Evidence map›Paper›PMID 32548949›Full record

ArticlePediatric obesity2020

Associations of parents' use of food as reward with children's eating behaviour and BMI in a population-based cohort.

Pauline W Jansen, Ivonne P M Derks, Yuchan Mou, Elisabeth H M van Rijen, Romy Gaillard, Nadia Micali, Trudy Voortman, Manon H J Hillegers

Open access · hybridAbstract read
In one paragraph

Article in Pediatric obesity, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 3 pooled it
4.7field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 3 syntheses or guidelines pooled it, 60 citations in OpenAlex.

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  8. "A few more bites?": Manifestation of pressure-to-eat in child care.Nutrition & dietetics : the journal of the Dietitians Association of Australia · 2026
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  10. Nurturing Bonds: A Qualitative Exploration of Breastfeeding and Responsive Feeding Practices in Samoan Mother-Infants Dyads.American journal of human biology : the official journal of the Human Biology Council · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 5 countries.

Pauline W JansenDepartment of Child and Adolescent Psychiatry/Psychology, Erasmus MC-University Medical Centre Rotterdam, Rotterdam, The Netherlands.ORCID 0000-0001-7747-5803
Ivonne P M DerksDepartment of Psychology, Education and Child Studies, Erasmus University Rotterdam, Rotterdam, The Netherlands.
Yuchan MouThe Generation R Study Group, Erasmus MC-University Medical Centre Rotterdam, Rotterdam, The Netherlands.
Elisabeth H M van RijenDepartment of Psychology, Education and Child Studies, Erasmus University Rotterdam, Rotterdam, The Netherlands.
Romy GaillardDepartment of Paediatrics, Erasmus MC-University Medical Centre Rotterdam, Rotterdam, The Netherlands.ORCID 0000-0002-7967-4600
Nadia MicaliDepartment of Psychiatry, Faculty of Medicine, University of Geneva, Geneva, Switzerland.
Trudy VoortmanDepartment of Epidemiology, Erasmus MC-University Medical Centre Rotterdam, Rotterdam, The Netherlands.
Manon H J HillegersDepartment of Child and Adolescent Psychiatry/Psychology, Erasmus MC-University Medical Centre Rotterdam, Rotterdam, The Netherlands.
Erasmus MC · NLErasmus University Rotterdam · NLUniversity of Geneva · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundParents' use of food as reward has been linked to children's dietary intake, but the association with children's eating behaviour and overweight risk is less clear.

objectivesTo examine the temporal association of using food as reward with eating behaviour, body mass index (BMI) and weight status of children.

methodsParticipants were 3642 children of the population-based Generation R Study in the Netherlands (8.3% overweight/obese). Repeated assessments were collected at child ages 4 and 9 years, including measured anthropometrics and parent reports on feeding practises and eating behaviour.

resultsLinear regressions and cross-lagged models indicated that parents' use of food as reward at child age 4 years predicted Emotional Overeating and Picky Eating at age 9 years. Reversely, higher Emotional Overeating and Food Responsiveness scores were associated with more use of food as reward over time. Using food as reward was not associated with children's satiety response, BMI or overweight risk.

conclusionsA vicious cycle may appear in which children who display food approach behaviour are rewarded with food by their parents, which in turn might contribute to the development of unhealthy eating habits (emotional eating, fussiness). These findings warrant further research, to facilitate evidence-based recommendations for parents.

Indexed as

Body Mass IndexRewardChildChild BehaviorChild, PreschoolCohort StudiesFeeding BehaviorFemaleFoodFood FussinessHumansHyperphagiaInfantInfant, NewbornMaleNetherlandsBMIeating behaviouremotional eatingfussyinstrumental feedingusing food as reward

Identifiers

PMID32548949
PMCPMC7583369
OpenAlexW3035113025

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.