The effect of nutritional attitudes of mothers as health care professionals on their children’s eating behaviors

Autores/as

Palabras clave:

Child, Eating habits, Health personnel, Mothers

Resumen

Objective
This study aimed to determine the effects of the attitudes of mothers as health care professionals and their sociodemographic characteristics on their children’s eating habits.
Method
The data of this descriptive and cross-sectional study were collected between January and March 2022, using a web-based survey of 386 mothers.
Result
The mean age of the mothers was 32.88±4.96 years, and the mean age of the children was 38.78±18.24 months. Regarding educational status, 62.7% of the mothers were university graduates, while 54.4% were nurses. A significant and positive correlation was found between the sub-dimensions of the Mother’s Attitudes towards the Feeding Process Scale and the Behavioral Pediatric Feeding Assessment scale (p=0.000). According to the multiple regression analysis, the main determinant of the picky eaters sub-dimension of the Behavioral Pediatric Feeding Assessment scale was the mother’s occupation (β=0.28; 95% Cl: 3.07, 6.50), the main determinant of the toddler refusal-general sub-dimension was negative affect during the meal (β=0.38; 95% Cl: 0.19, 0.32), the main determinant of the older children refusal - general sub-dimension was negative affect during the meal (β=0.30; 95% Cl: 0.16, 0.33), and the main determinant of the toddler refusal – textured foods sub-dimension was forced feeding (β=0.48; 95% Cl: 0.41, 0.63).
Conclusion
The study found that problems related to mothers’ attitudes toward the nutrition process were moderate and that these problems were mainly caused by mothers’ attitudes toward inadequate/unbalanced nutrition. It was also found that the children had moderate problematic eating behavior and eating habits.

Citas

Açar D, Elmas B, Dilbilir Y, Demiralp C. Investigation of the relationship between mothers’ attitudes and psychological well-being ın the nutrition process of children. Journal of Child Development. 2021;4(8):88-103.

Yılmaz, G. Eating behavior of children and feeding attitudes of mothers. Eurasian Journal of Family Medicine. 2020;9(2):109-116.

Goodman LC, Roberts LT, Musher-Eizenman DR. Mindful feeding: a pathway between parenting style and child eating behaviors. Eating Behaviors. 2020;36:101-335.

Worl Health Organization. Infant and young child feding. Geneve: Organization; 2021 [cited 15 June 2022]. Available from: https://www.who.int/news-room/fact-sheets/detail/infant-and-young-child-feeding

International Food Policy Research Institute. Global Nutrition Report 2016: from promise to impact: ending malnutrition by 2030. Washington: Insternational; 2016. http://dx.doi.org/10.2499/9780896295841

Pesch HM, Daniel AR, Miller AL, Rosenblum KL, Appugliese DP, Lumeng JC, et al. Feeding styles among mothers of low-income children identified using a person-centered multi-method approach. Appetite. 2020;146(1):1-9.

Orun E, Erdil Z, Çetinkaya S, Tufan N, Yalcin SS. Problematic eating behaviour in Turkish children aged 12-72 months: characteristics of mothers and children. Cent Eur J Public Health. 2012;20:257-61.

Eslavaa VH, Fernand JK, Vollmer TR. Pediatric feding problems: a field of application in behavior analysis. Rev Alerg Mex. 2016;7:144-56.

Kerzner B, Milano K, MacLean WC, Berall G, Stuart S, Chatoor I. A practical approach to classifying and managing feeding difficulties. Pediatrics. 2015;135:344-53.

Kimber M, McTavish JR, Couturier J, Boven A, Gill S, Dimitropoulos G, et al. Consequences of child emotional abuse, emotional neglect and exposure to intimate partner violence for eating disorders: a systematic critical review. BMC Psychology. 2017;5(1):33.

Erden G, Üstün B. Eating problems in infancy and childhood: the importance of relationship in nutrition. In: Aysev AS, Taner YI, editors. Child and adolescent mental health and diseases. Ankara: Johnson & Johnson; 2007. p. 541-52.

Önal S, Var EC, Ucar A. Adapting behavioral pediatric feeding assessment scale (BPFAS) to Turkish. Nevsehir J Sci Technol. 2017;6(1):93-101. https://doi.org/10.17100/nevbiltek.296685

Akhan Utaş L, Batmaz M. 0-6 Age Group of child care related to the problems faced by mothers who have children of employees and the study of problem solving approaches. Florence Nightingale J Nurs. 2011;19(3):161-7.

Mailey EL, McAuley E. Physical activity intervention effects on perceived stress in working mothers: the role of self efficacy. Women Health. 2014;54(6):552-68. https://doi.org/10.1080/03630242.2014.899542

Chaturvedi S, Ramji S, Arora N, Rewal S, Dasgupta R, Deshmukh V. Time-constrained mother and expanding market: emerging model of under-nutrition in India. BMC Public Health. 2016;16:632.

Gemmill AW, Worotniuk T, Holt CJ, Skouteris H, Milgrom J. Maternal psychological factors and controlled child feeding practices in relation to child body mass index. Childhood Obesity. 2013;9(4):326-37. https://doi.org/10.1089/chi.2012.0135

Bauer KW, Hearst MO, Escoto K, Berge JM, Neumark-Sztainer D. Parental employment and workfamily stress: associations with family food environments. Soc Sci Med. 2012;75(3):496-504. https://doi.org/10.1016/j

Brown JE, Broom DH, Nicholson JM, Bittman M. Do working mothers raise couch potato kids? Maternal employment and children’s lifestyle behaviours and weight in early childhood. Soc Sci Med. 2012;70:1816-24.

