Influential Factors of Caregiver Behavior at Mealtime

Nahikian‐Nelms, Marcia

doi:10.1016/s0002-8223(97)00130-2

Cited by 81 publications

(85 citation statements)

References 13 publications

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“…[20][21][22][23][24][25] Sixty-six percent of staff ate some of the same foods as the children ate, which is on the higher end of the range reported in the literature (27%-79% eating the same foods). [20][21][22][23][24][25] Similar to family-style lunches, the variability for sitting with children and eating some of the same foods could be a result of geographic variation or due to assessment with self-report. Staff only talked about healthy foods at a third of lunches (33%), which is consistent with previous reports (23%-88%).…”

Section: Discussionmentioning

confidence: 99%

“…Staff only talked about healthy foods at a third of lunches (33%), which is consistent with previous reports (23%-88%). [20][21][22][23]25 We did not observe any lunches where a child was asked if they were still hungry prior to being served seconds. Other studies have found this best practice to occur 22%-43% of the time.…”

Section: Discussionmentioning

confidence: 99%

“…19 Seven studies in child care centers have examined child care providers' adherence with these best practices, including both staff behaviors and comments at meals. 12,[20][21][22][23][24][25] Collectively, the studies indicate wide variation in mealtime environments and staff behaviors. Three of the studies relied on child care centers to self-report on mealtime practices through a survey and had modest response rates (41%-45%).…”

Section: Childhood Obesitymentioning

confidence: 99%

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Are Mealtime Best Practice Guidelines for Child Care Centers Associated with Energy, Vegetable, and Fruit Intake?

et al. 2016

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Background: Mealtime best practices for obesity prevention in child care have been developed from experimental studies and expert opinion. Our objective was to describe adherence to best practices in child care centers and to evaluate the association between mealtime practices and children's dietary intake.Methods: We conducted an observational study of 349 preschoolers, ages 36 to 72 months, from 30 child care centers in Cincinnati, Ohio (November 2009 to January 2011). Trained observers recorded providers' behaviors related to six mealtime best practice recommendations and documented children's intake (n = 60 group lunches). General linear mixed models were used to evaluate the association between practice use and children's total energy (caloric consumption) and fruit and vegetable consumption.Results: Adherence to individual mealtime best practices was variable (0%-77%). Staff sitting with children at lunch was associated with lower energy intake and higher vegetable intake. Staff eating some of the same foods was associated with higher energy intake and higher vegetable intake. Staff encouraging children to try new/less-favorite foods more than once was associated with lower fruit intake. Staff having general conversations with children (not addressed in recommendations) was associated with lower vegetable intake. Family-style meal service, staff talking about healthy foods, and staff helping children assess hunger before seconds were not significantly associated with intake.Conclusions: Few mealtime best practices were associated with dietary intake. Given the number of meals children consume in child care and the prevalence of childhood obesity, efforts to identify mealtime practices that improve children's dietary intake are crucial for obesity prevention.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Childhood Obesitymentioning

confidence: 99%

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Are Mealtime Best Practice Guidelines for Child Care Centers Associated with Energy, Vegetable, and Fruit Intake?

et al. 2016

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“…2,3 Implementation of such guidelines requires that childcare staff know the food guide and know what constitutes a serving of each food group. Since it has been reported that childcare staff's nutrition-related knowledge is relatively low, 10 it is possible that nutrition guidelines that are too broad lead CCs to offer suboptimal quality of food to children. Moreover, since linguistic 11 and regional 12 differences in the quality of lunches served in public schools have been documented, further examination in other linguistic and geographic contexts is warranted.…”

mentioning

confidence: 99%

Lunch is ready& but not healthy: An analysis of lunches served in childcare centres in two Canadian provinces

