Moderating effects of toddlers' temperament between responsive feeding and toddlers' obesity-related eating behaviors

LIU Yan; WANG Pei; KONG Yan; YU Guiling; ZHANG Guanghua

doi:10.11852/zgetbjzz2023-0874

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Chinese Journal of Child Health Care ›› 2024, Vol. 32 ›› Issue (9) : 941-946. DOI: 10.11852/zgetbjzz2023-0874

Original Articles

Moderating effects of toddlers' temperament between responsive feeding and toddlers' obesity-related eating behaviors

LIU Yan¹, WANG Pei², KONG Yan³, YU Guiling³, ZHANG Guanghua³

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Abstract

Objective To analyze the influence of adaptive feeding on obesity related dietary behaviors in toddlers,and to examine the moderating effects of children's temperament in this process,in order to provide reference for improving obesity related dietary behaviors in young children. Methods From May 2021 to February 2023,a questionnaire survey was conducted among 650 caregivers of overweight/obese young children from four maternal and child healthcare centers in Shandong Province.The survey included caregivers' responsive feeding,children's obesity related dietary behaviors (food responsiveness,emotional overeating),and children's temperament (effort control,negative emotions). Results The score for responsive feeding of caregivers was 65.58±8.73,and the scores for food responsiveness and emotional overeating of toddlers were 3.65±0.84 and 3.37±0.76,respectively.Responsive feeding negatively predicted food responsiveness and emotional overeating (β=-0.451,95%CI:-0.521 - -0.393;β=-0.522,95%CI:-0.591 - -0.468,P<0.01).The moderating effect of effort control between responsive feeding and food responsiveness was significant (β=-0.155,95%CI:-0.231 - -0.087,P<0.01),indicating the impact of responsive feeding on food response in high effort control individuals (β=- 0.657,95%CI:-0.743 - -0.484,P<0.01) were greater than individuals with low effort control(β=- 0.401,95%CI: -0.525 - -0.312,P<0.01). Conclusions There is room for improvement in dietary behaviors related to responsive feeding and childhood obesity.Responsive feeding has a negative effect on food responsiveness and emotional overeating,the process by which responsive feeding affected food resonsivenpss was influenced by toddlers' effortl control.Therefore,for reducing toddlers' emotional overeating,emphasis should be placed on improving caregivers' responsive feeding.To maximize the improvement of food responsiveness in toddlers,the combined effects of toddlers' effort control and caregivers' responsive feeding should be considered.

Key words

toddlers / responsive feeding / food responsiveness / emotional overeating / temperament / moderation effects

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LIU Yan, WANG Pei, KONG Yan, YU Guiling, ZHANG Guanghua. Moderating effects of toddlers' temperament between responsive feeding and toddlers' obesity-related eating behaviors[J]. Chinese Journal of Child Health Care. 2024, 32(9): 941-946 https://doi.org/10.11852/zgetbjzz2023-0874

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