Estimating and differentiating maternal feeding practices in a country ranked first in childhood obesity

2019 ◽  
Vol 23 (4) ◽  
pp. 620-630 ◽  
Author(s):  
Ana María Salinas Martínez ◽  
Hid Felizardo Cordero Franco ◽  
Daniela Berenice Estrada de León ◽  
Gloria Estefanía Medina Franco ◽  
Francisco Javier Guzmán de la Garza ◽  
...  
Keyword(s):  
Childhood Obesity ◽  
Convergent Validity ◽  
Maternal Education ◽  
Weight Perception ◽  
Feeding Practices ◽  
Easy Access ◽  
Weight Concern ◽  
Cross Sectional ◽  
Maternal Feeding Practices ◽  
Child’S Weight

AbstractObjective:Mexico ranks first in childhood obesity worldwide. However, little is known about the factors influencing maternal feeding practices. The present study aimed to estimate the prevalence of feeding practices and explore associations between weight concern, weight perception, sociodemographic characteristics and those feeding practices.Design:Cross-sectional.Setting:North-eastern Mexico.Participants:Mothers aged ≥18 years who were in charge of feeding a singleton child aged 2–6 years with no endocrine disease or visible genetic malformations (n 507). Information on six maternal feeding practices, concern and perception of the child’s weight and demographics were collected by interview. The mother’s and child’s height and weight were measured. The feeding practices questionnaire was subject to content, construct and convergent validity analysis. Then, mean feeding scores were obtained and prevalence and 95 % CI were determined for scores ≥3; multivariate logistic regression was performed.Results:Not modelling (63·5 %; 95 % CI 59·2, 67·8 %) and pressuring to eat (55·6 %; 95 % CI 51·2, 60·0 %) were the most frequent feeding practices, followed by easy access to unhealthy foods (45·4 %; 95 % CI 40·9, 49·8 %) and child control (43·2 %; 95 % CI 38·8, 47·6 %). They prevailed despite concern about the child’s excess weight or a perception of the child as overweight/obese. Education was associated with the highest number of practices (educated mothers used more pressuring to eat, less regulation and less easy access; or monitoring was less absent).Conclusions:The frequency of certain feeding practices needs to be improved. Emphasis on the child’s weight concern, obesity perception and maternal education is essential for optimizing intervention planning.

scholarly journals Maternal perception of child weight and concern about child overweight mediates the relationship between child weight and non-responsive feeding practices

2020 ◽  
Author(s):  
Jian Wang ◽  
Daqiao Zhu ◽  
Xuwen Cheng ◽  
Yicong LiuZhou ◽  
Bingqian Zhu ◽  
...  
Keyword(s):  
Weight Perception ◽  
Feeding Practices ◽  
Weight Concern ◽  
List Type ◽  
Maternal Weight ◽  
Child Weight ◽  
Z Scores ◽  
Maternal Feeding Practices ◽  
Child Bmi ◽  
The Relationship

AbstractWe aimed to examine the mediating effects of maternal perception of child weight (weight perception) and concern about overweight (weight concern) on the paths between child weight and non-responsive feeding practices. We recruited a convenience sample of 1164 mothers who were primary caregivers of preschool children. Child body mass index (BMI) Z-score was calculated to assess child weight. The Chinese version of the Child Feeding Questionnaire (C-CFQ) was used to measure four common non-responsive feeding practices, weight perception and weight concern. Structural equation modeling (SEM) was used to examine the associations between child BMI Z-scores, maternal feeding practices, and other covariates. Sixty percent of the mothers perceived their overweight/obese children as normal weight or even underweight. The disagreement between actual child weight and maternal weight perception was statistically significant (Kappa = 0.212, P < 0.001). SEM indicated that weight perception fully mediated the relationship between child BMI Z-scores and pressure to eat. Weight concern fully mediated the relationships between child BMI Z-scores and the other three feeding practices. The serial mediating effects of weight perception and concern were statistically significant for the paths between child BMI Z-score and monitoring (β = 0.035, P < 0.001), restriction (β = 0.022, P < 0.001), and food as a reward (β = -0.017, P < 0.05).ConclusionChild weight may influence maternal feeding practices through weight perception and concern. Thus, interventions are needed to increase the accuracy of weight perception, which may influence several maternal feeding practices and thereby contribute to child health.What is KnownNon-responsive feeding practices may contribute to childhood obesity or eating disorders.Relationships between maternal weight perception and concern, child weight, and feeding practices have been mixed.What is NewChild weight may influence maternal non-responsive feeding practices through maternal weight perception and concern.Interventions are needed to increase the accuracy of caregivers’ perception of child weight which may influence maternal feeding practices and thereby contribute to child health.

