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Published on: February 2, 2017
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.
Abstract:
Childhood obesity is considered a major public health problem. To help prevention and intervention programs targeting families with obese children, this paper is aimed at synthesizing multifactorial and transactional data resulting from studies and reviews assessing relational factors between the child and his or her parents and the child's obesity risk, including the child's and CG's attachment quality, parental feeding practices, and family routines. It is also aimed at assessing the mediation of these links by specific self-regulatory capacities across different developmental periods (0-2, 2-8, and 8-18 years old). The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines were applied in the review methodology. Ten papers were analyzed, including seven empirical studies and three reviews proposing etiological models of childhood obesity. The quality of empirical studies was assessed, and a synthetical model of the results was proposed. This literature review showed that the caregiver's (CG) and the child's attachment quality, along with controlling or permissive feeding practices, and few family routines are mostly mediated by appetite dysregulation and emotional regulation strategies with the development of child obesity. New research topics are proposed to understand other facets of childhood obesity, as well as how to better prevent and treat it.
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