Abstract：
BACKGROUND: Parental non-responsive feeding practices and child eating behaviors both play significant roles in childhood obesity. However, their longitudinal relationships are less clear. This systematic review aimed to examine their bidirectional associations.
METHODS: A systematic search of five databases was conducted from inception to February 2022. Data synthesis was performed using a semi-quantitative and quantitative approach.
RESULTS: A total of 14 studies with 15348 respondents were included. A total of 94 longitudinal effects from 14 studies of parental non-responsive feeding practices on child eating behaviors were investigated, and 19 statistically significant effects were discovered. Seventy-seven longitudinal effects from nine studies of child eating behaviors on parental feeding practices were examined, with fifteen being statistically significant. The pooled results of meta-analysis showed five statistically significant associations: parental restrictive feeding positively predicted child enjoyment of food (β = 0.044; 95% CI: 0.004, 0.085); use of food as a reward positively predicted child emotional eating (β = 0.09; 95% CI: 0.04, 0.15); child food responsiveness positively predicted restrictive feeding (β = 0.04; 95% CI: 0.02, 0.06); use food as a reward (β = 0.06; 95% CI: 0.03, 0.10). In addition, the pooled effects showed that child satiety responsiveness negatively predicted restrictive feeding (β = -0.05; 95% CI: -0.08, -0.01).
CONCLUSIONS: The bidirectional relationships between parental non-responsive feeding practices and child eating behaviors are inconsistent and a few showed statistical significance. Theory-driven longitudinal studies using validated instruments and controlling for potential confounders are needed to unveil their relationships and provide evidence for obesity prevention interventions.
METHODS: A systematic search of five databases was conducted from inception to February 2022. Data synthesis was performed using a semi-quantitative and quantitative approach.
RESULTS: A total of 14 studies with 15348 respondents were included. A total of 94 longitudinal effects from 14 studies of parental non-responsive feeding practices on child eating behaviors were investigated, and 19 statistically significant effects were discovered. Seventy-seven longitudinal effects from nine studies of child eating behaviors on parental feeding practices were examined, with fifteen being statistically significant. The pooled results of meta-analysis showed five statistically significant associations: parental restrictive feeding positively predicted child enjoyment of food (β = 0.044; 95% CI: 0.004, 0.085); use of food as a reward positively predicted child emotional eating (β = 0.09; 95% CI: 0.04, 0.15); child food responsiveness positively predicted restrictive feeding (β = 0.04; 95% CI: 0.02, 0.06); use food as a reward (β = 0.06; 95% CI: 0.03, 0.10). In addition, the pooled effects showed that child satiety responsiveness negatively predicted restrictive feeding (β = -0.05; 95% CI: -0.08, -0.01).
CONCLUSIONS: The bidirectional relationships between parental non-responsive feeding practices and child eating behaviors are inconsistent and a few showed statistical significance. Theory-driven longitudinal studies using validated instruments and controlling for potential confounders are needed to unveil their relationships and provide evidence for obesity prevention interventions.
摘要：
背景：父母无反应性喂养行为和儿童饮食行为都在儿童肥胖中发挥重要作用。然而,它们的纵向关系不太清楚。本系统综述旨在检查它们的双向关联。
方法：从成立到2022年2月，对五个数据库进行了系统搜索。使用半定量和定量方法进行数据合成。
结果：共纳入14项研究，共15348名受访者。研究了14项关于父母无反应喂养行为对儿童饮食行为的研究中的94项纵向影响，发现了19种具有统计学意义的影响。研究了九项儿童饮食行为对父母喂养方式的纵向影响，其中15个具有统计学意义。汇总的荟萃分析结果显示5个有统计学意义的关联:父母限制性喂养正预测儿童对食物的享受(β=0.044;95%CI:0.004,0.085);使用食物作为奖励正预测儿童情绪饮食(β=0.09;95%CI:0.04,0.15);儿童食物反应正预测限制性喂养(β=0.04;95%CI:0.02,0.06);使用食物作为奖励(βCI=0.06,0.03)。此外,汇总效应表明，儿童饱腹感反应性与限制性喂养呈负相关（β=-0.05；95％CI：-0.08，-0.01）。
结论：父母无反应性喂养行为与儿童饮食行为之间的双向关系是不一致的，一些表现出统计学意义。需要使用经过验证的仪器和控制潜在混杂因素的理论驱动的纵向研究来揭示它们之间的关系并为肥胖预防干预措施提供证据。
方法：从成立到2022年2月，对五个数据库进行了系统搜索。使用半定量和定量方法进行数据合成。
结果：共纳入14项研究，共15348名受访者。研究了14项关于父母无反应喂养行为对儿童饮食行为的研究中的94项纵向影响，发现了19种具有统计学意义的影响。研究了九项儿童饮食行为对父母喂养方式的纵向影响，其中15个具有统计学意义。汇总的荟萃分析结果显示5个有统计学意义的关联:父母限制性喂养正预测儿童对食物的享受(β=0.044;95%CI:0.004,0.085);使用食物作为奖励正预测儿童情绪饮食(β=0.09;95%CI:0.04,0.15);儿童食物反应正预测限制性喂养(β=0.04;95%CI:0.02,0.06);使用食物作为奖励(βCI=0.06,0.03)。此外,汇总效应表明，儿童饱腹感反应性与限制性喂养呈负相关（β=-0.05；95％CI：-0.08，-0.01）。
结论：父母无反应性喂养行为与儿童饮食行为之间的双向关系是不一致的，一些表现出统计学意义。需要使用经过验证的仪器和控制潜在混杂因素的理论驱动的纵向研究来揭示它们之间的关系并为肥胖预防干预措施提供证据。
