Longitudinal Associations between Food Parenting Practices and Dietary Intake in preschool Children: The ToyBox Study

Paloma Flores-Barrantes, Pilar De Miguel-Etayo, Iris Iglesia, Mai JM ChinAPaw, Greet Cardon, Marieke De Craemer, Violeta Iotova, Natalya Usheva, Zbigniew Kułaga, Aneta Kotowska, Berthold Koletzko, Julia Birnbaum, Yannis Manios, Odysseas Androutsos, Luis A. Moreno, E. Leigh Gibson

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction Food Parenting Practices (FPPs) include the practices parents use in the act of feeding their children, which may further influence their health. Objectives To assess associations between changes in FPPs (permissiveness, food availability, guided choices, water encouragement, rules and limits and the use of food as reward) over 1 year and dietary intake (water, energy-dense/nutrient-poor and nutrient-dense foods) at follow-up in 4- to 6-year-old preschool-aged children. Methods Longitudinal data from the control group of the ToyBox study, a cluster-randomized controlled intervention study, was used (NCT02116296). Multilevel ordinal logistic regression analyses including FPP as the independent variables and dietary intake as outcome. Results Nine hundred sixty-four parent-child dyads (50.5% boys and 95.0% mothers) were included. Limited changes on the use of FPPs were observed over time. Nevertheless, in boys, often having F&V at home was associated with higher F&V consumption (OR = 6.92 [1.58; 30.38]), and increasing home availability of F&V was directly associated with higher water consumption (OR = 7.62 [1.63; 35.62]). Also, not having sweets or salty snacks available at home was associated with lower consumption of desserts (OR = 4.34 [1.75; 10.75]). In girls, having F&V availability was associated with higher F&V consumption (OR = 6.72 [1.52; 29.70]) and lower salty snack consumption (OR = 3.26 [1.50; 7.10]) and never having soft drinks at home was associated with lower consumption of sweets (OR = 7.89 [6.32; 9.86]). Also, never being permissive about soft drink consumption was associated with lower soft drink consumption (OR = 4.09 [2.44; 6.85]). Conclusion Using favorable FPPs and avoiding the negative ones is prospectively associated with healthier dietary intake, especially of F&V, and less intake of soft drinks, desserts, and salty snacks.

© 2024, Elsevier. The attached document (embargoed until 06/04/2025) is an author produced version of a paper published in Nutrition uploaded in accordance with the publisher’s self-archiving policy. The final published version (version of record) is available online at the link. Some minor differences between this version and the final published version may remain. We suggest you refer to the final published version should you wish to cite from it. 
Original languageEnglish
Article number112454
Pages (from-to)112454
JournalNutrition
Volume124
Early online date23 May 2024
Publication statusE-pub ahead of print - 23 May 2024

Keywords

  • Longitudinal
  • home food availability
  • guided choices
  • permissiveness
  • mealtime screen use
  • food as reward
  • European children
  • parenting

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