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The effectiveness of interventions on changing caregivers' feeding practices with preschool children: A systematic review and meta-analysis
Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, London, UK.
Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, London, UK.
School of Nursing, Shanghai Jiao Tong University, Shanghai, China.
Örebro University, School of Medical Sciences. Clinical Epidemiology and Biostatistics, School of Medical Sciences, Örebro University, Örebro, Sweden; Unit of Integrative Epidemiology, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.ORCID iD: 0000-0002-3552-9153
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2024 (English)In: Obesity Reviews, ISSN 1467-7881, E-ISSN 1467-789X, Vol. 25, no 4, article id e13688Article, review/survey (Refereed) Published
Abstract [en]

Caregivers' feeding practices are critical in shaping preschool children's eating habits and preventing childhood obesity. We conducted a systematic review and meta-analysis to evaluate the effectiveness of existing interventions targeting caregivers of preschool children, which aimed to promote child healthy eating and/or manage child weight and/or prevent child nutrition-related problems and included feeding practices as one of the outcomes. Eighteen studies with 18 intervention programs and 3887 respondents that completed baseline evaluations were eligible for data synthesis. Behavior change techniques (BCTs) frequently used included the following: instruction on how to perform the behavior and demonstration of the behavior. The pooled effects of randomized controlled trials (RCTs) on pressure to eat (pooled standardized mean difference [SMD] = 0.61; 95%CI: -1.16, -0.06), use of food as a reward (pooled SMD = -0.31; 95%CI: -0.61, -0.01), and emotional feeding (pooled SMD = -0.36; 95%CI: -0.66, -0.06) were found statistically significant compared with control groups at post-intervention. However, there were no pooled effects on restrictive feeding and pressure to eat at other follow-ups or on other feeding practices at post-intervention. Interventions may have short-term effects on decreasing the adoption of coercive control. Future interventions should directly and adequately optimize feeding practices, include components of individual support, and contribute to the maintenance of the effects over the long term.

Place, publisher, year, edition, pages
Wiley-Blackwell Publishing Inc., 2024. Vol. 25, no 4, article id e13688
Keywords [en]
Child, feeding practices, interventions, systematic review
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:oru:diva-110633DOI: 10.1111/obr.13688ISI: 001137467100001PubMedID: 38186213Scopus ID: 2-s2.0-85181715221OAI: oai:DiVA.org:oru-110633DiVA, id: diva2:1825459
Available from: 2024-01-09 Created: 2024-01-09 Last updated: 2024-03-22Bibliographically approved

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