Evidence map›Paper›PMID 42286480›Full record

ArticleBMC pediatrics2026

Comparison of eating behaviors between single-child and child with siblings: an analytical cross-sectional study.

Hadi Bazyar, Tahmineh Moradi, Aynaz Bahreini, Arian Bandari, Jafar Aghaei, Vahideh Aghamohammadi, Hamed Rezakhani Moghadam, Asma Najmadini

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Article in BMC 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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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Hadi BazyarDepartment of Public Health, Sirjan School of Medical Sciences, Sirjan, Iran.
Tahmineh MoradiDepartment of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Khalkhal Branch, Islamic Azad University, Khalkhal, Iran.
Aynaz BahreiniStudent Research Committee, Khalkhal School of Medical Sciences, Khalkhal, Iran.
Arian BandariStudent Research Committee, Khalkhal School of Medical Sciences, Khalkhal, Iran.
Jafar AghaeiDepartment of Food Hygiene, Am.C., Islamic Azad University, Amol, Iran.
Vahideh AghamohammadiDepartment of Nutrition, Khalkhal University of Medical Science, Khalkhal, Iran. v_agamohammadi@yahoo.com.
Hamed Rezakhani MoghadamDepartment of Public Health, Khalkhal University of Medical Science, Khalkhal, Iran. rezakhaniha@gmail.com.
Asma NajmadiniStudent Research Committee, Sirjan School of Medical Sciences, Sirjan, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe importance of accurately understanding school-aged children (7-12 years) and implementing efforts to safeguard and promote their physical and psychological health is widely recognized. Changes in family structure, including the rise of single-child households, may influence children's eating behaviors; however, evidence from Iran is limited. The present study aimed to determine and compare eating behaviors among children (aged 7-12 years) from single-child and multi-child families.

methodsTo assess eating behaviors among elementary school children in Khalkhal City, 318 boys and girls from urban and rural primary schools were selected using cluster random sampling. Demographic questionnaire, Physical Activity Questionnaire for Older Children (PAQ-C), and Children's Eating Behavior Inventory (CEBI) were applied. SPSS software (IBM SPSS Statistics, Armonk, USA) was used for data analysis.

resultsThe mean age was 9.55 ± 1.77 years in the single-child group and 9.71 ± 1.70 years in the multi-child group, with no statistically significant difference between groups (P = 0.42). The mean global CEBI score was significantly higher in the multi-child group compared to the single-child group (113.91 ± 6.76 vs. 105.47 ± 8.31; P < 0.001). Similarly, the mean scores of skill (35.30 ± 3.33 vs. 32.29 ± 4.57), compliance (52.85 ± 3.85 vs. 49.45 ± 4.57), and preferences (25.75 ± 3.15 vs. 23.72 ± 3.62) were significantly higher in the multi-child group (all P < 0.001). Multivariable logistic regression analysis demonstrated that multi-child participants had significantly higher odds of being in the "normal or good" category compared to single children. For skill, the fully adjusted model showed an OR of 19.49 (95% CI: 2.25-168.80; P = 0.007). For compliance, the adjusted OR was 19.23 (95% CI: 5.43-68.05; P < 0.001). For preferences, the adjusted OR was 2.77 (95% CI: 1.64-4.69; P < 0.001).

conclusionsWe found that having siblings was associated with more scores across all measured domains, including skills, compliance, and preferences. These differences remained even after controlling for confounders.

Indexed as

Child BehaviorFeeding BehaviorSiblingsChildCross-Sectional StudiesFamily StructureFemaleHumansIranMaleSurveys and QuestionnairesChildrenChildren’s Eating Behavior InventoryEating behaviorIranSingle child family

Identifiers

PMID42286480
PMCPMC13670688

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