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Feeding a Fussy Eater: Examining Longitudinal Bi-directional Relationships between Child Fussy Eating and Maternal Feeding Practices

Mallan, K; Jansen, E; Harris, H; Llewellyn, C; Fildes, A; Daniels, L; (2018) Feeding a Fussy Eater: Examining Longitudinal Bi-directional Relationships between Child Fussy Eating and Maternal Feeding Practices. Journal of Pediatric Psychology , 43 (10) pp. 1138-1146. 10.1093/jpepsy/jsy053. Green open access

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Abstract

OBJECTIVE: Child fussy eating has been associated with a range of maternal feeding practices; however, whether effects are parent-driven, child-driven, or bidirectional (i.e., both) remains unclear. This study tested for bidirectional relationships between nonresponsive and structure-related maternal feeding practices and child fussy eating at age 2, 3.7, and 5 years using a cross-lagged model approach. METHODS: First-time Australian mothers (N = 207) reported four nonresponsive and four structure-related feeding practices and child food fussiness (FF) using validated questionnaires at child age 2, 3.7, and 5 years. Bivariate cross-lagged analyses were conducted for each of the eight feeding practices separately. RESULTS: Both child- and parent-driven associations were observed. Higher FF at 3.7 years predicted higher nonresponsive feeding practices and less structure-related practices at 5 years. Higher structure-related practices at 2 and 3.7 years predicted lower FF at 3.7 and 5 years, respectively. Use of food as a reward for behavior at 3.7 years predicted higher FF at 5 years. CONCLUSIONS: Both parent- and child-driven associations explain the relationship between fussy eating and feeding practices. Given that early fussy eating is associated with more nonresponsive feeding, providing parents with anticipatory guidance to manage fussy eating behavior in infants and toddlers may help to avoid the use of these practices. Furthermore, the use of structure-related feeding practices and avoiding the use of food rewards may help to prevent the development of fussy eating.

Type: Article
Title: Feeding a Fussy Eater: Examining Longitudinal Bi-directional Relationships between Child Fussy Eating and Maternal Feeding Practices
Open access status: An open access version is available from UCL Discovery
DOI: 10.1093/jpepsy/jsy053
Publisher version: https://doi.org/10.1093/jpepsy/jsy053
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: cross-lagged model, food fussiness, fussy eating, maternal feeding practices
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Behavioural Science and Health
URI: https://discovery.ucl.ac.uk/id/eprint/10051300
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