Title:
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Associations between infant feeding, mother-child feeding interactions and weight gain
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Within the context of increasing prevalence of childhood obesity over a number of decades, alongside
a trend towards increasingly 'obesogenic' environments, this thesis explored cross-sectional and
prospective relationships between maternal feeding behaviour and child adiposity at age one year and
at age five years.
The research aims were addressed over two empirical studies. Study 1 collected data on breastfeeding
through structured interviews with mothers (N=290) of one-year-old infants, observed mother-infant
feeding interactions, and measured infant weight and length. Study 2 followed up the same sample
(N=197) through a survey at age five, to examine cross-sectional relationships between maternal
feeding behaviours (both practices and styles), child eating behaviours, and child adiposity (Study 2
Part A) as well as longitudinal associations with breastfeeding, maternal feeding behaviours and
adiposity in infancy (Study 2 Part B). Age five height and weight were provided by a child health
administrative database. Several limitations in the current knowledge base were also addressed,
including the over-reliance on maternal self-report of feeding behaviour, the relative paucity of research
examining the role of breastfeeding, and the lack of prospective studies beginning in infancy.
Overall, findings suggest that feeding practices may be a response to child attributes (in terms of
adiposity and eating behaviour), rather than a cause. Further, feeding practices are distinguishable
from 'feeding styles', which are established early and may not function as a response to child
attributes. Findings suggest that breastfeeding may promote a more responsive feeding style, as
mothers are accustomed to sharing control over food intake with their child. This effect may extend into
later infancy, during the transition to family meals and self-feeding, and may, in turn, facilitate appetite
regulation over the short- and longer-term, which protects against excess weight gain.
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