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Characteristics of eating behavior profiles among preschoolers with low-income backgrounds: a person-centered
Jennifer Orlet Fisher1, Sheryl O Hughes2, Alison L Miller3
1Center for Obesity Research and Education, College of Public Health, Temple University, Philadelphia, PA, USA. jofisher@temple.edu.
Insights
Young children exhibit distinct eating behavior profiles, including high food approach, high food avoidance, and moderate eating patterns. These profiles are linked to temperament and weight status, suggesting tailored interventions may be beneficial.
Area of Science:
- Child Psychology
- Developmental Pediatrics
- Behavioral Science
Background:
- Individual eating behavior differences in young children are known.
- Distinct eating behavior profiles within individuals are not well-understood.
Purpose of the Study:
- Identify eating behavior profiles in preschool-aged children.
- Examine associations between these profiles, temperament, and weight status.
Main Methods:
- Secondary analysis of 1004 children aged 3-4 years from 2 cohort studies.
- Parental reports assessed children's eating behaviors and temperament.
- Latent profile analysis (LPA) identified profiles; bivariate analyses examined associations with temperament and weight (BMI z-scores).
Main Results:
- Three eating behavior profiles emerged: High Food Approach (21.2%), High Food Avoidant (35.6%), and Moderate Eating (43.2%).
- High Food Approach linked to lower inhibitory control and higher obesity rates.
- High Food Avoidant linked to lower impulsivity and lower BMI z-scores; Moderate Eating linked to higher inhibitory control and lower anger/frustration.
Conclusions:
- Childhood eating behaviors form distinct profiles associated with temperament and weight.
- Future research should explore tailoring health promotion and obesity prevention to these eating dispositions.
Background:
Individual differences in eating behaviors among young children are well-established, but the extent to which behaviors aggregate within individuals to form distinct eating behavior profiles remains unknown. Our objectives were to identify eating behavior profiles among preschool-aged children and evaluate associations with temperament and weight.
Methods:
A secondary, cross-sectional analysis of baseline data from 2 cohort studies was conducted involving 1004 children aged 3-4 years and their parents with low-income backgrounds. Children's eating behaviors and temperament were assessed by parental report. Body mass index z-scores and weight status were calculated using measured heights and weights. Latent profile analysis (LPA) was used to generate profiles and bivariate analyses were used to evaluate associations with temperament and weight status.
Results:
LPA revealed the presence of 3 eating behavior profiles among children. Children with High Food Approach profiles (21.2%) had lower temperamental inhibitory control and the highest percent of children with obesity relative to the other profiles. Children with High Food Avoidant profiles (35.6%) had lower temperamental impulsivity and lower BMI z-scores relative to the other profiles, whereas children with Moderate Eating profiles (intermediary levels of all behaviors; 43.2%) had higher temperamental inhibitory control and lower anger/frustration, than other profiles.
Conclusions:
Young children's eating behaviors appear to aggregate within individuals to form empirically distinct profiles reflecting food approach, food avoidance, and moderate approaches to eating that are differentiated by aspects of temperament and weight. Future work should seek to understand the extent to which health promotion and obesity prevention approaches should be tailored to take into account children's fundamental dispositions towards eating.
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