Associations between maternal depressive symptoms and child feeding practices in a cross-sectional study of low-income mothers and their young children

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

doi:10.1186/1479-5868-11-75

Cited by 86 publications

(98 citation statements)

References 54 publications

(77 reference statements)

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“…For this analysis, mothers were categorized as “high pressure” or not, defined as pressuring the child to eat through most of the meal at all 3 meals versus not. In the second videotaped protocol, described in detail elsewhere, 17 mother-child dyads were presented with a series of four different foods in randomized order. The four foods included artichoke hearts (unfamiliar vegetable), green beans (familiar vegetable), halva (unfamiliar dessert), and a chocolate cupcake (familiar dessert).…”

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. Interviews were audio-recorded and transcribed verbatim.…”

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 standardized protocol, which has been described elsewhere (Goulding et al, 2014; Lumeng & Burke, 2006; Mosli et al, 2015; Radesky et al, 2014) both examines the mother's and child's responses to different types of foods and serves to reduce the broad variability that occurs during home mealtimes (e.g., distractions of other family members or television, or mother attending to food preparation, other children, etc.). The mother and child were asked to fast for two hours prior to the protocol.…”

Section: Methodsmentioning

confidence: 99%

Maternal encouragement and discouragement: Differences by food type and child weight status

et al. 2016

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Childhood obesity prevention practice guidelines recommend that parents encourage the intake of certain types of foods and discourage the intake of others. It is unknown if parents of children of different weight statuses encourage or discourage their child's intake differently based on food type. The objective of this study was to determine the association of child weight status with maternal for four different types of food. A total of 222 mother-child dyads were video-taped during the standardized, sequential presentation of four foods to both participants: cupcakes (familiar dessert), green beans (familiar vegetable), halva (unfamiliar dessert) and artichoke (unfamiliar vegetable). Mother's encouragements and discouragements of child intake were reliably coded for each food type. Poisson regression models were used to test the independent association of child weight status (normal weight, overweight and obese) with encouragement and discouragement for each food type. Mothers of an obese, vs. normal or overweight child, had lower rates of encouragement for a familiar dessert (p = 0.02), and a higher rates of discouragements for a familiar dessert (p=0.001), a familiar vegetable (p=0.01), and an unfamiliar vegetable (p = 0.001). There were no differences in encouragements or discouragements between mothers of an overweight, vs. obese child, for any of the 4 food types. Mothers of obese children may alter their feeding behavior differentially based on food type. Future work should examine how interventions promoting maternal encouragement or discouragement of different food types impact child weight status.

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Associations between maternal depressive symptoms and child feeding practices in a cross-sectional study of low-income mothers and their young children

Cited by 86 publications

References 54 publications

Maternal Concern for Child Undereating

Maternal Concern for Child Undereating

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

Maternal encouragement and discouragement: Differences by food type and child weight status

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