Mealtime Environment and Control of Food Intake in Healthy Children and in Children with Gastrointestinal Diseases

Sdravou, Katerina; Emmanouilidou-Fotoulaki, Elpida; Printza, Athanasia; Andreoulakis, Elias; Evangeliou, Athanasios; Fotoulaki, Maria

doi:10.3390/children8020077

Cited by 9 publications

(13 citation statements)

References 57 publications

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“…These differences may have important implications on feeding practices of Greek parents and consequently on how they influence their children’s eating behavior. Indeed, previous research demonstrated that a large percentage of Greek parents had significant control over how much their child eats and often disregarded their child’s satiety [ 54 , 55 ].…”

Section: Discussionmentioning

confidence: 99%

Feeding Problems in Typically Developing Young Children, a Population-Based Study

Sdravou

Fotoulaki

Emmanouilidou-Fotoulaki

et al. 2021

Children

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Feeding problems have been estimated to occur in approximately 25–45% of normally developing children. The aim of this study was to investigate the prevalence of feeding problems in typically developing young children in Greece. Child feeding behavior, parents’ feelings about their child’s feeding patterns, and parental feeding practices were also explored. Parents completed the Greek version of the Behavioral Pediatrics Feeding Assessment Scale (BPFAS). Data on 742 healthy, typically developing children aged two to seven years are presented. Overall, the majority of children in the sample showed high frequency of desirable mealtime behaviors and low frequency of undesirable mealtime behaviors. However, a significant proportion of the cohort presented with food neophobia and low consumption of vegetables. When applying test cut-off scores, it was found that 8.2% of the sample had abnormal Total Frequency Score (TFS) and 26.6% had abnormal Total Problem Score (TPS). The study showed that parent-reported feeding problems are quite common in children of typical development in Greece. Moreover, while the majority of the sample displayed a high frequency of favorable behaviors, specific child feeding behaviors are amenable to improvement.

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Section: Discussionmentioning

confidence: 99%

Feeding Problems in Typically Developing Young Children, a Population-Based Study

Sdravou

Fotoulaki

Emmanouilidou-Fotoulaki

et al. 2021

Children

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“…The same team of specialists on feeding and swallowing problems defined the features of mealtime environment to be evaluated. More information on the construction of the relevant questionnaire has already been published [ 17 ].…”

Section: Methodsmentioning

confidence: 99%

“…These factors are highly significant for children with gastrointestinal diseases, who not only face the risk of developing feeding problems, but they might also be asked to strictly follow a challenging treatment comprised of limitations in diet or special diet resulting in greatly influencing child and parent feeding behavior [ 15 , 16 ]. Recent evidence supports that mealtime environment in children with gastrointestinal diseases significantly deviates from that of healthy children [ 17 ]. Parents use a significantly more often inappropriate feeding practices in these populations [ 18 ].…”

Section: Introductionmentioning

confidence: 99%

Factors Associated with Feeding Problems in Young Children with Gastrointestinal Diseases

Sdravou

Emmanouilidou-Fotoulaki

Printza

et al. 2021

Healthcare

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Feeding problems are associated with the consumption of a limited amount or restricted variety of foods and often occur in children with gastrointestinal diseases. The majority of studies to date do not use valid and reliable measurements to detect feeding problems. The aim of this cross-sectional study was to assess behavioral and skill-based feeding problems in young children with gastrointestinal diseases by using a well-established parent-reported feeding measure and identify demographic, anthropometric, and environmental factors associated with maladaptive feeding behaviors in this pediatric population. Parents completed the Greek version of the Behavioral Pediatrics Feeding Assessment Scale (BPFAS) and self-reported questionnaires assessing mealtime environment and parental feeding practices. It was found that 18.6% of the sample had abnormal Total Frequency Score (TFS) (frequency of problematic feeding behaviors) and 39.5% had abnormal Total Problem Score (TPS) (number of behaviors perceived as problematic by parents). Younger children, with lower body mass index, lower birth weight, and only children were more likely to have feeding problems. The study showed that parent-reported feeding problems are increased in young children with gastrointestinal diseases and are associated with specific aspects of mealtime environment and parental feeding practices.

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“…However, recent data indicate that most children in Saudi Arabia fail to comply with dietary guidelines [ 2 ]. Even though multiple factors have been suggested to play a role in child diet quality, the current evidence points to the parental role as being a key influence [ 3 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

Nutrient Intakes of Children: Associations with Maternal Use of Pressure to Eat and a Healthy Home Food Environment

Kutbi

2021

Nutrients

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Maternal feeding practices have been shown to have a powerful influence on shaping dietary behaviors of children. Nonetheless, the association with the nutrient intake of children has not been previously explored. This study aimed to investigate the associations of maternal use of pressure to eat (PE) and a healthy home food environment (HHFE) with nutrient intakes in children (6–12 years old). Data of 424 mother–child dyads were included. Maternal use of PE and a HHFE were assessed using a validated questionnaire. Child food intake was collected using telephone-administered 24 h recalls. Multivariate linear regression analyses were conducted to investigate the associations of maternal feeding practices with energy and nutrient intakes of children. Maternal use of PE predicted higher children’s intake of carbohydrate (B = 0.90, 95% confidence interval (CI) 0.19 to 1.62) and dietary fiber (B = 1.25, 95% CI 0.32 to 2.18) and lower fat intake (B = −0.74, 95% CI −1.37 to −0.11). Maternal use of a HHFE was significantly positively associated with protein intake (B = 0.99, 95% CI 0.53 to 1.46) and negatively associated with free sugar intake in children (B = −3.56, 95% CI −5.03 to −2.09). Our findings indicate that nutrient intakes of children are linked to feeding practices employed by mothers. Further studies are warranted to gain a more contextualized understanding of mother–child feeding interactions and to develop effective interventions.

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Mealtime Environment and Control of Food Intake in Healthy Children and in Children with Gastrointestinal Diseases

Cited by 9 publications

References 57 publications

Feeding Problems in Typically Developing Young Children, a Population-Based Study

Feeding Problems in Typically Developing Young Children, a Population-Based Study

Factors Associated with Feeding Problems in Young Children with Gastrointestinal Diseases

Nutrient Intakes of Children: Associations with Maternal Use of Pressure to Eat and a Healthy Home Food Environment

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