Parental feeding practices data in healthy children and children with gastrointestinal diseases (original) (raw)
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Parental management of feeding problems in young children-a population-based study
International Journal of Pediatric Otorhinolaryngology, 2020
To investigate the practices that parents use to manage feeding problems in healthy children and in children with gastrointestinal diseases. Secondly, for each of these two groups we examined the association of select child and parent variables with parental feeding practices. Methods: This is a cross-sectional case-control study. The sample consisted of 901 children (765 healthy children of typical development and 136 children with gastrointestinal diseases), aged one to seven years. The feeding problem management practices were investigated through 23 closed-ended questions. The anthropometric and demographic data of children and the demographic data of parents were collected by administering structured set of questions to parents. Results: The prevalence of parent-reported feeding problems was 30.6% for healthy children and 45.7% for children with gastrointestinal diseases. The most common practices adopted by parents of healthy children were highlighting the benefits of food (80.5%), correlating food with pleasure (71.6%) and praising (59.1%), whereas almost half of the parents were found not to accept that their children may not be hungry and insisted on trying to feed them. Statistically significant differences were noted in many parental practices between the two groups. Parents of children with gastrointestinal diseases were generally more involved in the feeding process. Verbal praising (69.1%), correlation with pleasure (79.4%), promotion of benefits (77.2%) as well as assistance during feeding (63.2%) were the most common parental practices in the gastrointestinal group. Age, birth order, being the only child and weight status were child variables that differentiated parental behavior. Parental characteristics that affected feeding practises were age, education and work status. Conclusions: A high prevalence of feeding problems was reported by parents of both healthy children and children with gastrointestinal diseases. Beside the presence of a disease, specific child and parent variables are significantly related to parental behavior when managing feeding problems.
Feeding Problems in Typically Developing Young Children, a Population-Based Study
Children
Feeding problems have been estimated to occur in approximately 25–45% of normally developing children. The aim of this study was to investigate the prevalence of feeding problems in typically developing young children in Greece. Child feeding behavior, parents’ feelings about their child’s feeding patterns, and parental feeding practices were also explored. Parents completed the Greek version of the Behavioral Pediatrics Feeding Assessment Scale (BPFAS). Data on 742 healthy, typically developing children aged two to seven years are presented. Overall, the majority of children in the sample showed high frequency of desirable mealtime behaviors and low frequency of undesirable mealtime behaviors. However, a significant proportion of the cohort presented with food neophobia and low consumption of vegetables. When applying test cut-off scores, it was found that 8.2% of the sample had abnormal Total Frequency Score (TFS) and 26.6% had abnormal Total Problem Score (TPS). The study showed ...
Children
Parental feeding practices and mealtime routine significantly influence a child’s eating behavior. The aim of this study was to investigate the mealtime environment in healthy children and children with gastrointestinal diseases. We conducted a cross-sectional case–control study among 787 healthy, typically developing children and 141 children with gastrointestinal diseases, aged two to seven years. Parents were asked to provide data on demographics and describe their mealtime environment by answering to 24 closed-ended questions. It was found that the majority of the children had the same number of meals every day and at the same hour. Parents of both groups exerted considerable control on the child’s food intake by deciding both when and what their child eats. Almost one third of the parents also decided how much their child eats. The two groups differed significantly in nine of the 24 questions. The study showed that both groups provided structured and consistent mealtime environ...
Indonesian Journal of Public Health Nutrition
The age of 0-59 months is a phase of basic life formation that is vulnerable to nutritional problems. Causes such as infectious diseases and parenting. The purpose of this research is to analyze the relationship between feeding practices and history of diarrhea with the nutritional status of children under five. This study used a cross-sectional design. Samples were taken by purposive sampling of as many as 96 toddlers. Data were collected by direct measurement of weight scales, stature meters, and interviews using the main questionnaire and the modified CFQ questionnaire. The statistical tests used were the chi-square test and fisher's exact test. A total of 28.1% of respondents practice inappropriate feeding and 47.9% of children under five have a history of diarrhea. There is a relationship between feeding practices and underweight (p=0.000), stunting (p=0.000), and wasting (p=0.000). There was a relationship between a history of diarrhea and being underweight (p=0.043), but ...
