scholarly journals Parental Feeding Behaviors Associated with Children's Willingness to Try New Foods and Body Mass Index (BMI)

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 941-941
Author(s):  
Farah Behbehani ◽  
Kristen Hurley ◽  
Maureen M Black

Abstract Objectives To examine associations between parental feeding behaviors and preschool children's willingness to try new foods (WTNF) and body mass index (BMI). Methods This study used baseline data collected from parents and children in childcare centers. Parents completed the Comprehensive Feeding Practices Questionnaire (CFPQ). We measured children's height and weight, calculated BMI z-scores (BMIz) and percentiles (%ile) using CDC criteria, and assessed WTNF by offering 6 novel and 3 familiar foods. Confirmatory factor analysis was conducted to examine the goodness of fit of the 8-subscales (child control, emotion regulation, involvement, modeling, monitoring, pressure to eat, restriction for health, and restriction for weight control) from the CFPQ. Logistic regressions was employed to examine the association between parents’ CFPQ scores and children's WTNF (dichotomized as high: tried ≥3 novel foods vs. low: tried <3 novel foods), and linear regressions to examine the association between parents’ CFPQ scores and child BMI, adjusting for child sex, age, race, full-time childcare center attendance [≥40 hours/week (hrs/wk)], and household income. Results The sample included 407 children (aged 48.2 ± 0.4 months) and their primary caregiver from 51 childcare centers. Majority of children were Caucasian (64%) and spent at least 40 hrs/wk at the childcare center (69%); 24% had BMI ≥85th %ile with mean BMIz of 0.36 (SD = 1.05). After dropping 3-items from the CFPQ due to low factor loadings (<0.4, n = 2) or theory (n = 1), the original 8-subscale structure demonstrated good model fit (RMSEA = 0.05, CFI = 0.97, TLI = 0.97, and SRMR = 0.07). Children of parents with elevated scores on the restriction for weight subscale had 1.53 (95% CI: 1.08–2.16) greater odds of high WTNF and 0.46 (95% CI: 0.30–0.63) increase in BMIz, compared to children of parents with low subscale scores. Conclusions Children of parents who restrict foods in an attempt to control their child's weight are more likely to try new foods in a childcare setting without parents present, and are likely to be heavier. Longitudinal research is needed to determine the direction of the associations and how they relate to maternal and child characteristics (e.g., perceived or real child weight and eating behaviors). Funding Sources National Institute of Diabetes and Digestive and Kidney Diseases.

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 393-393
Author(s):  
Farah Behbehani ◽  
Kristen Hurley ◽  
Maureen M Black

Abstract Objectives To examine how children's willingness to try new foods (WTNF) is related to diet quality and body mass index. Methods Participants included children (n = 402), ages 3–5 y, recruited from childcare centers participating in baseline assessment of a randomized controlled trial to evaluate strategies to promote the development of healthy eating behaviors. Children's intake of fruit, vegetables, sweets, and salty snacks was measured through a short food frequency questionnaire administered to parents and a diet quality score (DQS) was generated. Children's height and weight were measured, and body mass index z-scores (BMIz) was calculate using CDC criteria. Children's WTNF was assessed by offering 6 novel and 3 familiar foods during a food tasting activity administered in the childcare center. Poisson regressions were used to examine the association between children's WTNF (dichotomized as high: tried ≥ 3 novel foods vs. low: tried < 3 novel foods) and children's weekly intake of each food group. An ordinal regression was used to examine the association between children's WTNF and DQS. Linear regressions were used to examine the association between children's WTNF and BMIz. All analyses were adjusted for child sex, age, race, and household income, parent BMI was also adjusted in models including child BMI. In all models, standard errors were adjusted for clustering within childcare centers, the unit of randomization. Results Children who demonstrated high WTNF consumed 1.24 (95% CI: 1.11–1.38) times more servings of vegetables per week, and had a 1.53 (95% CI: 1.03–2.26) greater odds of having a higher diet quality score compared to children who demonstrated low WTNF. Children's WTNF was not significantly associated with children's intake of fruits, salty snacks, or sweets, or related to their BMIz. Conclusions Diet quality is compromised by children's lower WTNF. Future studies are needed to investigate strategies that promote children's WTNF such as vegetables, and examine whether the relation between low willingness to try new foods and poor diet quality influences child weight outcomes prospectively across childhood. Funding Sources National Institute of Diabetes and Digestive and Kidney Diseases.


