Distribution of State Membership over Time in Percentage in the Niños Sanos Study, North Carolina, 2011–2014 · (n=237). Note. State 1 = low levels of parent-centered feeding and moderate levels of child-centered feeding, State 2 = high levels of parent and child-centered feeding, with the absence of physically struggling to get the child to eat, State 3 = high levels of both parent and child-centered feeding, and State 4 = moderate usage of both parent and child-centered feeding strategies