Maternal Feeding Practices, Health Cognitions, and Children's Eating Styles and Weight Status

Journal of Developmental and Behavioral Pediatrics - Tập 40 Số 2 - Trang 122-130 - 2019
Roxanna Camfferman1,2,3,4,5, Shelley van der Veek1,2,3,4,5, Ralph C. A. Rippe1,2,3,4,5, Judi Mesman1,2,3,4,5
1Address for reprints: Judi Mesman, PhD, FSW AGP Leiden, Postbus 9555, 2300 RB Leiden, The Netherlands
2Centre for Child and Family Studies, Education and Child Studies, Leiden University, Leiden, The Netherlands
3Disclosure: The authors declare no conflict of interest.
4This work was supported by a grant from the Leiden University research profile area: health, prevention and the human life cycle.
5e-mail: [email protected]

Tóm tắt

ABSTRACT: Objective: To examine the relationship between maternal cognitions related to promoting a healthy lifestyle in their child, maternal feeding practices, children's eating styles, and child weight status in children aged 4 to 6 years. Methods: Cross-sectional questionnaire data were collected in 251 Dutch mothers of preschoolers. Structural equation modeling was used to test the fit of a model that assumed maternal health cognitions would predict maternal feeding practices, which in turn would predict children's eating styles and child weight status. Explorative analyses were conducted to examine child characteristics as predictors of maternal health cognitions and feeding practices. Results: Mothers with higher self-efficacy used fewer pressure-to-eat feeding techniques, which in turn was related to less avoidant eating styles in children. In addition, mothers who perceived more benefits of a healthy lifestyle used more restriction techniques, which in turn predicted a more approach-oriented eating style in children, which was also related to higher child standard deviation scores body mass index. Finally, children with an avoidant eating style had mothers who perceived more barriers and reported less self-efficacy. Conclusion: Self-efficacy and perceived benefits relate to maternal feeding practices and eating styles of the child. However, more perceived benefits of a healthy lifestyle were associated with inadequate feeding practices. Therefore, interventions targeted at mothers to reduce child overweight should focus not only on reinforcing perceived benefits of a healthy lifestyle but also on how the mother can translate her attitudes into adaptive parenting to achieve the desired health outcomes.

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Tài liệu tham khảo

Ventura, 2008, Does parenting affect children's eating and weight status?, Int J Behav Nutr Phys Act., 5, 15, 10.1186/1479-5868-5-15

Jansen, 2014, Feeding practices and child weight: is the association bidirectional in preschool children?, Am J Clin Nutr., 100, 1329, 10.3945/ajcn.114.088922

Yavuz, 2015, Interventions aimed at reducing obesity in early childhood: a meta-analysis of programs that involve parents, J Child Psychol Psychiatry., 56, 677, 10.1111/jcpp.12330

Ajzen, 1991, The theory of planned behavior, Organ Behav Hum Decis Process., 50, 179, 10.1016/0749-5978(91)90020-T

Ievers-Landis, 2016, Dietary intake and eating-related cognitions related to sleep among adolescents who are overweight or obese, J Pediatr Psychol., 41, 670, 10.1093/jpepsy/jsw017

Maddux, 1983, Protection motivation and self-efficacy: a revised theory of fear appeals and attitude change, J Exp Soc Psychol., 19, 469, 10.1016/0022-1031(83)90023-9

Bandura, 1977, Self-efficacy: toward a unifying theory of behavioral change, Psychol Rev., 84, 191, 10.1037/0033-295X.84.2.191

Lampard, 2013, Social-Cognitive predictors of low-income parents' restriction of screen time among preschool-aged children, Health Educ Behav., 40, 526, 10.1177/1090198112467800

Ek, 2016, Associations between parental concerns about preschoolers' weight and eating and parental feeding practices: results from analyses of the child eating behavior questionnaire, the child feeding questionnaire, and the lifestyle behavior checklist, PLoS One., 11, e0147257, 10.1371/journal.pone.0147257

