Caregivers’ Feeding Behavior, Children's Eating Behavior, and Weight Status among Children of Preschool Age in China

2020 ◽  
Author(s):  
Jing Yuan ◽  
Xun Jiang ◽  
Tongyu Zhu ◽  
Yuhai Zhang ◽  
Yue Wang ◽  
...  
Keyword(s):  
Preschool Children ◽  
Feeding Behavior ◽  
Eating Behavior ◽  
Emotional Eating ◽  
Weight Status ◽  
Overweight And Obesity ◽  
Preschool Age ◽  
Weight Concerns ◽  
Feeding Behaviors ◽  
Cross Sectional

Abstract Background Childhood overweight and obesity have become significant public health challenges worldwide. This study aimed to explore whether caregivers’ feeding behavior and children’s eating behavior were associated with the weight status of preschool children in China.Methods A cross-sectional questionnaire was administered to 912 caregivers of preschool children from April to July 2016. Caregivers’ feeding behaviors were assessed by the Chinese Preschooler’s Caregiver Feeding Behavior Scale (CPCFBS). Children’s eating behaviors were evaluated using the Chinese Preschooler’s Eating Behavior Questionnaire (CPEBQ). After controlling for demographic characteristics, multiple linear regression and logistic regression analyses were performed to evaluate the relationship between caregivers’ feeding behavior, children's eating behavior, and children's body mass index (BMI). Results The results showed that weight concerns on the part of caregivers (β=0.53) and food responsiveness on the part of children (β=0.93) were positively correlated with children’s BMI, whereas caregivers’ responsibility for feeding (β=-0.68) and children’s external eating (β=-0.53) were negatively correlated with BMI. Among caregiver feeding behaviors, weight concerns (OR=4.54, P<0.001) and behavior-restricted feeding (OR=0.29, P<0.001) were positively correlated with children’s BMI. A child’s food responsiveness (OR=4.04, P<0.001) was also positively correlated with his/her BMI, while the child’s satiety responsiveness (OR=0.42, P<0.001) and emotional eating habits (OR=0.56, P<0.001) were negatively correlated with overweight/obesity status. Conclusions Our study demonstrated that children’s eating behavior and caregivers’ feeding behavior were associated with weight status among preschool children in China. Behavior interventions on caregivers as well as their children may prevent or reduce weight problems in preschool children. Trial registration This study was not a clinical experiment.

scholarly journals Excess Weight Among Preschool Children in a Lower-Middle-Income Country: Predictors and Perspectives of Prevention

2021 ◽  
pp. 79-86
Author(s):  
Sihem Ben Fredj ◽  
Rim Ghammam ◽  
Nawel Zammit ◽  
Samah Ben Ammar ◽  
Asma Ammar ◽  
...  
Keyword(s):  
Preschool Children ◽  
Weight Status ◽  
Task Force ◽  
Binary Logistic Regression ◽  
Female Gender ◽  
Cross Sectional Study ◽  
Overweight And Obesity ◽  
Excess Weight ◽  
Anthropometric Measures ◽  
Cross Sectional

Objective: We aimed to assess the weight status and to determine predicted factors of excess weight among Tunisian preschool children. Methods: We conducted a cross-sectional study among preschoolers attending kindergarten during 2016-2017 school-years in Sousse, Tunisia. The children’s parents completed the self-administered questionnaire. Anthropometric measures (Weight and height) were taken for the children. Weight status considered body mass index (BMI) and excess weight was defined by the International Obesity Task Force (IOTF) standards. Odds ratios for excess weight were calculated using binary logistic regression analyses. Results: A total of 364 preschoolers were included with a mean age 4.49±0.9 years. The ratio boys/girls was 1.05. The prevalence of excess weight was 31.3%; CI95%:[26.7%-36.5%]). Female gender (AOR=1.74; CI95%:[1.07-2.83]), working mother (AOR=1.75;CI95%:[1.04-2.92]), sedentary behavior (AOR=1.87;CI95%:[1.01-3.51]), eating sweets (AOR=1.95;CI95%:[1.19-3.19]), eating while watching television (AOR=2.53;CI95%:[1.23-5.18]) were positively associated with greater risk of excess weight while sleep duration<10h (AOR=0.41;CI95%:[0.24-0.71]) and less educated mother (AOR=0.35;CI95%:[0.12-0.96]) were negatively associated with excess weight. Conclusion: Our results show that the prevalence of overweight and obesity among preschoolers was alarming. Prevention of obesity should start early in life through a multisectoral approach.

