scholarly journals Maternal Feeding Styles and Food Parenting Practices as Predictors of Longitudinal Changes in Weight Status in Hispanic Preschoolers from Low-Income Families

2016 ◽  
Vol 2016 ◽  
pp. 1-9 ◽  
Author(s):  
Sheryl O. Hughes ◽  
Thomas G. Power ◽  
Teresia M. O’Connor ◽  
Jennifer Orlet Fisher ◽  
Tzu-An Chen

Objective. The aim was to investigate the influence of feeding styles and food parenting practices on low-income children’s weight status over time.Method. Participants were 129 Latina parents and their Head Start children participating in a longitudinal study. Children were assessed at baseline (4 to 5 years old) and again eighteen months later. At each time point, parents completed questionnaires and height and weight measures were taken on the child.Results. The indulgent feeding style (parent-report at baseline) was associated with increased child BMIz-score eighteen months later compared to other feeding styles. Authoritative, authoritarian, and uninvolved feeding styles were not significantly associated with increased child BMIz-score. Child BMIz-score at Time 1 (strongest) and maternal acculturation were positive predictors of child BMIz-score at Time 2. Maternal use of restriction positively predicted and maternal monitoring negatively predicted Time 2 BMIz-score, but only when accounting for feeding styles.Conclusion. This is the first study to investigate the impact of feeding styles on child weight status over time. Results suggest that indulgent feeding predicts later increases in children’s weight status. The interplay between feeding styles and food parenting practices in influencing child weight status needs to be further explored.

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1666-1666
Author(s):  
Adeyosola Oke ◽  
Marcela Vizcarra Catalan ◽  
Maria Stecher ◽  
Carolina Navarro ◽  
Andiara Schwingel

Abstract Objectives To evaluate the moderating effect of feeding styles on the association between satiety responsiveness and child BMI z-scores in children aged 3-to-5 in Santiago, Chile. Methods Participants were recruited from childcare centers serving low- and middle-income families in 2017 and 2018. During a face-to-face individual interview, the Caregiver Feedings styles Questionnaire and food responsiveness subscale of the Child Eating Behavior Questionnaire were applied to parents. Weight and height were obtained for children and caregivers. Multiple linear regressions were conducted to test the moderating effect of feeding styles on the relationship between satiety responsiveness and child BMI z-scores. Results 92.5% of caregivers were mothers, the parent BMI was 29.2 (SD = 5.7). No feeding style moderated the association between satiety responsiveness and BMI z-score Satiety responsiveness had a significant main effect on child BMI z score. None of the feeding styles was significantly associated with child BMI z-score. Only satiety responsiveness was significantly associated with child BMI z score (B = –.32, P < 0.05) after controlling for parent BMI (B = .047, P < .05). This model accounted for 12% of the variance of the child BMI z-score. 1.1% of the children were underweight, 22.4% normal, 37.9% overweight and 38.5% obese Conclusions Parent perceptions of higher satiety responsiveness suggests an association with lower child BMI z-scores. This study suggests that how children respond to food may play an important role in explaining child weight status. than the parent's or caregiver style of feeding in determining a child's weight status. Further research is required to discard interaction effects between appetite traits and feeding styles to explain child weight status. Funding Sources National Comission of scientific Research and Technology (CONICYT) and its Becas Chile program 2016 (#72,110,561) Center of Latin American Studies (CLACS) University of Illinois at Urbana-Champaign.


Author(s):  
Sheryl O. Hughes ◽  
Thomas G. Power ◽  
Teresia M. O’Connor ◽  
Jennifer O. Fisher ◽  
Nilda E. Micheli ◽  
...  

Abstract Background The home environment is a central and modifiable influence on the development of childhood obesity. Evidence supports the central role of parents in shaping problematic child eating behaviors and excess weight. Most studies of feeding emphasize parent-driven influences without taking into account the child’s role in eating interactions. Few studies have addressed the bi-directional nature of feeding dynamics in studies of young children. Methods The goals of this study were: 1) to examine if parental feeding styles during preschool (4–5 years) predict child weight status at 7–9 years, and 2) to examine the direction of effects between parental feeding styles and child weight status over time. Participants were part of a larger longitudinal study of Hispanic Head Start families living in the West South Central United States. Data from mother/child dyads were collected at three time points: Time 1 (ages 4–5), Time 2 (ages 5 ½-6 ½), and at Time 3 (ages 7–9). Only data from the Times 1 and 3 were used in the current analyses. A total of 128 mothers and their children had data on all variables needed for the analyses. Assessments included parent-reported feeding styles, feeding practices, acculturation, child eating behaviors, and child height and weight. Hierarchical regression was used to examine the first aim; a cross-lagged panel analysis examined the second aim. Results An indulgent parental feeding style at ages 4–5 was associated with increased child BMI z-score at ages 7–9. Indulgent feeding significantly contributed to child BMI z-score beyond demographics, baseline child BMI z-score, parental acculturation, and child eating behaviors. Regarding the direction of effects in parental feeding interactions, the cross-lagged analyses showed that both indulgent feeding style and authoritative feeding style at Time 1 positively predicted child BMI z-scores at Time 3. Child effects were significant as well. Child BMI z-score at Time 1 positively predicted indulgent feeding and negatively predicted authoritarian feeding at Time 3. Conclusions Indulgent feeding should be addressed in future family-focused childhood obesity initiatives focused on young children and their parents.


