Feeding practices of low-income mothers: how do they compare to current recommendations?
Tóm tắt
Despite a growing consensus on the feeding practices associated with healthy eating patterns, few observational studies of maternal feeding practices with young children have been conducted, especially in low-income populations. The aim of this study was to provide such data on a low income sample to determine the degree to which observed maternal feeding practices compare with current recommendations. Eighty low-income mothers and their preschool children were videotaped at dinner in their homes. Mothers were chosen from a larger study to create a 2 X 2 X 2 design: maternal ethnicity (African American vs. Latina) by child gender by child weight status (healthy weight vs. overweight/obese). Observers coded videotapes for a range of maternal feeding strategies and other behaviors. Many mothers spent considerable time encouraging eating—often in spite of the child’s insistence that he or she was finished. Mothers talked little about food characteristics, rarely referred to feelings of hunger and fullness, and made more attempts to enforce table manners than to teach eating skills. Latina mothers showed higher levels of teaching eating skills and encouraging their children to eat; African American mothers showed higher levels of enforcing table manners and getting children to clear their plates. Mothers of boys used more unelaborated commands and less questions/suggestions than mothers of girls. Finally, compared to mothers of overweight/obese children, mothers of healthy weight children showed higher levels of encouraging eating and lower levels of discouraging eating. Most of the mothers in this study did not engage in feeding practices that are consistent with current recommendations. They did this, despite the fact that they knew they were being observed. These results should be used to inform future research about the motivations behind mothers’ feeding practices and the development of interventions by helping identify areas in greatest need of change.
Tài liệu tham khảo
Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of obesity and trends in body mass index among US children and adolescents, 1999–2010. J Amer Med Assoc. 2012;307:483–90.
Centers for Disease Control and Prevention. Overweight and obesity. Available at: http://www.cdc.gov/obesity/childhood/index.html. (Accessed August 29, 2013).
Anderson SE, Whitaker RC. Prevalence of obesity among US preschool children in different racial and ethnic groups. Arch Pediat Adol Med. 2009;163:344–8.
Sleddens EFC, Gerards SMPL, Thijs C, DeVries NK, Kremers SPJ. General parenting, child overweight, and obesity-inducing behaviors: a review. Int J Pediatr Obes. 2011;6:e12–27.
Hughes S, O’Connor T, Power T. Parenting and children’s eating patterns: examining parental control in a broader context. Int J Child and Adolescent Health. 2008;1:323–30.
Harrist AW, Topham GL, Hubbs-Tait L, Page MC, Kennedy TS, Shriver LH. What developmental science can contribute to a transdisciplinary understanding of childhood obesity: an interpersonal and intrapersonal risk model. Child Dev Pers. 2012;6:445–55.
Frankel LA, Hughes SO, O’Connor TM, Power TG, Fisher JO, Hazen NL. Parental influences on children’s self-regulation of energy intake: Insights from developmental literature on emotion regulation. J Obes. 2012;327259:1–12.
Black MM, Aboud FE. Responsive feeding is embedded in a theoretical framework of responsive parenting. J Nutr. 2011;141:490–4.
DiSantis KI, Hodges EA, Johnson SL, Fisher JO. The role of responsive feeding in overweight during infancy and toddlerhood: a systematic review. Int J Obesity. 2011;35:480–92.
Engle PL, Pelto GH. Responsive feeding: implications for policy and program implementation. J Nutr. 2011;141:508–11.
Satter E. The feeding relationship. J Am Diet Assoc. 1986;86:352–6.
Birch LL, Marlin DW. I don’t like it; I never tried it: effects of exposure on two-year-old children’s food preferences. Appetite. 1982;3:353–60.
Johnson SL, Bellows L, Beckstrom L, Anderson J. Evaluation of a social marketing campaign targeting preschool children. Am J Health Behav. 2007;31:44–55.
Hendy HM, Raudenbush B. Effectiveness of teacher modeling to encourage food acceptance in preschool children. Appetite. 2000;34:61–76.
Sigman-Grant M, Christiansen E, Branen L, Fletcher J, Johnson SL. About feeding children: mealtimes in child-care in four western states. J Am Diet Assoc. 2008;108:340–6.
