Controlling Feeding Practices Research Articles

Food-Related Parenting Practices and Adolescent Weight Status: A Population-Based Study

To examine food-related parenting practices (pressure-to-eat and food restriction) among mothers and fathers of adolescents and associations with adolescent weight status within a large population-based sample of racially/ethnically and socioeconomically diverse parent-adolescent pairs. Adolescents (N = 2231; 14.4 years old [SD = 2.0]) and their parents (N = 3431) participated in 2 coordinated population-based studies designed to examine factors associated with weight status and weight-related behaviors in adolescents. Adolescents completed anthropometric measurements and surveys at school. Parents (or other caregivers) completed questionnaires via mail or phone. Findings suggest that the use of controlling food-related parenting practices, including pressure-to-eat and restriction, is common among parents of adolescents. Mean restriction levels were significantly higher among parents of overweight and obese adolescents compared with nonoverweight adolescents. However, levels of pressure-to-eat were significantly higher among nonoverweight adolescents. Results indicate that fathers are more likely than mothers to engage in pressure-to-eat behaviors and boys are more likely than girls to be on the receiving end of parental pressure-to-eat. Parental report of restriction did not differ significantly by parent or adolescent gender. No significant interactions by race/ethnicity or socioeconomic status were seen in the relationship between restriction or pressure-to-eat and adolescent weight status. Given that there is accumulating evidence for the detrimental effects of controlling feeding practices on children's ability to self-regulate energy intake, these findings suggest that parents should be educated and empowered through anticipatory guidance to encourage moderation rather than overconsumption and emphasize healthful food choices rather than restrictive eating patterns.

The relationship between infant‐feeding attitudes and practices and infant weight at 2 and 4 months of age

The use of controlling feeding practices, such as restriction, has been linked to childhood overweight/obesity. A secondary objective of the Baby‐Mine study was to explore the relationship between infant‐feeding practices/attitudes and infant weight status among low‐income, formula‐feeding mothers. Fifty‐four mothers of healthy, term infants < 3 months of age provided complete data for this objective. At 2 and 4 months of age infant anthropometry was collected and mothers completed a questionnaire assessing maternal feeding beliefs and behaviors. As an example of results to be discussed, the item “I am very careful not to feed my infant too much”, with responses linked to a 5‐point Likert scale, was used to measure maternal restriction. At 2 months of age, there was no significant relationship found between maternal response to this statement and infant birthweight (p=.616) or weight at 2 months (p=.821). However, at 4 months of age, maternal agreement with this statement was significantly positively associated with infant weight (p=0.041), and accounted for 27.9% of the variability in infant weight. Similar relationships were found when evaluating weight‐for‐length z scores. Infant‐feeding practices and attitudes may be dynamic in the first few months of life and relationships with infant weight should be carefully explored.Grant Funding Source: USDA/NIFA/AFRI Award‐2010–85215‐20663

Maternal symptoms of depression are related to observations of controlling feeding practices in mothers of young children.

Maternal depression can impair parenting practices and has been linked with less sensitive feeding interactions with children, but existing research is based on self-reports of feeding practices. This study examined relationships between maternal self-reported symptoms of depression with observations of mothers' child feeding practices during a mealtime. Fifty-eight mothers of 3- and 4-year-old children were video recorded eating a standardized lunch. The recording was then coded for instances of maternal controlling feeding practices and maternal vocalizations using the Family Mealtime Coding System. Mothers also provided information on current symptoms of depression and anxiety. Mothers who reported greater symptoms of depression were observed to use more verbal and physical pressure for their child to eat and to offer more incentives or conditions in exchange for their child eating. Mothers also used more vocalizations with their child about food during the observed mealtime when they had greater symptoms of depression. There was no link between symptoms of depression and observations of maternal use of restriction. Symptoms of depression are linked with observations of mothers implementing a more controlling, less sensitive feeding style with their child. Health professionals working with families in which mothers have symptoms of depression may benefit from receiving training about the possible impact of maternal depression on child-feeding practices, and mothers with symptoms of depression may benefit from guidance regarding its potential impact on their child-feeding interactions.