2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Marcela Vizcarra ◽  
Po-Chia Tseng ◽  
Ruopeng An

Abstract Objectives The prevalence of obesity in children of Latin American and Caribbean countries (LAC) has increased, becoming a public health priority while undernutrition is decreasing. Associations between caregiver's feeding practices (FP) and feeding styles (FS) with child BMI and/or overweight/obesity (OW/OB) have been reported in developed countries, but little is known in LAC. This review synthesizes the existing evidence on the associations between caregiver's FP and FS with weight status of 2-to-12-year-old children in LAC. Methods The study eligibility criteria included 2-to-12-year-old children and their parents/caregivers; LAC/nationality; Child weight status (CWS) as main outcome; peer-reviewed publications; and articles in English or Spanish. Keywords and MESH terms involving FS and FP, childhood stage, and CWS were used to search in PubMed. The key words were adjusted to search until March 2018 in the Web of Science, PsycINFO, and CINAHL. Titles and abstracts of the articles were screened against the selection criteria. Two researchers independently screened titles and abstracts and conducted the retrieval. A full-text-evaluation was conducted on potentially relevant papers. Results Among 1237 articles identified, 25 were full-text revised and 6 were finally selected. Among the 6 articles, 5 were cross-sectional and 1 was case-control. The studies were conducted in Chile, Mexico and Brazil and involved self-report measures of FP and FS. 5 studies reported a positive association between restrictive parental feeding and higher child BMI z-score or higher likelihood of being OW/OB. While 1 study found pressure to eat negatively associated with child BMI z-score, 1 study found uninvolved and indulgent FS associated with higher child BMI. Conclusions Restrictive feeding, and indulgent and uninvolved FS have been linked to heavier weight or higher risk of being OW/OB in children of LAC. The research of the associations between FP and FS with CWS is scarce and limited to three countries. In addition, most studies are cross-sectional, which does not permit to establish the direction of the effect. Therefore, longitudinal studies are needed to improve understanding of causal relations and stability of FP and FS; finally, studies involving observations to compare with self-report measures of FP and PS are also needed. Funding Sources CONICYT Becas Chile Grant number 72170608.


2014 ◽  
Vol 84 (5-6) ◽  
pp. 244-251 ◽  
Author(s):  
Robert J. Karp ◽  
Gary Wong ◽  
Marguerite Orsi

Abstract. Introduction: Foods dense in micronutrients are generally more expensive than those with higher energy content. These cost-differentials may put low-income families at risk of diminished micronutrient intake. Objectives: We sought to determine differences in the cost for iron, folate, and choline in foods available for purchase in a low-income community when assessed for energy content and serving size. Methods: Sixty-nine foods listed in the menu plans provided by the United States Department of Agriculture (USDA) for low-income families were considered, in 10 domains. The cost and micronutrient content for-energy and per-serving of these foods were determined for the three micronutrients. Exact Kruskal-Wallis tests were used for comparisons of energy costs; Spearman rho tests for comparisons of micronutrient content. Ninety families were interviewed in a pediatric clinic to assess the impact of food cost on food selection. Results: Significant differences between domains were shown for energy density with both cost-for-energy (p < 0.001) and cost-per-serving (p < 0.05) comparisons. All three micronutrient contents were significantly correlated with cost-for-energy (p < 0.01). Both iron and choline contents were significantly correlated with cost-per-serving (p < 0.05). Of the 90 families, 38 (42 %) worried about food costs; 40 (44 %) had chosen foods of high caloric density in response to that fear, and 29 of 40 families experiencing both worry and making such food selection. Conclusion: Adjustments to USDA meal plans using cost-for-energy analysis showed differentials for both energy and micronutrients. These differentials were reduced using cost-per-serving analysis, but were not eliminated. A substantial proportion of low-income families are vulnerable to micronutrient deficiencies.


2001 ◽  
Author(s):  
Trish Livingstone ◽  
Lisa Lix ◽  
Mary McNutt ◽  
Evan Morris ◽  
William Osei ◽  
...  