2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 940-940
Author(s):  
Farah Behbehani ◽  
Kristen Hurley ◽  
Maureen M Black

Abstract Objectives Parental feeding behaviors influence the development of children's dietary behaviors. Less is known about the influence of feeding behaviors used by childcare staff. This study aimed to examine the psychometric properties of the feeding-related subscales of the Childcare Food and Activity Practices Questionnaire (CFAPQ), a scale developed and validated in the Netherlands, for use among staff members caring for 3–5 year olds in 46 childcare centers across Maryland. Methods A confirmatory factor analysis (CFA) was performed with childcare staff (n = 136) to evaluate the goodness of fit of the original 7-factor, 40-item structure of the CFAPQ feeding-related subscales. Because the original factor structure was not confirmed, an exploratory factor analysis (EFA) was conducted to identify an alternative underlying factor structure. Pearson correlations between subscales were examined to identify if the factors related to one another in theoretically expected ways. Results The 7-factor, 40-item structure of the original CFAPQ was not confirmed by the CFA (Model fit: RMSEA = 0.14, CFI = 0.72, TLI = 0.69, and SRMR = 0.18). A revised 4-factor model with 22 items was confirmed (Model fit: RMSEA = 0.079, CFI = 0.96, TLI = 0.96, and SRMR = 0.09). The internal consistency of factors in the revised model was moderate to good (Cronbach's α = 0.63–0.81). The 4 factors include: 1) Responsive (8-items; staff encouragement surrounding healthy food intake); 2) Controlling (5-items; staff applying food related pressure or restriction); 3) Indulgent (5-items; staff using foods as reward or to regulate the child's emotional state); and 4) High engagement (4-items; staff involvement in children's snacks and meals). Correlations between factors indicated convergent and discriminant validity in theoretically expected directions. Indulgent was significantly negatively related to responsive (r = −0.39, P < 0.01). Controlling was significantly positively related to high engagement (r = 0.22, P < 0.01). Conclusions Among this sample of childcare staff, a 4-factor, 22-item structure was a better fit than the original 7-factor, 40-item structure of the CFAPQ feeding subscales. Robust psychometric properties ensure that scales are measuring what they claim. Funding Sources National Institute of Diabetes and Digestive and Kidney Diseases.


2010 ◽  
Vol 71 (4) ◽  
pp. 178-178 ◽  
Author(s):  
Catherine Shea ◽  
John J. M. Dwyer ◽  
Elizabeth Shaver Heeney ◽  
Richard Goy ◽  
Janis Randall Simpson

Author(s):  
Kristina D Lowe ◽  
Mark A Lott ◽  
Chad D Jensen

Abstract Objective  This study evaluated associations between parent–child connectedness and communication, parent feeding behaviors (restriction, pressure to eat, and monitoring), and age- and sex-standardized child body mass index (zBMI) in a sample of pre-adolescent children aged 8–12 years. Methods  A community sample of three hundred and eight child–parent dyads completed measures of communication and connectedness. Parents completed a feeding behavior measure and children were weighed and their height was measured. We examined whether parental feeding behaviors and parent–child communication and connectedness predicted child zBMI and whether parental feeding behaviors moderated the association between parent–child communication and connectedness and child zBMI. Results  Feeding restriction was positively associated with zBMI, while both pressure to eat and food monitoring exhibited negative associations with zBMI. Child-reported communication was inversely associated with zBMI and parental pressure to eat moderated this association such that lower pressure to eat predicted a stronger association between communication and zBMI. Conclusions  These findings are consistent with previous research suggesting that parent feeding strategies and parent–child communication are important contributors to child weight status. This study also provides preliminary evidence suggesting that adaptive parent–child communication is associated with lower body mass when parents avoid pressuring their child to eat. Our study provides an important extension of this body of research into middle childhood, a relatively understudied developmental stage.


Nutrients ◽  
2019 ◽  
Vol 11 (8) ◽  
pp. 1751 ◽  
Author(s):  
Janina Eichler ◽  
Ricarda Schmidt ◽  
Tanja Poulain ◽  
Andreas Hiemisch ◽  
Wieland Kiess ◽  
...  