scholarly journals Accelerated skeletal maturation is associated with overweight and obesity as early as preschool age: a cross-sectional study

2020 ◽  
Author(s):  
DanDan Ke ◽  
Dajiang Lu ◽  
Guang Cai ◽  
Jing Zhang ◽  
Xiaofei Wang ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Preschool Children ◽  
Body Mass ◽  
Normal Weight ◽  
Overweight And Obesity ◽  
Preschool Age ◽  
Skeletal Age ◽  
Individual Growth ◽  
Skeletal Maturation ◽  
Cross Sectional

Abstract Background: Body mass index and skeletal age are important indicators of individual growth and maturation. The recognition of their association could contribute to the prevention of childhood obesity and accelerated skeletal maturation. This study aimed to examine the effects of overweight and obesity on accelerated skeletal maturation in preschool children. Methods: Participants included 1330 children aged 3.1-6.6 years. The main outcomes were skeletal age assessed by left hand-wrist radiograph, and body mass index classified as thinness, normal weight, overweight and obesity. Results: The percentage of accelerated skeletal maturation increased with body mass index ( x 2 = 89.442, df = 3, P <0.01) and age group ( x 2 = 43.417, df = 5, P <0.01). Logistic regression analysis showed a higher risk of accelerated skeletal maturation in children with overweight and obesity than children with normal weight after adjusting for gender and age (Overweight, OR = 3.27, 95% CI : 2.20-4.87; Obese, OR = 4.73, 95% CI : 2.99-7.48). Conclusions: Accelerated skeletal maturation was associated with overweight and obesity in preschool children, and its prevalence increased with age. These findings suggest that parents and child-health managers should be aware of an existing risk of accelerated skeletal maturation in preschool children with overweight and obesity.

scholarly journals Accelerated skeletal maturation is associated with overweight and obesity as early as preschool age: a cross-sectional study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Dandan Ke ◽  
Dajiang Lu ◽  
Guang Cai ◽  
Jing Zhang ◽  
Xiaofei Wang ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Preschool Children ◽  
Cross Sectional Study ◽  
Normal Weight ◽  
Overweight And Obesity ◽  
Preschool Age ◽  
Skeletal Age ◽  
Skeletal Maturation ◽  
Sectional Study ◽  
Cross Sectional

Abstract Background Body mass index (BMI) and skeletal age (SA) are important indicators of individual growth and maturation. Although the results have not been unified, most studies indicated that accelerated skeletal maturation is associated with overweight/obesity. However, there have so far been insufficient studies about the association between accelerated skeletal maturation and overweight/obesity in preschoolers, particularly Asian children. A cross-sectional study was conducted on Chinese children to verify the association between accelerated skeletal maturation and overweight/obesity at preschool age. Methods The study involved 1330 participants aged 3.1–6.6 years old (730 males and 600 females) in Shanghai, China. The skeletal age was determined according to the method of TW3-C RUS. Accelerated skeletal maturation was defined as relative SA (SA minus chronological age [CA]) ≥1.0 years. BMI was classified as thinness, normal weight, overweight, and obesity according to the International Obesity Task Force (IOTF) BMI cut-offs. The Chi-square was performed to determine the statistically significant difference in the frequency of accelerated skeletal maturation in BMI and age categories. The logistic regression model analyzed the association between accelerated skeletal maturation and overweight/obesity. Results The percentage of accelerated skeletal maturation increased with BMI (7.8% of children in thinness group had accelerated skeletal maturation; the percentage increased to 30.8% in obese group. x2 = 89.442, df = 3, P < 0.01) and age group (at age 3.5, 3.5% of participants had accelerated skeletal maturation; at age 6.0 years, this increased to 27.8%. x2 = 43.417, df = 5, P < 0.01). Logistic regression analysis showed that children with overweight and obesity are more likely to have accelerated skeletal maturation than children with normal weight after adjusting for gender and age (Overweight, odds ratio [OR] = 3.27, 95% confidence interval [CI]: 2.20–4.87; Obese, OR = 4.73, 95% CI: 2.99–7.48). Conclusions There is an association between accelerated skeletal maturation and overweight/obesity among preschool children. This study suggests that accelerated skeletal maturation might coexist with overweight/obesity in preschool children, and interventions, such as dietary modifications and increasing levels of physical activity, should be employed to prevent both accelerated skeletal maturation and overweight/obesity as early as preschool age.