2021 ◽  
pp. 1-21
Author(s):  
Payge Lindow ◽  
Irene H. Yen ◽  
Mingyu Xiao ◽  
Cindy W. Leung

ABSTRACT Objective: Using an adaption of the Photovoice method, this study explored how food insecurity affected parents’ ability to provide food for their family, their strategies for managing household food insecurity, and the impact of food insecurity on their well-being. Design: Parents submitted photos around their families’ experiences with food insecurity. Afterwards, they completed in-depth, semi-structured interviews about their photos. The interviews were transcribed and analyzed for thematic content using the constant comparative method. Setting: San Francisco Bay Area, California, USA. Subjects: 17 parents (14 mothers and 3 fathers) were recruited from a broader qualitative study on understanding the experiences of food insecurity in low-income families. Results: Four themes were identified from the parents’ photos and interviews. First, parents described multiple aspects of their food environment that promoted unhealthy eating behaviors. Second, parents shared strategies they employed to acquire food with limited resources. Third, parents expressed feelings of shame, guilt, and distress resulting from their experience of food insecurity. And finally, parents described treating their children to special foods to cultivate a sense of normalcy. Conclusions: Parents highlighted the external contributors and internal struggles of their experiences of food insecurity. Additional research to understand the experiences of the food-insecure families may help to improve nutrition interventions targeting this structurally vulnerable population.


Children ◽  
2021 ◽  
Vol 8 (5) ◽  
pp. 397
Author(s):  
Xu Tian ◽  
Hui Wang

The growth status and weight status of Chinese children have experienced remarkable changes in the past decades. Using China Health and Nutrition Survey (CHNS) data, this paper examines the secular trends and disparity of the growth status and weight status in Chinese children and further investigates the impact of various family environments on children’s growth from 1991 to 2011. We found an increasing trend in standardized growth indicators (height, weight, and BMI), overweight, and obesity from 1991 to 2011. We also observed an increasing disparity in overweight and obesity over time. Family environments had a significant impact on children’s growth status and weight status. In particular, children that live in families with a small size, higher family income, better sanitary conditions, and with well-educated parents or overweight parents tended to be taller and heavier and have a higher BMI, lower risk of being underweight, and higher risk of exhibiting overweight and obesity. Further decomposition analysis showed that more than 70% of the disparity in standardized height, weight, and overweight and around 50% of the disparity in standardized BMI, underweight, and obesity could be attributed to heterogeneity in family environments. Moreover, the disparity associated with family environments tended to increase over time.


2021 ◽  
Vol 7 (2) ◽  
pp. 92
Author(s):  
Lia Muliana ◽  
Mursyidin Mursyidin ◽  
Muharriyanti Siregar

The Family Hope Program (PKH) is a conditional cash transfer program for low-income families. The requirement is to be actively involved in education and health. The Family Hope Program in Indonesia was implemented in 2007 to alleviate poverty and prosper low-income families. The research and writing of this journal aim to determine the impact of PKH on family welfare and see if there is a reduction in poverty after the government realizes the Family Hope Program. This study uses a qualitative method with a descriptive approach. The study results indicate that the impact of PKH on beneficiary families, including the cash provided, can meet consumption or family needs and help the economy of PKH recipient families. The implementation of the program can reduce poverty in Aceh. The percentage of the poverty rate fell to 0.02%. The limitation of the research is the impact of PKH on family welfare and wants to examine whether there is a decrease in the percentage of poverty in Aceh or Aceh Barat. The practical implication of this research is to provide information to the government that PKH can improve the welfare of low-income families. The social significance is to give the government and the general public that the implementation of social assistance programs, one of which is the Family Hope Program, can reduce poverty rates in Aceh or West Aceh. The originality of the research is supported by previous research related to the author’s research study.


Jurnal NERS ◽  
2019 ◽  
Vol 14 (3) ◽  
pp. 71
Author(s):  
Rizki Agustin Purwaningtyas ◽  
Ardila Lailatul Barik ◽  
Dwi Astuti

Introduction: Obesity and stunting in childhood has become one of the greatest global health challenges. The impact of this issue is serious and lasting for individuals, their families, communities and countries. Most of the studies on child weight status have only focused on the mother as the primary caregiver, whereas the role and influence of the grandparents has received less attention. Grandparent-provided child care has become a trend in many countries, with reported rates of approximately 40% to 58%. The objective of this systematic review was to analyze whether children become stunted or obese when they are cared for by their grandparents.Methods: The methodological search of the literature was conducted using Scopus, Science Direct, PubMed, Pro Quest and ResearchGate, and it was undertaken using PRISMA guidelines. The search identified 1803 papers and 135 full-text articles were screened for eligibility. Finally, 15 met the inclusion criteria. The keyword chain was as follows: ("obesity" OR "stunting") AND (“children”) AND (“grandparents”).Results: As grandparents take on increasingly responsible roles in the lives of their grandchildren, there is an influence on the higher risk of child obesity rather than stunting.Conclusion: In future, nurses should target not only the mother but also the grandparents to control their child’s health, especially when related to their weight status.


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