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Socioeconomic Position and Picky Eating Behavior Predict Disparate Weight Trajectories in Infancy
Amy T Galloway1,2, Paul Watson2,3, Suzanne Pitama4
1Department of Psychology, Appalachian State University, Boone, NC, United States.
Insights
Socioeconomic position and picky eating significantly impact infant weight gain. Low socioeconomic position combined with picky eating is linked to the lowest weight-for-length trajectories in infants.
Area of Science:
- Pediatrics
- Developmental Psychology
- Public Health
Background:
- Infant weight gain is critical for long-term health outcomes.
- Understanding factors influencing infant growth is essential for early intervention.
- Socioeconomic position (SEP) and feeding practices may affect infant weight trajectories.
Purpose of the Study:
- To investigate the relationship between socioeconomic position (SEP), parental pressure during feeding, and picky eating with changes in infant weight-for-length (WFL).
- To identify how these factors interact to influence infant growth patterns over time.
Main Methods:
- A modified developmental design was employed with 193 families in New Zealand.
- Primary caregivers reported on child's picky eating, parental pressure, and SEP.
- Infant weight-for-length (WFL) data were collected at birth, 8, 15, and 21 months, analyzed using multi-level modeling.
Main Results:
- An interaction was found between SEP and picky eating: infants with low SEP and who were not picky eaters had the highest WFL trajectory, while those with low SEP and who were picky eaters had the lowest.
- Higher levels of parental pressure were associated with lower infant WFL at all ages.
- Parental pressure did not interact with SEP or picky eating.
Conclusions:
- Infant growth patterns are differentially associated with the interplay of eating behaviors and socioeconomic position.
- Interventions aimed at achieving healthy childhood weight should consider both eating behaviors and SEP.
- Targeted strategies addressing picky eating and socioeconomic disparities are crucial for promoting healthy infant development.
Abstract:
Infant weight gain has long-term implications for the establishment of overall health. We examined whether socioeconomic position (SEP), the use of pressure as a feeding practice, and picky eating relate to changes infant in weight-for-length (WFL). A modified developmental design was used to examine whether current levels of child picky eating, parental use of pressure, and SEP were associated with changes in WFL during infancy. Health providers distributed survey packets during routine well-child visits made in the homes of families with young children in New Zealand (n = 193). Primary caregivers of young children provided their child's current level of picky eating, their use of pressure, and their SEP. They also reported their child's professionally-measured WFL from birth, 8, 15, and 21 months of age. A multi-level modeling analysis yielded an interaction between SEP and picky eating in predicting infant weight change over time. Children who had a low SEP and were not picky eaters were on the highest WFL trajectory and children who had a low SEP and were picky eaters were lowest on the WFL trajectory. A main effect revealed that higher levels of parental pressure predicted lower WFL in infants at each age, but did not interact with SEP or picky eating. Findings from this study indicate that the combination of eating behavior and SEP are associated with differential infant growth patterns. These results suggest that eating behavior and SEP should be included in the development of interventions designed to achieve healthy weight during childhood.
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