Low‐income mothers' feeding goals predict observed home mealtime and child feeding practices_2016.pdf

<div>Abstract</div><div>Background Mothers’ goals are important for health behavior change, and engagement in child</div><div>obesity interventions. It is unknown if maternal feeding goals are associated with observed home</div><div>mealtime or feeding practices. The objective of this study was to examine the association of four</div><div>common feeding goals (restrict junk food, promote fruit or vegetable intake, promote autonomy in</div><div>eating and prevent obesity) with mothers’ observed home mealtime and feeding practices.</div><div>Methods Low-income mothers (N = 265) of children (mean child age 70.8months) participated in a</div><div>semi-structured interview about child feeding. A coding scheme was developed and reliably applied</div><div>to identify mothers’ feeding goals from transcripts. Mothers’ observed home mealtime and feeding</div><div>practices were reliably coded from home mealtimes and a laboratory eating protocol. Mothers</div><div>completed a questionnaire and reported demographics. Participant weights and heights were</div><div>obtained. Regression models were used to test the association of each feeding goal with observed</div><div>maternal practices, controlling for covariates.</div><div>Results The goal of restricting junk food was associated with the child always eating at a table (OR</div><div>2.87, 95% CI (1.39–5.96) p = 0.005), but not with the mother restricting junk food. The goal of</div><div>promoting fruit or vegetable intake was associated with observationally promoting vegetables (OR</div><div>1.41, 95% CI (1.09–1.84), p = 0.01). The goals of promoting autonomy and preventing obesity were</div><div>not associated with any observed maternal home mealtime or feeding practices.</div><div>Conclusions While mothers’ goals to restrict junk food and promote fruit or vegetable intake were</div><div>associated with observed home mealtime and feeding practices, promoting autonomy and</div><div>preventing obesity were not. Increased understanding of why low-income mothers may not</div><div>translate certain feeding goals into practices may inform childhood obesity interventions.</div>