scholarly journals Eating behavior of preschool-age children during social distancing period due to COVID-19

2021 ◽  
Vol 10 (17) ◽  
pp. e07101722435
Author(s):  
Ehrika Vanessa Almeida de Menezes ◽  
Milton Alves Danziato Neto ◽  
Soraia Pinheiro Machado Arruda ◽  
Marcia Maria Tavares Machado
Keyword(s):  
Preschool Children ◽  
Eating Behavior ◽  
Preschool Age ◽  
Economic Data ◽  
Cross Sectional ◽  
Mean Values ◽  
The Social ◽  
Preschool Age Children ◽  
Isolation Period ◽  
Food Fussiness

The aim of the study was to investigate the eating behavior of preschool children during the social isolation period of the first wave of COVID-19 in Fortaleza, Ceará. This is a cross-sectional observational study, carried out with caregivers of preschool children aged from 2 to 6 years. The PENSE questionnaire (IBGE) was used to collect socio-economic data and the data referring to eating behavior was used the CEBQ. 286 parents (mother and father) and their children participated in the research, of which 53.8% were female. The preschoolers in the study constituted 5.2% of infant I, 9.8% infant II, 14.7% infant III, 20.6% infant IV, 23.1% infant V, 15.4% 1-year elementary school and 11.2% did not attend school. As for the education of most mothers, 83.9% completed higher education. Regarding the number of people who lived in the household, 44.4% lived with 4 people and 73.1% had 1 child. The highest mean values ​​are present in the dimension "Pleasure to eat" (EF) and "Response to satiety" (SR), while the lowest refer to the dimensions "About Emotional Intake" (EOE) and "Response to food" (FR). The statistical results of the “Food Fussiness” (FF) subscale point out important aspects about the selectivity in the sample of the present study, demonstrating a good tendency to picky eating. The dimension with the lowest mean was “Emotional Overeating”, demonstrating that when confined due to the COVID-19 pandemic, preschoolers still have EOE lower than all other subscales. It follows that children in preschool stage have presented a higher prevalence in subscales that are linked to food avoidance behavior.

scholarly journals HUBUNGAN POLA ASUH IBU DENGAN PERILAKU PICKY EATING PADA ANAK USIA PRASEKOLAH DI LINGKUNGAN VII SIMALINGKAR KELURAHAN MANGGA DUA KECAMATAN MEDAN TUNTUNGAN TAHUN 2019

2020 ◽  
Vol 2 (2) ◽  
pp. 18-24
Author(s):  
Hetty Simamora ◽  
Ance M Siallagan
Keyword(s):  
Preschool Children ◽  
Eating Behavior ◽  
Sampling Technique ◽  
Preschool Age ◽  
Cross Sectional ◽  
Picky Eating ◽  
Maternal Parenting ◽  
Preschool Age Children ◽  
Approach Method ◽  
The Relationship

Picky eating is the behavior of children who experience eating disorders in the form of refusal to eat, do not want to eat, the length of time to eat more than 30 minutes, and only want to eat certain foods. The purpose of this study was to determine the relationship between maternal parenting with Picky Eating behavior in preschool children in Simalingkar VII Ward, Mangga Dua Village, Medan Tuntung District. This research uses correlation research design with cross sectional approach method. Population The population in this study were all preschool children (3-5 years old) in the VII Environment of Simalingkar, Mangga Dua Village, Medan Tuntung District, as many as 36 people and their mothers. Sampling in this study is a way to do with a total sampling technique in which all populations are sampled, where the number of respondents is equal to the total population of 36 respondents, namely mothers who have preschool age children in the Simalingkar District VII, Mangga Dua Village, Medan Tuntung District. The results of this study indicate that there is no relationship between maternal parenting and picky eating behavior in preschool children in Simalingkar Ward VII Mangga Dua, Medan Tuntung District. Suggested to the next researcher to review about other factors related to picky eating behavior in preschool children.

scholarly journals Excess Weight Among Preschool Children in a Lower-Middle-Income Country: Predictors and Perspectives of Prevention