Dietary Practice and Physical Activity in Children with Down Syndrome and Their Siblings in Saudi Arabia

Background: Feeding difficulties and inappropriate nutrition are common problems among children with Down Syndrome (DS). Objective: The aim of this study is to investigate the dietary practice and physical activity among children with DS. Methodology: The study groups were pre-pubertal DS boys and girls, aged 5 to 12 years clinically and cytogenetically proven to be suffering from DS. Healthy siblings, closest in age to the DS children were used as a control group. Breast feeding, eating difficulties, fast food intake, and physical activity were measured for both groups. Results: During infancy period, 36.4% of the DS children were bottle fed, compared to only 5.5% of the normal siblings. Nearly half of the breast-fed DS children were fed for duration of less than 6 months. The percentage of the DS children experiencing dietary difficulties is significantly higher compared to the siblings. Concerning physical activity, 73.1% of DS children did not exercise as compared to 44.2% of the control siblings. Conclusion: Controlling feeding practices and encouraging Down syndrome children to participate in physical activity either through support from parents or through designing special programs and facilities and are two avenues that can be used for obesity prevention.

Maternal Parenting Behaviors during Childhood Relate to Weight Status and Fruit and Vegetable Intake of College Students

Examine how maternal parenting behaviors in childhood, both general and feeding specific, relate to weight status and fruit and vegetable consumption in college students. Retrospective surveys on maternal behaviors and assessments on the college-aged child's current anthropometric measures and dietary intakes. College students (n = 424; 66% women). Students' weight, height, waist circumference, fruit and vegetable intakes, students' reports on mothers' general and feeding-specific parenting behaviors during childhood. Correlation and regression analyses tested how maternal behaviors in childhood related to students' body mass index, waist circumference, and fruit and vegetable intake. Mothers' psychological control during childhood was associated with higher body mass index and waist circumference in students, and behavioral control was associated with lower waist circumference. Parent-centered feeding behaviors related to lower fruit and vegetable intakes of students, whereas child-centered feeding behaviors related to higher fruit and vegetable intakes. Findings suggest that parental use of behavioral control and child-centered feeding practices and minimal use of psychological control and parent-centered feeding practices during childhood may promote a child's healthful weight status and fruit and vegetable consumption in young adulthood, specifically during college.

Does child weight influence how mothers report their feeding practices?

The present study aimed to ascertain whether parental reports of their feeding practices are associated with independent observations of these behaviours, and whether the reliability of maternal report depends upon the child's weight. A total of 56 mothers and their children ate a lunch to satiety which was videotaped and coded for maternal use of control during feeding. Mothers also completed questionnaires about their feeding practices and children were weighed and measured. Maternal reports of controlling feeding practices were poorly related to independent observations of these behaviours in the laboratory. However, there was a significant interaction between child BMI z score and observed pressure to eat in predicting maternally reported pressure to eat. There was also a significant interaction between child BMI z score and observed maternal restriction with food in predicting maternally reported restriction. When decomposed, these interactions suggested that only mothers of relatively underweight children were accurate at reporting their use of pressure to eat when compared to independent observations. For mothers of relatively overweight children there was a significant negative relationship between observed and reported restriction over food. Overall there was poor correspondence between maternal reports and independent observations of the use of controlling feeding practices. Further research is needed to replicate these findings and to ascertain whether parents who are inaccurate at reporting their use of these feeding practices are unaware that they are using controlling feeding practices or whether they are responding in socially desirable ways to questionnaires assessing their feeding behaviour.

Predictors of Paternal and Maternal Controlling Feeding Practices with 2- to 5-year-old Children

This study aimed to identify predictors of controlling feeding practices in both mothers and fathers of young children. Cross-sectional, questionnaire design. Nursery schools within the United Kingdom recruited participants. Ninety-six mothers and fathers comprising 48 mother-father pairs of male and female children aged 2 to 5 years. Parents' child feeding practices, eating psychopathology, general mental health symptomology, and their children's eating behaviors and temperament. Preliminary correlations; stepwise regressions. Maternal controlling feeding was predicted by children's eating behaviors (emotional over- and undereating), child temperament (sociability), and maternal general mental health symptoms. Paternal reports of children's eating behaviors (slow eating and emotional undereating) were the only significant predictors of fathers' controlling feeding practices. Mothers' and fathers' feeding practices seem to be better linked to child characteristics than to the presence of eating psychopathology symptoms. Children's emotional eating predicted all 3 controlling feeding practices in mothers and warrants further study to elucidate the causal nature of this relationship.