scholarly journals Maternal perception of child weight and concern about child overweight mediates the relationship between child weight and feeding practices

2022 ◽  
pp. 1-26
Author(s):  
Jian Wang ◽  
Daqiao Zhu ◽  
Xuwen Cheng ◽  
Yicong LiuZhou ◽  
Bingqian Zhu ◽  
...  
Keyword(s):  
Weight Perception ◽  
Feeding Practices ◽  
Weight Concern ◽  
Mediating Effects ◽  
Maternal Perception ◽  
Child Weight ◽  
Z Scores ◽  
Maternal Feeding Practices ◽  
Child Bmi ◽  
The Relationship

Abstract Objective: To examine the mediating effects of maternal perception of child weight (weight perception) and concern about overweight (weight concern) on the paths between child weight and maternal feeding practices. Setting: Pudong District, Shanghai, China. Participants: A convenience sample of 1164 mothers who were primary caregivers of preschool children. Results: Sixty percent of the mothers perceived their overweight/obese children as normal weight or even underweight. The disagreement between actual child weight and maternal weight perception was statistically significant (Kappa = 0.212, P < 0.001). Structural equation modeling (SEM) indicated that weight perception fully mediated the relationship between child BMI Z-scores and pressure to eat. Weight concern fully mediated the relationships between child BMI Z-scores and the other three feeding practices. The serial mediating effects of weight perception and concern were statistically significant for the paths between child BMI Z-score and monitoring (β = 0.035, P < 0.001), restriction (β = 0.022, P < 0.001), and food as a reward (β = -0.017, P < 0.05). Conclusion: Child weight may influence maternal feeding practices through weight perception and concern. Thus, interventions are needed to increase the accuracy of weight perception, which may influence several maternal feeding practices and thereby contribute to child health.

scholarly journals Fathers’ perception of child's weight and paternal feeding practices in relation to child's gender

2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Stephanie Rahill ◽  
Aileen Kennedy ◽  
John Kearney
Keyword(s):  
Maternal Employment ◽  
Weight Status ◽  
Online Survey ◽  
Feeding Practices ◽  
Normal Weight ◽  
Child Rearing ◽  
Structure Questionnaire ◽  
Cross Sectional ◽  
Likert Scale Response ◽  
Child’S Weight

AbstractThe role of fathers in child rearing has changed in recent years due to an increase in maternal employment, which has increased the prevalence of co-parenting. It is important therefore to establish the role fathers have in feeding their child and how their attitudes and perceptions may influence the strategies they employ during mealtimes. In addition, research suggests that maternal and paternal feeding practices are associated with child's gender and weight status. Therefore, the aim of this research was to investigate the association between fathers’ perception of child's weight and paternal non-responsive and structure-related feeding practices, and the extent to which this is mediated by a child's gender.Cross-sectional data from an Irish sample of fathers, who completed an online survey based on one of their children aged 5–12 years old (n = 155). The Feeding Practices and Structure Questionnaire (FPSQ) assessed paternal feeding practices, and it was validated for use within this sample. A 5-point Likert scale response ranging from Very Underweight to Very Overweight to the question “Do you think your child is . . ?” assessed fathers’ perception of child's weight. Associations were assessed using multiple linear regressions.Fathers who perceived their sons as underweight reported higher levels of rewarding the child to eat (β = .24; p = 0.04) and overt restriction (β = .27; p = 0.03) than fathers who perceived their sons to be normal weight. Fathers who perceived their sons as overweight reported higher levels of overt restriction (β = .26; p = 0.04) than fathers who perceived their son to be normal weight. In relation to daughters, fathers who perceived them as underweight reported higher levels of both reward for behaviour (β = .28; p = 0.006) and reward for eating (β = .20; p = 0.04), while fathers who perceived their daughters as overweight reported lower levels of structured mealtimes (β = -.27; p = 0.012) compared to fathers who perceived their daughter as normal weight.Findings suggest that paternal perception of child's weight influences the type of feeding practices utilised by fathers, with the child's gender a mediating influence on reported specific feeding practices. Overall, fathers who perceive their son or daughter to be underweight or overweight appear to engage in more non-responsive and less structure-related feeding practices than fathers who perceive their child to be normal weight.

scholarly journals Maternal Feeding Practices and Childhood Obesity

1998 ◽  
Vol 152 (10) ◽  
Author(s):  
Amy E. Baughcum ◽  
Kathleen A. Burklow ◽  
Cindy M. Deeks ◽  
Scott W. Powers ◽  
Robert C. Whitaker
Keyword(s):  
Childhood Obesity ◽  
Feeding Practices ◽  
Maternal Feeding Practices

scholarly journals Associations between infant and maternal characteristics measured at child age 5 months and maternal feeding styles and practices up to child age two years

