Eating, feeding, and feeling: emotional responsiveness mediates longitudinal associations between maternal binge eating, feeding practices, and child weight

International Journal of Behavioral Nutrition and Physical Activity

Research

Jaclyn A. Saltzman¹  Kelly K. Bost¹  Barbara H. Fiese²  Maria Pineros-Leano³  Janet M. Liechty⁴ 

[1] Department of Human Development and Family Studies, University of Illinois at Urbana-Champaign, 904 South Nevada St., MC-081, 61801, Urbana, IL, USA;Illinois Transdisciplinary Obesity Prevention Program, University of Illinois, Champaign, USA;Department of Human Development and Family Studies, University of Illinois at Urbana-Champaign, 904 South Nevada St., MC-081, 61801, Urbana, IL, USA;Illinois Transdisciplinary Obesity Prevention Program, University of Illinois, Champaign, USA;Family Resiliency Center, University of Illinois at Urbana-Champaign, 904 South Nevada St., 61801, Urbana, IL, USA;Illinois Transdisciplinary Obesity Prevention Program, University of Illinois, Champaign, USA;School of Social Work, University of Illinois at Urbana-Champaign, 1010 West Nevada St., Urbana, IL, USA;Illinois Transdisciplinary Obesity Prevention Program, University of Illinois, Champaign, USA;School of Social Work, University of Illinois at Urbana-Champaign, 1010 West Nevada St., Urbana, IL, USA;College of Medicine, University of Illinois at Urbana-Champaign, 1010 West Nevada St., 61801, Urbana, IL, USA;

关键词: Binge eating;    Feeding practices;    Intergenerational transmission;    Parenting;    Childhood obesity;    Emotional responsiveness;    Responsive parenting;    Feeding Practices;    Food-related parenting practices;    Emotion regulation;   

DOI  :  10.1186/s12966-016-0415-5

 received in 2016-06-09, accepted in 2016-07-25,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundAlthough it is known that maternal disordered eating is related to restrictive feeding practices, there is little research exploring mechanisms for this association or its effects on other feeding practices. The purpose of this study was to assess whether maternal emotion responses mediate the association between maternal binge eating (BE) and child feeding practices, in order to identify potential risk factors for feeding practices that influence child weight.MethodsThis longitudinal observational study included (n = 260) mothers and children from the STRONG Kids Panel Survey. At Wave 1, children were an average of 37 months old (SD = 6.9), and at Wave 2 children were an average of 57 months old (SD = 8.3). Mothers self-reported their frequency of binge eating behavior (Wave 1), responses to children’s negative emotions (Wave 1), feeding practices (Wave 1 and Wave 2), and child height and weight were measured at both time points. Using bias-corrected bootstrapping procedures, we tested the hypothesis that longitudinal associations between maternal BE and nonresponsive parent feeding practices would be mediated by parents’ unsupportive responses to children’s negative emotion. We also tested a serial mediation model positing that maternal BE predicts child body mass index (BMI) percentile change 18-24 months later, indirectly through unsupportive responses to negative emotion and nonresponsive feeding practices.ResultsMaternal BE predicted use of more nonresponsive feeding practices (e.g. Emotion Regulation, Restriction for Health, Pressure to Eat, and Food as Reward), indirectly through more Distress responses to children’s negative emotions. In the serial mediation model, maternal BE was associated with greater use of Distress responses, which indirectly predicted higher child BMI percentile through Food as Reward feeding practices.ConclusionsThese results suggest that maternal eating and emotion responsiveness are important for understanding the interpersonal context of feeding behaviors, and child weight outcomes. Distress responses may serve as a risk factor for use of unhealthful feeding practices among mothers with BE and these responses may increase children’s risk for weight gain.Trial registrationThis study used an observational prospective design. Therefore, it has not been registered as a clinical intervention trial.

【 授权许可】

CC BY   
© The Author(s). 2016