Maternal Concern for Child Undereating_2016.pdf

<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>