Maternal Feeding Goals Described by Low-Income Mothers

Goulding, Alison N.; Lumeng, Julie C.; Rosenblum, Katherine L.; Chen, Yu Pu; Kaciroti, Niko; Miller, Alison L.

doi:10.1016/j.jneb.2015.03.012

Cited by 17 publications

(27 citation statements)

References 32 publications

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“…The development and administration of the semi-structured interview has been previously described. 15–19 This report describes mothers’ responses to a single open-ended question which occurred near the middle of the interview, after a series of questions asking the mother to describe a typical dinner mealtime in the household: “Do you ever worry that [your child] doesn’t or might not eat enough?” If the mother answered in the affirmative, the interviewers asked, “Tell me more about that. what do you worry about?”…”

Section: Methodsmentioning

confidence: 99%

Maternal Concern for Child Undereating

Brown

Pesch

Perrin

et al. 2016

Academic Pediatrics

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OBJECTIVE To describe features of maternal concern for her child undereating; examine maternal and child correlates of maternal concern for undereating; and determine whether maternal concern for undereating is associated with feeding practices. METHODS This was a cross-sectional analysis of an observational study with 286 mother-child dyads (mean child age 71 months). Maternal concern for undereating was assessed using a semi-structured interview. Mothers completed questionnaires to assess picky eating, food neophobia, and feeding practices. Feeding practices were further assessed by videotaped mealtime observations. Logistic regression assessed the association of maternal and child characteristics with maternal concern for undereating. Regression assessed the association of maternal concern for undereating with feeding practices, controlling for covariates. RESULTS Over a third of mothers (36.5%) expressed concern that their child does not eat enough. Correlates of concern for undereating included child BMIz (OR 0.58, 95% CI 0.43–0.77) and picky eating (OR 2.41, 95% CI 1.26–4.59). Maternal concern for undereating was associated with greater reported pressure to eat (RR 1.97, 95% CI 1.55–2.50); and greater observed bribery (OR 2.63, 95% CI 1.50–4.60) and higher observed pressure (OR 1.90, 95% CI 1.08–3.36) during mealtimes. CONCLUSIONS Mothers of children who are picky eaters and have a lower BMIz are more likely to be concerned that their children do not eat enough, and maternal concern for undereating is associated with pressuring and bribing their children to eat. Pediatricians might address maternal concern for undereating by advising feeding practices that do not involve pressure and bribery, particularly among healthy weight children.

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Section: Methodsmentioning

confidence: 99%

Maternal Concern for Child Undereating

Brown

Pesch

Perrin

et al. 2016

Academic Pediatrics

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“…The questions from the semi-structured interview have been previously published, 12 as have the methods of developing, administering and analyzing the interview. 13-15 In brief, mothers participated in a semi-structured interview, administered by trained research staff, which was conducted in a quiet location without the child present.…”

Section: Methodsmentioning

confidence: 99%

The Evolution of Mothers' Beliefs About Overweight and Obesity in Their Early School-Age Children

Pesch

Meixner

Appugliese

et al. 2016

Academic Pediatrics

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OBJECTIVE To identify changes in maternal beliefs, concerns and perspectives about overweight and obesity in their children over a two year period. METHODS A total of 37 low-income English speaking mothers of overweight or obese children participated in two semi-structured interviews, separated by about two years, (mean child age was 5.9 years at baseline and 8.2 years at follow-up). Mother and child anthropometrics were obtained and mothers completed demographic questionnaires at both time points. Mothers’ interviews were analyzed using the constant comparative method for longitudinal patterns of change in their perspectives on childhood obesity across the two time points. RESULTS Six longitudinal patterns of change in mothers’ perspectives and beliefs were identified: 1) mothers’ identification of a weight problem in their child emerges gradually, 2) mothers’ level of concern about their child overeating increases, 3) mothers’ concerns about consequences of obesity intensify and change over time, 4) mothers feel less control over their child’s eating and weight, 5) mothers’ efforts to manage eating and weight become more intentional and 6) mothers are more likely to initiate conversations about weight as their child gets older. CONCLUSIONS In this study, mothers’ concerns about children’s weight and eating habits increased and reported weight management strategies became more intentional over a two year period. Further research should consider attending to maternal perspectives on child weight and eating and their evolution in the development of family based interventions for childhood obesity.

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“…This is consistent with previous research, mothers with secondary education and above, are more likely to restrict foods that are less healthy, its purpose in relation to feeding. 44 Parents' health consciousness means that awareness on the diet of fruits, vegetables, eggs, beans and juice. 45 There is a significant relationship between balanced diet and sociodemographic variables of maternal education.…”

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confidence: 99%