Kleinman R. Pediatric nutrition handbook. Chapter 7: feeding the child and adolescent. 5th ed. USA: American Academy of Pediatrics; 2004. p. 119–36.
Hurley KM, Cross MB, Hughes SO. A systematic review of responsive feeding and child obesity in high-income countries. J Nutr. 2011;141:495–501.
Farrow C, Blissett J. Does maternal control during feeding moderate early infant weight gain? Pediatrics. 2006;118:293–8.
Worobey J, Lopez MI, Hoffman DJ. Maternal behavior and infant weight gain in the first year. J Nutr Educ Behav. 2009;41:169–75.
Lumeng JC, Ozbeki TN, Appugliese DP, Kaciroti N, Corwyn RF, Bradley RH. Observed assertive and intrusive maternal feeding behaviors increase child adiposity. Am J Clin Nutr. 2012;95:640–70.
Grotevant H, Carlson C. Family assessment: a guide to methods and measures. New York, NY: Guilford Press; 1989.
Kerig P, Lindahl K. Family observational coding systems: resources for systemic research. Mahwah, NJ: Lawrence Erlbaum; 2001.
Nisbett RE, Winston TD. Telling more than we can know: verbal reports on mental processes. Psychol Rev. 1977;84:231–59.
Straus M. Measuring families. In: Christensen H, editor. Handbook of marriage and the family. Chicago, IL: Rand McNally; 1964.
Stansbury K, Haley D, Lee JA, Brophy-Herb HE. Adult caregivers’ behavioral responses to child noncompliance in public settings: gender differences and the role of positive and negative touch. Behav Soc Iss. 2012;21:80–114.
Haycraft EI, Blissett JM. Maternal and paternal controlling feeding practices: reliability and relationships with BMI. Obesity. 2008;16:1552–8.
Hughes SO, Power TG, Fisher JO, Mueller S, Nicklas TA. Revising a neglected construct: parenting styles in a child-feeding context. Appetite. 2005;44:83–92.
Tovar A, Hennessy E, Pirie A, Must A, Gute DM, Hyatt RR, et al. Feeding styles and child weight status among recent immigrant mother-child dyads. Int J Behav Nutr Phy. 2012;9:62.
Farrow C, Blissett J, Haycraft E. Does child weight influence how mothers report their feeding practices? Int J Pediatr Obes. 2011;6:306–13.
Orrell-Valente JK, Hill LG, Brechwald WA, Dodge KA, Pettit GS, Bates JE. “Just three more bites”: an observational analysis of parents’ socialization of children’s eating at mealtime. Appetite. 2007;48:37–45.
Olvera-Ezzell N, Power TG, Cousins JH. Maternal socialization of children’s eating habits: strategies used by obese, Mexican-American mothers. Child Dev. 1990;61:395–400.
Moens E, Braet C, Soetens B. Observation of family functioning at mealtime: a comparison between families of children with and without overweight. J Pediatr Psychol. 2007;32:52–63.
Klesges RC, Coates TJ, Brown G. Parental influences on children’s eating behavior and relative weight. J Appl Behav Anal. 1983;16:371–8.
Klesges RC, MNarlott J, Boschee P, Weber J. The effects of parental influences on children’s food intake, physical activity, and relative weight. Int J Eat Disorder. 1986;5:335–46.
Birch LL, Marlin DW, Kramer L, Peyer C. Mother-child interaction patterns and degree of fatness in children. J Nutr Educ. 1981;13:18–21.
Khandpur N, Blaine RE, Fisher JO, Davison KK. Fathers’ child feeding practices: a review of the evidence. Appetite. 2014;78:110–21.
Birch LL, Fisher JO, Grimm-Thomas K, Markey CN, Sawyer R, Johnson SL. Confrimatory factor analysis of the child feeding questionnaire: a measure of parental attitudes, beliefs, and practices about child feeding and obesity proneness. Appetite. 2001;36:201–10.
