School of Nursing, Shanghai Jiao Tong University, Shanghai 200025, China.
Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, London SE1 8WA, UK.
Nutrients. 2022 Apr 30;14(9):1896. doi: 10.3390/nu14091896.
Parental non-responsive feeding practices and child eating behaviors both play significant roles in childhood obesity. However, their longitudinal relationships are less clear. This systematic review aimed to examine their bidirectional associations.
A systematic search of five databases was conducted from inception to February 2022. Data synthesis was performed using a semi-quantitative and quantitative approach.
A total of 14 studies with 15348 respondents were included. A total of 94 longitudinal effects from 14 studies of parental non-responsive feeding practices on child eating behaviors were investigated, and 19 statistically significant effects were discovered. Seventy-seven longitudinal effects from nine studies of child eating behaviors on parental feeding practices were examined, with fifteen being statistically significant. The pooled results of meta-analysis showed five statistically significant associations: parental restrictive feeding positively predicted child enjoyment of food (β = 0.044; 95% CI: 0.004, 0.085); use of food as a reward positively predicted child emotional eating (β = 0.09; 95% CI: 0.04, 0.15); child food responsiveness positively predicted restrictive feeding (β = 0.04; 95% CI: 0.02, 0.06); use food as a reward (β = 0.06; 95% CI: 0.03, 0.10). In addition, the pooled effects showed that child satiety responsiveness negatively predicted restrictive feeding (β = -0.05; 95% CI: -0.08, -0.01).
The bidirectional relationships between parental non-responsive feeding practices and child eating behaviors are inconsistent and a few showed statistical significance. Theory-driven longitudinal studies using validated instruments and controlling for potential confounders are needed to unveil their relationships and provide evidence for obesity prevention interventions.
父母不响应的喂养行为和儿童的进食行为在儿童肥胖中都起着重要作用。然而，它们之间的纵向关系尚不清楚。本系统评价旨在研究它们之间的双向关联。
从成立到 2022 年 2 月，对五个数据库进行了系统搜索。使用半定量和定量方法对数据进行综合。
共纳入 14 项研究，共 15348 名受访者。共研究了父母不响应的喂养行为对儿童进食行为的 94 个纵向影响，发现了 19 个具有统计学意义的影响。共检查了儿童进食行为对父母喂养行为的 9 项研究中的 77 个纵向影响，其中 15 个具有统计学意义。荟萃分析的汇总结果显示了五个具有统计学意义的关联：父母的限制喂养行为积极预测了儿童对食物的享受（β=0.044；95%可信区间：0.004，0.085）；将食物作为奖励积极预测了儿童的情绪性进食（β=0.09；95%可信区间：0.04，0.15）；儿童对食物的反应性积极预测了限制喂养（β=0.04；95%可信区间：0.02，0.06）；使用食物作为奖励（β=0.06；95%可信区间：0.03，0.10）。此外，汇总效应表明，儿童饱腹感反应性负预测限制喂养（β=-0.05；95%可信区间：-0.08，-0.01）。
父母不响应的喂养行为和儿童进食行为之间的双向关系不一致，有几个具有统计学意义。需要使用经过验证的工具和控制潜在混杂因素的理论驱动的纵向研究来揭示它们之间的关系，并为肥胖预防干预措施提供证据。
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