The Satter Feeding Dynamics Model
The Satter Feeding Dynamics Model (fdSatter) illustrates that when parents feed according to a developmentally appropriate Division of Responsibility in Feeding (sDOR),1-3 children gradually accumulate attitudes and behaviors that characterize adult Eating Competence. sDOR encourages parents to take leadership with the what, when, and where of feeding and give children autonomy with the how much and whether of eating.1
What can Eating Competent4 children do?
- Feel good about eating and have the drive to eat.5
- Naturally eat as much as they need 6-10 and grow in the way that is right for them.11-15
- Show us how to feed them as they grow and develop.16-18
- Learn to eat the food their parents eat.5,19-22
- Enjoy family meals and learn to behave well at mealtime.
Agencies recognize sDOR as best practice
- The Academy of Nutrition and Dietetics,23-25
- The American Academy of Pediatrics26,27
- Expert committee on child obesity28
- Head Start29
- WIC: the Special Supplemental Nutrition Program for Women, Infants, and Children30
- USDA Food and Nutrition Service.31
sDOR can soon be directly tested
An instrument for directly testing sDOR, the Satter Feeding Dynamics Inventory, fdSI, has been developed based on cognitive interviewing32 and will soon be validated using videotaped parent-child interactions around feeding.
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- Satter EM. Eating Competence: definition and evidence for the Satter Eating Competence Model. J Nutr Educ Behav. 2007;39:S142-S153.
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- Butte N, Cobb K, Dwyer J, Graney L, Heird W, Rickard K. The Start Healthy Feeding Guidelines for Infants and Toddlers. J Am Diet Assoc. Mar 2004;104(3):442-454.
- Krebs NF, Jacobson MS, American Academy of Pediatrics Committee on N. Prevention of pediatric overweight and obesity. Pediatrics. Aug 2003;112(2):424-430.
- Hagan JF, Shaw JS, Duncan PM. Bright Futures Nutrition, Guidelines for Health Supervision in Infants, Children, and Adolescents, 3rd ed. Elk Grove Village, IL,: American Academy of Pediatrics; 2008.
- Barlow SE, and the Expert C. Expert Committee Recommendations Regarding the Prevention, Assessment, and Treatment of Child and Adolescent Overweight and Obesity: Summary Report. Pediatrics. 2007;120(Supplement_4):S164-192.
- United States Department of Health and Human Services Administration for Children and Families. Head Start Program: Child Nutrition. 1304.23. 2009. Available at http://eclkc.ohs.acf.hhs.gov/hslc/standards/hspps/1304/1304.23%20child%20nutrition..htm
- Committee on Dietary Risk Assessment in the WIC Program. Dietary Risk Assessment in the WIC Program. In: Institute of Medicine Food and Nutrition Board. National Academy Press, Washington, DC, 2002.
- USDA, FNS. Maximizing the message: Helping moms and kids make healthier food choices. FNS-409. 2012 http://www.fns.usda.gov/fns/corenutritionmessages/Maximizing.htm .
- Lohse B, Satter E, Arnold K. Development of a tool to assess adherence to a model of the division of responsibility in feeding young children: using response mapping to capacitate validation measures. Child Obes. 2014;10:153-168.