Galloway AT, Fiorita LM, Francis LA, Birch LL. ‘Finish your soup’: counterproductive effects of pressuring children to eat on intake and affect. Appetite. 2006;46:318–23.
Hughes SO, Power TG, Papaioannou M, Cross M, Nicklas T, Hall S, et al. Emotional climate, feeding behaviors, and feeding styles: an observational analysis of the dinner meal in head start families. Int J Behav Nutr Phy. 2011;8:60.
Cohen J. Statistical power analysis for the behavioral sciences. Mahwah, NJ: Lawrence Erlbaum; 1988.
Centers for Disease Control and Prevention. CDC Growth Charts: United States. Hyattsville, MD: National Center for Health Statistics, U.S. Dept of Health and Human Services; 2000.
World Health Organization Expert Committee. Physical status: The Use and interpretation of anthropometry. WHO technical report series: 854. Geneva: World Health Organization; 1995.
Cohen J. A coefficient of agreement for nominal scales. Educ Psychol Meas. 1960;20:37–46.
Baumrind D, Black AE. Socialization practices associated with dimensions of competence in preschool boys and girls. Child Dev. 1967;38:291–327.
Cousins JH, Power TG, Olvera-Ezzell N. Mexican-American mothers’ socialization strategies: the effects of education, acculturation, and health locus of control. J Exp Child Psychol. 1993;55:258–76.
Alaimo K, Olson CM, Frongillo EA, Briefel RR. Food insufficiency, family income, and health in US preschool and school-aged children. Am J Public Health. 2001;91:781–6.
Johnson SL. Improving preschoolers’ self-regulation of energy intake. Pediatrics. 2000;106:1429–35.
Baumrind D. An exploratory study of socialization effects on black children: some black-white comparisons. Child Dev. 1972;43:261–7.
Kelley ML, Power TG, Wimbush DD. Determinants of parenting in low-income, black mothers. Child Dev. 1992;63:573–82.
Kohn ML. Class and conformity. Chicago: University of Chicago Press; 1963.
Parpal M, Maccoby EE. Maternal responsiveness and subsequent child compliance. Child Dev. 1985;56:1326–34.
Power TG, Manire SH. Child rearing and internalization: a developmental perspective. In: Janssens J, Gerris J, editors. Child rearing: influence on prosocial and moral development. Amsterdam: Swets & Zeitlinger B.V; 1992.
Birch LL, McPhee L, Shoba BC, Steinberg L, Krehbiel R. “Clean up your plate”: effects of child feeding practices on the conditioning of meal size. Learn Motiv. 1987;18:301–17.
Birch LL, Birch D, Marlin DW, Kramer L. Effects of instrumental consumption on children’s food preference. Appetite. 1982;3:125–34.
McCall RB. Challenges to a science of developmental psychology. Child Dev. 1977;48:333–44.
Ventura AK, Birch LL. Does parenting affect children’s eating and weight status? Int J Behav Nutr Phy. 2008;5:15.
Rhee KE, Coleman SM, Appugliese DP, Kaciroti NA, Corwyn RF, Davidson NS, et al. Maternal feeding practices become more controlling after and not before excessive rates of weight gain. Obesity. 2012;17:1724–9.
Gardner F. Methodological issues in the direct observation of parent-child interaction: Do observational findings reflect the natural behavior of participants? Clin Child Fam Psych. 2000;3:185–98.
Power TG, Sleddens EFC, Berge J, Connell L, Govig B, Hennessy E, et al. Contemporary research on parenting: conceptual, methodological, and translational issues. Child Obes. 2013;9:S87–94.
Bell RQ, Chapman M. Child effects in studies using experimental or brief longitudinal approaches to socialization. Dev Psychol. 1986;22:595–603.
Sameroff AJ. Transactional models in early social relations. Hum Dev. 1975;18:65–79.
Lollis S, Kuczynski L. Beyond one hand clapping: seeing bidirectionality in parent-child relations. J Soc Pers Relat. 1997;14:441–61.
Delormier T, Frohlich KL, Potvin L. Food and eating as social practice: understanding eating patterns as social phenomena and implications for public health. Sociol Health Ill. 2009;31:215–28.