Table 1.
Construct | Definitions and Examples | |
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POSITIVE FEEDING STYLES | ||
Refer to child-centered, responsive feeding styles, in which parents provide a high degree of structure, guidance, respect for children’s autonomy over their eating, and promotion of independence in eating | ||
Authoritative Style | High demandingness, high responsiveness; high degree of involvement, structure and control, high child autonomy support responsiveness * During early infancy (i.e., the first 4–6 months postpartum when the infant is exclusively mild-fed) infancy, a style high in responsiveness and low in demandingness is appropriate |
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POSITIVE FOOD PARENTING PRACTICES | ||
Include a set of practices high in structure and autonomy support which have been shown to support children’s food acceptance, awareness of hunger and fullness cues (appetite regulation), nutrition knowledge, healthy food choices and diet quality | ||
STRUCTURE | Monitoring and Engagement | Provides age-appropriate monitoring of the child’s eating and food purchasing behaviors; offers guided choices at meals and snacks; offers appropriate portion sizes; allows child to make contribute ideas for meals and snacks |
Rules and Limit Setting | Places reasonable limits on the child’s intake and purchase of unhealthy foods; conveys expectations regarding mealtimes and participation in family meals; limits frequent snacking | |
Establishes Routines | Establishes feeding routines; provides developmentally-appropriate feeding environment; provides opportunities for regular family meals; offer meals and snacks at consistent times | |
Provision of Healthy Foods | Introduces a variety of healthful foods to child; makes healthy foods available and accessible at meals and snacks | |
Covert Control | Controls a child’s food intake in ways that are less obvious to the child (e.g., not purchasing unhealthy foods or avoiding unhealthy restaurants) | |
AUTONOMY SUPPORT | Responsiveness to Cues | Awareness and respect for child’s hunger and fullness cues; terminates feeding/no longer offers food in response to fullness cues; does not pressure child to eat; does not demand that children clean their plates |
Praise and Encouragement | Praises child’s efforts for trying new foods or eating specific foods; encourages children to try new foods, without coercion; encourages children to develop more autonomy over eating (meal preparation, food shopping), and applauds efforts | |
Social Modeling | Uses own behavior, knowledge and values to influence child’s eating; provides opportunities for child to learn about healthy eating; involves child in food preparation, food preparation and food shopping; provides knowledge about nutrition and health; models a preference/liking for healthy foods | |
NEGATIVE FEEDING STYLES | ||
Refer to parent-centered, coercive and unstructured feeding styles related to either a controlling or permissive general parenting style, in which parents place too many or too little demands on children’s self-regulation and behavior, and enforce too much or too little control over children’s eating in ways that undermine food acceptance and appetite regulation | ||
aAuthoritarian | High demandingness, low responsiveness; high control, low support for child autonomy in eating | |
aPermissive/Indulgent | Low demandingness, high responsiveness; low control, high support for child autonomy in eating | |
aUninvolved | Low demandingness, low responsiveness; lack of support, structure and control | |
NEGATIVE FOOD PARENTING PRACTICES | ||
Include a set of practices that are high in coercive control and low in structure which have been shown to undermine children’s autonomy over their eating, and pose risk for the development of problematic eating behaviors and poor diet quality | ||
COERCIVE CONTROL | Overt Control | Controls the child’s intake in a way that is more obvious to the child (e.g., strict rules regarding what and how much the child should eat); controls the amount and types of foods the child is offered |
Restriction | Restricts the child’s access to or intake of certain foods, often energy-dense foods; keeps certain foods out of reach or hidden | |
Intrusive Monitoring | Monitors the types and amounts of food that the child consumes in ways that correspond to overt control; keeps track of the child’s intake of certain foods (sweets, snacks, high-fat) | |
Pressure | Pressures the child to consume more food and specific foods (e.g., vegetables); demands that the child clean his/her plate | |
Emotional Feeding | Offers food in response to the child’s negative emotions or distress; uses food to soothe or combat boredom | |
Instrumental Feeding | Uses food as a reward, or withholds food as a punishment; uses bribes and threats to influence the child’s eating | |
UNSTRUCTURED | Neglect | Abdicates responsibility in feeding; lacks involvement and oversight for children’s eating; unaware of what, how much or how often child is eating (low monitoring and engagement); limits availability of nutrient-dense foods; lacks consistency in meal and snack times and routines |
Indulgence | Allows child complete control over eating; inconsistent mealtimes, allows child to eat/snack frequently and at will; provides large/unlimited portion sizes; provides unlimited availability of low-nutrient dense foods and low availability of nutrient-dense foods; acts as a short-order cook; does not monitor child’s food purchases |
Notes: Definitions and examples of feeding styles and food parenting practices were adapted from Vaughn et al. 7, and align with general parenting practices described by Maccoby and Martin 11, and applied to the feeding domain by Hughes and colleagues 10. Within positive feeding styles and food parenting practices, structure aligns with demandingness, and autonomy support aligns with responsiveness. Within negative feeding styles and food parenting practices, coercive control aligns with high demandingness and low responsiveness. Unstructured practices are low in demandingness; neglect is also low in responsiveness, while indulgence is high in responsiveness.