ABSTRACT
OBJECTIVE: To determine associations between mothers' feeding behaviors in infancy and children's weight from infancy through to toddlerhood in urban, low-income, minority families and to explore the contribution of concerns about infant eating/weight. METHODS: One hundred sixty-nine mother-infant dyads (88% African-American) were recruited from an inner city pediatric practice. Questionnaires measuring restrictive feeding, pressuring to eat, and concerns about infant overeating/weight and undereating/weight were administered, and infants weighed and measured, at 6-12 months. Anthropometric data up to 30 months were obtained from multiple (8.9 ± 2.6) well-child visits, with 84% completing 11 visits. RESULTS: Higher pressuring was associated with lower weight-for-length z-scores (WLZ) over the period from baseline out to 30 months and higher restriction with higher child WLZ over the same period. Pressuring and concern about infant undereating/weight were independently associated with WLZ, but the relationship between restrictive feeding and WLZ was reduced by accounting for concern about infant overeating/weight. Child weight trajectories were not influenced by feeding behavior. CONCLUSIONS: Mothers restricted heavier infants and pressured leaner infants to eat, and the relationship between restriction and higher infant weight was mediated by concern about infant overeating/weight. Correcting misperceptions and discussing feeding with mothers reporting concern may help prevent excessive early weight gain.
