Poster Topical Area: Maternal, Perinatal and Pediatric Nutrition
Location: Hall D
Poster Board Number: 382
Objectives: The USDA-HHS "Pregnancy and Birth to 24 Months project" examined topics of public health importance to these populations. This systematic review examined the relationship between caregiver feeding practices and child weight, growth, and body composition from birth to 24 months.
Methods: A literature search of four databases (CINAHL, Cochrane, Embase, and PubMed), searched from 01/1980 to 01/2017, identified 8,739 references. These were dual-screened using a priori inclusion and exclusion criteria. Extracted data were qualitatively synthesized and potential bias for individual studies was assessed using the Nutrition Evidence Library (NEL) Risk of Bias Assessment Tool. Conclusion statements were developed and the body of evidence was graded using the NEL Grading Rubric.
Results: Twenty-seven articles (8 controlled trials, 19 longitudinal cohort studies) examined the relationship between caregiver feeding practices and child weight, growth, and body composition. Studies were published from 1982-2016 in the U.S., Australia, the U.K., the Netherlands, and China. Studies included children from birth to 22 months at initial assessment and up to 6 years at final assessment.
Conclusions: Moderate evidence from controlled trials suggests that providing responsive feeding guidance to teach mothers to recognize and respond appropriately to a child's hunger and satiety cues can lead to "normal" weight gain and/or "normal" weight status in children two years and younger compared to children whose mothers did not receive responsive feeding guidance. Moderate evidence from longitudinal cohort studies indicates restrictive feeding practices are associated with increased weight gain and higher weight status and pressuring feeding practices are associated with decreased weight gain and lower weight status; evidence suggests mothers' feeding practices are related to concerns about their childrens' body weight. Limitations in this body of evidence include generalizability; heterogeneity of exposure assessment, interventions, and outcome assessment; and the use of parental report of feeding practices in observational cohorts. Research is needed in more diverse populations using consistent methodological approaches and objective measures.
Center for Nutrition Policy and Promotion, Food and Nutrition Service, USDA, Alexandria, VA and the Office of Disease Prevention and Health Promotion, Office of the Assistant Secretary for Health, US Department of Health and Human Services, Rockville, MD.
The Panum Group