2021 ◽  
pp. 82-89
Author(s):  
Sihem Ben Fredj ◽  
Rim Ghammam ◽  
Nawel Zammit ◽  
Samah Ben Ammar ◽  
Asma Ammar ◽  
...  
Keyword(s):  
Preschool Children ◽  
Weight Status ◽  
Task Force ◽  
Binary Logistic Regression ◽  
Female Gender ◽  
Cross Sectional Study ◽  
Overweight And Obesity ◽  
Excess Weight ◽  
Anthropometric Measures ◽  
Cross Sectional

Objective: We aimed to assess the weight status and to determine predicted factors of excess weight among Tunisian preschool children. Methods: We conducted a cross-sectional study among preschoolers attending kindergarten during 2016-2017 school-years in Sousse, Tunisia. The children’s parents completed the self-administered questionnaire. Anthropometric measures (Weight and height) were taken for the children. Weight status considered body mass index (BMI) and excess weight was defined by the International Obesity Task Force (IOTF) standards. Odds ratios for excess weight were calculated using binary logistic regression analyses. Results: A total of 364 preschoolers were included with a mean age 4.49±0.9 years. The ratio boys/girls was 1.05. The prevalence of excess weight was 31.3%; CI95%:[26.7%-36.5%]). Female gender (AOR=1.74; CI95%:[1.07-2.83]), working mother (AOR=1.75;CI95%:[1.04-2.92]), sedentary behavior (AOR=1.87;CI95%:[1.01-3.51]), eating sweets (AOR=1.95;CI95%:[1.19-3.19]), eating while watching television (AOR=2.53;CI95%:[1.23-5.18]) were positively associated with greater risk of excess weight while sleep duration<10h (AOR=0.41;CI95%:[0.24-0.71]) and less educated mother (AOR=0.35;CI95%:[0.12-0.96]) were negatively associated with excess weight. Conclusion: Our results show that the prevalence of overweight and obesity among preschoolers was alarming. Prevention of obesity should start early in life through a multisectoral approach.

scholarly journals Accelerated skeletal maturation is associated with overweight and obesity as early as preschool age: a cross-sectional study

2020 ◽  
Author(s):  
DanDan Ke ◽  
Dajiang Lu ◽  
Guang Cai ◽  
Jing Zhang ◽  
Xiaofei Wang ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Preschool Children ◽  
Cross Sectional Study ◽  
Normal Weight ◽  
Overweight And Obesity ◽  
Preschool Age ◽  
Skeletal Age ◽  
Skeletal Maturation ◽  
Sectional Study ◽  
Cross Sectional

Abstract Background: Body mass index (BMI) and skeletal age (SA) are important indicators of individual growth and maturation. Although the results have not been unified, most studies indicated that accelerated skeletal maturation is associated with overweight/obesity. However, there have so far been insufficient studies about the association between accelerated skeletal maturation and overweight/obesity in preschoolers, particularly Asian children. A cross-sectional study was conducted on Chinese children to verify the association between accelerated skeletal maturation and overweight/obesity at preschool age.Methods: The study involved 1330 participants aged 3.1-6.6 years old (730 males and 600 females) in Shanghai, China. The skeletal age was determined according to the method of TW3-C RUS. Accelerated skeletal maturation was defined as relative SA (SA minus chronological age [CA]) ≥1.0 years. BMI was classified as thinness, normal weight, overweight, and obesity according to the International Obesity Task Force (IOTF) BMI cut-offs. The Chi-square was performed to determine the statistically significant difference in the frequency of accelerated skeletal maturation in BMI and age categories. The logistic regression model analyzed the association between accelerated skeletal maturation and overweight/obesity.Results: The percentage of accelerated skeletal maturation increased with BMI (7.8% of children in thinness group had accelerated skeletal maturation; the percentage increased to 30.8% in obese group. x2 = 89.442, df = 3, P <0.01) and age group (at age 3.5, 3.5% of participants had accelerated skeletal maturation; at age 6.0 years, this increased to 27.8%. x2 = 43.417, df = 5, P <0.01). Logistic regression analysis showed that children with overweight and obesity are more likely to have accelerated skeletal maturation than children with normal weight after adjusting for gender and age (Overweight, odds ratio [OR] = 3.27, 95% confidence interval [CI]: 2.20-4.87; Obese, OR = 4.73, 95% CI: 2.99-7.48). Conclusions: There is an association between accelerated skeletal maturation and overweight/obesity among preschool children. This study suggests that accelerated skeletal maturation might coexist with overweight/obesity in preschool children, and interventions, such as dietary modifications and increasing levels of physical activity, should be employed to prevent both accelerated skeletal maturation and overweight/obesity as early as preschool age.