Maternal child-feeding style during the weaning period: Association with infant weight and maternal eating style

A controlling maternal child-feeding style has been show to have negative consequences for child weight and eating style for children over the age of 12 months. Maternal restriction is associated with increased consumption of food if given free access and child overweight. Pressure to eat conversely is associated with picky eating and a lower child weight. Little research however has considered the influence of maternal feeding style under 1 year, during the period when infants are being introduced to complementary foods. In the current study, 642 mothers with a child aged 6–12 months completed a copy of the Child Feeding Questionnaire (Birch, Fisher, Grimm-Thomas, Markey, Sawyer & Johnson 2001), the Dutch Eating Questionnaire (Van Strien, Frijters, Bergers, & Defares 1986) and reported infant and maternal weight. Differences in maternal feeding style were identifiable during this period and related to infant weight and maternal weight and eating style. Infant weight was positively correlated with maternal use of restriction, monitoring and concern for infant weight. Moreover, mothers high in restraint, external and emotional eating reported higher levels of concern for infant weight, restriction and monitoring and perceived their infants to be larger. The findings suggest that the extent to which controlling feeding practices are used is influenced by infant and maternal personal weight concerns even at this early stage. Potentially, these early behaviours could have long term consequences for child weight and eating style.

Parental eating disorder symptoms and observations of mealtime interactions with children

Objective To examine relationships between parental eating disorder symptomatology and observed feeding interactions with children. Method Twenty-three mother–father pairs of children between 18 months and 5 years completed a self-report measure of eating disorders and were observed during a family mealtime. Results Parental reports of eating disorder symptoms were related to observations of greater pressurizing by both parents, maternal restriction of children's food intake and use of incentives to eat, more mouthfuls of food eaten by the child, and less food refusal. Discussion Observed controlling feeding practices are related to symptoms of eating disorders in nonclinical groups of mothers and fathers, highlighting one mechanism by which eating distress may be transmitted within families.

Controlling Maternal Feeding Practices Associated with Decreased Dieting Behavior in Sixth-Grade Children

Controlling maternal feeding practices have been linked to increased caloric intake, disinhibited eating, and obesity in children. Its relationship to child dieting behavior, however, is unknown. Using the National Institute of Child Health and Human Development Study of Early Child Care and Youth Development, this study examined whether controlling feeding practices are associated with increased or decreased dieting behavior in children. Controlling maternal feeding practices were assessed in third grade with the question, “Do you let your child eat what he/she feels like eating?” Answers ranged from 1 to 4; higher scores were reverse-coded to indicate greater control. Child dieting behavior was assessed in sixth grade and dichotomized into “any dieting behaviors” vs “none.” Multiple logistic regression was used to investigate the relationship between controlling maternal feeding practices and dieting behavior and included the covariates of sex, race, maternal education, maternal weight status, child weight status in third grade, and change in body mass index z score between third and sixth grade. In sixth grade (n=776), 41.5% of children engaged in dieting behavior. In the multivariate analysis, greater maternal control over child eating predicted lower odds of child dieting in sixth grade (odds ratio=0.79; 95% confidence interval: 0.64 to 0.97). There was no interaction between controlling maternal feeding practices and child's sex or baseline obesity status. Exerting more control over what a child eats in third grade may protect against future dieting behavior in children, independent of child's weight status or rate of weight gain. Further work is needed to better define which controlling feeding practices are beneficial for the child.

Low Inhibitory Control and Restrictive Feeding Practices Predict Weight Outcomes

A priority for research is to identify individuals early in development who are particularly susceptible to weight gain in the current, obesogenic environment. This longitudinal study investigated whether early individual differences in inhibitory control, an aspect of temperament, predicted weight outcomes and whether parents' restrictive feeding practices moderated this relation. Participants included 197 non-Hispanic white girls and their parents; families were assessed when girls were 5, 7, 9, 11, 13, and 15 years old. Measures included mothers' reports of girls' inhibitory control levels, girls' reports of parental restriction in feeding, girls' body mass indexes (BMIs), and parents' BMIs, education, and income. Girls with lower inhibitory control at age 7 had higher concurrent BMIs, greater weight gain, higher BMIs at all subsequent time points, and were 1.95 times more likely to be overweight at age 15. Girls who perceived higher parental restriction exhibited the strongest inverse relation between inhibitory control and weight status. Variability in inhibitory control could help identify individuals who are predisposed to obesity risk; the current findings also highlight the importance of parenting practices as potentially modifiable factors that exacerbate or attenuate this risk.

Controlling feeding practices and psychopathology in a non-clinical sample of mothers and fathers

Objective To explore the relationships between controlling feeding practices and a range of mental health symptoms while considering both parent and child gender. Method Mothers and fathers ( N = 214) of children aged 18–59 months completed self-report measures of their child feeding practices, eating psychopathology and general mental health symptomology. Results Feeding practices did not differ across any of the four parent–child gender dyads. Mothers’ eating psychopathology scores were significantly higher than fathers’ but parents did not significantly differ in the severity of their other mental health symptoms. Associations between disordered eating symptoms and controlling feeding practices were only seen in mothers of daughters and fathers of sons. In general, a range of mental health symptomologies in this non-clinical sample were related to more controlling feeding practices across all four dyads. Psychopathology was most strongly related to controlling feeding practices in parents of girls. Conclusion Symptoms of psychopathology may be more likely to associate with controlling feeding practices in parents of daughters due to societal values for slimness in females.

