Attachment, Feeding Practices, Family Routines and Childhood Obesity: A Systematic Review of the Literature

Sarah Clément1, Susana Tereno1

  • 1Département de Psychologie, Université de Rouen Normandie, CRFDP UR 7475, F-76000 Rouen, France.

Insights

Parental relationships and feeding habits significantly impact childhood obesity risk. Attachment quality and family routines, mediated by self-regulation, are key factors in preventing and treating pediatric obesity.

Area of Science:

  • Pediatric Health
  • Public Health
  • Developmental Psychology

Background:

  • Childhood obesity is a significant global public health concern.
  • Understanding familial and relational factors is crucial for effective prevention and intervention strategies.
  • Existing research highlights the complex interplay between family dynamics and child weight status.

Approach:

  • Systematic literature review following Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines.
  • Analysis of ten papers, including seven empirical studies and three etiological reviews on childhood obesity.
  • Assessment of caregiver-child attachment, parental feeding practices, family routines, and their mediation by self-regulatory capacities.

Key Points:

  • Child and caregiver attachment quality, controlling/permissive feeding practices, and limited family routines are associated with childhood obesity risk.
  • Appetite dysregulation and emotional regulation strategies significantly mediate the relationship between familial factors and child obesity.
  • These associations are observed across different developmental periods: 0-2, 2-8, and 8-18 years.

Conclusions:

  • Family relational factors, particularly attachment and feeding practices, play a critical role in childhood obesity development.
  • Self-regulatory capacities are key mediators linking these factors to obesity.
  • Further research is needed to explore additional facets of childhood obesity and refine prevention/treatment approaches.

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