Association between caregivers’ responsive feeding practices and eating behaviors of children aged 6–35 months

IF 4.6 2区医学 Q1 BEHAVIORAL SCIENCES

Appetite Pub Date : 2025-05-17 DOI:10.1016/j.appet.2025.108141

Yujie Wen , Meijing An , Nan Wu , Xiaojing Ren , Xiyao Liu , Jie Huang , Qianling Zhou

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引用次数: 0

Abstract

Background

Studies on responsive feeding are mainly conducted among preschool and school-aged children, and from high-income countries. This study aims to examine the associations between caregivers’ responsive and non-responsive feeding practices and eating behaviors of children aged 6–35 months in China.

Methods

A cross-sectional survey was conducted among 409 caregivers in Shijiazhuang City, China in 2020. The Infant and Young Child Feeding Behavior Scale with adjustment was used to assess caregivers' feeding practices. The Children's Eating Behavior Questionnaire was used to assess the outcomes. Multiple linear regression was performed to examine the associations between caregivers' feeding practices and children's eating behaviors.

Results

Children's eating behavior score for enjoyment of food was relatively high. Caregivers' responsive feeding of responsiveness to cues (β: 0.16, 95 %CI: 0.05, 0.26), modeling (β: 0.10, 95 %CI: 0.01, 0.20), and active communication and interaction (β: 0.20, 95 %CI: 0.08, 0.33) were positively related to whereas the non-responsive feeding of pressure to eat (β: −0.10, 95 %CI: −0.19, −0.01) was negatively related to children's enjoyment of food. Caregivers' pressure to eat was positively related to children's scores for food fussiness (β: 0.10, 95 %CI: 0.03, 0.16) as well as slowness in eating (β: 0.11, 95 %CI: 0.01, 0.20). Caregivers' non-responsive feeding practices were positively related to children's emotional overeating, emotional undereating, food responsiveness and satiety responsiveness (p < 0.05).

Conclusion

Our results demonstrate in a sample of caregivers from China that responsive feeding practices are linked with positive healthy eating behaviors of infants and toddlers, and could potentially be used to inform feeding interventions in this population.

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6-35月龄儿童照料者反应性喂养行为与饮食行为的关系

背景：反应性喂养的研究主要在学龄前和学龄儿童中进行，并且来自高收入国家。本研究旨在探讨中国6-35月龄儿童照料者反应性和非反应性喂养方式与饮食行为的关系。方法：对2020年石家庄市409名护理人员进行横断面调查。采用婴幼儿喂养行为调整量表评估照顾者的喂养行为。使用儿童饮食行为问卷来评估结果。采用多元线性回归来检验照顾者的喂养方式与儿童饮食行为之间的关系。结果：儿童对食物的享受性饮食行为得分较高。照料者对提示的反应性喂养（β: 0.16, 95%CI: 0.05, 0.26）、建模（β: 0.10, 95%CI: 0.01, 0.20）、主动沟通和互动（β: 0.20, 95%CI: 0.08, 0.33）与儿童对食物的享受呈正相关，而强迫进食的非反应性喂养（β: -0.10, 95%CI: -0.19, -0.01）与儿童对食物的享受呈负相关。照顾者的进食压力与儿童进食困难得分（β: 0.10, 95%CI: 0.03, 0.16）和进食缓慢得分（β: 0.11, 95%CI: 0.01, 0.20）呈正相关。护理人员的非反应性喂养行为与儿童情绪暴饮暴食、情绪进食不足、食物反应性和饱腹感反应性呈正相关(结论：我们的研究结果表明，在中国护理人员的样本中，反应性喂养行为与婴幼儿的积极健康饮食行为有关，并可能用于该人群的喂养干预。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Appetite 医学-行为科学

CiteScore

9.10

自引率

11.10%

发文量

566

审稿时长

13.4 weeks

期刊介绍： Appetite is an international research journal specializing in cultural, social, psychological, sensory and physiological influences on the selection and intake of foods and drinks. It covers normal and disordered eating and drinking and welcomes studies of both human and non-human animal behaviour toward food. Appetite publishes research reports, reviews and commentaries. Thematic special issues appear regularly. From time to time the journal carries abstracts from professional meetings. Submissions to Appetite are expected to be based primarily on observations directly related to the selection and intake of foods and drinks; papers that are primarily focused on topics such as nutrition or obesity will not be considered unless they specifically make a novel scientific contribution to the understanding of appetite in line with the journal's aims and scope.