PLoS ONE ◽  
2022 ◽  
Vol 17 (1) ◽  
pp. e0261222
Author(s):  
Christine Helle ◽  
Elisabet R. Hillesund ◽  
Nina C. Øverby
Keyword(s):  
Maternal Education ◽  
Longitudinal Design ◽  
Controlled Trial ◽  
Feeding Practices ◽  
Overweight And Obesity ◽  
Maternal Characteristics ◽  
Feeding Styles ◽  
Maternal Feeding Practices ◽  
The Impact ◽  
Child Age

Facilitating positive feeding practices from infancy may be an important strategy to prevent childhood overweight and obesity. Since the feeding situation early in life constitutes a bidirectional relationship, it is important to understand the impact of both maternal and infant characteristics on maternal feeding practices to intervene in a customized and tailored way. Few studies have concurrently examined associations between maternal and infant characteristics in relation to early maternal feeding practices. The aim of the present study was to explore potential associations between infant and maternal characteristics measured at child age five months, and maternal feeding styles and practices during the child’s first two years. Cross-sectional data from a Norwegian randomized controlled trial in which participants responded to questionnaires at child age 5 months (n = 474), 12 months (n = 293) and 24 months (n = 185) were used to explore potential associations. All maternal and child predictor variables were collected at child age five months. Maternal feeding styles and practices were mapped using subscales from the Infant Feeding Questionnaire at child age 5 and 12 months and the Child Feeding Questionnaire and the Parental Feeding Style Questionnaire at child age 24 months. The subscale-scores were split into roughly equal tertiles, and the upper or lower tertile for the outcome of interest were used to create binary outcome variables. Multivariable binary logistic regression models were conducted for each outcome. We found that maternal education and mental health symptoms as well as infant weight, temperament and feeding mode were associated with maternal feeding styles and practices over time. Our findings indicate that risk factors which may have long-term implications for child weight and health outcomes can be identified early. Larger, population-based studies with a longitudinal design are needed to further explore these pathways.

scholarly journals Maternal Feeding Practices among Children with Feeding Difficulties—Cross-sectional Study in a Brazilian Reference Center

2018 ◽  
Vol 5 ◽  
Author(s):  
Rachel H. V. Machado ◽  
Abykeyla M. Tosatti ◽  
Gabriela Malzyner ◽  
Priscilla Maximino ◽  
Cláudia C. Ramos ◽  
...  
Keyword(s):  
Feeding Practices ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Reference Center ◽  
Feeding Difficulties ◽  
Maternal Feeding Practices

scholarly journals Peruvian Parents Perceptions of Children's Obesity

2020 ◽  
Vol 18 (1) ◽  
pp. 17-28
Author(s):  
Kathleen M. Trejo ◽  
Mary Shaw-Ridley
Keyword(s):  
Childhood Obesity ◽  
Parental Behavior ◽  
Parental Knowledge ◽  
Urban Slum ◽  
Cross Sectional Study ◽  
Healthy Weight ◽  
Cross Sectional ◽  
And Behaviors ◽  
Knowledge And Attitude ◽  
Child’S Weight

Although parents are critical to childhood obesity prevention, little is known about Peruvian parents' perceptions regarding childhood obesity, a country undergoing an emerging obesity epidemic. The study assessed Peruvian parents' perceptions regarding their children's obesity risks and behaviors. The specific objectives were to: (a) assess the knowledge, attitudes, and behaviors of parents regarding nutrition and physical activity of their preschool-aged children, and (b) assess parents’ ability to recognize overweight status in their children. Methods: The cross-sectional study surveyed 202 parents of preschool children (Mean age= 49.4 months, SD = 8.5) in the peri-urban slum communities of Lima, Peru utilizing a modified version of the Behavior and Attitudes Questionnaire for Healthy Habits (BAQ-HH) questionnaire. Children's body mass index (BMI) was compared with parental descriptions of the child's weight. Results: Nearly half (41.3%) of children had exceeded healthy weight (defined as BMI- for-age Z- score >-2 and £1). Parents demonstrated high knowledge, positive behaviors, and concerned attitudes. Parental knowledge and attitude scores predicted parental behavior scores (p=0.004). More than half (56.6%) accurately perceived their child's weight. However, 90.4% of parents of overweight/obese children underestimated their weight. Conclusions: Understanding Peruvian parents' perceptions of their children's obesity risk is essential to planning comprehensive interventions.

