TY - JOUR
T1 - Mothers' feeding behaviors in infancy
T2 - Do they predict child weight trajectories?
AU - Dinkevich, Eugene
AU - Leid, Lucy
AU - Pryor, Katherine
AU - Wei, Ying
AU - Huberman, Harris
AU - Carnell, Susan
N1 - Funding Information:
Dr. Dinkevich was supported by the Dean''s Research Initiative, SUNY-Downstate Medical Center, Brooklyn NY. Dr. Ying Wei is supported by Grant Number UL1 RR024156 from the National Center for Research Resources (NCRR) at National Institutes of Health (NIH). Dr. Carnell is supported by the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) (Grant Number K99R00DK088360), and the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) and Office of the Director, National Institutes of Health (OD) under Grant Number U54HD070725 to the Global Obesity Prevention Center (GOPC) at Johns Hopkins. The authors are grateful to Masha Bezlepkina, Taylor Dugger, Andrea Petrucs, and Naraah Williams for their help with data collection, and Jimmy Duong for statistical support.
Publisher Copyright:
© 2015 The Obesity Society.
PY - 2015/12/1
Y1 - 2015/12/1
N2 - Objective To determine associations between mothers' feeding behaviors in infancy and children's weight from infancy through to toddlerhood in urban, low-income, minority families and to explore the contribution of concerns about infant eating/weight. Methods One hundred sixty-nine mother-infant dyads (88% African-American) were recruited from an inner city pediatric practice. Questionnaires measuring restrictive feeding, pressuring to eat, and concerns about infant overeating/weight and undereating/weight were administered, and infants weighed and measured, at 6-12 months. Anthropometric data up to 30 months were obtained from multiple (8.9 ± 2.6) well-child visits, with 84% completing 11 visits. Results Higher pressuring was associated with lower weight-for-length z-scores (WLZ) over the period from baseline out to 30 months and higher restriction with higher child WLZ over the same period. Pressuring and concern about infant undereating/weight were independently associated with WLZ, but the relationship between restrictive feeding and WLZ was reduced by accounting for concern about infant overeating/weight. Child weight trajectories were not influenced by feeding behavior. Conclusions Mothers restricted heavier infants and pressured leaner infants to eat, and the relationship between restriction and higher infant weight was mediated by concern about infant overeating/weight. Correcting misperceptions and discussing feeding with mothers reporting concern may help prevent excessive early weight gain.
AB - Objective To determine associations between mothers' feeding behaviors in infancy and children's weight from infancy through to toddlerhood in urban, low-income, minority families and to explore the contribution of concerns about infant eating/weight. Methods One hundred sixty-nine mother-infant dyads (88% African-American) were recruited from an inner city pediatric practice. Questionnaires measuring restrictive feeding, pressuring to eat, and concerns about infant overeating/weight and undereating/weight were administered, and infants weighed and measured, at 6-12 months. Anthropometric data up to 30 months were obtained from multiple (8.9 ± 2.6) well-child visits, with 84% completing 11 visits. Results Higher pressuring was associated with lower weight-for-length z-scores (WLZ) over the period from baseline out to 30 months and higher restriction with higher child WLZ over the same period. Pressuring and concern about infant undereating/weight were independently associated with WLZ, but the relationship between restrictive feeding and WLZ was reduced by accounting for concern about infant overeating/weight. Child weight trajectories were not influenced by feeding behavior. Conclusions Mothers restricted heavier infants and pressured leaner infants to eat, and the relationship between restriction and higher infant weight was mediated by concern about infant overeating/weight. Correcting misperceptions and discussing feeding with mothers reporting concern may help prevent excessive early weight gain.
UR - http://www.scopus.com/inward/record.url?scp=84954501316&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84954501316&partnerID=8YFLogxK
U2 - 10.1002/oby.21320
DO - 10.1002/oby.21320
M3 - Article
C2 - 26537027
AN - SCOPUS:84954501316
VL - 23
SP - 2470
EP - 2476
JO - Obesity
JF - Obesity
SN - 1930-7381
IS - 12
ER -