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Published on: October 27, 2016
Bidirectional associations between parental feeding practices, infant appetitive traits and infant BMIz: a
Alissa J Burnett1, Elena Jansen2, Jessica Appleton3,4
1Deakin University, Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Geelong, Vic, Australia. a.burnett@deakin.edu.au.
Insights
Parental feeding practices influence infant appetitive traits and BMIz. Bidirectional associations were found, highlighting the need for early, tailored interventions to support healthy infant development and feeding behaviors.
Area of Science:
- Pediatrics
- Developmental Psychology
- Nutrition Science
Background:
- Limited understanding of parent feeding practices' impact on infant appetitive traits and BMIz.
- Infant feeding dynamics are complex and involve bidirectional influences.
Purpose of the Study:
- To examine bidirectional associations between parental feeding practices, infant appetitive traits, and infant BMIz.
- Investigate how feeding behaviors and infant characteristics influence each other over time.
Main Methods:
- Longitudinal study with 380 parents and their infants up to 12 months.
- Utilized the Feeding Practices and Structure Questionnaire (FPSQ) and Baby Eating Behaviour Questionnaire.
- Cross-lagged models analyzed associations between feeding practices, appetitive traits, and BMIz.
Main Results:
- Infant food avoidance linked to persuasive feeding; infant BMIz to parent-led feeding.
- Using food to calm associated with lower infant BMIz; higher BMIz with infant food approach.
- Feeding on demand linked to lower infant food approach.
Conclusions:
- Complex interplay exists between parental feeding, infant appetitive traits, and BMIz.
- Both child and parent factors are crucial in early development.
- Tailored infant programs are needed to promote healthy feeding practices and traits.
Background:
Little is known about the pathways linking parent feeding practices with appetitive traits and BMIz throughout infancy. This study examined bidirectional associations between parental feeding practices, infant appetitive traits, and infant BMIz.
Methods:
Parents (n = 380) of infants aged less than 6 months at baseline reported their feeding practices (using the Feeding Practices and Structure Questionnaire (FPSQ) for infants and toddlers), infant appetitive traits (using the Baby Eating Behaviour Questionnaire) and infant BMIz (parent-reported) at three timepoints (< 6 months, ~ 9 months, ~ 12 months) up to 12 months of age. Cross-lagged models examined bidirectional associations between parent feeding practices, infant appetitive traits and infant BMIz.
Results:
There was strong continuity across the three timepoints for maternal feeding practices, infant appetitive traits, and infant BMIz. Infant food avoidance was prospectively associated with higher parental persuasive feeding. Infant BMIz was prospectively associated with higher parent-led feeding. Parent use of food to calm was prospectively associated with lower infant BMIz, and infant BMIz was prospectively associated with higher infant food approach. Feeding on demand was prospectively associated with lower infant food approach.
Conclusion:
This study highlights the complex associations between parental feeding practices, infant appetitive traits and infant BMIz. The study demonstrated that both child and parent effects are important, suggesting a need for tailored programs beginning in infancy to promote and support infant appetitive traits and parent feeding practices that support healthy development.
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