Evidence map›Paper›PMID 41047994›Full record

ArticleNutrition & dietetics : the journal of the Dietitians Association of Australia2026

"A few more bites?": Manifestation of pressure-to-eat in child care.

Heather Podanovitch, Julie E Campbell, Melissa D Rossiter, Kyly C Whitfield, Jessie-Lee D McIsaac

Abstract read
In one paragraph

Article in Nutrition & dietetics : the journal of the Dietitians Association of Australia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Placement poverty: Why it matters to all dietitians.Nutrition & dietetics : the journal of the Dietitians Association of Australia · 2026
    Article
  2. 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

5 authors.

Heather PodanovitchEarly Childhood Collaborative Research Centre, Mount Saint Vincent University, Halifax, Nova Scotia, Canada.
Julie E CampbellEarly Childhood Collaborative Research Centre, Mount Saint Vincent University, Halifax, Nova Scotia, Canada.ORCID https://orcid.org/0000-0002-5273-9136
Melissa D RossiterDepartment of Applied Human Sciences, University of Prince Edward Island, Charlottetown, Prince Edward Island, Canada.ORCID https://orcid.org/0000-0002-2509-7887
Kyly C WhitfieldDepartment of Applied Human Nutrition, Mount Saint Vincent University, Halifax, Nova Scotia, Canada.ORCID https://orcid.org/0000-0001-8315-8927
Jessie-Lee D McIsaacEarly Childhood Collaborative Research Centre, Mount Saint Vincent University, Halifax, Nova Scotia, Canada.ORCID https://orcid.org/0000-0002-9294-5313

Funding

Canada Research Chairs 950-231877CIHR 437465Fondation Jean-Louis Lévesque
6 · The paper itself

Abstract

aimsPressuring children to eat can override hunger and satiety cues, which may lead to over- or under-eating and food refusal. This study aims to describe the manifestations of pressure-to-eat in child care from early childhood educators.

methodsA secondary data analysis was conducted using qualitative content analysis. Observations of educators from child care centres in Nova Scotia and Prince Edward Island (n = 9) occurred over 2 days. Observation data were coded and counted to determine the most and least prevalent forms of pressure. The count results were then assessed quantitatively by educator demographic characteristics to explore potential associations using nonparametric tests (Mann-Whitney U test, Spearman's correlations).

resultsOffering food and encouraging eating without referencing hunger or satiety was found to be the most common type of pressure; serving children without asking if they were hungry made up the majority of this type of pressure. This was less common with both increasing educator age (r = -0.692, p = 0.039), as well as years of experience (r = 0.878, p = 0.002). Pressuring children to eat by referring to health benefits and consequences was the least common type of pressure.

conclusionThis study provides insight into the types and frequency of pressure-to-eat strategies implemented in child care centres, which can inform interventions to create more responsive feeding environments.

Indexed as

Child CareChild Day Care CentersFeeding BehaviorChild, PreschoolFemaleHumansHungerMaleNova Scotiacaregiverschild carecommunicationeatinggrowth and development

Identifiers

PMID41047994
PMCPMC13575705

What OpenQuestion holds

Textmetadata
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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.