Prospective relations between maternal emotional eating, feeding to soothe, and infant appetitive behaviors

Chelsie D Temmen, Leah M Lipsky, Myles S Faith, Tonja R Nansel, Chelsie D Temmen, Leah M Lipsky, Myles S Faith, Tonja R Nansel

Abstract

Background: Infant obesogenic appetitive behaviors are associated with greater infant weight and child obesity, yet little is known about maternal influences on infant appetitive behaviors. This study examines the relations between maternal eating behaviors, feeding to soothe, and infant appetitive behaviors in a longitudinal sample of United States mothers.

Methods: Pregnant women were recruited in the first trimester (< 12 weeks) and followed through 1 year postpartum. Mothers reported their own eating behaviors (eating competence, restrained, emotional, and external eating) in pregnancy; feeding to soothe their infant at 2, 6, and 12 months postpartum; and their infants' appetitive behaviors (enjoyment of food, food responsiveness, slowness in eating, and satiety responsiveness) at 6 months. Three path models were estimated to examine the direct relations of maternal eating behaviors with infant appetitive behaviors, the indirect relations of maternal eating behaviors with infant appetitive behaviors through feeding to soothe, and the longitudinal relations between feeding to soothe and infant appetitive behaviors.

Results: Maternal eating behaviors and infant appetitive behaviors were directly and indirectly related in all three models. Greater maternal eating competence was related to greater enjoyment of food but was not related to feeding to soothe. Greater maternal restrained and external eating were not directly related to infant appetitive behaviors but were indirectly related to greater infant responsiveness to food through more frequent feeding to soothe. Additionally, several longitudinal relations between feeding to soothe behaviors and infant appetitive behaviors were present. More frequent feeding to soothe at 2 months was related to greater responsiveness to food at 6 months, which was then related to more frequent feeding to soothe at 6 months. Furthermore, greater satiety responsiveness, faster eating speed, and greater responsiveness to food at 6 months were related to more frequent feeding to soothe at 12 months.

Conclusions: Maternal eating behaviors were related to infant appetitive behaviors directly and indirectly through feeding to soothe. Additionally, results suggest feeding to soothe and infant appetitive behaviors may be bidirectionally linked. These results underscore the need to examine how parental feeding behaviors are influenced both by parental eating behaviors and child appetitive behaviors throughout infancy.

Trial registration: Clinicaltrials.gov. Registration ID - NCT02217462 . Date of registration - August 13, 2014.

Keywords: Appetitive behaviors; Eating behavior; Feeding to soothe; Infancy; Mother-infant relationships.

Conflict of interest statement

The authors declare that they have no competing interests.

© 2021. The Author(s).

Figures

Fig. 1
Fig. 1
Model 1 examining the mediating effect of feeding to soothe on the relations between maternal eating behaviors, maternal eating competence, and infant appetitive behaviors. Note: Standardized estimates and confidence intervals are reported. Maternal ethnicity is included as a control (0 = ethnic minority, 1 = white non-Hispanic). Outcome residuals and covariances were significantly correlated, but are not shown. The direct effects of all maternal eating competence and behaviors on infant appetitive behaviors were estimated but only the significant direct effects are shown. Black arrows indicate significant relations; gray arrows indicate nonsignificant relations. χ2 (4) = 10.08, p = .04, CFI = .91, TLI = .22 RMSEA = .07, SRMR = .02. *p < .05; **p < .01
Fig. 2
Fig. 2
Model 2 examining the reciprocal associations of feeding to soothe at 2 and 6 months and infant appetitive behaviors. Note: Standardized estimates and confidence intervals are reported. Maternal ethnicity is included as a control (0 = ethnic minority, 1 = white non-Hispanic). Outcome residuals and covariances were significantly correlated, but are not shown. The direct effects of all maternal eating competence and behaviors on infant appetitive behaviors were estimated but only the significant direct effects are shown. Black arrows indicate significant relations; gray arrows indicate nonsignificant relations. χ2 (9) = 22.43, p = .01, CFI = .91, TLI = .54, RMSEA = .07, SRMR = .03. *p < .05; **p < .01
Fig. 3
Fig. 3
Model 3 examining the reciprocal associations of feeding to soothe at 2 and 12 months and infant appetitive behaviors. Note: Standardized estimates and confidence intervals are reported. Maternal ethnicity is included as a control (0 = ethnic minority, 1 = white non-Hispanic). Outcome residuals and covariances were significantly correlated, but are not shown. The direct effects of all maternal eating competence and behaviors on infant appetitive behaviors were estimated but only the significant direct effects are shown. Black arrows indicate significant relations; gray arrows indicate nonsignificant relations. χ2 (9) = 21.83, p = .01, CFI = .90, TLI = .51, RMSEA = .07, SRMR = .03. *p < .05; **p < .01

