Early mother-child dyadic pathways to childhood obesity risk: A conceptual model

Heidi Bergmeier1, Susan J Paxton2, Jeannette Milgrom3

  • 1Monash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University, Clayton, Victoria, Australia.

Appetite
|September 19, 2019
PubMed

Insights

The mother-child relationship quality and feeding interactions influence early eating behaviors and obesity risk. Understanding these pathways can inform childhood obesity prevention strategies.

Area of Science:

  • Developmental Psychology
  • Pediatric Health
  • Behavioral Science

Background:

  • Parent-child relationship quality is crucial for child development but underexplored in relation to childhood weight gain.
  • Early eating behaviors and obesity risk are influenced by complex developmental pathways.
  • Existing research has not fully integrated maternal and child factors impacting feeding interactions.

Purpose of the Study:

  • To propose a conceptual model detailing early mother-child dyadic pathways linking feeding interactions to child body mass index.
  • To highlight the central role of parent-child relationships in shaping feeding dynamics and subsequent child weight.
  • To bridge research fields by integrating maternal mental health, child temperament, and attachment security.

Main Methods:

  • Conceptual modeling approach integrating existing research on maternal and child factors.
  • Mapping of individual and dyadic mother-child factors influencing feeding interactions from infancy to toddlerhood.
  • Identification of key factors including attachment, child temperament, and maternal mental health.

Main Results:

  • The proposed model illustrates how maternal and child factors influence the quality of parent-child feeding interactions.
  • These interactions, in turn, are hypothesized to impact child self-regulation and eating behaviors, affecting body mass index.
  • The model emphasizes the interconnectedness of relationship quality, feeding dynamics, and obesity risk.

Conclusions:

  • Understanding early parent-child feeding interactional patterns is vital for preventing childhood obesity.
  • High-quality data on parent, child, and dyadic interactions around food, attachment, and maternal mental health are needed.
  • The conceptual model provides a framework for identifying novel, etiologically relevant targets for preventative interventions.

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