A substantial body of research suggests that efforts to prevent pediatric obesity may benefit from targeting not just what a child eats, but how they eat. Specifically, child obesity prevention should include a component that addresses reasons why children have differing abilities to start and stop eating in response to internal cues of hunger and satiety, a construct known as eating self-regulation. This review summarizes current knowledge regarding how caregivers can be an important influence on children's eating self-regulation during early childhood. First, we discuss the evidence supporting an association between caregiver feeding and child eating self-regulation. Second, we discuss what implications the current evidence has for actions caregivers may be able to take to support children's eating self-regulation. Finally, we consider the broader social, economic, and cultural context around the feeding environment relationship and how this intersects with the implementation of any actions. As far as we are aware, this is the first American Heart Association (AHA) scientific statement to focus on a psychobehavioral approach to reducing obesity risk in young children. It is anticipated that the timely information provided in this review can be used not only by caregivers within the immediate and extended family but also by a broad range of community-based care providers.
Keywords: AHA Scientific Statements; appetite regulation; caregivers; child; pediatric obesity; preschool; satiation.
Providers' response to child eating behaviors: A direct observation study.Appetite. 2016 Oct 1;105:534-41. doi: 10.1016/j.appet.2016.06.020. Epub 2016 Jun 18. Appetite. 2016. PMID: 27328098 Free PMC article. Clinical Trial.
Development of eating behaviors among children and adolescents.Pediatrics. 1998 Mar;101(3 Pt 2):539-49. Pediatrics. 1998. PMID: 12224660 Review.
Surgency and negative affectivity, but not effortful control, are uniquely associated with obesogenic eating behaviors among low-income preschoolers.Appetite. 2014 Jul;78:139-46. doi: 10.1016/j.appet.2014.03.025. Epub 2014 Mar 28. Appetite. 2014. PMID: 24685763 Free PMC article.
Maternal intuitive eating as a moderator of the association between concern about child weight and restrictive child feeding.Appetite. 2015 Dec;95:158-65. doi: 10.1016/j.appet.2015.06.023. Epub 2015 Jul 3. Appetite. 2015. PMID: 26145275 Free PMC article.
Pediatric Eating Behaviors as the Intersection of Biology and Parenting: Lessons from the Birds and the Bees.Curr Nutr Rep. 2018 Mar;7(1):1-9. doi: 10.1007/s13668-018-0223-4. Curr Nutr Rep. 2018. PMID: 29892784 Free PMC article. Review.