# Factors Affecting the Prediction of Eating Behavior in Children: Stepwise Regression Analysis on Parental Feeding Styles

## Authors

- Gulcan Arusoglu ([ORCID](https://orcid.org/0000-0002-9676-0025)) — Kırklareli Üniversitesi, Sağlık Bilimleri Fakültesi, Beslenme ve Diyetetik Bölümü
- Sine Yilmaz ([ORCID](https://orcid.org/0000-0002-2592-9057)) — Ankara Medipol Üniversitesi, Sağlık Bilimleri Fakültesi, Beslenme ve Diyetetik Bölümü
- Basak Can ([ORCID](https://orcid.org/0000-0002-0608-6496)) — İstanbul Gelişim Üniversitesi, Sağlık Bilimleri Fakültesi, Beslenme ve Diyetetik Bölümü

## Article information

- **Journal:** The Ulutas Medical Journal (Ulutas Med J), ISSN 2149-388X
- **Issue:** Volume 10, Issue 2 (2024), pages 26–38
- **Article type:** Original Article
- **Published online:** 2024-06-19
- **DOI:** [10.5455/umj.20240515072336](https://doi.org/10.5455/umj.20240515072336)
- **Licence:** [CC BY-NC 4.0](https://creativecommons.org/licenses/by-nc/4.0/)
- **Article page:** https://www.ulutasmedicaljournal.com/?mno=201723
- **PDF:** https://www.ulutasmedicaljournal.com/pdf/201723.pdf

## Abstract

Introduction: In order to prevent obesity in adults, it is necessary to intervene in negative behaviors that develop in childhood. These negative behaviors include negative eating behaviors. The aim of our study is to investigate the relationship between parental feeding styles, which is one of the most important factors affecting children's feeding behavior. Materials and Methods: In this research, which was planned as a descriptive study, the Child Eating Behavior Questionnaire and Parental Feeding Style Questionnaire scales were administered to the participants by the researchers. Results: Research results showed that parental feeding styles, such as emotional feeding and incentive feeding, are one of the most important predictors of children's eating behaviors. In addition, the child's weight also affects sub-dimensions such as eating selectivity, slow eating, and enjoyment of eating. Conclusion: The interaction between the child's weight and eating behavior is a vicious circle that is harder to break. However, if the parents' eating styles are changed in the right direction, the child's eating behavior can be improved and the child's weight can be managed. This is an important way to prevent childhood obesity. For this reason, parents and caregivers who are responsible for the child's nutrition need to acquire healthy eating behaviors and adapt these behaviors to their own lives.

## Keywords

Children's Eating Behavior; Parental Feeding Styles; Preschool; School-Age

## How to cite

Arusoglu G, Yilmaz S, Can B. Factors Affecting the Prediction of Eating Behavior in Children: Stepwise Regression Analysis on Parental Feeding Styles. Ulutas Med J. 2024;10(2):26-38. doi:10.5455/umj.20240515072336

