Validity and Reliability of the Baby and Child Eating Behavior Questionnaire, Toddler Version (BEBQ-Mex and CEBQ-T-Mex) in a Low Sociodemographic Sample Recruited in a Mexican Hospital

The objective of this study was to validate and measure the internal reliability of the Baby and Child Eating Behavior Questionnaires for Toddlers (BEBQ-Mex and CEBQ-T-Mex), that evaluate appetitive trait (ATs). Mothers recruited from a public hospital in Guadalajara, Mexico, completed the BEBQ-Mex or CEBQ-T-Mex along with information on sociodemographic characteristics. Internal reliability of the BEBQ-Mex was sufficient for Food Responsiveness (FR) (Cronbach α = 0.82), while Enjoyment of Food (EF) and Satiety Responsiveness (SR) showed poor reliability (α = 0.56) and Slowness in Eating (SE) had unacceptable reliability (a = 0.36). All reliability values for the CEBQ-T-Mex were acceptable (>0.70), except for SE (α = 0.64). Confirmatory factor analysis (CFA) revealed an adequate model fit for the BEBQ-Mex, except the SE subscale. CFA for the CEBQ-T-Mex confirmed the six-factor structure. Mothers of a low sociodemographic background were unable to recognize their infants’ ATs; the BEBQ-Mex partly met the criteria for validity and reliability. Mothers from similar sociodemographic characteristics were more able to recognize the ATs of their toddlers than their infants; the CEBQ-T-Mex was found to be a valid and reliable tool. Findings support the need to help mothers’ ability to recognize their infants’ ATs, which have been previously associated with weight and growth.

Effect of Lactoferrin Supplementation on Appetite And Weight Loss In Obese School Age Children

Background Obesity is one of the most common nutritional disorders in the world. Increased appetite is one of the main causes of obesity. Objective The aim of this study was to determine the effect of lactoferrin on weight loss and appetite in obese school age children. Subjects & Methods This was a double arm prospective clinical trial which done on 50 obese children with an age range of 6-12 years. The children were recruited from Pediatric Nutrition Clinic of Ain Shams University. The children were equally divided into two groups; one group received 200 mg of oral lactoferrin for 12 weeks in addition to diet regimen and exercise. The other group did not receive lactoferrin but was only on exercise and diet regimen. Anthropometric measurements, body composition, dietetic history and appetite assessment using Child Eating Behavioral Questionnaire (CEBQ) were done for both groups before and after intervention. Results The results of our study revealed decrease in anthropometric measurements, serum leptin and Child Eating Behavioral Questionnaire (CEBQ) after lactoferrin supplementation. However, our study revealed only statistical significant decrease in CEBQ score after lactoferrin supplementation. Conclusion Despite decreasing weight, lactoferrin intake had no impact on weight loss when compared to patients who did not take lactoferrin. Lactoferrin intake decreased appetite in school aged obese children.

PEMBERIAN DAN PERILAKU MAKAN PADA BALITA STUNTING DAN NON-STUNTING DI PUSKESMAS PERAWATAN MEKARSARI

Stunting merupakan salah satu permasalahan gizi di negara berkembang. Prevalensi kejadian stunting di Kalimantan Timur mencapai 30,6%, sedangkan prevalensi di Kota Balikpapan mencapai 30,3% pada tahun 2019. Salah satu faktor yang memengaruhi stunting adalah keluarga terutama orang tua dalam hal pola asuh anak. Pola asuh anak tersebut berupa pola pemberian makan dan perilaku makan anak yang berhubungan dengan asupan nutrisi yang diterima oleh anak. Tujuan penelitian ini untuk mengetahui pengaruh pemberian dan perilaku makan anak terhadap kejadian stunting pada balita usia 24-59 bulan di wilayah kerja Puskesmas Perawatan Mekarsari Balikpapan. Penelitian ini adalah studi case control dengan rasio kasus kontrol sebesar 1:1 dengan total sampel 54 responden, yaitu 27 balita yang terkategori stunting dan 27 balita yang terkategori tidak stunting. Instrumen yang digunakan Child Feeding Questionnaire (CFQ), Child Eating Behaviour Questionnaire (CEBQ) dan data sekunder hasil pengukuran antropometri. Analisis data menggunakan uji chi-square dengan tingkat kepercayaan (CI) 95%. Hasil penelitian menunjukkan ada pengaruh antara pemberian makan (nilai p = 0,003) dan perilaku makan anak (nilai p = 0,000) dengan kejadian stunting pada balita usia 24-59 bulan. Kedua variabel merupakan faktor protektif dari terjadinya stunting (OR < 1). Disimpulkan pemberian dan perilaku makan anak berpengaruh terhadap terjadinya stunting. Oleh karenanya diperlukan pelatihan terhadap orang tua melalui posyandu dan Bina Keluarga Balita terkait pemberian dan perilaku makan anak.

1334Appetitive behaviors in school-age and their genetic and environmental predisposition

Background Given the great variability in adiposity and the exposure to obesogenic food environments, it has been suggested that individuals respond in divergent ways to the environment they live in. Our aim was to explore the genetic and environmental contribution of variations on appetitive behaviors in 10-year-old Portuguese children. Methods Participants were twins from the Generation XXI cohort (n = 86 pairs). Appetitive behaviors at 10 years was assessed through the Children Eating Behavior Questionnaire. Intra-class correlations for appetitive behaviors were calculated for monozygotic and dizygotic twins, and structural equation modelling was conducted to estimate genetic (A), shared (C) and non-shared (E) environmental variances. Results Twins were mainly dizygotic (65%), and a third was classified as having excess weight (30.2%). For all appetitive behaviors, with exception to Emotional Undereating, moderate to strong heritability were found and non-shared environmental effects contributed to appetite variability. For Emotional Undereating, environmental effects seem to be more important than genetic effects (C: 0.81; 95%CI 0.71;0.88 and E: 0.19; 95%CI 0.12;0.29). Conclusions There is a significant genetic contribution, followed by non-shared environmental effects, on appetitive behaviors in school-age years. Results indicate that Emotional Undereating was not heritable, being explained by shared and non-shared environmental factors. Key messages Appetitive behaviors among 10-year-olds seem to be genetically determined, with exception to Emotional Undereating, which showed to be explained by environmental factors. Understanding which genes are associated with child appetitive behaviors would give an insight in biological and behavioral influences on child eating and obesity risk.