Maternal and Paternal Controlling Feeding Practices: Reliability and Relationships With BMI

This study aimed to examine the interrelationships between mothers' and fathers' reports on the child-feeding questionnaire (CFQ), the BMI of parents and their children, and observations of parents' controlling feeding practices at mealtimes. Twenty-three mothers and twenty-three fathers of children aged between 18 and 67 months reported on their child-feeding practices, on their child's height and weight, and were observed during a normal family mealtime at home. No associations were found between mothers' reported and observed feeding practices. Fathers' reported pressure to eat and restriction were associated with more controlling observed mealtime feeding practices. Mothers and fathers did not significantly differ in their reported or observed child-feeding practices. Children's BMI was not related to maternal or paternal reported or observed feeding practices. More mealtime pressure was observed in parents with a higher BMI. Fathers' self-reports of their mealtime practices are reliable. Mothers' feeding practices may differ when fathers are present and further work should examine mothers at mealtimes with and without fathers. Although children's BMI was not related to parents' use of reported or observed control, parents with a higher BMI were more controlling, highlighting the importance of considering parents' own weight in future studies.

Controlling Feeding Practices: Cause or Consequence of Early Child Weight?

The exertion of control during child feeding has been associated with both underweight and overweight during childhood. What is as-yet unclear is whether controlling child feeding practices causally affect child weight or whether the use of control may be a reactive response to concerns about high or low child weight. The aims of this study were to explore the direction of causality in these relationships during infancy. Sixty-two women gave informed consent to take part in this longitudinal study that spanned from birth to 2 years of child age. Mothers completed the Child Feeding Questionnaire at 1 year, and their children were weighed at 1 and 2 years of age. Child weight scores were converted into standardized z scores that accounted for child age and gender. Controlling for child weight at 1 year, the use of pressure to eat and restriction at 1 year significantly predicted lower child weight at 2 years. Controlling feeding practices in infancy have an impact on children's weight at 2 years. The use of restrictive child feeding practices during infancy predicts lower child weight at age 2 years, which may reinforce mothers' use of this strategy in the longer term despite its potential association with disinhibition and greater child weight in later childhood.

Are parenting style and controlling feeding practices related?

This study examined the relationships between parenting styles, feeding practices and BMI in a non-clinical sample of mothers and fathers of UK preschool children. Ninety-six cohabiting parents of 48 children (19 male, 29 female, mean age 42 months) completed a series of self-report questionnaires assessing parenting style, feeding practices, eating psychopathology and a range of demographic information. There were no relationships between authoritarian parenting and controlling feeding practices. In both mothers and fathers, permissive parenting style was related to lower monitoring of children's unhealthy food intake. Permissive parenting was also associated with increased use of restriction by mothers and pressure to eat by fathers. Authoritative parenting style was also related to lower use of pressure to eat by fathers only. Parenting styles were not related to child BMI in this sample. Higher child BMI was best predicted by lower paternal application of pressure to eat and greater paternal reports of drive for thinness. Parenting style may not have a direct impact on child BMI until child food selection and consumption becomes more autonomous.

Predictors of maternal control of feeding at 1 and 2 years of age

To establish the best predictors of maternal use of controlling feeding practices at 1 and 2 years of age. A longitudinal study from birth to 2 years. Sixty-two mothers of 2-year-old children. Infant weight at birth, 6, 12 and 24 months, breastfeeding history, infant temperament and feeding difficulties at 6 and 12 months, maternal demographics at 12 and 24 months, maternal mental health at 6 and 12 months, maternal controlling feeding practices at 12 and 24 months. Controlling feeding practices at 1 year were predicted by perceptions of infant temperament at 6 months, birth weight, length of breastfeeding, mental health at 6 months, and mealtime negativity at 6 months. Parental control over feeding when their child reached 2 years was predicted by the mother's tendency to use that particular strategy at 1 year in combination with the perceptions of infant temperament and feeding problems at 1 year, weight at 1 year, length of breastfeeding in infancy, and/or maternal mental health at 1 year. Breastfeeding appears to promote subsequent monitoring, and is associated with reduced use of pressurising and restrictive feeding practices. Infant characteristics are important predictors of control at both 1 and 2 years of age. The use of controlling feeding practices is relatively stable from 1 to 2 years.

