Effect of a responsive parenting intervention on child emotional overeating is mediated by reduced maternal use of food to soothe: The INSIGHT RCT

• Published in: Pediatric obesity Vol. 15; no. 10; pp. e12645 - n/a
• Main Authors: Harris, Holly A., Anzman‐Frasca, Stephanie, Marini, Michele E., Paul, Ian M., Birch, Leann L., Savage, Jennifer S.
• Format: Journal Article
• Language: English
• Published: Chichester, UK John Wiley & Sons, Inc 01.10.2020; Wiley Subscription Services, Inc
• Subjects: Adult; child; Child, Preschool; Children & youth; Childrens health; emotional overeating; Emotions; Feeding Behavior - psychology; Female; Food; food to soothe; Humans; Hyperphagia - complications; Hyperphagia - psychology; Infant; Male; Mothers - psychology; Obesity; obesity prevention; parent feeding practices; Parenting - psychology; Pediatric Obesity - etiology; Pediatrics; responsive parenting; parent feeding practices; food to soothe; obesity prevention; responsive parenting; child; emotional overeating
• ISSN: 2047-6302; 2047-6310; 2047-6310
• DOI: 10.1111/ijpo.12645

Summary Background Child emotional overeating is a risk factor for obesity that is learned in the home environment. Parents' use of food to soothe child distress may contribute to the development of children's emotional overeating. Objectives To examine the effect of a responsive parenting (RP) intervention on mother‐reported child emotional overeating, and explore whether effects are mediated by mother‐reported use of food to soothe child distress. Methods The sample included primiparous mother‐infant dyads randomized to a RP intervention (n = 105) or home safety control group (n = 102). Nurses delivered RP guidance in four behavioral domains: sleeping, fussy, alert/calm, and drowsy. Mothers reported their use of food to soothe at age 18 months and child emotional overeating at age 30 months. Mediation was analyzed using the SAS PROCESS macro. Results RP intervention mothers reported less frequent use of food to soothe and perceived their child's emotional overeating as lower compared to the control group. Food to soothe mediated the RP intervention effect on child emotional overeating (mediation model: R2 = 0.13, P < .0001). Conclusions Children's emotional overeating may be modified through an early life RP intervention. Teaching parents alternative techniques to soothe child distress rather than feeding may curb emotional overeating development to reduce future obesity risk.