Behavioural Science Institute, Radboud University, P.O. Box 9104, 6500 HE, Nijmegen, the Netherlands.
Behavioural Science Institute, Radboud University, P.O. Box 9104, 6500 HE, Nijmegen, the Netherlands.
Appetite. 2021 Mar 1;158:105010. doi: 10.1016/j.appet.2020.105010. Epub 2020 Oct 16.
This systematic review is the first to provide an overview of the prospective links between food parenting practices and children's weight outcomes. Three databases were searched. All titles, abstracts and full-texts were double screened by two independent reviewers. Peer-reviewed journal articles published after 1990 assessing the prospective association between food parenting practices and weight outcomes of children aged 2-18 years were eligible. A total of 38 eligible studies were identified, focusing on 12 separate food parenting practices. Restriction, pressure to eat, and monitoring were generally not associated with children's weight over time, but higher quality studies suggest that pressure to eat was associated with lower weight outcomes over time. Most studies on food availability and accessibility found null-findings as well. Instrumental-but not emotional-feeding was associated with higher weight over time, but higher quality studies are needed to confirm this link. Results involving the link between frequency of mealtime and child weight were mixed. Autonomy supporting and other structure-related food parenting practices were understudied. In conclusion, food parenting practices receiving the most attention within prospective studies (i.e., restriction, pressure to eat, monitoring) were generally not associated with children's weight outcomes over time. Future high quality studies should focus more on other food parenting practices, further unravel bidirectional links between food parenting and children's eating behaviors and weight outcomes, and examine the mediating role of dietary intake.
这篇系统评价是第一篇概述前瞻性食物养育实践与儿童体重结果之间联系的综述。我们检索了三个数据库。所有标题、摘要和全文均由两名独立审查员进行了双重筛选。符合条件的研究是 1990 年后发表的评估前瞻性食物养育实践与 2-18 岁儿童体重结果之间关联的同行评审期刊文章。共确定了 38 项符合条件的研究，重点关注 12 种单独的食物养育实践。限制、进食压力和监测通常与儿童体重随时间的变化无关，但高质量的研究表明，进食压力与随时间推移体重下降有关。关于食物可及性和可获得性的大多数研究也未发现结果。工具性喂养而不是情感性喂养与随时间推移体重增加有关，但需要高质量的研究来证实这一联系。涉及进餐频率与儿童体重之间联系的结果喜忧参半。支持自主性和其他与结构相关的食物养育实践研究不足。总之，前瞻性研究中受到最多关注的食物养育实践（即限制、进食压力、监测）通常与儿童体重随时间的变化无关。未来的高质量研究应更多地关注其他食物养育实践，进一步阐明食物养育与儿童饮食行为和体重结果之间的双向联系，并研究饮食摄入的中介作用。
