Cited by 131Food Security and Health in Diverse PopulationsObesity, Physical Activity, DietChild Nutrition and Feeding Issues

Food Insecurity and Obesogenic Maternal Infant Feeding Styles and Practices in Low-Income Families

Gross, Rachel S., Mendelsohn, Alan L., Fierman, Arthur H., Racine, Andrew D., Messito, Mary Jo·2012·Pediatrics

Abstract

OBJECTIVES: We explored the relationship between household food insecurity and maternal feeding styles, infant feeding practices, and perceptions and attitudes about infant weight in low-income mothers. METHODS: Mothers participating in the Special Supplemental Food Program for Women, Infants, and Children with infants aged between 2 weeks and 6 months were interviewed. By using regression analyses, the following relationships were examined between food insecurity and: (1) controlling feeding styles (restrictive and pressuring); (2) infant feeding practices, including breastfeeding, juice consumption, and adding cereal to the bottle; and (3) perceptions and attitudes about infant weight. Path analysis was used to determine if perceptions and attitudes about infant weight mediated the relationships between food insecurity and controlling feeding styles. RESULTS: The sample included 201 mother–infant pairs, with 35% reporting household food insecurity. Food-insecure mothers were more likely to exhibit restrictive (B [SE]: 0.18 [0.08]; 95% confidence interval [CI]: 0.02–0.34) and pressuring (B [SE]: 0.11 [0.06]; 95% CI: 0.001–0.22) feeding styles compared with food-secure mothers. No associations were found with feeding practices. Concern for their infant becoming overweight in the future was associated with food insecurity (adjusted odds ratio: 2.11 [95% CI: 1.02–4.38]). This concern mediated the relationship between food insecurity and both restrictive (P = .009) and pressuring (P = .01) feeding styles. CONCLUSIONS: Increased concern about future overweight and controlling feeding styles represent potential mechanisms by which food insecurity could be related to obesity. Obesity prevention should aim to decrease food insecurity and to reduce controlling feeding styles in families who remain food insecure.

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Registry

Crossref · 10.1542/peds.2011-3588

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  • Material hardships are associated with poor outcomes in key infant domains such as cognitive development, obesogenic feeding behaviors, and decreased sleep duration.

    “Previous studies have identified associations between material hardships, or a lack of essential resources, and poor outcomes in key infant domains such as cognitive development [5], obesogenic feeding behaviors [6], and decreased sleep duration [7].”

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Research works printed but not linked: 1

  1. Department of Agriculture, Food and Nutrition Service, 2007, Special supplemental nutrition program for women, infants and children (WIC): Revisions in the WIC food packages; interim rule., Fed Regist, 72, 68965

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Authors
Gross, R. S., Mendelsohn, A. L., Fierman, A. H., Racine, A. D., & Messito, M. J.
Affiliations
  • Albert Einstein College of Medicine (US)
  • New York University (US)
Venue
Pediatrics
Published
2012-08-01
Volume
130
Issue
2
Pages
254-261
ISSN
  • 0031-4005 (ISSN-L)
  • 1098-4275
OpenAlex
W1999090626
Cited by
131
References
53
Citations by year
2026: 7 · 2025: 10 · 2024: 11 · 2023: 9 · 2022: 11 · 2021: 13 · 2020: 14 · 2019: 9 · 2018: 10 · 2017: 8 · 2016: 6 · 2015: 12 · 2014: 8 · 2013: 2 · 2012: 1
FWCI
13.08
Type
journal article
Language
en
Open access
closed
Locations
  • PEDIATRICS (publishedVersion)
  • PubMed (publishedVersion)
Funders
Centers for Disease Control and Prevention (T01CD000146)
Topics
  • Health Sciences › Health Professions › General Health Professions › Food Security and Health in Diverse Populations
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
  • Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
Keywords
food insecurity, infant feeding practices, maternal feeding styles, restrictive feeding, breastfeeding, juice consumption, low-income households, obesity prevention, WIC program
MeSH terms
Attitude to Health, Beverages, Body Weight, Breast Feeding, Edible Grain, Cross-Sectional Studies, Feeding Behavior, Female, Food Preferences, Food Supply, Hispanic or Latino, Humans, Infant, Infant Nutritional Physiological Phenomena, Male, Maternal Behavior, Mother-Child Relations, Obesity, Poverty, Risk Factors, United States, Urban Population, Infant Formula, White People, Overweight

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