BRAZILIAN MOTHERS’ BELIEFS, ATTITUDES AND PRACTICES RELATED TO CHILD WEIGHT STATUS AND EARLY FEEDING WITHIN THE CONTEXT OF NUTRITION TRANSITION

2009 ◽  
Vol 41 (1) ◽  
pp. 21-37 ◽  
Author(s):  
ANA CRISTINA LINDSAY ◽  
MARCIA TAVARES MACHADO ◽  
KATARINA M. SUSSNER ◽  
CARY K. HARDWICK ◽  
LIGIA REGINA FRANCO SANSIGOLO KERR ◽  
...  

SummarySummary. With the rapid pace of the nutrition transition worldwide, understanding influences of child feeding practices within a context characterized by the co-existence of overweight and undernutrition in the same population has increasing importance. This qualitative study describes Brazilian mothers’ child feeding practices and their perceptions of their association with child weight status and explores the role of socioeconomic, cultural and organizational factors on these relationships. Forty-one women enrolled in the Family Health/Community Health Workers Programme were selected from rural, urban, coastal and indigenous areas in Ceara State, north-east Brazil, to participate in four focus group discussions. Content analysis identified fourteen emergent themes showing mothers’ child feeding practices in this setting were influenced by economic resources, mothers’ immediate social support networks (e.g. neighbours and family members) and participation in nutrition assistance programmes. Child malnutrition was the most common nutritional concern; nevertheless, mothers were aware of the negative health consequences of obesity but misunderstood its causes (e.g. foods filled with fat would make a person fat; others thought that birth control pills and stimulants given to children were causes of obesity); several reported their own struggles with overweight. Food assistance programmes emerged as an important influence on children’s dietary adequacy, especially among mothers describing dire economic situations. The findings have implications for targeting food assistance as well as health and nutrition education strategies in low-income families undergoing the nutrition transition in north-east Brazil.

2012 ◽  
Vol 17 (3) ◽  
pp. 661-669 ◽  
Author(s):  
Ana Cristina Lindsay ◽  
Mabel Ferarro ◽  
Alejandra Franchello ◽  
Raul de La Barrera ◽  
Marcia Maria Tavares Machado ◽  
...  

This qualitative study of low-income mothers in Buenos Aires, Argentina, examines the influence of socio-economic conditions, organizational structures, family relationships, and food insecurity on child feeding practices and weight status. Thirty-eight mothers of preschool children living in urban Buenos Aires participated in four focus group discussions. The results indicated that many mothers were aware that obesity may be detrimental to the child's health, but most of them are unclear about the specific consequences. Maternal employment, family pressures, food insecurity and financial worries seem to influence child feeding practices. These findings have important implications for developing strategies for nutritional assistance that could benefit the health of children and provide opportunities for educational programs that are directed to nutritional awareness in Buenos Aires, Argentina. The right to eat regularly and properly is an obligation of the State and must be implemented taking into account the notion of food sovereignty and respecting the importance of preserving the culture and eating habits of a country and its diverse population groups


2013 ◽  
Vol 17 (5) ◽  
pp. 970-978 ◽  
Author(s):  
Ho-Jui Tung ◽  
Ming-Chin Yeh

AbstractObjectiveThe prevalence of overweight and obesity among children is on the rise worldwide. Prior studies find that parents’ child-feeding practices are associated with child weight status and the efficacy of specific parental child-feeding practices can be moderated by parenting styles. In the current longitudinal study, we examined the associations between child-feeding practices and weight status changes over 1 year among a sample of school-aged children in Taiwan.DesignIn autumn 2008, a child-feeding questionnaire and parenting-style questionnaire were administered to parents of the second and fourth graders in an elementary school in Taiwan. The weight and height of the students were measured by a trained school nurse in 2008 and again in 2009.SettingAn elementary school in central Taiwan.SubjectsA total of 465 parent–child pairs were included in the analysis.ResultsUsing a gender- and age-adjusted BMI classification scheme issued by the Taiwan Department of Health, 29·2 % of the students were considered overweight at the 2009 measurement. Controlling for 2008 weight status revealed moderating effects of parenting style on the relationship between child-feeding practices and child weight status. Both authoritative and authoritarian mothers might monitor their children's dietary intake; however, the effectiveness of this practice was better, in terms of weight status control, among the authoritative mothers.ConclusionsFindings suggest that parenting styles have a moderating effect on specific parental child-feeding practices. Parenting styles and parent's feeding practices could be an important focus for future public health interventions addressing the rising childhood obesity epidemic.


