Feeding a Fussy Eater: Examining Longitudinal Bidirectional Relationships Between Child Fussy Eating and Maternal Feeding Practices

Journal article

Kimberley Mallan, Elena Jansen, Holly A. Harris, Clare H Llewellyn, Alison Fildes and Lynne Daniels. (2018). Feeding a Fussy Eater: Examining Longitudinal Bidirectional Relationships Between Child Fussy Eating and Maternal Feeding Practices. Journal of Pediatric Psychology. 43(10), pp. 1138-1146. https://doi.org/10.1093/jpepsy/jsy053
AuthorsKimberley Mallan, Elena Jansen, Holly A. Harris, Clare H Llewellyn, Alison Fildes and Lynne Daniels
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.

Keywordscross-lagged model; food fussiness; fussy eating; maternal feeding practices
Year2018
JournalJournal of Pediatric Psychology
Journal citation43 (10), pp. 1138-1146
PublisherOxford University Press
ISSN1465-735X
Digital Object Identifier (DOI)https://doi.org/10.1093/jpepsy/jsy053
Scopus EID2-s2.0-85055608646
Publisher's version
File Access Level
Controlled
Publication process dates
Deposited11 May 2021
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