scholarly journals Anthropometric, lifestyle and parental characteristics associated with the prevalence of energy intake misreporting in children: the GRECO (Greek Childhood Obesity) study

2015 ◽  
Vol 113 (7) ◽  
pp. 1120-1128 ◽  
Author(s):  
Paul Farajian ◽  
Vassiliki Bountziouka ◽  
Grigoris Risvas ◽  
Demosthenes B. Panagiotakos ◽  
Antonis Zampelas
Keyword(s):  
Childhood Obesity ◽  
Energy Intake ◽  
Maternal Education ◽  
Multinomial Logistic Regression ◽  
Study Data ◽  
The Body ◽  
Cross Sectional ◽  
Multinomial Logistic Regression Analysis ◽  
Weight Satisfaction ◽  
Parental Characteristics

The objectives of the present study were to identify childhood energy misreporting, and evaluate characteristics that are associated with its prevalence in a nationwide cross-sectional sample of Greek schoolchildren. Under the context of the GRECO (Greek Childhood Obesity) study, data from a total of 4547 children aged 10–12 years and 2318 parents were included in the analysis. Anthropometric, lifestyle and parental characteristics plus psychological concerns were investigated in relation to the prevalence of energy misreporting. Of the included children, 36 % were classified as energy under-reporters and 16 % as over-reporters. Multinomial logistic regression analysis revealed that the most important predictors of energy under-reporting (URP) were children's BMI (OR 1·11, 95 % CI 1·09, 1·14) and weight satisfaction (OR 0·87, 95 % CI 0·78, 0·97). In the case of energy over-reporting (ORP), children's BMI (OR 0·87, 95 % CI 0·84, 0·90), meal and snack consumption frequency (OR 1·52, 95 % CI 1·32, 1·75), female sex (OR 0·65, 95 % CI 0·45, 0·90), and maternal education (OR 0·95, 95 % CI 0·91, 0·99) remained as significant predictors. Additionally, parental perception that the body weight of their children was normal reduced the odds of URP (OR 0·69, 95 % CI 0·48, 0·99) and ORP (OR 0·53, 95 % CI 0·31, 0·93). In conclusion, the present study confirms that the issue of URP and ORP in childhood populations is evident and quite serious. Although there are no definite guidelines on how to use data obtained from misreporters in an epidemiological dataset, validity of reported energy intake seems to be influenced by children's BMI and weight satisfaction, as well as by parental perceptions regarding their children's weight.

scholarly journals Accuracy of anthropometric measurements and weight status perceptions reported by parents of 4-year-old children

2019 ◽  
Vol 23 (4) ◽  
pp. 589-598
Author(s):  
María D Esteban-Vasallo ◽  
Ignacio Galán ◽  
Maira A Ortiz-Pinto ◽  
Amelia Astray San Martín ◽  
Eva M Cabrero López ◽  
...  
Keyword(s):  
Primary Care Physicians ◽  
Weight Status ◽  
Who Classification ◽  
Task Force ◽  
Weight Perception ◽  
Cross Sectional ◽  
Sentinel Network ◽  
Child Weight ◽  
Prevalence Of Obesity ◽  
Child’S Weight

AbstractObjective:To assess the validity of self-reported height and weight by parents of 4-year-old children and subjective weight perception.Design:Descriptive cross-sectional study.Setting:Paediatric population living in the Autonomous Community of Madrid.Participants:Children born in 2008–2009 examined at 47–59 months of age. Data were collected by paediatricians of the Madrid Primary Care Physicians Sentinel Network. Parents reported weight and height data. Prevalence of weight status categories was calculated using WHO and International Obesity Task Force (IOTF) reference criteria. Sensitivity, specificity and positive predictive value (PPV) were estimated. The appraisal of their child’s weight perception and parental misperception were assessed.Results:For 2914 children, reported height was underestimated by −1·38 cm, weight by −0·25 kg and BMI was overestimated by +0·41 kg/m2 on average. The prevalence of obesity estimated with reported data was 2·7 times higher than that calculated with measured data (16·2 v. 6·0 %) according to WHO classification, and 3·6 times higher with IOTF classification. Sensitivity to identify obesity was 70·5 %, specificity was 87·3 % and PPV was 26·2 % (WHO classification). Half of the parents of pre-schoolers with obesity failed to identify their child’s weight status. Parental misperception among children classified as having overweight or obesity reached 93·0 and 58·8 %, respectively.Conclusions:Parents underestimated children’s height and weight, leading to an overestimation of the prevalence of obesity. Small inaccuracies in reported measures have an important effect for the estimation of population prevalences. Parents’ report of child weight status is unreliable. Parental awareness and acknowledgement of child weight status should be improved.

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