Preschoolers BMI: Associations with Patterns of Caregivers' Feeding Practices Using Structural Equation Models.

Background: Childhood obesity is a major health concern. Caregivers' feeding practices are modifiable targets of obesity prevention. The study tested two hypotheses: (1) autonomy-promoting feeding practices are associated with lower BMI; and (2) diet mediates the association. We also explored examined whether feeding practices and BMI z-score (BMIz) associations are moderated by child sex, caregiver race, education, family poverty level, and food insecurity. Methods: Cross-sectional study of 437 preschoolers (44.4% girls, 38.2% Black/Other, mean age 48.1 months) and caregivers (90.2% female) from 50 child care centers. Feeding Practices were measured by Comprehensive Feeding Practices Questionnaire, child-size perception by preschooler silhouettes, temperament by the Behavior Rating Inventory of Executive Function, child diet by Young Children Food and Drink Questionnaire, and BMIz by measured weight and height. Latent profile analysis delineated feeding practice patterns. Structure equation modeling assessed the patterns in relationship to BMIz. Mediation and multiple-group analyses were used to assess mechanisms of feeding practice patterns and BMIz association. Results: From the three feeding practice patterns, Controlling, Balancing, and Regulating, Regulating was associated with lower child BMIz (b = -0.09) compared to Controlling. Higher difficult temperament (b = 0.09), higher caregiver BMIz (b = 0.26), and caregiver desire for thinner (b = 0.23) were associated with BMIz (p < 0.05). Evaluations of moderators and mediators were not significant. Conclusions: Comprehensive feeding practices support family factors related to child BMIz. Longitudinal research is needed to examine temporal associations between feeding practices and BMIz, with attention to autonomy-supporting practices, promotion of young children's self-regulation, and caregivers' perceptions of child temperament and size. Trial Registration: NCT03111264

An Infrared Survey of Brightest Cluster Galaxies. II. Why are Some Brightest Cluster Galaxies Forming Stars?

Quillen et al. presented an imaging survey with the Spitzer Space Telescope of 62 brightest cluster galaxies with optical line emission located in the cores of X-ray-luminous clusters. They found that at least half of these sources have signs of excess IR emission. Here we discuss the nature of the IR emission and its implications for cool core clusters. The strength of the mid-IR excess emission correlates with the luminosity of the optical emission lines. Excluding the four systems dominated by an AGN, the excess mid-IR emission in the remaining brightest cluster galaxies is likely related to star formation. The mass of molecular gas (estimated from CO observations) is correlated with the IR luminosity as found for normal star-forming galaxies. The gas depletion timescale is about 1 Gyr. The physical extent of the IR excess is consistent with that of the optical emission-line nebulae. This supports the hypothesis that star formation occurs in molecular gas associated with the emission-line nebulae and with evidence that the emission-line nebulae are mainly powered by ongoing star formation. We find a correlation between mass deposition rates () estimated from the X-ray emission and the star formation rates estimated from the IR luminosity. The star formation rates are 1/10 to 1/100 of the mass deposition rates, suggesting that the reheating of the intracluster medium is generally very effective in reducing the amount of mass cooling from the hot phase but not eliminating it completely