Evidence map›Paper›PMID 34020105›Full record

ArticleAcademic pediatrics2021

Sex Differences in Maternal Restrictive Feeding Practices in the Intervention Nurses Start Infants Growing on Healthy Trajectories Study.

Alexis V Hyczko, Cara F Ruggiero, Emily E Hohman, Stephanie Anzman-Frasca, Jennifer S Savage, Leann L Birch, Ian M Paul

Open access · greenAbstract read
In one paragraph

Article in Academic pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.5field-weighted citation impact, top 36% 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

9 citing papers in PubMed, 11 citations in OpenAlex.

  1. The effect of the Baby-Feed website intervention on diet quality in healthy infants: a randomized controlled trial.The international journal of behavioral nutrition and physical activity · 2026
    Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
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

7 authors at 4 institutions in 1 country.

Alexis V HyczkoPenn State College of Medicine (AV Hyczko and IM Paul), Hershey, Pa.
Cara F RuggieroCenter for Childhood Obesity Research, 129 Noll Laboratory, Penn State University (CF Ruggiero, EE Hohman, and JS Savage), University Park, Pa.
Emily E HohmanCenter for Childhood Obesity Research, 129 Noll Laboratory, Penn State University (CF Ruggiero, EE Hohman, and JS Savage), University Park, Pa.
Stephanie Anzman-FrascaDepartment of Pediatrics, University at Buffalo (S Anzman-Frasca), Buffalo, NY.
Jennifer S SavageCenter for Childhood Obesity Research, 129 Noll Laboratory, Penn State University (CF Ruggiero, EE Hohman, and JS Savage), University Park, Pa.
Leann L BirchDepartment of Foods and Nutrition, University of Georgia (LL Birch), Athens, Ga.
Ian M PaulPenn State College of Medicine (AV Hyczko and IM Paul), Hershey, Pa; Departments of Pediatrics & Public Health Sciences, Penn State College of Medicine (IM Paul), Hershey, Pa. Electronic address: ipaul@psu.edu.
Pennsylvania State University · USPenn State Milton S. Hershey Medical Center · USUniversity at Buffalo, State University of New York · USUniversity of Georgia · US

Funding

Penn State Clinical and Translational Science InstituteUL1TR000127 · NCATS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI SINOWAY, LAWRENCE I · 2012 to 2015
$17.1M
Preventing Obesity through Intervention during InfancyR01DK088244 · NIDDK · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI PAUL, IAN M, WILLIAMS, JENNIFER SAVAGE · 2011 to 2022
$7.0M
NRSA Training CoreTL1TR002016 · NCATS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI THOMAS, GAIL D. · 2016 to 2025
$3.4M
NCATS NIH HHS TL1 TR002016NCATS NIH HHS UL1 TR000127NIDDK NIH HHS R01 DK088244
6 · The paper itself

Abstract

backgroundIntervention Nurses Start Infants Growing on Healthy Trajectories tested an early life responsive parenting (RP) intervention designed for obesity prevention. Body mass index z-score at age 3 years was lower for the RP group versus controls with a larger effect for girls than boys. We sought to determine if child sex was associated with differing maternal feeding practices and whether sex moderated intervention effects on feeding. DESIGN/

methodsMothers (N = 279) completed the Infant Feeding Styles Questionnaire (IFSQ) at 28 weeks, the Structure and Control in Parent Feeding (SCPF) at 1, 2, and 3 years, and the Child Feeding Questionnaire (CFQ) at 3 years. Study aims were tested using 2-way analysis of variance and repeated measures.

resultsMothers reported greater restriction (limiting food quantity) for boys at 28 weeks (IFSQ: 3.0 ± 1.1 vs 2.8 ± 1.0, P = .07) and across annual measurements from age 1 to 3 years (SCPF: P = .04). At age 3, the intervention group effect on restriction differed by sex (CFQ: P = .047) such that higher restriction was reported by RP group mothers of boys versus girls (3.4 ± 0.7 vs 3.0 ± 0.9, P = .002) with no control group sex difference (3.4 ± 0.8 vs 3.3 ± 0.9, P = .79). There were no sex differences or sex by intervention group interactions in other reported feeding practices at any assessment (ie, structure-based feeding, pressure).

conclusionsMothers of boys used more restrictive feeding through age 3. These findings may be partially explained by previously reported better self-soothing and self-regulation abilities of participating girls.

Indexed as

NursesPediatric ObesityBody Mass IndexChildChild, PreschoolFeeding BehaviorFemaleHumansInfantMaleMothersParentingSex CharacteristicsSurveys and Questionnaireschildhood obesityfeedingparentingsex

Identifiers

PMID34020105
PMCPMC8349795
OpenAlexW3163310611

What OpenQuestion holds

Textmetadata
LicenceTDM
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.