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Exploration of the relationship between caregiver feeding styles and paediatric feeding behaviours: a case control

Rae Tan1, Nicholas Beng Hui Ng2, Jamie Qiao Xin Ng1

  • 1Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.

Appetite
|June 8, 2025
PubMed

Insights

Caregiver feeding styles significantly impact children's feeding difficulties. Responsive feeding strategies and addressing parental concerns are crucial for improving outcomes in pediatric feeding clinics.

Area of Science:

  • Pediatric Nutrition
  • Child Psychology
  • Clinical Dietetics

Background:

  • Feeding difficulties are common in children referred to specialized clinics.
  • Understanding the role of caregiver feeding styles is essential for effective intervention.

Purpose of the Study:

  • To investigate the association between caregiver feeding styles and behavioral feeding difficulties in children.
  • To compare feeding difficulties in children attending a feeding clinic versus controls in Singapore.

Main Methods:

  • A case-control study involving 290 children (145 cases, 145 controls).
  • Retrospective clinical data and convenience sampling were used.
  • Caregiver feeding styles were assessed using the Caregiver's Feeding Styles Questionnaire (CFSQ), and feeding difficulties using the Behavioural Paediatric Feeding Assessment Scale (BPFAS).

Main Results:

  • Higher caregiver demandingness correlated with increased feeding difficulties (ρ=0.643, p<0.001).
  • Higher caregiver responsiveness correlated with fewer feeding difficulties (ρ=-0.451, p<0.001).
  • The Behavioural Paediatric Feeding Assessment Scale (BPFAS) score significantly predicted the need for medical intervention (OR=1.136, p<0.001).

Conclusions:

  • Parental concerns and standardized assessments like BPFAS are vital in clinical practice.
  • Interventions should promote responsive feeding and address socioeconomic barriers.
  • Early screening and support are recommended for at-risk children to enhance feeding outcomes.
Abstract

Keywords:
Case control studyFeeding assessmentFeeding stylesPaediatric feeding difficultiesParents

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