Study of the association of socio-demographic factors and feeding practices with the dietary intake in 3-6years old children

Abstract

This paper aimed to investigate the association of social factors and feeding practices with the diet in 3- 6 years old children. A cross-sectional study of 208 parents with children aged 3-6 years was carried out in 30 primary schools of Rasht, Iran in 2011. Measures included social factors, aspects of parental control practices and the child's diet. Mothers reported both their own and their child's demographics. Aspects of child feeding practices were assessed by using Comprehensive Feeding Practices Questionnaire (CFPQ). Food Frequency Questionnaire (FFQ) was then used to assess the child's dietary intake. Height and weight of mothers who participated in the study were also measured.The role of parental and child social and demographic factors and child feeding practices in predicting children's diet was assessed by using multiple block entry linear regression. Results showed that children's diet is related to the mother's age, marital status, education and the child's age and sex. Moreover, the mother's encouragement of balanced diet and variety, food as reward,  involvement of the child in food preparation, role modeling,  monitoring,  child  control,  restriction for  health, and education about nutrition were also related to the child's diet. The results showed a significant association between social factors and control practices on one hand, and aspects of the child's diet, on the other hand.

Keywords

• Feeding Behavior, Demographic Factors, child nutrition

References

1. Gregory J E, Paxton S J, Brozovic A M. Maternal feeding practices, child eating behavior and body mass index in preschool-aged children: a prospective analysis 2010; 7:55-65.
2. Commission of Social Determinants of Health. Geneva, World Health Organization. Available from: http://www.who.int/social_determinants/en/. Wang Y,Lobstein G. Thinness, Worldwide trends in childhood overweight and obesity. International Journal of Pediatric Obesity. 2006; 1: 11-25.
3. Wilson G, W. K. The influence of children on parental purchases during supermarket shopping. Int J Consumer Stud, 2004;28, 329–336
4. McCaffree J. Childhood eating patterns: The roles parents play. J Am Diet Assoc 2003; 103: 1587.
5. Wardle J, Cooke L. Parental control over feeding and children’sfruit and vegetable intake: how are they related? J Am Diet Assoc 2005;105, 227-232.
6. Patrick H, Nicklas TA, Hughes SO and Morales M. The benefits of authoritative feeding style: Caregiver feeding styles and children’s food consumption patterns. Appetite 2005; 243-249.
7. Klesges RC, Stein RJ, Eck LH, Isbell TR, Klesges LM. Parental influence on food selection in young children and its relationships to childhood obesity. Am J Clin Nutr 1991;53:859–64.
8. Power C, Lake JK, Cole TJ. Measurement and long-term health risks of child and adolescent fatness. Int J Obes Relat Metab Disord. 1997;21:507-526.

9. Birch LL. Psychological influences on the childhood diet. J Nutr 1998; 128(2suppl): 407S-410S.
10. Birch LL, Fisher JO. Mothers’ child-feeding practices influence daughters’ eating and weight. Am J Clin Nutr 2000; 71: 1054-61.
11. Brown K, Ogden J, Vogele C and Gibson L. The role of parental control practices in explaining children’s diet and BMI. Appetite 2008; 50: 252-259. Faith MS, Heshka S, Keller KL, et al. MaternalChild feeding patterns and child body weight: Findings from a population-based sample. Arch Pediatr Adolesc Med 2003; 157: 926-932.
12. Hughes SO, Patrick H,PowerT,Fisher J,Anderson CB, Nicklas TA . The Impact of Child Care Providers’ Feeding on Children’s Food Consumption. J Dev Behav Pediatr, 2007;28, 435–442.
13. Clarck H et al. How do parents’ child-feeding behaviours influence child weight? Implications for childhood obesity policy. Journal of Public Health, 2007;29, 132–141.
14. Johannsen T, Specker B. Influence of Parents’ Eating Behaviors and Child Feeding Practices on Children’s Weight Status. Obesity, 2006;14, 431-439. Hughes SO, Power T,Fisher J,Fisher S. Revisiting a neglected construct: parenting styles in a childfeeding context. Appetite 2005;44,83-93.
15. Brann L. More Controlling Child-Feeding Practices Are Found among Parents of Boys with an Average Body Mass Index Compared with Parents of Boys with aHigh Body Mass Index. J Am Diet Assoc, 2005;105, 1411-1416.
16. Doaei S, Kalantari N, Gholamalizadeh M. Validating and investigating reliability of comprehensive feeding practices questionnaire. Zah J of Medical Sci. 2013; 15: 42-45.
17. Hosseini F, Asghari G. Reproducibility and Relative Validity of Food Group Intake in a Food Frequency Questionnaire Developed for the Tehran Lipid and Glucose Study.J Epidemiol. 2010; 83:2-9
18. Dunnet CW. A multiple comparisons procedure for comparing several treatments with a control. Journal of the American Statistical Association, 1955;50, 1096-1121.
19. Mahan L K & STAMP S S. Krause’s food & nutrition therapy , Elsevier, 2008.
20. Moore S, Murphy S. Feeding strategies used by mothers of 3–5-year-old children. Appetite 2007;49, 704–707.
21. Francis LA, Birch LL. Predictors of maternal child feeding style: maternal and child characteristics. Appetite 2001;37, 231-243.
22. Ogden, J, Reynolds R & SMITH A.. Expanding the concept of parental control: A role for overt and covert control in children’s snacking behaviour? Appetite, 2006;47, 100-106.
23. Crouch P, O’dea J, Battisti R. Child feeding practices and perceptions of childhood overweight and childhood obesity risk among mothers of preschool children. Nutr Diet 2007; 64: 151-158.
24. Kroller k, Warschburger P. Associations between maternal feeding style and food intake of children with a higher risk for overweight. Appetite 2008; 51: 166-1
25. Kroller K. Maternal feeding strategies and child ´ s food intake : considering weight and demographic influences using structural,2009;6,78-89.
26. Anderson K. predictors of Overweight in Children under 5 Years of Age in India. Journal of Social Sciences, 2010;2, 138-146.
27. Sheryl O. Hughes R, Monica L, Thresa A, Nicklas PH, Haiyan QU. Indulgent Feeding Style and Children’s Weight Status in Preschool.J Dev Behav Pediatr, 2008;29,403–410.