Perceived fussy eating in children at 14 months of age and subsequent use of maternal feeding practices at 2 years - the NOURISH cohort

Byrne, Rebecca, Jansen, Elena, & Daniels, Lynne A. (2016) Perceived fussy eating in children at 14 months of age and subsequent use of maternal feeding practices at 2 years - the NOURISH cohort. In European Obesity Summit, 1-4 June 2016, Gothenburg, Sweden. (In Press)

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Abstract

Despite research focus on childhood obesity, many parents of young children worry that their child is not eating enough. Up to 40% of parents characterise their child as fussy or having an ‘eating problem’. Feeding practices – prompted by parental concern – that are not responsive to children’s innate cues of hunger and satiety may promote overeating and overweight. This prospective analysis investigates characteristics associated with maternal-reported fussiness at age 14 months and feeding practices at age 2 years.

A secondary analysis of data from mother-child dyads in the NOURISH4 control group (n = 229) measured at mean child age 14 months – perception of food fussiness, demographics, weight-for-age z-score derived from measured weight, and food group intake (grams) on 24-hr recall; and 24 months – Feeding Practices and Structure Questionnaire (FPSQ). Structural equation modelling tested the relationships: maternal and child characteristics → perceived food fussiness→ maternal feeding practices (FPSQ). Thirty percent of children were perceived as a fussy eater. No children were underweight (WAZ < -2). Perception of child as a fussy eater at 14 months was independent of demographic characteristics and intake (perception was associated with lower WAZ cross-sectionally, but this association was not significant in the longitundal model). Perception as a fussy eater did predict Distrust in Appetite (β = .57, p < .001), Reward for behaviour (β = .66, p < .001), Overt restriction (β = .29, p = .02), Reward for eating (β = .87, p < .001), and Persuasive feeding (β = .86, p < .001) at age 2 years; x2/df = 1.72, RMSEA = .06(.05-.06), PCLOSE = .02.

Maternal perception of fussy eating was prospectively associated with non-responsive feeding practices. Use of these practices appears to be independent of objective measures of child weight and intake and may undermine self-regulation and promote overweight.

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ID Code: 96200
Item Type: Conference Item (UNSPECIFIED)
Refereed: Yes
Additional URLs:
Keywords: Fussy eating, Feeding practices, Maternal perception, toddler, Overweight
ISSN: 1662-4033
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NUTRITION AND DIETETICS (111100) > Nutrition and Dietetics not elsewhere classified (111199)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Exercise & Nutrition Sciences
Deposited On: 15 Jun 2016 04:40
Last Modified: 17 Jun 2016 00:03

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