## References

1. Mahmood L, Flores-Barrantes P, Moreno LA, Manios Y, Gonzalez-Gil EM. The influence of parental dietary behaviors and practices on children’s eating habits. Nutrients. 2021; 13(4):1138 Feeding styles predict children's nutrition Arusoglu et al. https://doi.org/10.3390/nu13041138
2. Wardle J, Carnell S. Parental feeding practices and children’s weight. Acta Paediatr. 2007; 96(454):5–11 https://doi.org/10.1111/j.1651-2227.2007.00163.x
3. Collins C, Duncanson K, Burrows T. A systematic review investigating associations between parenting style and child feeding behaviours. J Hum Nutr Diet. 2014;27(6):557–68 https://doi.org/10.1111/jhn.12192
4. Langer SL, Seburg E, JaKa MM, Sherwood NE, Levy RL. Predicting dietary intake among children classified as overweight or at risk for overweight: Independent and interactive effects of parenting practices and styles. Appetite. 2017; 110:72– 9 https://doi.org/10.1016/j.appet.2016.12.011
5. 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):453–62 https://doi.org/10.1038/oby.2002.63
6. Wardle J, Guthrie CA, Sanderson S, Rapoport L. Development of the Children’s Eating Behaviour Questionnaire. J Child Psychol Psychiatry. 2001;42(7):963–70. https://doi.org/10.1111/1469-7610.00792
7. Al-Hamad AH, Al-Naseeb AM, Al-Assaf MS, Al-Obaid SA, Al-Abdulkarim BS, Olszewski PK. Preliminary exploration of obesity-related eating behaviour patterns in a sample of Saudi preschoolers aged 2-6 years through the Children’s Eating Behaviour Questionnaire. Nutrients. 2021;13(11):4156 https://doi.org/10.3390/nu13114156
8. Warkentin S, Mais LA, Ranganath K, Jansen E, Carnell S. Controlling and less controlling feeding practices are differentially associated with child food intake and appetitive behaviors assessed in a school environment. Pediatr Obes. 2020;15(10):e12714 https://doi.org/10.1111/ijpo.12714
9. Ozcelik-Ersu D, Persil-Ozkan O. Association of the relationship between eating behavior, parental feeding style and body weight in children. Prog Nutr. 2021;23(3).
10. Ek A, Sorjonen K, Eli K, et al. Associations between parental concerns about preschoolers’ weight and eating and parental feeding practices: results from analyses of the Child Eating Behavior Questionnaire, the Child Feeding Questionnaire, and the lifestyle behavior checklist. PLoS One. 2016;11(1):e0147257 https://doi.org/10.1371/journal.pone.0147257
11. Lo K, Cheung C, Lee A, Tam WWS, Keung V. Associations between parental feeding styles and childhood eating habits: A survey of Hong Kong pre-school children. PLoS One. 2015;10(4): e0124753 https://doi.org/10.1371/journal.pone.0124753
12. Yilmaz R, Esmeray H, Erkorkmaz U. Adaptation study of the Turkish children’s eating behavior questionnaire. Anatolian Journal of Psychiatry. 2011; 12(4):25-31
13. Inhul-sen MBM, Mérelle SY, Renders CM. Parental feeding styles, young children’s fruit, vegetable, water and sugar-sweetened beverage consumption, and the moderating role of maternal education and ethnic background. Public Health Nutr. 2017;20(12):2124–33
14. Boucher NL. Feeding style and a child’s body mass index. J Pediatr Heal Care. 2016;30(6):583– 9 https://doi.org/10.1016/j.pedhc.2015.12.002
15. Ozçetin M, Yılmaz R, Erkorkmaz U, Esmeray H. Reliability and validity study of Parental Feeding Style Questionnaire. Türk Pediatr Arşivi. 2011;45(2):124–31
16. Arusoglu G, Ozturk A, Firat S, Seyfeli Y. Legumes and oilseed consumption frequency. Prog Nutr. 2021;23(2).
17. Kalaycı S. SPSS Uygulamalı Çok Değişkenli İstatistik Teknikleri. Ankara: Asil Yayın Dağıtım; 2006.
18. Kidwell KM, Tomaso C, Lundahl A, Nelson TD. Confirmatory factor analysis of the parental feeding style questionnaire with a preschool sample. Eat Weight Disord. 2020;25(2): 407–14 https://doi.org/10.1007/s40519-018-0613-z
