Association between parental feeding practices and children’s dietary intake: a cross-sectional study in the Gardermoen Region, Norway

  • Marlene Mazza Department of Nursing and Health Promotion, Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway
  • Marianne Morseth Department of Nursing and Health Promotion, Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway
  • Liv Elin Torheim Department of Nursing and Health Promotion, Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway
Keywords: Parental Feeding Practices, Food intake, Diet, Preschoolers

Abstract

Background: Parental feeding practices may be important determinants for children’s diets. In Norway, few studies have assessed this association and to our knowledge, no studies have included fish as an outcome.

Objective: The purpose of this study was to explore the association between multiple parental feeding practices and children’s food intake.

Design: Parents (n = 111) of preschool children aged 1–5 years in the Gardermoen Region in Norway were recruited. The parents completed a web–based questionnaire regarding the use of 12 feeding practices measured by the Comprehensive Feeding Practices Questionnaire (CFPQ). Children’s weekly food intake was measured using a food frequency questionnaire (FFQ). The association between parental feeding practices and food intake was assessed by logistic regression.

Results: The feeding practices involvement and environment increased the likelihood of children having a higher intake of fruit and berries (OR = 1.99, 95% CI = 1.15, 3.44 and OR = 2.10, 95% CI = 1.17, 3.78, respectively) when controlling for potential confounders. A positive association was found between the feeding practice environment and the children’s intake of vegetables (OR = 2.94, CI = 1.55, 5.55), and between modeling and intake of vegetables (OR = 2.14, CI = 1.26, 3.63). Also, the feeding practice encourage balance and variety increased the likelihood of a higher consumption of vegetables (OR = 5.18, CI = 1.63, 16.5). Parents who more frequently encouraged the child to eat balanced and varied were more likely to have children with a higher consumption of fish (OR = 5.03, CI = 1.62, 15.7). If parents used more restriction for weight, the child was less likely to have a high SSB consumption (OR = 0.43, CI = 0.22, 0.83).

Conclusion: Findings suggest that children’s intake of the favorite food item groups, fruit and berries, vegetables and fish, was associated with the use of positive feeding practices, such as involvement, environment, modeling and encouragement. For unfavorable food groups, only restriction for weight was negatively associated with SSB consumption. Findings should be interpreted carefully due to the relatively small sample size.

Downloads

Download data is not yet available.

Author Biographies

Marianne Morseth, Department of Nursing and Health Promotion, Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway

Professor, Oslo Metropolitan University

Liv Elin Torheim, Department of Nursing and Health Promotion, Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway

Professor, Oslo Metropolitan University.

References


  1. Birch LL, Doub AE. Learning to eat: birth to age 2 y. Am J Clin Nutr. 2014; 99(3): 723S–8S. doi: 10.1159/000439503

  2. Gregory JE, Paxton SJ, Brozovic AM. Maternal feeding practices predict fruit and vegetable consumption in young children. Results of a 12-month longitudinal study. Appetite. 2011; 57(1): 167–72. doi: 10.1016/j.appet.2011.04.012

  3. Johnson BJ, Hendrie GA, Golley RK. Reducing discretionary food and beverage intake in early childhood: a systematic review within an ecological framework. Public Health Nutr. 2016; 19(9): 1684–95. doi: 10.1017/S1368980015002992

  4. Astrup H, Borch Myhre J, Frost Andersen L, Kristiansen AL. National dietary survey among 2 year old children. Norwegian Institute of Health; 2020. Available from: https://www.fhi.no/globalassets/dokumenterfiler/rapporter/2020/kostholdsundersokelser/smabarnskost-3---barn-2-ars-alder.pdf [cited 1 November 2020].

  5. Brooke Hansen L, Borch Myhre J, Frost Andersen L. Ungkost 3: national dietary survey among 4 year old children. Norwegian Institute of Health; 2017. Available from: https://www.fhi.no/globalassets/dokumenterfiler/rapporter/2016/rapport-ungkost-3-landsomfattende-kostholdsundersokelse-blant-4-aringer-i-norge-2016.pdf [cited 1 November 2020].

