Household chaos, child temperament, and structure-related feeding practices in toddlerhood: A moderation analysis

IF 2.4 3区 医学 Q2 PSYCHIATRY
Kathryn L. Krupsky , Bharathi J. Zvara , Amrik Singh Khalsa , Rebecca Andridge , Sarah A. Keim , Sarah E. Anderson
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Abstract

Structure-related feeding practices may promote intuitive child eating behaviors and foster responsiveness to internal cues of hunger and satiety. Caregivers' ability to engage in structure-related feeding practices likely depends on a complex ecology of factors, including household- and child-characteristics. This study examined associations between household chaos and structure-related feeding practices, and the moderating effect of child temperament. Data were from 275 caregiver-toddler dyads from central Ohio. Child temperament was reported by caregivers when children were 18 months of age, whereas household chaos and structure-related feeding practices were reported by caregivers when children were 36 months of age. Multivariable linear regression models were constructed to assess the relationship between chaos and structure-related feeding practices. Interaction terms between household chaos and three dimensions of child temperament were tested to determine whether temperament moderated the relationship between chaos and structure-related feeding practices. Household chaos was not independently associated with structure-related feeding practices, but higher levels of child effortful control were associated with greater mealtime structure. There was a statistically significant interaction between household chaos and child temperamental surgency, such that greater levels of chaos were associated with less structured mealtimes, but only when children had low-surgency. Findings suggest household chaos and child temperament inform caregiver feeding practices, but the influence of chaos may depend on more proximal factors, like child temperament. Recommendations to improve caregiver-child feeding interactions should be sensitive to characteristics of the broader family home environment.

家庭混乱、儿童气质和幼儿期结构相关的喂养实践:一个适度分析
结构相关的喂养实践可能会促进直观的儿童饮食行为,并培养对饥饿和饱腹感的内在暗示的反应。照顾者参与与结构相关的喂养实践的能力可能取决于一系列复杂的因素,包括家庭和儿童的特征。本研究考察了家庭混乱与结构相关的喂养方式之间的联系,以及儿童气质的调节作用。数据来自俄亥俄州中部的275名照顾者和学步者。当孩子18个月大时,照顾者报告了孩子的性情,而当孩子36个月大时,照顾者报告了家庭混乱和结构相关的喂养方式。建立了多变量线性回归模型来评估混沌与结构相关喂养行为之间的关系。我们测试了家庭混乱与儿童气质三个维度之间的相互作用项,以确定气质是否调节了混乱与结构相关喂养行为之间的关系。家庭混乱与结构相关的喂养做法没有独立的联系,但较高水平的儿童努力控制与更好的用餐时间结构有关。在统计上,家庭混乱和孩子的突发情绪之间存在显著的相互作用,比如,更大程度的混乱与更少的结构化用餐时间有关,但仅限于孩子的低突发情绪。研究结果表明,家庭混乱和儿童气质会影响照顾者的喂养方式,但混乱的影响可能取决于更近的因素,如儿童气质。改善照顾者与儿童喂养互动的建议应考虑到更广泛的家庭环境的特点。
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来源期刊
Eating behaviors
Eating behaviors Multiple-
CiteScore
4.20
自引率
3.60%
发文量
65
审稿时长
60 days
期刊介绍: Eating Behaviors is an international peer-reviewed scientific journal publishing human research on the etiology, prevention, and treatment of obesity, binge eating, and eating disorders in adults and children. Studies related to the promotion of healthy eating patterns to treat or prevent medical conditions (e.g., hypertension, diabetes mellitus, cancer) are also acceptable. Two types of manuscripts are encouraged: (1) Descriptive studies establishing functional relationships between eating behaviors and social, cognitive, environmental, attitudinal, emotional or biochemical factors; (2) Clinical outcome research evaluating the efficacy of prevention or treatment protocols.
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