Department of Pediatrics, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY, United States of America.
Department of Human Development and Family Studies, Purdue University, West Lafayette, IN, United States of America.
Eat Behav. 2023 Apr;49:101739. doi: 10.1016/j.eatbeh.2023.101739. Epub 2023 May 9.
Weight outcomes have been associated with child temperament, defined as individual differences in reactivity and self-regulation. The current systematic review aims to provide an updated summary of the evidence linking temperamental negative reactivity, surgency, and regulation superfactors to early childhood feeding, eating, and weight outcomes.
PubMed, PsycINFO and Embase databases, as well as scientific meeting programs, were searched using keywords and subject headings. Publication dates were limited to 2012-2019 as prior reviews were published in 2012 and 2014. Identified studies were eligible if they included children ages 0-5 years, a measure of child temperament, and a measure of parent/caregiver feeding, child eating, or child weight. 7113 studies were identified and 121 met inclusion criteria.
Feeding, eating, and weight outcomes were largely unrelated to overarching negative reactivity, surgency, and effortful control superfactors. Examination of individual temperament dimensions suggested difficult temperament was frequently linked to non-responsive feeding practices, whereas elevated emotionality and decreased self-regulation were linked to maladaptive eating behaviors, and lower inhibitory control to adiposity. Analyses with infants reported greater percentages of significant associations compared to children, and cross-sectional studies generally reported fewer significant associations than other study designs.
Difficult temperament, greater emotionality and lower self-regulation and inhibitory control were the aspects of temperament most consistently related to poorer early childhood feeding, eating, and weight outcomes. Associations tended to be stronger in infancy, and when examined within a non-cross-sectional study design. Findings can inform the development of tailored efforts to promote healthy eating and growth throughout childhood.
体重结果与儿童气质有关，气质定义为反应性和自我调节方面的个体差异。本系统综述旨在提供最新证据总结，将气质的消极反应性、活力和调节超级因素与幼儿喂养、进食和体重结果联系起来。
使用关键词和主题词在 PubMed、PsycINFO 和 Embase 数据库以及科学会议计划中进行搜索。出版日期限制在 2012-2019 年，因为之前的综述发表于 2012 年和 2014 年。如果研究包括 0-5 岁儿童、儿童气质测量和父母/照顾者喂养、儿童进食或儿童体重测量，则符合纳入标准。共确定了 7113 项研究，其中 121 项符合纳入标准。
喂养、进食和体重结果与总体消极反应性、活力和努力控制超级因素基本没有关系。对个体气质维度的检查表明，困难气质常常与无反应性喂养行为有关，而情绪性较高和自我调节能力较低与不良进食行为有关，抑制控制能力较低与肥胖有关。与儿童相比，对婴儿的分析报告了更高比例的显著相关性，横断面研究一般报告的显著相关性比其他研究设计少。
困难气质、情绪性较高和自我调节能力较低以及抑制控制能力较低是与幼儿喂养、进食和体重结果较差最相关的气质方面。在婴儿期和非横断面研究设计中进行检查时，相关性往往更强。这些发现可以为在整个儿童期促进健康饮食和生长提供有针对性的努力提供信息。