Associations Between Parent–Child Communication and Connectedness, Parent Feeding Behavior, and Child Body Mass in Pre-Adolescent Children

2020 ◽  
Author(s):  
Kristina D Lowe ◽  
Mark A Lott ◽  
Chad D Jensen
Keyword(s):  
Feeding Behavior ◽  
Body Mass ◽  
Weight Status ◽  
Community Sample ◽  
Feeding Strategies ◽  
Feeding Behaviors ◽  
Parent Child Communication ◽  
Parental Feeding ◽  
Parent Feeding ◽  
Parent Child

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.

scholarly journals Prevalence and risk factors for overweight and obesity: a cross-sectional countrywide study in Burkina Faso

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e032953
Author(s):  
Seydou Kaboré ◽  
Tieba Millogo ◽  
Joseph Kouesyandé Soubeiga ◽  
Hermann Lanou ◽  
Brice Bicaba ◽  
...  
Keyword(s):  
Burkina Faso ◽  
Weight Status ◽  
Fasting Blood Glucose ◽  
Population Based ◽  
Overweight And Obesity ◽  
Blood Cholesterol ◽  
Public Health Issue ◽  
Proportional Odds ◽  
Cross Sectional ◽  
Current Smoking

ObjectiveThe objective of this study was to determine the prevalence and predictors of overweight and obesity in Burkina Faso using a population-based countrywide sample. We hypothesise that there is a significant burden related to overweight/obesity in Burkina Faso.DesignSecondary analysis of a population-based countrywide cross-sectional study.SettingBurkina Faso, all the 13 regions including both rural and urban residential areas.Participants4800 participants of both sexes, aged between 25 and 64 years.Main outcomesOverweight and obesity using body mass index cut-off levels of the WHO.ResultsThe prevalence of overweight and obesity in Burkina Faso were 13.82% (95% CI: 12.25 to 15.55) and 4.84% (95% CI: 3.99 to 5.86), respectively. Among men, the proportional odds of overweight/obesity increase with urban residency (p<0.001), greater age (p<0.002), marital status different from single (p≤0.007) and decrease with current smoking (p=0.009). Among women, the proportional odds of overweight/obesity increase with urban residency (p<0.001), primary educational level (p=0.01), high total blood cholesterol level (p<0.001) and high fasting blood glucose level (p=0.02), and decrease with current smoking (p<0.001).ConclusionOur study showed that nearly one person out of five in the adult population of Burkina has an abnormal weight status with women being more affected than men. Urban residency is a consistent risk factor in both men and women. Alcohol consumption and education were associated with an increased odds in only women. Overnutrition needs to be recognised as an important public health issue in Burkina Faso and nutrition interventions need to be reshaped to account for it.

scholarly journals Relative Humidity Affects Acute Otitis Media Visits of Preschool Children to the Emergency Department

2021 ◽  
pp. 014556132110091
Author(s):  
Ying-Fang Jiang ◽  
Wen-Wei Luo ◽  
Xin Zhang ◽  
Dong-Dong Ren ◽  
Yi-Bo Huang
Keyword(s):  
Emergency Department ◽  
Preschool Children ◽  
Relative Humidity ◽  
Otitis Media ◽  
Meteorological Factors ◽  
Acute Otitis Media ◽  
Emergency Department Visits ◽  
Preschool Age ◽  
School Age Children ◽  
Cross Sectional

Objective: The associations between climate variables and diseases such as respiratory infections, influenza, pediatric seizure, and gastroenteritis have been long appreciated. Infection is the main reason for acute otitis media (AOM) incidence. However, few previous studies explored the correlation between climatic parameters and AOM infections. The most important meteorological factors, temperature, relative humidity, and fine particulate matter (PM2.5), were included in this study. We studied the relationship between these meteorological factors and the AOM visits. Materials and Methods: It was a retrospective cross-sectional study. A linear correlation and a linear regression model were used to explore the AOM visits and meteorological factors. Results: A total of 7075 emergency department visits for AOM were identified. Relative humidity was found an independent risk factor for the AOM visits in preschool children (regression coefficient = −10.841<0, P = .039 < .05), but not in infants and school-age children. Average temperature and PM2.5 were not correlated with AOM visits. Conclusion: Humidity may have a significant inverse impact on the incidence of AOM in preschool-age children.

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