Path analysis of the relationships among parental pressure to eat,preschoolers'appetitive traits and weight status
Objective To analyze the relationships among parental pressure to eat,preschoolers'appetitive traits,and child weight status.Methods From December 2022 to January 2023,a total of 1 086 preschoolers and their parents from 8 kindergartens in Shanghai were included in the investigation.The Chinese Preschooler's Caregivers'Feeding Behavior Scale and the Chinese Preschoolers'Eating Behavior Questionnaire were utilized to assess parental pressure to eat and child appetitive traits,specifically food responsiveness and satiety responsiveness.The relationship between these variables was examined using path analysis within a structural equation model.Results The results of path analysis revealed that pressure to eat positively predicted child satiety responsiveness(B=0.329,95%CI:0.278-0.380,P<0.001),satiety responsiveness negatively predicted child BMI-for-age Z score(BAZ)(B=-0.176,95%CI:-0.258--0.094,P<0.001),child BAZ negatively predicted parental pressure to eat(B=-0.064,95%CI:-0.115--0.013,P=0.015).However,parental pressure to eat was not statistically associated with child food responsiveness(P>0.05).Conclusions There may be a complex"triangle"relationship among parental pressure to eat,preschoolers'appetitive traits and child weight.Community child health professionals should guide parents of preschoolers to adopt reasonable feeding practices to minimize the interference with child appetitive traits and maintain a healthy weight.
preschoolersweightpressure to eatappetitive traits