Maternal and paternal controlling feeding practices with male and female children

This study aimed to compare maternal and paternal feeding practices with male and female children and examine the influence of the gender of both the parent and child on the relationship between parental unhealthy eating attitudes and controlling feeding practices. One hundred and eighty-eight participants (94 co-habiting mother–father dyads, mean age 36.4 years, SD=4.9), who were the parents of 46 male and 48 female children (mean age 37.7 months, SD=12.7) completed measures of unhealthy eating attitudes and feeding practices. Mothers and fathers differed significantly in their reports of unhealthy eating attitudes but not in their restrictive or pressurising feeding practices. Mothers reported greater perceived feeding responsibility and greater monitoring of their children's food intake than fathers. Bulimia scores were correlated with controlling feeding practices in mothers of girls but not boys. Fathers’ body dissatisfaction was correlated with monitoring of sons’ but not daughters’ food intake. These findings suggest that parental extrapolation of weight concerns may be more likely to occur within mother–daughter and father–son relationships.

Revisiting a neglected construct: parenting styles in a child-feeding context

The extent to which general parenting represents feeding styles in ethnically diverse populations is not well documented. Existing measures of child feeding have focused almost exclusively on specific behaviors of European-American parents. A valid and reliable instrument was developed to identify feeding styles in parents of low-income minority preschoolers. Two hundred thirty-one parents (130 Hispanic; 101 African-American) completed questionnaires on feeding practices and parenting styles. Based on self-reported feeding behavior, parents were assigned to four feeding styles (authoritarian, n=84; authoritative, n=34; indulgent, n=80; and uninvolved, n=33). Convergent validity was evaluated by relating feeding styles to independent measures of general parenting and authoritarian feeding practices. Authoritarian feeding styles were associated with higher levels of general parental control and authoritarian feeding practices. Alternatively, authoritative feeding styles were associated with higher levels of general parental responsiveness. Among the two permissive feeding styles, Hispanic parents were more likely to be indulgent, whereas African-American parents were more likely to be uninvolved. Further, differences were found among the feeding styles on an independent measure of child's body mass index.

Diet quality, nutrient intake, weight status, and feeding environments of girls meeting or exceeding recommendations for total dietary fat of the American Academy of Pediatrics.

To compare the diet quality and weight status of girls consuming diets meeting the recommendation of the American Academy of Pediatrics for dietary fat with those of girls consuming >30% of energy from fat and to examine relationships between girls' dietary fat intake, mothers' nutrient intakes, and mothers' child-feeding practices. Participants were 192 white girls and their mothers, who were divided into 2 groups: >30% of energy from fat (high fat [HF]) or </=30% of energy from fat (low fat [LF]), based on girls' 3-day dietary recalls. Girls' food group and nutrient intakes, Healthy Eating Index, body mass index, and mothers' nutrient intakes and child-feeding practices were compared. Girls with HF diets consumed fewer fruits, more meat, and more fats and sweets and had lower Healthy Eating Index scores than did the girls in the LF group. Mothers of girls in the HF group had higher fat intakes than did those in the LF group. Girls and mothers in the HF group had lower intakes of fiber and vitamins A, C, B6, folate, and riboflavin. Mothers in the HF group reported using more restriction and pressure to eat in feeding their daughters. Girls in the HF group showed greater increase in body mass index and skinfold thickness from age 5 to 7 years. These findings provide additional support for the recommendation of the American Academy of Pediatrics to limit total dietary fat. Findings reveal that mothers' use of controlling feeding practices are not effective in fostering healthier diets among girls and that mothers' own eating may be more influential than their attempts to control the intake of their daughters. dietary fat, dietary quality, nutrient intake, overweight, feeding practices, children.

Maximum-Profit Rations: A Look at the Results of the California System

Use of computers to formulate least-cost rations has increased greatly in recent years, and many commercial feed companies routinely use linear programming methods in establishing ingredient formulas for their concentrate mixes. Efficacy of computer-formulated concentrate mixes and cost savings realized from feeding them to lactating dairy cows were reported by Bath et al. (1). Similar results with least-cost complete dairy rations were reported by Howard et al. (6). Successful as they have been, however, least-cost rations are not the final answer. The important thing to a dairyman is not how inexpensive his feed cost is but how much profit he makes. Since feed is the largest single expense item in milk production, it has the greatest potential effect on profit.Many other factors affect profit such as labor costs, land values, taxes, building and equipment costs, and depreciation. Except for labor, however, they are fixed costs and cannot be changed much by individual dairymen. A dairyman can control feeding practices and costs to a large extent.