Obesity ◽  
2006 ◽  
Vol 14 (3) ◽  
pp. 431-439 ◽  
Author(s):  
Darcy L. Johannsen ◽  
Neil M. Johannsen ◽  
Bonny L. Specker

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 251-251
Author(s):  
Muzi Na ◽  
Lamis Jomaa ◽  
Sally Eagleton ◽  
Jennifer Savage

Abstract Objectives To explore how food security (FS) and food resource management (FRM), strategies to stretch limited food resource dollars, are associated with child feeding practices in low-income preschoolers. Methods In a cross-sectional sample of 364 Head Start households, caregivers completed the 18-item FS module, 6-item FRM behavior subscale, Comprehensive Feeding Practices Questionnaire (e.g., monitoring, restriction, food as reward), and Perceived Stress scale. Households were categorized into four food environment subgroups: FS/good FRM, FS/poor FRM, food insecure/good FRM, and food insecure/poor FRM. Multivariable linear regressions were applied to examine if feeding practices differed across FS-FRM categories, adjusting for demographic and socio-economic covariates that differed significantly by FS-FRM subgroups (race, SNAP participation, parent BMI status). For all models, FS/good FRM was the referent. Lastly, we explored the effect of adding perceived stress to the model. on feeding practices. Results 37% of households were food insecure. The use of parent monitoring, modeling, involvement, and food as reward were significantly different by FS-FRM subgroups (all p-values <0.02). After adjusting for covariates, the FS/poor FRM group used less monitoring (–0.48, 95% CI: –0.71, –0.24), modeling (–0.42, 95CI: –0.66, –0.18), and involvement in feeding (–0.56, 95% CI: –0.80, –0.31). A similar pattern emerged for the food insecure/poor FRM group compared to referent. The use of food as reward was higher in the FS/poor FRM (0.29, 95CI: 0.03, 0.55), food insecure/good FRM (0.39, 95CI: 0.09, 0.70) and food insecure/poor FRM groups (0.33, 95% CI: 0.03, 0.64). These differences observed in feeding practices became insignificant in all but one food insecure subgroup once perceived stress was added to the model. Conclusions Suboptimal child feeding is evident in low-income caregivers with poor FRM skills with or without food insecurity. Promoting FRM skills in addition to addressing FI and stress could potentially synergistically improve child feeding practices in low-income households. Funding Sources This study was funded by USDA's Supplemental Nutrition Assistance Program (SNAP) through the PA Department of Human Services (DHS). This institution is an equal opportunity provider.


2017 ◽  
Vol 31 (S1) ◽  
Author(s):  
Viridiana Luna ◽  
Elizabeth Villegas ◽  
Bridget Hannon ◽  
Amber Hammons ◽  
Michelle Cruz‐Santiago ◽  
...  

Nutrients ◽  
2020 ◽  
Vol 12 (11) ◽  
pp. 3353
Author(s):  
Jeffrey Liew ◽  
Zhiqing Zhou ◽  
Marisol Perez ◽  
Myeongsun Yoon ◽  
Mirim Kim

Pediatric obesity is a serious public health challenge and there is a need for research that synthesizes the various linkages among the child and parental factors that contribute to pediatric overweight and obesity. The main objective of this study was to examine potential mechanisms and pathways that might explain how child temperament is indirectly related to child body composition through appetitive traits and parental child-feeding practices. Participants consisted of 221 children between 4–6 years of age (51% males, mean age = 4.80 years, standard deviation = 0.85) and their parents (90.5% biological mothers, (Mage) = 32.02 years, (SDage) = 6.43) with 71% of the parents being married. Study variables included child temperament (negative affectivity and effortful control), child appetitive traits (food avoidance and food approach), controlling parental child-feeding practices (restrictive feeding and pressure to eat), and child body composition. Body composition were indexed by parent perceptions, body mass index (BMI), and percent body fat. Results showed that children with low levels of effortful control are more prone to exhibit food avoidance, which in turn is likely to elicit parental pressure to eat that in turn is linked to high child weight status. In addition, children with high levels of negative affectivity are prone to exhibit a food approach, which in turn is likely to elicit restrictive feeding from parents that in turn is linked to high child objective weight status. Findings situate controlling parental child-feeding practices in the context of child temperament and appetitive traits using a biopsychosocial framework of appetite self-regulation and weight. Results highlight that child appetite self-regulation processes and parental child-feeding practices could be essential components to target in childhood obesity preventive interventions.


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