References

    1. Hales CM, Carroll MD, Fryar CD, Ogden CL. Prevalence of obesity among adults and youth: United States, 2015–2016. NCHS data brief, no 288. Hyattsville: National Center for Health Statistics; 2017.
    1. Mallan KM, Daniels LA, Susan J. Confirmatory factor analysis of the baby eating behaviour questionnaire and associations with infant weight, gender and feeding mode in an Australian sample. Appetite. 2014;82:43–49. doi: 10.1016/j.appet.2014.06.026.
    1. Rodenburg G, Kremers SP, Oenema A, van de Mheen D. Associations of children’s appetitive traits with weight and dietary behaviours in the context of general parenting. PloS One. 2012;7(12):e50642. doi: 10.1371/journal.pone.0050642.
    1. van Jaarsveld CH, Boniface D, Llewellyn CH, Wardle J. Appetite and growth: a longitudinal sibling analysis. JAMA Pediatr. 2014;168(4):345–350. doi: 10.1001/jamapediatrics.2013.4951.
    1. Buvinger E, Rosenblum K, Miller AL, Kaciroti NA, Lumeng JC. Observed infant food cue responsivity: associations with maternal report of infant eating behavior, breastfeeding, and infant weight gain. Appetite. 2017;112:219–226. doi: 10.1016/j.appet.2017.02.002.
    1. Llewellyn CH, Van Jaarsveld CH, Johnson L, Carnell S, Wardle J. Nature and nurture in infant appetite: analysis of the Gemini twin birth cohort. Am J Clin Nutr. 2010;91(5):1172–1179. doi: 10.3945/ajcn.2009.28868.
    1. Stifter CA, Anzman-Frasca S, Birch LL, Voegtline K. Parent use of food to soothe infant/toddler distress and child weight status. An exploratory study. Appetite. 2011;57(3):693–699. doi: 10.1016/j.appet.2011.08.013.
    1. Jansen PW, Derks IP, Batenburg A, Jaddoe VW, Franco OH, Verhulst FC, Tiemeier H. Using food to soothe in infancy is prospectively associated with childhood BMI in a population-based cohort. J Nutr. 2019;149(5):788–794. doi: 10.1093/jn/nxy277.
    1. Harris HA, Anzman-Frasca S, Marini ME, Paul IM, Birch LL, Savage JS. Effect of a responsive parenting intervention on child emotional overeating is mediated by reduced maternal use of food to soothe: The INSIGHT RCT. Pediatr Obes. 2020;15:e12645. doi: 10.1111/ijpo.12645.
    1. Rodgers RF, Paxton SJ, Massey R, Campbell KJ, Wertheim EH, Skouteris H, Gibbons K. Maternal feeding practices predict weight gain and obesogenic eating behaviors in young children: a prospective study. Int J Behav Nutr Phys Act. 2013;10(1):24. doi: 10.1186/1479-5868-10-24.
    1. Hardman CA, Christiansen P, Wilkinson LL. Using food to soothe: maternal attachment anxiety is associated with child emotional eating. Appetite. 2016;99:91–96. doi: 10.1016/j.appet.2016.01.017.
    1. Steinsbekk S, Barker ED, Llewellyn C, Fildes A, Wichstrøm L. Emotional feeding and emotional eating: reciprocal processes and the influence of negative affectivity. Child Dev. 2018;89(4):1234–1246. doi: 10.1111/cdev.12756.
    1. Ventura AK, Birch LL. Does parenting affect children's eating and weight status? Int J Behav Nutr Phys Act. 2008;5(1):15. doi: 10.1186/1479-5868-5-15.
    1. Lohse B, Satter E, Horacek T, Gebreselassie T, Oakland MJ. Measuring eating competence: psychometric properties and validity of the ecSatter inventory. J Nutr Educ Behav. 2007;39(5):S154–S166. doi: 10.1016/j.jneb.2007.04.371.
