Influence of maternal feeding practice,eating behaviors and temperament of infants and toddlers on childhood overweight and obesity
Objective To examine the influence of maternal feeding practice,eating behaviors and temperament of infants and toddlers on childhood overweight and obesity,in order to provide insights for early prevention and control of childhood overweight and obesity.Methods A purposive sampling method was used to recruit 956 mothers and their children aged 6 to 24 months from two hospitals and two healthcare centers in Xuzhou.Mothers completed the Infant Feeding Style Questionnaire,the Child Eating Behavior Questionnaire for Toddlers,the Infant Behavior Questionnaire-Revised and the Early Childhood Behavior Questionnaire.Body mass index-for age Z-score(BMIZ)was calculated based on recumbent length and weight to determine overweight and obesity(BMIZ>+2).Binary Logistic regression was used to analyze the influence of maternal feeding practice,eating behaviors and temperament of infants and toddlers on childhood overweight and obesity.Results The prevalence of overweight and obesity was 15.06%(144/956).Binary Logistic regression showed that restrictive feeding(OR=2.257),indulgent feeding(OR=1.760),food responsiveness(OR=2.936),negative emotions(OR=1.907)and extraversion temperament(OR=1.859)were risk factors for childhood overweight and obesity;while responsive feeding(OR=0.289),satiety responsiveness(OR=0.476),slowness in eating(OR=0.654),and effortful control(OR=0.548)were protective factors for childhood overweight and obesity(P<0.05).Conclusions Childhood overweight and obesity are influenced by maternal feeding practice,eating behaviors and temperament of infants and toddlers.Child healthcare providers should guide mothers to adjust feeding practices,improve eating behaviors and temperament of infants and toddlers,which may promote the healthy weight development of children.
feeding practiceinfants and toddlerseating behaviorstemperamentoverweight and obesity