feeding behaviors, child eating behaviors, and overweight risk.
- To explore how different temperaments interact with specific eating behaviors in relation to weight status.
Main Methods:
- Cross-sectional, mixed-methods study of 120 predominantly African American families from Midwest primary care clinics.
- Data collection involved parental reports on feeding practices, child eating behaviors (including emotional eating and food fussiness), and child temperament.
- Statistical analyses examined direct relationships and interaction effects.
Main Results:
- Difficult temperament was not directly associated with parent feeding or child eating behaviors.
- Temperament significantly moderated the overweight risk related to emotional eating and food fussiness.
- Difficult temperament children engaging in emotional eating had increased overweight risk; easy temperament children had decreased risk. Food fussiness showed opposite effects based on temperament.
Conclusions:
- Child temperament plays a crucial role in modifying overweight risk associated with specific eating behaviors.
- Interventions targeting parent feeding practices should consider tailoring strategies to a child's specific temperament.
- Creating supportive environments that minimize reactive eating responses may help reduce childhood overweight.
Background:
Child temperament is a measure of an individual's behavioral tendencies. The primary objective of this study was to examine whether child temperament modified the overweight risk associated with parent feeding behaviors and child eating behaviors.
Methods:
A sample of predominantly African American, Midwest families (N = 120) recruited from four metropolitan primary care clinics participated in this cross-sectional, mixed methods study. Parents reported on feeding practices, child eating behaviors, and child temperament.
Results:
Difficult temperament was not statistically related to parent feeding practices or child eating behaviors (p > 0.05). Tests of interaction indicated that the risk of child overweight differed by difficult temperament and easy temperament for two child eating behaviors (emotional eating and food fussiness, p < 0.05). For example, the effect of food fussiness decreased the risk of overweight for difficult temperament children but increased overweight risk for easy temperament children. Further, the effect of emotional eating increased the risk of overweight for difficult temperament children but decreased overweight risk for easy temperament children.
Conclusions:
Tailoring parent-level interventions to child temperament or promoting environments that trigger less reactive individual responses may be effective in lowering risk of child overweight.
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