Bidirectional Associations between Parental Feeding Practices and Child Eating Behaviors in a Chinese Sample

作者：Jian Wang, Ruxing Wu, Xiaoxue Wei, Yan‐Shing Chang, Xianqing Tang, Bingqian Zhu, Yang Cao, Yinghui Wu, Daqiao Zhu · 发表于：Nutrients · 年份：2023 · DOI：10.3390/nu16010044 · 被引用次数：12 · 研究领域：Obesity, Physical Activity, Diet、Child Nutrition and Feeding Issues、Child Nutrition and Water Access

Background: Child eating behaviors (CEBs) and parental feeding practices (PFPs) play critical roles in childhood obesity. However, the bidirectional relationships between CEBs and PFPs remain equivocal. This longitudinal study aimed to explore their bidirectional relationships. Methods: A convenience sample of 870 parents with preschoolers was recruited in this longitudinal study (Shanghai, China). Three non-responsive feeding practices (NFPs), three responsive feeding practices (RFPs), five CEBs, and covariates were collected using validated questionnaires at baseline and the 6-month follow-up. Cross-lagged analyses using structural equation modeling (SEM) were performed to examine their bidirectional relationships. Results: Eight hundred and fifty-three parents completed questionnaires, with a response rate of 98%. The mean age of their children at baseline was 4.39 years (standard deviation = 0.72 years). Eighteen out of sixty longitudinal cross-lagged paths were statistically significant. Parental encouragement of healthy eating and content-restricted feeding were found to be bidirectionally associated with child food fussiness. Four parent-driven associations and one child-driven association were identified between RFPs and CEBs. For example, monitoring was negatively associated with children’s unhealthy eating habits (β = −0.066, standard error (SE) = 0.025, p < 0.01). Eight child-driven associations and one parent-driven association were observed between NFPs and CEBs....