    1. Morrison H, Power TG, Nicklas T, Hughes SO. Exploring the effects of maternal eating patterns on maternal feeding and child eating. Appetite. 2013;63:77–83. doi: 10.1016/j.appet.2012.12.017.
    1. Jahnke DL, Warschburger PA. Familial transmission of eating behaviors in preschool-aged children. Obesity. 2008;16(8):1821–1825. doi: 10.1038/oby.2008.255.
    1. Coulthard H, Blissett J, Harris G. The relationship between parental eating problems and children’s feeding behavior: a selective review of the literature. Eat Behav. 2004;5(2):103–115. doi: 10.1016/j.eatbeh.2003.07.003.
    1. Wardle J, Sanderson S, Guthrie CA, Rapoport L, Plomin R. Parental feeding style and the inter-generational transmission of obesity risk. Obes Res. 2002;10(6):453–462. doi: 10.1038/oby.2002.63.
    1. Stifter CA, Moding KJ. Understanding and measuring parent use of food to soothe infant and toddler distress: a longitudinal study from 6 to 18 months of age. Appetite. 2015;95:188–196. doi: 10.1016/j.appet.2015.07.009.
    1. Nansel TR, Lipsky LM, Siega-Riz AM, Burger K, Faith M, Liu A. Pregnancy eating attributes study (PEAS): a cohort study examining behavioral and environmental influences on diet and weight change in pregnancy and postpartum. BMC Nutr. 2016;2(1):45. doi: 10.1186/s40795-016-0083-5.
    1. Satter E. Eating competence: definition and evidence for the Satter eating competence model. J Nutr Educ Behav. 2007;39(5):S142–S153. doi: 10.1016/j.jneb.2007.01.006.
    1. Van Strien T, Frijters JE, Bergers GP, Defares PB. The Dutch eating behavior questionnaire (DEBQ) for assessment of restrained, emotional, and external eating behavior. Int J Eat Disord. 1986;5(2):295–315. doi: 10.1002/1098-108X(198602)5:2<295::AID-EAT2260050209>;2-T.
    1. Llewellyn CH, van Jaarsveld CH, Johnson L, Carnell S, Wardle J. Development and factor structure of the baby eating behaviour questionnaire in the Gemini birth cohort. Appetite. 2011;57(2):388–396. doi: 10.1016/j.appet.2011.05.324.
    1. Shrout PE, Bolger N. Mediation in experimental and nonexperimental studies: new procedures and recommendations. Psychol Methods. 2002;7(4):422–445. doi: 10.1037/1082-989X.7.4.422.
    1. Enders CK. Applied missing data analysis. New York: Guilford Press; 2010. p. 2010.
    1. Muthén LK, Muthén BO. Mplus User’s Guide. 8. Los Angeles: Muthén & Muthén; 1998.
    1. Hu LT, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Struct Equ Modeling. 1999;6(1):1–55. doi: 10.1080/10705519909540118.
    1. Birch LL, Fisher JO, Davison KK. Learning to overeat: maternal use of restrictive feeding practices promotes girls' eating in the absence of hunger. Am J Clin Nutr. 2003;78(2):215–220. doi: 10.1093/ajcn/78.2.215.
    1. Hohman EE, Paul IM, Birch LL, Savage JS. INSIGHT responsive parenting intervention is associated with healthier patterns of dietary exposures in infants. Obesity. 2017;25(1):185–191. doi: 10.1002/oby.21705.
    1. Preacher KJ, Hayes AF. Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behav Res Methods. 2008;40(3):879–891. doi: 10.3758/BRM.40.3.879.

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