Maternal feeding practices and its association with obesity in children: a cross-sectional study in Iran

Abstract Introduction Children’s eating behaviors and their nutritional status could be affected by caregiver feeding practices. Thereby, this study aimed to assess the association between maternal feeding practices and body mass index (BMI) and waist circumference (WC) among 6 years old children in...

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Main Authors: Aida Askari, Zahra Hassanzadeh-Rostami, Nazanin Zolfaghari, Shiva Faghih
Format: Article
Language:English
Published: BMC 2025-06-01
Series:Journal of Health, Population and Nutrition
Subjects:
Online Access:https://doi.org/10.1186/s41043-025-00956-6
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author Aida Askari
Zahra Hassanzadeh-Rostami
Nazanin Zolfaghari
Shiva Faghih
author_facet Aida Askari
Zahra Hassanzadeh-Rostami
Nazanin Zolfaghari
Shiva Faghih
author_sort Aida Askari
collection DOAJ
description Abstract Introduction Children’s eating behaviors and their nutritional status could be affected by caregiver feeding practices. Thereby, this study aimed to assess the association between maternal feeding practices and body mass index (BMI) and waist circumference (WC) among 6 years old children in Shiraz, Iran. Methods In this cross-sectional study, 333 children aged 6 years were randomly selected from Shiraz healthcare centers by using a multi-stage stratified sampling method. Socio-demographic data gathering sheet, physical activity questionnaires, and comprehensive Feeding Practices Questionnaire were completed by their mothers online. Moreover, dietary intakes and anthropometric parameters of the children were obtained through a call interview with mothers. Maternal feeding patterns were identified using a factor analysis approach. Then, association of maternal feeding patterns with children’s BMI and WC, were assessed using multivariate linear regressions. Results Healthy and unhealthy maternal feeding patterns were extracted as two main feeding patterns. Unhealthy maternal feeding pattern was positively associated with BMI in unadjusted model (β = 0.35; 95%CI: 0.04—0.67), however it was faded away after controlling for confounders. No significant association was found between healthy maternal feeding patterns and children’s BMI. Both healthy and unhealthy maternal feeding patterns were not significantly associated with children’s WC. Conclusion Our results showed that children’s BMI or WC was not related to maternal feeding patterns. However, further studies with larger sample sizes and longitudinal design are needed to confirm it.
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publishDate 2025-06-01
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spelling doaj-art-9d5e760f387a4dd7ba9dd687c1f80d2c2025-08-20T03:47:14ZengBMCJournal of Health, Population and Nutrition2072-13152025-06-014411610.1186/s41043-025-00956-6Maternal feeding practices and its association with obesity in children: a cross-sectional study in IranAida Askari0Zahra Hassanzadeh-Rostami1Nazanin Zolfaghari2Shiva Faghih3Department of Community Nutrition, School of Nutrition and Food Sciences, Shiraz University of Medical SciencesDepartment of Community Nutrition, School of Nutrition and Food Sciences, Shiraz University of Medical SciencesDepartment of Community Nutrition, School of Nutrition and Food Sciences, Shiraz University of Medical SciencesDepartment of Community Nutrition, School of Nutrition and Food Sciences, Shiraz University of Medical SciencesAbstract Introduction Children’s eating behaviors and their nutritional status could be affected by caregiver feeding practices. Thereby, this study aimed to assess the association between maternal feeding practices and body mass index (BMI) and waist circumference (WC) among 6 years old children in Shiraz, Iran. Methods In this cross-sectional study, 333 children aged 6 years were randomly selected from Shiraz healthcare centers by using a multi-stage stratified sampling method. Socio-demographic data gathering sheet, physical activity questionnaires, and comprehensive Feeding Practices Questionnaire were completed by their mothers online. Moreover, dietary intakes and anthropometric parameters of the children were obtained through a call interview with mothers. Maternal feeding patterns were identified using a factor analysis approach. Then, association of maternal feeding patterns with children’s BMI and WC, were assessed using multivariate linear regressions. Results Healthy and unhealthy maternal feeding patterns were extracted as two main feeding patterns. Unhealthy maternal feeding pattern was positively associated with BMI in unadjusted model (β = 0.35; 95%CI: 0.04—0.67), however it was faded away after controlling for confounders. No significant association was found between healthy maternal feeding patterns and children’s BMI. Both healthy and unhealthy maternal feeding patterns were not significantly associated with children’s WC. Conclusion Our results showed that children’s BMI or WC was not related to maternal feeding patterns. However, further studies with larger sample sizes and longitudinal design are needed to confirm it.https://doi.org/10.1186/s41043-025-00956-6ChildrenObesityFeeding practicesCross-sectionalIran
spellingShingle Aida Askari
Zahra Hassanzadeh-Rostami
Nazanin Zolfaghari
Shiva Faghih
Maternal feeding practices and its association with obesity in children: a cross-sectional study in Iran
Journal of Health, Population and Nutrition
Children
Obesity
Feeding practices
Cross-sectional
Iran
title Maternal feeding practices and its association with obesity in children: a cross-sectional study in Iran
title_full Maternal feeding practices and its association with obesity in children: a cross-sectional study in Iran
title_fullStr Maternal feeding practices and its association with obesity in children: a cross-sectional study in Iran
title_full_unstemmed Maternal feeding practices and its association with obesity in children: a cross-sectional study in Iran
title_short Maternal feeding practices and its association with obesity in children: a cross-sectional study in Iran
title_sort maternal feeding practices and its association with obesity in children a cross sectional study in iran
topic Children
Obesity
Feeding practices
Cross-sectional
Iran
url https://doi.org/10.1186/s41043-025-00956-6
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AT nazaninzolfaghari maternalfeedingpracticesanditsassociationwithobesityinchildrenacrosssectionalstudyiniran
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