10.25376/hra.8007269.v1
Callie L. Brown
Callie L.
Brown
Megan Pesch
Megan
Pesch
Eliana Perrin
Eliana
Perrin
Alison Miller
Alison
Miller
Katherine L. Rosenblum
Katherine L.
Rosenblum
Julie Lumeng
Julie
Lumeng
Maternal Concern for Child Undereating_2016.pdf
Health Research Alliance
2019
body weight
child eating behaviors
children
feeding practices
pressure to eat
Medical and Health Sciences not elsewhere classified
2019-04-17 17:45:38
Dataset
https://hra.figshare.com/articles/dataset/Maternal_Concern_for_Child_Undereating_2016_pdf/8007269
<div>ABSTRACT</div><div>OBJECTIVE: To describe features of maternal concern for her</div><div>child undereating; examine maternal and child correlates of</div><div>maternal concern for undereating; and determine whether</div><div>maternal concern for undereating is associated with feeding</div><div>practices.</div><div>METHODS: This was a cross-sectional analysis of an observational</div><div>study with 286 mother–child dyads (mean child age, 71</div><div>months). Maternal concern for undereating was assessed using</div><div>a semistructured interview. Mothers completed questionnaires</div><div>to assess picky eating, food neophobia, and feeding practices.</div><div>Feeding practices were further assessed using videotaped mealtime</div><div>observations. Logistic regression was used to assess the association</div><div>of maternal and child characteristics with maternal</div><div>concern for undereating. Regression was used to assess the association</div><div>of maternal concern for undereating with feeding</div><div>practices, controlling for covariates.</div><div>RESULTS: Over a third of mothers (36.5%) expressed concern</div><div>that their child does not eat enough. Correlates of concern for</div><div>undereating included child body mass index z-score (BMIz;</div><div>odds ratio [OR] ¼ 0.58; 95% confidence interval [CI],</div><div>0.43–0.77) and picky eating (OR ¼ 2.41; 95% CI, 1.26–4.59).</div><div>Maternal concern for undereating was associated with greater</div><div>reported pressure to eat (relative risk [RR] ¼ 1.97; 95% CI,</div><div>1.55–2.50), greater observed bribery (OR ¼ 2.63; 95% CI,</div><div>1.50–4.60), and higher observed pressure (OR ¼ 1.90; 95%</div><div>CI, 1.08–3.36) during mealtimes.</div><div>CONCLUSIONS: Mothers of children who are picky eaters and</div><div>have a lower BMIz are more likely to be concerned that their</div><div>children do not eat enough, and maternal concern for undereating</div><div>is associated with pressuring and bribing children to eat. Pediatricians</div><div>might address maternal concern for undereating by</div><div>advising feeding practices that do not involve pressure and bribery,</div><div>particularly among healthy weight children.</div>