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Session Overview
Oral Presentation XI: "Feeding Practices Heterogeneity Association with Child Weight Gain using Advanced Statistics"
Tuesday, 22/Nov/2022:
4:00pm - 4:15pm

Presenting Author: Zahra Rahmaty

Location: Auditorium Tissot

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Feeding Practices Heterogeneity Association with Child Weight Gain using Advanced Statistics

Zahra Rahmaty1,2, Mary Johantgen2, Carla Storr2, Yan Wang3, Maureen Black4, Anne-Sylvie Ramelet1

1Institute of Higher Education and Research in Healthcare Lausanne University Hospital and University of Lausanne, Switzerland; 2Department of Organizational Systems and Adult Health, University of Maryland School of Nursing, Baltimore, MD, USA; 3Department of Prevention and Community Health, Milken Institute School of Public Health, The GeorgeWashington University,Washington, DC, USA; 4Department of Pediatrics, University of Maryland School of Medicine, Baltimore, MD, USA

Caregiver’s feeding practices in early childhood can influence child’s development while they are influenced by their concern about child's health,
behavior, and emotion, as well as their culture, and food availability. This study aimed to investigate a) feeding practices heterogeneity; b) factors
affecting the heterogeneity; c) feeding practices heterogeneity association with child weight gain.
An observational study with a convenience sample of 500 children and their caregiver from 50 childcare centers in Maryland, US were included.
Data were collected through caregiver-reported questionnaires and direct child’s assessment including: Child-BMIz, diet, demographics,
temperament; Caregiver- feeding practices, demographics, BMI, perception of child’s size, socieconomic status; Family-poverty level, and food
insecurity. Factor analysis were done to reduce number of practices, latent profile analysis (LPA) to find typology of parenting, multivariable
Structural Equation Models (SEM) to find associated factors with heterogeneity and their associations with child BMIz.
Exploratory factor analysis reduced the feeding practices into 13. LPA revealed 3 types of parenting: Balancing (15%), Controlling (69%), and
Regulating (16%). Controlling parenting was associated with single caregiver, desire a child to be heavier, and higher income. Balancing
parenting was associated with child difficult temperament. Regulating parenting was associated with lower BMIz in Children.
Discussion and Conclusion
Our study was the first to use advanced statistics allowing to include all measured feeding practices simultenously and reveal novel parenting
styles related to feeding practices. One striking result is that Controlling parenting was used by the majority of caregivers raising concerns for
child’s autonomy and self regulatory behaviors. Caregivers further education to empower children is warranted.

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