  6. Anzman SL, Rollins BY, Birch LL. Parental influence on children’s early eating environments and obesity risk: implications for prevention. Int J Obes. 2010; 34(7): 1116–24. doi: 10.1038/ijo.2010.43

  7. Jansen E, Daniels LA, Nicholson JM. The dynamics of parenting and early feeding – constructs and controversies: a viewpoint. Early Child Dev Care. 2012; 182(8): 967–81. doi: 10.1080/03004430.2012.678593

  8. Power TG, Hughes SO, Goodell LS, Johnson SL, Duran JAJ, Williams K, et al. Feeding practices of low-income mothers: how do they compare to current recommendations? Int J Behav Nutr Phys Act. 2015; 12(1): 34. doi: 10.1186/s12966-015-0179-3

  9. Savage JS, Fisher JO, Birch LL. Parental influence on eating behavior: conception to adolescence. J Law Med Ethics. 2007; 35(1): 22–34. doi: 10.1111/j.1748-720X.2007.00111.x

  10. Birch LL, Ventura AK. Preventing childhood obesity: what works? Int J Obes. 2009; 33 Suppl 1: S74–81. doi: 10.1038/ijo.2009.22

  11. Contento IR. Nutrition education: linking research, theory, and practice. 3rd ed. Burlington, MA: Jones & Bartlett Learning; 2016.

  12. Shloim N, Edelson LR, Martin N, Hetherington MM. Parenting styles, feeding styles, feeding practices, and weight status in 4–12 year-old children: a systematic review of the literature. Front Psychol. 2015; 6: 1849. doi: 10.3389/fpsyg.2015.01849

  13. Russell CG, Haszard JJ, Taylor RW, Heath A-LM, Taylor B, Campbell KJ. Parental feeding practices associated with children’s eating and weight: what are parents of toddlers and preschool children doing? Appetite. 2018; 128: 120–8. doi: 10.1016/j.appet.2018.05.145

  14. Vereecken C, Legiest E, De Bourdeaudhuij I, Maes L. Associations between general parenting styles and specific food-related parenting practices and children’s food consumption. Am J Helalth Promot. 2009; 23(4): 233–40. doi: 10.4278/ajhp.07061355

  15. Brown KA, Ogden J, Vögele C, Gibson EL. The role of parental control practices in explaining children’s diet and BMI. Appetite. 2008; 50(2–3): 252–9. doi: 10.1016/j.appet.2007.07.010

  16. Kröller K, Warschburger P. Associations between maternal feeding style and food intake of children with a higher risk for overweight. Appetite. 2008; 51(1): 166–72. doi: 10.1016/j.appet.2008.01.012

  17. Blissett J. Relationships between parenting style, feeding style and feeding practices and fruit and vegetable consumption in early childhood. Appetite. 2011; 57(3): 826–31. doi: 10.1016/j.appet.2011.05.318

  18. Fisher JO, Mitchell DC, Smiciklas-Wright H, Birch LL. Parental influences on young girls’ fruit and vegetable, micronutrient, and fat intakes. J Am Diet Assoc. 2002; 102(1): 58–64. doi: 10.1016/S0002-8223(02)90017-9

  19. Draxten M, Fulkerson JA, Friend S, Flattum CF, Schow R. Parental role modeling of fruits and vegetables at meals and snacks is associated with children’s adequate consumption. Appetite. 2014; 78: 1–7. doi: 10.1016/j.appet.2014.02.017

  20. Røed M, Vik FN, Hillesund ER, Lippevelde WV, Øverby NC. Associations between parental food choice motives, health-promoting feeding practices, and infants’ fruit and vegetable intakes: the Food4toddlers study. Food Nutr Res. 2020; 64: 10.29219/fnr.v64.3730. doi: 10.29219/fnr.v64.3730

  21. Øverby NC, Hillesund ER, Røed M, Vik FN. Association between parental feeding practices and shared family meals. The Food4toddlers study. Food Nutr Res. 2020; 64: 10.29219/fnr.v64.4456. doi: 10.29219/fnr.v64.4456

  22. Vik FN, Grasaas E, Polspoel MEM, Røed M, Hillesund ER, Øverby NC. Parental phone use during mealtimes with toddlers and the associations with feeding practices and shared family meals: a cross-sectional study. BMC Public Health. 2021; 21(1): 756. doi: 10.1186/s12889-021-10757-1

  23. Statistics Norway. Kindergartens. 2021. Available from: https://www.ssb.no/en/utdanning/barnehager/statistikk/barnehager [cited 13 November 2021].

  24. Bryman A. Social research methods. 5th ed. Oxford: Oxford University Press; 2016.

  25. Musher-Eizenman D, Holub S. Comprehensive Feeding Practices Questionnaire: validation of a new measure of parental feeding practices. J Pediatr Psychol. 2007; 32(8): 960–72. doi: 10.1093/jpepsy/jsm037

  26. 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

  27. Blomkvist EAM, Helland SH, Hillesund ER, Øverby NC. A cluster randomized web-based intervention trial to reduce food neophobia and promote healthy diets among one-year-old children in kindergarten: study protocol. BMC Pediatr. 2018; 18(1): 232. doi: 10.1186/s12887-018-1206-8

