Describing and Predicting Feeding Problems During the First 2 Years Within an Urban Pediatric Primary Care Center

Abstract

We conducted a prospective cohort study with children aged 6 to 18 months to identify predictors of feeding problems in an urban sample. Parent-reported child feeding problems (Montreal Children’s Hospital Feeding Scale) and picky eating, parental anxiety (Generalized Anxiety Disorder 7), and family meal structure (Meals in Our Household) were assessed via a Web-based survey at 3 time points. Data analysis included descriptive statistics, correlations, and mixed-effects regression modeling. Eighty parents completed the survey. Child picky eating ( r =.51) and resistance to try new foods ( r = .30), parental anxiety ( r = .34), rushed mealtimes ( r = .28), and child age ( r = .32) were significantly associated with child feeding problems. Feeding Scale scores were, on average, 6 points higher among picky eaters than those who were not over time ( p < .001). Parent reports of picky eating early in life may warrant additional clinical investigation and referral to feeding specialists.