@article{83fc2979155e46ebad0d16c542bda0fa,
title = "Direct Sibling Influence on Eating Behavior in Early Childhood: Siblings as Role Models and Caregivers",
abstract = "Objective: Despite the majority of US children having at least 1 sibling, little is known about how siblings influence eating behavior and obesity risk. This qualitative study explored mothers{\textquoteright} perceptions of older siblings{\textquoteright} influences on younger siblings{\textquoteright} eating behavior in the context of mealtimes in early childhood. Methods: A purposive subsample of mothers (n = 30) who participated in the Intervention Nurses Start Infants Growing on Healthy Trajectories and SIBSIGHT studies completed retrospective semi-structured interviews designed to explore the implications of sibling influences on maternal feeding practices during infancy and toddlerhood. Interviews were conducted by video conference with mothers between January and March 2021. All interviews were audio-recorded, transcribed, and a qualitative content analysis approach was used to code and identify themes. Results: Two main themes were identified related to the influence of older siblings on younger siblings during feeding interactions: 1) Older siblings as positive role models for younger siblings and 2) Older siblings acted as caregivers for younger siblings. Younger siblings received encouragement at mealtimes to try new foods. Older siblings assisted their mothers in caregiving and feeding tasks in developmentally appropriate ways. Conclusions: Findings may help to elucidate the role of older siblings in shaping eating behavior and obesity risk of siblings in early childhood. Better understanding the role of siblings can aid in the development of novel interventions and anticipatory nutrition guidance in family-based clinical and community care.",
author = "Ruggiero, {Cara F.} and Moore, {Amy M.} and Savage, {Jennifer S.}",
note = "Funding Information: The authors acknowledge Jessica Beiler, MPH, Jennifer Stokes, RN, Patricia Carper, RN, Amy Shelly, LPN, and Lindsey Hess, MS for their assistance with this project. Financial statement: This research was supported by the National Institute of Diabetes and Digestive and Kidney Diseases (R01DK088244 and R01DK099364). Additional support was received from the Children's Miracle Network at Penn State Children's Hospital and the Mary Frances Picciano Endowment Award. The National Center for Advancing Translational Sciences of the National Institutes of Health (TL1TR002016) supported graduate students. Research Electronic Data Capture support was received from the Penn State Clinical and Translational Research Institute, Pennsylvania State University Clinical and Translational Science Award, and National Institutes of Health/National Center for Advancing Translational Sciences (UL1TR000127). The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH. Authorship Statement: J.S.S. A.M.M. and C.F.R. designed the research. C.F.R. and A.M.M. conducted the research. C.F.R. and A.M.M. analyzed data. C.F.R. wrote the paper. C.F.R. had primary responsibility for final content. All authors read and approved the final manuscript. None. Funding Information: Financial statement: This research was supported by the National Institute of Diabetes and Digestive and Kidney Diseases ( R01DK088244 and R01DK099364 ). Additional support was received from the Children{\textquoteright}s Miracle Network at Penn State Children{\textquoteright}s Hospital and the Mary Frances Picciano Endowment Award . The National Center for Advancing Translational Sciences of the National Institutes of Health ( TL1TR002016 ) supported graduate students. Research Electronic Data Capture support was received from the Penn State Clinical and Translational Research Institute, Pennsylvania State University Clinical and Translational Science Award, and National Institutes of Health/ National Center for Advancing Translational Sciences ( UL1TR000127 ). The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH. Publisher Copyright: {\textcopyright} 2023 Academic Pediatric Association",
year = "2023",
doi = "10.1016/j.acap.2023.04.011",
language = "English (US)",
journal = "Academic Pediatrics",
issn = "1876-2859",
publisher = "Elsevier Inc.",
}