(1) Background: Parental feeding practices are related to child body mass index (BMI, kg/m2) and seem to be a consequence rather than cause of child BMI, but research so far is limited. Stability and continuity of feeding practices, probably explaining changes in food intake and child BMI, remain to be poorly examined. (2) Methods: Feeding practices (i.e., restriction, food as reward, pressure to eat, monitoring) assessed via the Child Feeding Questionnaire, child age, standardized BMI (zBMI), and socio-economic status were measured annually at multiple visits (range 2–8) in a population-based longitudinal cohort study of 1512 parents with their children aged 2 to 12 years. Stability, continuity, and bi-directionality of feeding practices and child zBMI were calculated using correlation coefficients, paired t tests, and cross-lagged panels, respectively. (3) Results: Feeding practices and child zBMI showed moderate to high stability. While continuity was high for restriction, minor temporal changes were observed for other feeding practices and child zBMI. Cross-lags indicated that child zBMI predicted restriction, pressure to eat, and monitoring, while food-rewarding predicted child zBMI only minorly. (4) Conclusions: Parents seem to adapt feeding practices to child zBMI with the exception of food-rewarding.


2020 ◽  
Vol 26 (3) ◽  
pp. 369-377
Author(s):  
Akçil Ok Mehtap ◽  
◽  
Hayzaran Melisa ◽  

Introduction: This study was carried out to determine the validity and reliability of the Turkish culture-adapted version of “Power of the Food Scale” (PFS), which was originally developed by Lowe et al. (2009). In addition, associations between body mass index (BMI) and PFS scores were assessed. Methods: The study sample consisted of a total of 363 volunteering students aged >18 years, who were studying at the Bas¸kent University in Turkey. Validity and reliability analyses were conducted for the Turkish version of the PFS. Results: The correlations of each item in the PFS with the total score were found to be positive and >0.30. The Cronbach’s alpha value was determined as 0.85. The construct validity of the scale was analysed with confirmatory factor analysis. The Adjusted Goodness of Fit Index was 0.97 and the Root Mean Square Error of Approximation was 0.07. These fit indices of the model confirmed the construct validity of the PFS. A positive and statistically significant correlation was found between BMI values of the students and the total score of the scale (r=0.157; p=0.003). Conclusion: The findings obtained in this study have laid out that the Turkish Power of Food Scale (T-PFS), which was adapted to Turkish culture from PFS, is a valid and reliable measurement tool that can be applied in Turkey. Thus, T-PFS is thought to be likely to contribute to studies aiming to determine the status of hedonic hunger.


2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Oloruntoba A. Ekun ◽  
Isiaq T. Salau ◽  
Nora C. Madu

Background: Hypertension is a chronic disease that has been recognized as an important global public health disorder. It is a leading risk factor for stroke, heart failure, kidney diseases, and sudden death; as such its effective management may go a long way in preventing some of these possible complications. In humans, trace elements play key roles in normal metabolic activities that are required for healthy living. It has been hypothesized that trace elements are key to normal heart functions. Thus, deficiency in one or more trace elements may result(s) in or accentuate heart disease(s). This study, therefore, assessed trace elements in hypertensive and control volunteers. Methods: A total number of two hundred and fifty-six(256) participants comprising of one hundred and sixtynine (169) hypertensive and eighty-seven (87) normotensive control volunteers participated in this study. Anthropometric data and blood samples were collected from all participants. The blood samples were collected into plain vacutainer and were allowed to clot. The samples were centrifuged and the serum from each sample was aspirated and analyzed for trace elements {Selenium (Se), Copper (Cu), Zinc (Zn), Iron (Fe)} using atomic absorption spectrophotometer and calcium using Cobas C-111. Results: There was no significant difference (p>0.05) between the mean age and weight of the participants. However, the mean body mass index (BMI), systolic, and diastolic blood pressure in hypertensive volunteers were significantly higher (p<0.05) than the controls. The mean Cu and Fe were higher (p<0.05) in hypertensive volunteers whereas the mean Zn, Se, and calcium were not different (p>0.05) between the two groups that participated in this study. There were positive associations between body mass index, systolic blood pressure (p<0.05), and Cu whereas negative correlations existed between body mass index, Zn, and Se, among hypertensive volunteers. Conclusion: From this study, it appears that high blood pressure among Nigerian population is associated with elevated serum copper (Cu) and iron (Fe) trace elements. These may play a part in accentuation of hypertension in some of the volunteers if not properly monitored. Also hypertensive individuals also presented an increased body mass index (BMI) which could also complicate effective management of hypertension .


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