Validation of the Parental Feeding Style Questionnaire in a Portuguese Sample
Psicologia, Saúde & Doença, 2019
Portugal is among the European countries with higher rates of overweight children, and parental feeding practices may affect children weight and eating patterns. A community sample of 252 Portuguese parents was used to study the psychometric properties of the Portuguese version of the Parental Feeding Style Questionnaire. (i.e., structural, convergent and discriminant validity, external and criterion validity, as well as reliability and sensitivity). Regarding construct validity, the measurement model supported a five-factor structure (Emotional, Instrumental, Encouragement, Permissiveness, and Control) with an acceptable fit; Item 24 was excluded since it showed a very low factor weight and was not significantly associated with its subscale (λ=0.274; p=0.065); also, this item's explained variance was below the recommended (r 2 =0.018). Discriminant validity was verified in eight of the ten paired factors. Only the emotional eating subscale had a good value of VME (convergent validity; VME = .62). External validity was confirmed, as was internal consistency, where four of the five subscales, with the exception of the emotional eating subscale, had good Cronbach's alphas (.67 <α <.88). The Portuguese sample reported the predominant use of permissiveness and control practices, similar to that reported by previous studies. The Portuguese Parental Feeding Style Questionnaire appears valid and reliable for assessing Portuguese parents feeding styles and can be used in further studies. The existence of culturally adapted and validated instruments is fundamental for an accurate understanding of parental practices, in order to develop strategies to manage children's dietary intake and prevent health-related problems, subsequent to overweight.
Validation of the Comprehensive Feeding Practices Questionnaire with parents of 10-to-12-year-olds
BMC Medical Research Methodology, 2011
Background: There is a lack of validated instruments for quantifying feeding behavior among parents of older children and adolescents. The Comprehensive Feeding Practices Questionnaire (CFPQ) is a self-report measure to assess multiple parental feeding practices. The CFPQ is originally designed for use with parents of children ranging in age from about 2 to 8 years. It is previously validated with American and French parents of children within this age range. The aim of the present study was to adapt and test the validity of this measure with parents of older children (10-to-12-year-olds) in a Norwegian setting. Methods: A sample of 963 parents of 10-to-12-year-olds completed a Norwegian, slightly adapted version of the CFPQ. Scale analyses were performed to test the validity of the instrument in our sample.
Eating Behaviors, 2007
Conducted exploratory and confirmatory factor analysis of the About Your Child's Eating (AYCE) inventory with 763 parents. Parent subjects were drawn from a community study of families with physically healthy and chronically ill children between 8 and 16 years of age. Three correlated factors were identified: Child Resistance to Eating, Positive Mealtime Environment, and Parent Aversion to Mealtime. The internal consistency of the factors remained satisfactory across all examined demographic subgroups. Evidence for convergent validity was found by comparing the AYCE factors to higher order factors of the Family Environment Scale. Empirically derived clinical range cut-off scores are presented. Results support the AYCE as a psychometrically sound measure of the parent-child feeding relationship for school-aged children.
Appetite, 2012
The main objectives of the present study were to validate measures of young children's eating difficulties and maternal feeding practices in a French sample, as well as to assess the links between these practices and children's eating difficulties. Mothers (n = 502) of French children aged 20-36 months completed four questionnaires that were validated using a Structural Equation Modelling approach. Links between children and maternal components were investigated using a PLS regression. The Children's Eating Difficulties Questionnaire yielded a 4-dimension solution: Neophobia, Pickiness, Low Appetite and Low Enjoyment in food. The Feeding Style Questionnaire assessed three dimensions: Authoritarian, Authoritative and Permissive Styles. The Feeding Strategy Questionnaire, designed to evaluate strategies used by mothers to make their child taste rejected foods, resulted in four factors: Coercion, Explanation, Contingency and Preference. The Questionnaire relating to Parental Motivations when buying food for children presented a 6-dimension solution: Convenience, Weight-control, Natural, Health-concern, Preference and Price. The factors associated positively with the four dimensions of the Children's Eating Difficulties Questionnaire were on the one hand Permissive Style and Practices to fulfil child's desires, and on the other hand Authoritarian Style, Contingent and Coercive Practices aimed at forcing children to taste rejected foods.
The Journal of Basic and Clinical Health Sciences
Purpose: Children's low interest in food and 'lack of appetite' are of serious concern for parents and in consequently for the professionals. This study aimed to examine parental feeding strategies, effects of meal time environment, describe family functioning, and clarify general parental attitudes of the children with poor appetite from a developing country without any physical health problem that might affect growth, cause pain or discomfort during feeding. Methods: Fifty-two mothers and their children were interviewed for data collection on sociodemographic characteristics, meal time structure, parental feeding strategies used by mothers, and child eating response to these strategies. Mothers completed Family Assessment Device (FAD) and Parental Attitude Research Instrument (PARI) for the evaluation of general parental attitudes, and family functioning. Results: Parents most oftenly tended to use praise, offers of food rewards, threats to withhold food/play rewards. In response to parental control strategies, parents reported that 44.2% (n=22) of children ate a few more bites, and 9.6% (n=5) ate no more than they otherwise might have. PARI-I (over-parenting; implying an over controlling, anxious and over-demanding parental attitude) is the most frequent parental attitude in families of child with low interest in food. FAD 5, implying affective involvement in the family, and FAD 7, implying behavioral control in the family are the prominent family functioning dimensions of children whose mothers are concerned about their low interest in food. Conclusion: The results of the study are in accordance with data from developed countries implying little cultural differences.