Bohman, 2013, Psychometric properties of a new measure of parental self-efficacy for promoting healthy physical activity and dietary behaviors in children, Eur J Psychol Assess., 29, 291, 10.1027/1015-5759/a000159

Campbell, 2010, Maternal self-efficacy regarding children's eating and sedentary behaviours in the early years: associations with children's food intake and sedentary behaviours, Int J Pediatr Obes., 5, 501, 10.3109/17477161003777425

Baranowski, 2015, Predicting habits of vegetable parenting practices to facilitate the design of change programmes, Public Health Nutr., 19, 1

Diep, 2015, Predicting use of effective vegetable parenting practices with the Model of Goal Directed Behavior, Public Health Nutr., 18, 1389, 10.1017/S1368980014002079

Zunft, 1997, Perceived benefits of healthy eating among a nationally-representative sample of adults in the European Union, Eur J Clin Nutr., 51, S41

Pitchford, 2016, Parental perceptions of physical activity benefits for youth with developmental disabilities, Am J Intellect Dev Disabil., 121, 25, 10.1352/1944-7558-121.1.25

Beydoun, 2008, How do socio-economic status, perceived economic barriers and nutritional benefits affect quality of dietary intake among US adults?, Eur J Clin Nutr., 62, 303, 10.1038/sj.ejcn.1602700

Rhee, 2009, Maternal feeding practices become more controlling after and not before excessive rates of weight gain, Obesity (Silver Spring)., 17, 1724, 10.1038/oby.2009.54

Pocock, 2010, Parental perceptions regarding healthy behaviours for preventing overweight and obesity in young children: a systematic review of qualitative studies, Obes Rev., 11, 338, 10.1111/j.1467-789X.2009.00648.x

Stark, 2011, A pilot randomized controlled trial of a clinic and home-based behavioral intervention to decrease obesity in preschoolers, Obesity (Silver Spring)., 19, 134, 10.1038/oby.2010.87

Birch, 2001, Confirmatory factor analysis of the Child Feeding Questionnaire: a measure of parental attitudes, beliefs and practices about child feeding and obesity proneness, Appetite., 36, 201, 10.1006/appe.2001.0398

Corsini, 2008, Factor structure and psychometric properties of the Child Feeding Questionnaire in Australian preschool children, Appetite., 51, 474, 10.1016/j.appet.2008.02.013

Wardle, 2001, Development of the children's eating behaviour questionnaire, J Child Psychol Psychiatry., 42, 963, 10.1111/1469-7610.00792

Jansen, 2012, Children's eating behavior, feeding practices of parents and weight problems in early childhood: results from the population-based Generation R Study, Int J Behav Nutr Phys Act., 9, 130, 10.1186/1479-5868-9-130

Cole, 2000, Establishing a standard definition for child overweight and obesity worldwide: international survey, BMJ., 320, 1240, 10.1136/bmj.320.7244.1240

Hom, 1991, Structural equations modeling test of a turnover theory: cross-sectional and longitudinal analyses, J Appl Psychol., 76, 350, 10.1037/0021-9010.76.3.350

Zimmerman, 2007, Correction for attenuation with biased reliability estimates and correlated errors in populations and samples, Educ Psychol Meas., 67, 920, 10.1177/0013164406299132

Browne, 1992, Alternative ways of assessing model fit, Sociol Methods Res., 21, 230, 10.1177/0049124192021002005

Galloway, 2005, Parental pressure, dietary patterns, and weight status among girls who are “picky eaters.”, J Am Diet Assoc., 105, 541, 10.1016/j.jada.2005.01.029

Kremers, 2003, Parenting style and adolescent fruit consumption, Appetite., 41, 43, 10.1016/S0195-6663(03)00038-2

Ogden, 2006, Expanding the concept of parental control: a role for overt and covert control in children's snacking behaviour?, Appetite., 47, 100, 10.1016/j.appet.2006.03.330

Collins, 2000, Contemporary research on parenting: the case for nature and nurture, Am Psychol., 55, 218, 10.1037/0003-066X.55.2.218

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Thông tin xuất bản

Journal of Developmental and Behavioral Pediatrics

Tập 40 Số 2

122-130

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