Feeding dynamics: Helping children to eat well

Satter, Ellyn

doi:10.1016/s0891-5245(05)80033-1

Cited by 93 publications

(96 citation statements)

References 19 publications

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“…The target population of childcare workers was defined as individuals > 18 years of age who take care of < 90 children in a licensed or un-licensed center-based or family-based setting. In spring of 2008, all eligible participants attended one 90-minute interactive class on the division of feeding responsibility (10,17).…”

Section: Participants and Study Designmentioning

confidence: 99%

“…More Hispanic, compared to Asian or Caucasian providers, did not allow children to eat less than they think they should (χ2 (8,64) = 2.08, P<0.01). Requiring children to "clean their plate" teaches them the amount of food remaining on their plate, rather than internal physiological cues, determines when to stop eating (38,39), and is associated with overeating and overweight in young children (15) as well as future eating problems (10,14,17).…”

Section: Childcare Practicesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…This pilot study had two purposes: (1) to examine early childhood feeding attitudes and practices of childcare providers from a variety of ethnic backgrounds; and (2) to increase the nutritional knowledge of childcare providers by exposing them to a class on the division of responsibility in the feeding paradigm (10,17). This paradigm, supported by the American Dietetic Association (25), may help prevent feeding struggles and be an effective tool in preventing childhood obesity (26).…”

Section: Introductionmentioning

confidence: 99%

“…Environmental factors can modulate feeding behaviors in children as young as two years of age (5,12,13). Parents and other role models who define the early childhood environment will influence a child's choices, preferences and quantities of food consumed (13)(14)(15)(16)(17)(18)(19).With more women in the workforce (20), up to 60% of children below six years of age spend at least 29 hours a week in a childcare setting (2,21,22). This suggests that children routinely eat several meals away from home each day.…”

mentioning

confidence: 99%

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Early Childhood Feeding: Assessing Knowledge, Attitude, and Practices of Multi-Ethnic Child-Care Providers

Freedman¹,

Alvarez²

2010

Journal of the American Dietetic Association

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Early childhood is a critical period for shaping and influencing feeding and lifestyle behaviors that have implications regarding future weight and health. With more women in the workforce, families have become reliant on childcare. Thus, the child-feeding relationship has become a shared responsibility between the parent and childcare provider. Little is known about the impact of childcare providers on development of early childhood feeding behaviors and subsequent risk for obesity, especially in the Hispanic ethnic group. This research examined child-feeding attitudes, practices and knowledge of multiethnic home-based and center-based childcare providers. Questionnaires were completed by a convenience sample of 72 providers, 50 of which completed a pre-and posttest on child feeding knowledge after receiving a 90-minute class based on Satter's division of responsibility feeding model during the spring of 2008. Results indicate many providers had practices consistent with this model. However, significant differences were reported by Hispanic providers, who were statistically more likely to encourage children to finish meals before dessert, prepare foods they perceived well-liked by children, coach children to eat foods perceived as appropriate, and not eat with children during mealtime. A significant increase in knowledge from 73% correct at pretest to 82% at posttest was noted, with significant increase in knowledge on five of 13 questions. However, knowledge was not always congruent with behavior. This study points to differences among providers based on ethnicity, and strongly recommends recruiting Hispanic childcare providers to participate in educational programs and community efforts to prevent obesity. INTRODUCTIONCurrently, 24% of children ages two to five and 33% of children ages six to 11 are overweight or obese (1), putting them at risk for adolescent and adult obesity and co-morbid disease (2,3). Particularly at risk are Mexican-American children, for whom elevated body mass indices are found in 30% of two to five year olds and in 43% of six to 11 year olds (1). Treatment of obesity is challenging, and long-term success modest (4). Consequently, preventative approaches should start in early childhood, a critical period for shaping and influencing feeding and lifestyle behaviors that impact future weight and health (5-11). Environmental factors can modulate feeding behaviors in children as young as two years of age (5,12,13). Parents and other role models who define the early childhood environment will influence a child's choices, preferences and quantities of food consumed (13)(14)(15)(16)(17)(18)(19).With more women in the workforce (20), up to 60% of children below six years of age spend at least 29 hours a week in a childcare setting (2,21,22). This suggests that children routinely eat several meals away from home each day. Childcare settings can support healthful feeding behaviors (23,24), and preschool is an optimal time to teach and practice healthful feeding habits (24). Little is know...

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Section: Participants and Study Designmentioning

confidence: 99%