Mother–child feeding interactions in children with and without weight faltering; nested case control study

Robertson, Joanne; Puckering, Christine; Parkinson, Kathryn; Corlett, Lauren; Wright, Charlotte

doi:10.1016/j.appet.2011.02.016

Cited by 18 publications

(9 citation statements)

References 31 publications

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“…Low encouragement, the use of negative actions and force feeding are indications of non-responsive feeding, and appear to be common in LMIC [4,5,6,8,10,24]. This lack of responsivity may be attributed to food insecurity and poverty, competing demands on caregiver time, and cultural beliefs about feeding [25], but could also reflect a feeding style adapted to the child’s own temperament [26]. These feeding styles have the potential to negatively impact child growth, especially in cases where poor appetite is common [10,24].…”

Section: Discussionmentioning

confidence: 99%

What Can Meal Observations Tell Us about Eating Behavior in Malnourished Children?

Mutoro

García

Wright

2019

IJERPH

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Responsive feeding is an important aspect of child care, yet little is known about child eating and caregiver feeding behavior in Kenya. This study aimed to develop a mealtime observation methodology and assess child eating and caregiver feeding behavior in healthy and undernourished children in Nairobi. Healthy (n = 6) and undernourished (n = 13) children aged 6–24 months were observed during a meal, with standardized rating of child interest in food, mood, distraction and caregiver responsiveness. Eating and feeding behavior varied with the stage of the meal. Child interest in food decreased and child and caregiver distraction increased as the meal progressed. Healthy children were happy and interested in food during meals, but undernourished children often had low interest in food (7/13). The 7 undernourished children eating home food were distracted (3) and unhappy (5) but children eating ready-to-use therapeutic foods (6) were all happy and undistracted. Caregivers of healthy children offered encouragement more often during meals than caregivers of undernourished children (5/6 healthy, 3/13 undernourished). Meal observations were resource intensive and could give only a snapshot of the child feeding experience. More efficient research methods that can capture a general assessment of infant eating behavior are needed.

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Section: Discussionmentioning

confidence: 99%

What Can Meal Observations Tell Us about Eating Behavior in Malnourished Children?

Mutoro

García

Wright

2019

IJERPH

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“…Similarly, only between 5 and 10% will have any symptoms or signs of underlying disease (14) . Some evidence of differences in maternal feeding behaviour and appetite and eating behaviour as well as decreased energy intake at meals (31) have been found in the infant (27)(28)(29)(30) . Thus, the majority of children showing a weight faltering pattern have no observable disease or evidence of neglect.…”

Section: Failure To Thrive/weight Falteringmentioning

confidence: 99%

Child undernutrition in affluent societies: what are we talking about?

Wright

García

2012

Proc. Nutr. Soc.

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In this paper we set out to explore the prevalence of child undernutrition found in community studies in affluent societies, but a preliminary literature review revealed that, in the absence of a gold standard method of diagnosis, the prevalence largely depends on the measure, threshold and the growth reference used, as well as age. We thus go on to explore describe the common clinical 'syndromes' of child undernutrition: wasting, stunting and failure to thrive (weight faltering) and how we have used data from two population-based cohort studies, this paper to explore how much these different 'syndromes' overlap and the extent to which they reflect true undernutrition. This analysis revealed that when more than one definition is applied to the same children, a majority are below the lower threshold for only one measure. However, those with both weight faltering and low BMI in infancy, go on in later childhood to show growth and body composition patterns suggestive of previous undernutrition. In older children there is even less overlap and most children with either wasting or low fat seem to be simply growing at one extreme of the normal range. We conclude that in affluent societies the diagnosis of undernutrition is only robust when it relies on a combination of both, that is decline in weight or BMI centile and wasting. Undernutrition is an intrinsic hazard in pre-school children in all cultures because infants have such high-nutrient requirements due to high rates of morbidity, requirements for growth, relatively inefficient metabolism and dependence on adults for all food. Worldwide, undernutrition has been clearly linked to a substantial increased risk of mortality and morbidity (1) as well as long-term stunting (2) and probably also has metabolic effects stretching into adulthood (3,4) . Thus undernutrition in childhood is clearly an important risk factor. However, what is less clear is how common it actually is in more affluent societies and what causes it in those settings. Systematic review of the prevalence of undernutrition in affluent societiesWe undertook a systematic review of the literature on the recent prevalence of undernutrition in developed societies, searching Medline, Ovid and/or Web of Knowledge for studies published between 2000 and 2011. Countries listed as having a very high human development index as defined by the UN (5) were considered as 'developed or affluent societies'. Studies were included if published in English and if they included prevalence rates and data collection methodology.

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“…43,44 Furthermore, a poor maternal-child relationship is associated with weight faltering and nonorganic failure to thrive. 4 Severe depression might lead to child maltreatment 45 or neglect, 46 which might place children at a higher risk of repeated infection and poor nutritional status. Mothers with depression were also found to be more likely to stop breastfeeding early compared with mothers without depression, 47,48 thereby limiting their infants' access to a rich resource of nutrition, immunity, and adequate bonding, which could contribute to adverse outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…3 Researchers addressing children's developmental and nutritional outcomes have increasingly recognized the importance of social determinants, including intimate partner violence (IPV) and depression, on poor growth and development. 4 The burden of these determinants is significant in Tanzania, with 44% of ever-married women reporting some form of physical and/or sexual violence and 13% experiencing both physical and sexual violence. 5 Additionally, depression accounted for 7.5% of mental disorders reported from 20 regions in Tanzania.…”

Section: What This Study Addsmentioning

confidence: 99%