  28. Bere E, Veierød MB, Klepp K-I. The Norwegian School Fruit Programme: evaluating paid vs. no-cost subscriptions. Prev Med. 2005; 41(2): 463–70. doi: 10.1016/j.ypmed.2004.11.024

  29. Bjelland M, Brantsæter AL, Haugen M, Meltzer HM, Nystad W, Andersen LF. Changes and tracking of fruit, vegetables and sugar-sweetened beverages intake from 18 months to 7 years in the Norwegian mother and child cohort study. BMC Public Health. 2013; 13(1): 793. doi: 10.1186/1471-2458-13-793

  30. Altman DG. Practical statistics for medical research. London: Chapman & Hall/CRC; 1997.

  31. Kröller K, Warschburger P. Maternal feeding strategies and child’s food intake: considering weight and demographic influences using structural equation modeling. Int J Behav Nutr Phys Act. 2009; 6(1): 78. doi: 10.1186/1479-5868-6-78

  32. Quah PL, Syuhada G, Fries LR, Chan MJ, Lim HX, Toh JY, et al. Maternal feeding practices in relation to dietary intakes and BMI in 5 year-olds in a multi-ethnic Asian population. PLoS One. 2018; 13(9): e0203045. doi: 10.1371/journal.pone.0203045

  33. Vollmer RL, Baietto J. Practices and preferences: exploring the relationships between food-related parenting practices and child food preferences for high fat and/or sugar foods, fruits, and vegetables. Appetite. 2017; 113: 134–40. doi: 10.1371/journal.pone.0203045

  34. 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

  35. Shim J, Kim J, Lee P. Fruit and vegetable intakes of preschool children are associated with feeding practices facilitating internalization of extrinsic motivation. J Nutr Educ Behav. 2016; 48(5): 311–7.e1. doi: 10.1016/j.jneb.2016.01.003

  36. Melbye EL, Hansen H. Promotion and prevention focused feeding strategies: exploring the effects on healthy and unhealthy child eating. Biomed Res Int. 2015; 2015: 1–7. doi: 10.1155/2015/306306

  37. 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; 92: 15–23. doi: 10.1186/s12966-017-0501-3

  38. Gubbels JS, Kremers SPJ, Stafleu A, Dagnelie PC, Goldbohm RA, de Vries NK, et al. Diet-related restrictive parenting practices. Impact on dietary intake of 2-year-old children and interactions with child characteristics. Appetite. 2009; 52(2): 423–9. doi: 10.1016/j.appet.2008.12.002

  39. Ystrom E, Barker M, Vollrath M. Impact of mothers’ negative affectivity, parental locus of control and child-feeding practices on dietary patterns of 3-year-old children: The MoBa Cohort Study. Matern Child Nutr. 2012; 8: 103–14. doi: 10.1111/j.1740-8709.2010.00257.x

  40. Birch LL, Fisher JO, Davison KK. Learning to overeat: maternal use of restrictive feeding practices promotes girls’ eating in the absence of hunger. Am J Clin Nutr. 2003; 78: 215–20. doi: 10.1093/ajcn/78.2.215

  41. Francis LA, Birch LL. Maternal weight status modulates the effects of restriction on daughters’ eating and weight. Int J Obes. 2009; 29: 942–9. doi: 10.1038/sj.ijo.0802935

  42. Taylor A, Wilson C, Slater A, Mohr P. Parent- and child-reported parenting. Associations with child weight-related outcomes. Appetite. 2011; 57(3): 700–6. doi: 10.1016/j.appet.2011.08.014

  43. Yee AZH, Lwin MO, Ho SS. The influence of parental practices on child promotive and preventive food consumption behaviors: a systematic review and meta-analysis. Int J Behav Nutr Phys Act. 2017; 14(1): 47. doi: 10.1186/s12966-017-0501-3

  44. Vereecken C, Maes L. Young children’s dietary habits and associations with the mothers’ nutritional knowledge and attitudes. Appetite. 2010; 54(1): 44–51. doi: 10.1016/j.appet.2009.09.005

  45. Adamo KB, Brett KE. Parental perceptions and childhood dietary quality. Matern Child Health J. 2013; 18(4): 978–95. doi: 10.1007/s10995-013-1326-6

  46. Statistics Norway. Kommune Nes. Nes municipality; 2018. Available from: https://www.ssb.no/kommunefakta/nes [cited 26 November 2019].

Published
2022-03-21
How to Cite
Marlene Mazza, Marianne Morseth, & Liv Elin Torheim. (2022). Association between parental feeding practices and children’s dietary intake: a cross-sectional study in the Gardermoen Region, Norway. Food & Nutrition Research, 66. https://doi.org/10.29219/fnr.v66.8050
Section
Original Articles