ArticleTranslational pediatrics2026
Parental feeding attitudes and their associations with children's eating behaviors and nutritional intake in a clinical sample with feeding difficulties: a cross-sectional study.
Article in Translational pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Parental feeding attitudes and practices play a crucial role in shaping children's eating behaviors and nutritional intake, particularly in children presenting with feeding difficulties. This study aimed to examine the associations between parental feeding attitudes, children's eating behaviors, and nutritional status in a clinical sample of young children with feeding concerns. Methods: A cross-sectional study was conducted among 516 children aged 6 months to 5 years and their primary caregivers in the Chinese population. Data were collected using the Child Eating Behaviors and Parental Feeding Attitudes Questionnaire, a structured questionnaire assessing parental feeding attitudes and child eating behaviors, along with dietary intake assessments and anthropometric measurements. Spearman rank correlation analysis was performed to examine the relationships between parental feeding attitudes, children's eating behaviors, and nutritional intake. Correlation coefficients (rho) were used to determine the strength of associations, with significance levels set at P<0.05. Results: Parental concern about food intake was significantly correlated with selective eating behaviors (rho =0.38, P<0.001), consistent with a potential bidirectional relationship between caregiver anxiety and picky eating in this clinical sample. Parental frustration and anxiety regarding feeding were associated with prolonged meal durations (rho =0.35, P<0.01) and irregular eating patterns (rho =0.39, P<0.01). Coercive feeding strategies, such as threats or bribes, were associated with greater food refusal and nausea-related aversions (rho =0.30, P<0.05), while structured feeding approaches were positively correlated with higher protein and carbohydrate intake (rho =0.25, P<0.05). Conclusions: This study underscores the reciprocal relationship between parental feeding attitudes and children's eating behaviors in a clinical sample with feeding difficulties. Caregivers' emotional responses and feeding strategies significantly influence mealtime dynamics and nutritional outcomes in this population.
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