Field TJ. Postnatal anxiety prevalence, predictors and effects on development: a narrative review. Infant Behav Dev. 2018;51:24-32.

Kavanaugh M, Halterman JS, Montes G, Epstein M, Hightower AD, Weitzman M. Maternal depressive symptoms are adversely associated with prevention practices and parenting behaviors for preschool children. Ambul Pediatr. 2006;6:32-7.

Powell FC, Farrow CV, Meyer C. Food avoidance in children. The influence of maternal feeding practices and behaviors. Appetite. 2011;57:683-92.

Blissett J, Haycraft E, Farrow C. Inducing preschool children’s emotional eating: relations with parental feeding practices. Am J Clin Nutr. 2010;92:359-65.

Sümbüloğlu K, Sümbüloğlu V. Sampling. Biostatistics. Turkey: Hatiboglu Publications; 2007. https://www.hatibogluyayinevi.com/urun/biyoistatistik

Crist W, Napier-Phillips A. Mealtime behaviors of young children: a comparison of normative and clinical data. J Dev Behav Pediatr. 2001;22(5):279-86.

Dı̇lsı̇z H, Dağ İ. Mother’s attitudes towards the feeding process scale: development, validity and reliability study. Turk J Pediatr. 2018;14:7-15. https://doi.org/10.12956/tjpd.2018.380

Estrem HH, Thoyre SM, Knafl KA, Pados BF, Riper MV. It’s a long-term process: description of daily family life when a child has a feeding disorder. J Pediatr Health Care. 2018;32(4):340-7.

Çetin SH, Yalınbas EE, Dibeklioglu S. Evaluation of behavioral modification for children with poor appetite. Osmangazi J Med. 2019:1-12. https://doi.org/10.20515/otd.500245

Passehl B, Mccarroll C, Buechner C, Gearring C, Smith AE, Trowbridge F. Preventing childhood obesity: establishing healthy lifestyle habits in the preschool years. J Pediatr Health Care. 2004;18(6):315-9.

Hart CN, Raynor HA, Jelalian E, Drotar D. The association of maternal food intake and infants’ and todlers’ food intake. Child Care Health Dev. 2010;36(3):396-403. https://doi.org/10.1111/j.1365-2214.2010.01072.x

Kıvılcım M, Doğan, DG, Canaloğlu SK, Varol F I, Selimoğlu M A. Assessment of behavioral feeding difficulties in young children. Ann Med Res. 2019;26(10):2459-65.

Xue Y, Lee E, Ning K, et al. Prevalence of picky eating behaviour in Chinese school-age children and associations with anthropometric parameters and intelligence quotient. a cross-sectional study. Appetite. 2015;91:248-55. https://doi.org/10.1016/j.appet.2015.04.065

Lioret S, McNaughton SA, Spence AC, Crawford D, Campbell KJ. Tracking of dietary intakes in early childhood: the melbourne infant program. Eur J Clin Nutr. 2013;67(3):275-81. https://doi.org/10.1038/ejcn.2012.218

Özgen L, Unusan N. A study on behavioral pediatric feeding status: maternal opinions. Progr Nutr. 2021;23(1):e2021030. https://doi.org/10.23751/pn.v23i1.9056

Ek A, Sorjonen K, Eli K, Lindberg L, Nyman J, Marcus C, et al. Associations between parental feeding practices: results from analyses of the Child Eating Behavior Questionnaire, the Child Feeding Questionnaire, and the Lifestyle Behavior Checklist. Plos One. 2016;11:e0147257.

Frankel LA, O’Connor TM, Chen T-A, Nicklas T, Power TG, Hughes SO. Parents’ perceptions of preschool children’s ability to regulate eating. Feeding style differences. Appetite. 2014;76:166-74.

Wright CM, Parkinson KN, Shipton D, Drewett RF. How to toddler eating problems relate to their eating behavior, food preferances, and growth. Pediatrics. 2007;120:1069-75. https://doi.org/10.1542/peds.2006-2961

Chao H-C, Chang H-L. Picky eating behaviors linked to inappropriate caregiver–child interaction, caregiver intervention, and impaired general development in children. Pediatr Neonatol. 2017;58:22-8.

Bish B, Regis K, Gottesman MM. Educating parents about portion sizes for preschollers. J Pediatr Health Care. 2005;19(1):54-60. https://doi.org/10.1016/j.pedhc.2004.12.001

Penny ME, Creed-Kanashiro Hm, Robert RC, Narro MR, Caulfield LE, Black RE. Effectiveness of an educational intervention delivered through the health services to improve nutrition in young children: a cluster randomized controlled trial. The Lancet. 2005;365(9474):1863-72. https://doi.org/10.1016/S0140- 6736(05)66426-4

Publicado

2023-11-22

Cómo citar

ERGÜN, S., & BOZDEMIR, B. (2023). The effect of nutritional attitudes of mothers as health care professionals on their children’s eating behaviors. Revista De Nutrição, 36. Recuperado a partir de https://seer.sis.puc-campinas.edu.br/nutricao/article/view/10465

Número

Sección

ARTIGOS ORIGINAIS