Ward

Bélanger

Donovan

et al. 2017

Can J Public Health

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OBJECTIVES: Childcare centres (CCs) typically offer one meal and snacks daily. This study compared what is served in CCs with what the nutritional recommendations are; described and compared the nutritional composition of lunches served in CCs in New Brunswick and Saskatchewan; and examined differences between French and English, and urban and rural centres. METHODS:The study involved 61 randomly selected CCs in New Brunswick and Saskatchewan, Canada. Lunch content was measured on two consecutive days by weighing each food item served to children and by visually documenting the food items using digital photography. Food items were categorized into food groups according to Health Canada's Eating Well with Canada's Food Guide, and nutrients were analyzed using a nutritional analysis software. Onesample t tests compared lunch content with nutritional recommendations. Independent t tests compared the nutrient and food group content of lunches in New Brunswick and Saskatchewan, French and English, and urban and rural CCs. RESULTS:On average, CCs did not meet provincial recommendations. Lunches in both provinces were low in calories (<517 kcal) and fibre (<7 g). Overall, Saskatchewan centres served greater amounts of food than New Brunswick centres (p < 0.05). French-speaking centres provided less fat (p = 0.047), less saturated fat (p = 0.01), and fewer servings of meat and alternatives (p = 0.02), and more trans fat (p = 0.03) than English-speaking centres. There were no differences between rural and urban centres.CONCLUSIONS: Few CC lunches met nutritional recommendations. Interventions are required to improve the quality of foods offered in CCs. Reviewing or developing comprehensive nutrition guidelines is warranted.KEY WORDS: Child day care centers; food quality; lunch; nutritional value La traduction du résumé se trouve à la fin de l'article.

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“…Con base en la documentación de la falta de habilidad que los cuidadores tienen para responder a sus tareas de cuidado, de los beneficios del apoyo que brindan los diversos programas para los cuidadores y de la necesidad de generar y evaluar nuevas intervenciones con muestras más amplias, grupos de control más significativos, análisis de costos, diseños rigurosos e inclusión de estrategias y condiciones no exploradas, surge esta nueva propuesta (13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29).…”

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Evaluación de un programa para fortalecer a los cuidadores familiares de enfermos crónicos

Barrera-Ortiz¹,

Pinto-Afanador²,

Sánchez–Herrera³

2006

Rev. salud pública

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RESUMENObjetivo El estudio evaluó la efectividad del programa "Cuidando a los cuidadores", diseñado para fortalecer la habilidad de cuidado de los cuidadores familiares de personas con enfermedad crónica. Métodos Se utilizó un abordaje cuantitativo de tipo cuasiexperimental con grupos de estudio y control y medición de la habilidad de cuidado antes y después de la intervención. Se incluyeron en el estudio 250 cuidadores familiares. Resultados Los resultados incluyen la descripción de cada uno de los grupos de cuidadores estudiados en términos de sexo, edad, relación familiar, tiempo de cuidado y grado de dependencia de la persona cuidada. Presentan los niveles de habilidad de cuidado inicial y final de cada grupo y la comparación entre ellos. Se encontraron en los cuidadores similitudes de género y responsabilidad de cuidar a personas más jóvenes y diferencias en la procedencia, la funcionalidad de las personas cuidadas, la experiencia acumulada y la edad. La habilidad de cuidado fue homogénea en los grupos antes de la intervención, pero diferente en su totalidad y el componente paciencia al finalizar el programa. Discusión Los hallazgos ratifican lo señalado en la literatura sobre distribución de género, edad, asistencia en el hogar y baja habilidad de los cuidadores para responder a la tarea de cuidado de un familiar enfermo crónico. Los resultados permiten sugerir que el programa "Cuidando a los cuidadores" apoya el incremento de habilidades de cuidado y aporta con ello una opción 141

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Influential Factors of Caregiver Behavior at Mealtime

Cited by 81 publications

References 13 publications

Are Mealtime Best Practice Guidelines for Child Care Centers Associated with Energy, Vegetable, and Fruit Intake?

Are Mealtime Best Practice Guidelines for Child Care Centers Associated with Energy, Vegetable, and Fruit Intake?

Lunch is ready& but not healthy: An analysis of lunches served in childcare centres in two Canadian provinces

Evaluación de un programa para fortalecer a los cuidadores familiares de enfermos crónicos

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