Association between parental feeding practices and shared family meals. The Food4toddlers study
Abstract
Background: Parental feeding practices and family meals are important determinants for infants’ diet and health. Still, there is no previous research of the association between feeding practices and family meals in infants.
Objective: Explore potential associations between feeding practices and family meals among infants.
Design: We present cross-sectional results (baseline) from the Food4toddlers study. In total 298 parents of 1-year-olds, recruited from all over Norway, filled in a questionnaire regarding frequency of shared family meals (breakfast, lunch, dinner) and feeding practices using the validated instrument Comprehensive Feeding Practices Questionnaire. Logistic regression was used to explore the associations between having family meals every day and feeding practices (10 dimensions).
Results: The children included were about 11 months old, and 55% were boys. Parents were highly educated. Most children had family breakfast and dinner (60–65%), while fewer had family lunch every day (35%). We found that eating family breakfast and lunch every day was associated with use of the positive feeding practices: encourage balance and variety, environment and modelling (ORs ranging from 1.15 to 1.37), while eating family breakfast and family lunch less often was associated with the negative feeding practice pressure to eat (OR, 95% CI: 0.90 (0.83, 0.96) and 0.91 (0.84, 0.97), respectively). Eating family dinner every day was associated with more use of the positive feeding practice balance and variety (OR, 95% CI: 1.21 (1.06, 1.38), while having family dinner less often was associated with use of the negative feeding practices pressure to eat and restriction to health (OR, 95% CI: 0.89 (0.83, 0.96) and 0.94 (0.87, 1.01), respectively).
Discussion and conclusion: In this group of infants, having family meals every day was associated with positive feeding practices, while having family meals less often was associated with negative feeding practices. Shared family meals provide an important setting for healthy eating, development of feeding skills and dietary habits formation.
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References
- Schwarzenberg SJ, Georgieff MK. Advocacy for improving nutrition in the first 1000 days to support childhood development and adult health. Pediatrics 2018 Feb; 141(2): e20173716. doi: 10.1542/peds.2017-3716
- Hanson MA, Bardsley A, De-Regil LM, Moore SE, Oken E, Poston L, et al. The International Federation of Gynecology and Obstetrics (FIGO) recommendations on adolescent, preconception, and maternal nutrition: ‘Think Nutrition First’. Int J Gynaecol Obstet 2015 Oct; 131(Suppl 4): S213–53. doi: 10.1016/S0020-7292(15)30034-5
- Daniels LA. Feeding practices and parenting: a pathway to child health and family happiness. Ann Nutr Metab 2019; 74(Suppl 2): 29–42. doi: 10.1159/000499145
- Cooke LJ, Wardle J, Gibson EL, Sapochnik M, Sheiham A, Lawson M. Demographic, familial and trait predictors of fruit and vegetable consumption by pre-school children. Public Health Nutr 2004 Apr; 7(2): 295–302. doi: 10.1079/PHN2003527
- Norwegian Directorate of Health. National guidelines for infant nutrition. 2017. Available from: https://www.helsedirektoratet.no/retningslinjer/spedbarnsernaering [cited 26 February 2020].
- Kristiansen AL, Andersen LF, Lande B. Småbarnskost 2 år. National dietary survey among 2 year old children. Oslo: Norwegian Directorate of Health; 2009.
- Verhage CL, Gillebaart M, van der Veek SMC, Vereijken CMJL. The relation between family meals and health of infants and toddlers: a review. Appetite 2018 Aug 1; 127: 97–109. doi: 10.1016/j.appet.2018.04.010
- Hammons AJ, Fiese BH. Is frequency of shared family meals related to the nutritional health of children and adolescents? Pediatrics 2011 Jun; 127(6): e1565–74. doi: 10.1542/peds.2010-1440
- Melbye EL, Ogaard T, Overby NC, Hansen H. Parental food-related behaviors and family meal frequencies: associations in Norwegian dyads of parents and preadolescent children. BMC Public Health 2013 Sep 10; 13: 820. doi: 10.1186/1471-2458-13-820
- Peters J, Sinn N, Lynch J. Parental influences on the diets of 2–5-year-old children: systematic review of interventions. Early Child Dev Care 2012; 182(7): 837–57. doi: 10.1177/1476718X13492940
- Peters J, Dollman J, Petkov J, Parletta N. Associations between parenting styles and nutrition knowledge and 2-5-year-old children’s fruit, vegetable and non-core food consumption. Public Health Nutr 2013 Nov; 16(11): 1979–87. doi: 10.1017/S1368980012004648
- Entin A, Kaufman-Shriqui V, Naggan L, Vardi H, Shahar DR. Parental feeding practices in relation to low diet quality and obesity among LSES children. J Am Coll Nutr 2014; 33(4): 306–14. doi: 10.1080/07315724.2013.874936
- Durao C, Andreozzi V, Oliveira A, Moreira P, Guerra A, Barros H, et al. Maternal child-feeding practices and dietary inadequacy of 4-year-old children. Appetite 2015 Sep; 92: 15–23. doi: 10.1016/j.appet.2015.04.067
- Røed M, Hillesund ER, Vik F, Van Lippevelde W, Øverby NC. The Food4toddlers study – study protocol for a web-based intervention to promote healthy diets for toddlers: a randomized controlled trial. BMC Public Health 2019 May 14; 19(1): 563. doi: 10.1186/s12889-019-6915-x
- World medical association. WMA declaration of Helsinki- ethical principles for medical research involving human subjects. Available from: https://www.wma.net/policies-post/wma-declaration-of-helsinki-ethical-principles-for-medical-research-involving-human-subjects/ [cited 26 February 2020].
- Musher-Eizenman D, Holub S. Comprehensive Feeding Practices Questionnaire: validation of a new measure of parental feeding practices. J Pediatr Psychol 2007 Sep; 32(8): 960–72. doi: 10.1093/jpepsy/jsm037
- Melbye EL, Ogaard T, Overby NC. Validation of the Comprehensive Feeding Practices Questionnaire with parents of 10-to-12-year-olds. BMC Med Res Methodol 2011; 11: 113. doi: 10.1186/1471-2288-11-113
- Berge JM, Wall M, Neumark-Sztainer D, Larson N, Story M. Parenting style and family meals: cross-sectional and 5-year longitudinal associations. J Am Diet Assoc 2010 Jul; 110(7): 1036–42. doi: 10.1016/j.jada.2010.04.011
- Hubbs-Tait L, Kennedy TS, Page MC, Topham GL, Harrist AW. Parental feeding practices predict authoritative, authoritarian, and permissive parenting styles. J Am Diet Assoc 2008 Jul; 108(7): 1154–61. doi: 10.1016/j.jada.2008.04.008
- Norwegian Directorate of Health. Food and meals for infants. 2018. Available from: https://www.helsedirektoratet.no/brosjyrer/mat-og-maltider-for-spedbarn [cited 28 May 2020].
- Statistics Norway. Kindergartens. 2019. Available from: https://www.ssb.no/en/utdanning/statistikker/barnehager [cited 26 February 2020].
- Statistics Norway. Education 2019. Available from: https://www.ssb.no/utniv/ [cited 28 May 2020].
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