19. Pimenta F, Garcia I, Cristina S, Galvão D, Marôco J, Leal I. Validation of the Parental Feeding Style Questionnaire in a Portuguese sample. Psicol Saúde Doença. 2019;20(3):740-58 https://doi.org/10.15309/19psd200315
20. Gu C, Warkentin S, Mais LA, Carnell S. Ethnic differences in parental feeding behaviors in UK parents of preschoolers. Appetite. 2017; 113:398– 404 https://doi.org/10.1016/j.appet.2017.03.001
21. Korani M, Rea DM, King PF, Brown AE. Significant differences in maternal child-feeding style between ethnic groups in the UK: the role of deprivation and parenting styles. J Hum Nutr Diet. 2018;31(5):625–33 https://doi.org/10.1111/jhn.12557
22. Tarro S, Lahdenperä M, Vahtera J, Pentti J, Lagström H. Parental feeding practices and child eating behavior in different socioeconomic neighborhoods and their association with childhood weight. The STEPS study. Health Place. 2022; 74:102745 https://doi.org/10.1016/j.healthplace.2022.102745
23. Boswell N, Byrne R, Davies PSW. Eating behavior traits associated with demographic variables and implications for obesity outcomes in early childhood. Appetite. 2018; 120:482–90 https://doi.org/10.1016/j.appet.2017.10.012
24. Spahić R, Pranjić N. Children’s Eating Behaviour Questionnaire: association with BMI in children aged 3-10 years from Bosnia and Herzegovina. Public Health Nutr. 2019;22(18):3360–7 https://doi.org/10.1017/s1368980019002210
25. Pérez L, Vizcarra M, Hughes SO, Papaioannou MA. Food parenting practices and feeding styles and their relations with weight status in children in Latin America and the Caribbean. Int J Environ Res Public Health. 2022;19(4):2027 https://doi.org/10.3390/ijerph19042027
26. van der Horst K, Sleddens EFC. Parenting styles, feeding styles and food-related parenting practices in relation to toddlers’ eating styles: A cluster-analytic approach. PLoS One. 2017;12(5):e0178149 https://doi.org/10.1371/journal.pone.0178149
27. Van der Horst K, Oenema A, Ferreira I, et al. A systematic review of environmental correlates of obesity -related dietary behaviours in youth. Health Educ Res. 2007;22(2):203–26 https://doi.org/10.1093/her/cyl069
28. Brown KA, Ogden J, Vögele C, Gibson EL. The role of parental control practices in explaining children’s diet and BMI. Appetite. 2008;50(2–3):252–9 https://doi.org/10.1016/j.appet.2007.07.010
29. Braden A, Rhee K, Peterson CB, et al. Associations between child emotional eating and general parenting style, feeding practices, and parent psychopathology. Appetite. 2014; 80:35– 40 https://doi.org/10.1016/j.appet.2014.04.017
30. Goossens L, Braet C, Van Vlierberghe L, Mels S. Loss of control over eating in overweight youngsters: the role of anxiety, depression and emotional eating. Eur Eat Disord Rev. 2009;17(1):68– 78. https://doi.org/10.1002/erv.892
31. Rodgers RF, Paxton SJ, McLean SA, et al. Maternal negative affect is associated with emotional feeding practices and emotional eating in young children. Appetite.2014;80:242-7. https://doi.org/10.1016/j.appet.2014.05.022
32. Erriu M, Cimino S, Cerniglia L. The role of family relationships in eating disorders in adolescents: a narrative review. Behav Sci (Basel). 2020;10(4):71 https://doi.org/10.3390/bs10040071
33. Roach E, Viechnicki GB, Retzloff LB,et al. Family food talk, child eating behavior, and maternal feeding practices. Appetite. 2017; 117:40–50 https://doi.org/10.1016/j.appet.2017.06.001
34. Larsen JK, Hermans RCJ, Sleddens EFC, et al. How parental dietary behavior and food parenting practices affect children’s dietary behavior. Interacting sources of influence? Appetite. 2015:89:246-57 https://doi.org/10.1016/j.appet.2015.02.012
35. Guo S, Wang Y, Fries LR, et al. Infant and preschooler feeding behaviors in Chinese families: A systematic review. Appetite. 2022;168:105768 Feeding styles predict children's nutrition Arusoglu et al. https://doi.org/10.1016/j.appet.2021.105768