Comportamentos maternos e infantis durante alimentação: estudo mediante observação

Carvalhães, Maria Antonieta de Barros Leite; Perosa, Gimol Benzaquem; Silveira, Flávia Cristina Pereira

doi:10.4025/cienccuidsaude.v8i3.9023

Cited by 3 publications

(4 citation statements)

References 12 publications

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“…This relationship may not have been proven due to the population’s uniform profile, mostly with complete superior education and from higher socioeconomic strata (who generally opt for private health services). In addition, both Brazilian studies mentioned above ( 21 , 22 ) described a non-responsive profile in mothers with low education levels; and a British study with 180 mothers ( 23 ) also described an increase in authoritarian practices according to maternal education level. The relationship between caregiving style and the socioeconomic levels remains controversial.…”

Section: Discussionmentioning

confidence: 98%

“…The same profile was described by authors in other studies with non-Latin populations, highlighting a minority of responsive profiles in different ethnicities. In the southeastern region of Brazil, Carvalhaes et al ( 21 ) and Saldan et al ( 22 ) described—in mother–child pairs from low socioeconomic status—a predominance of non-responsive behaviors, such as lack of verbal and low affective contact, low frequency of educational behaviors, presence of threats, distractions, and use of coercion. Such studies were conducted with families without screening for FD, and Carvalhaes et al ( 21 ) pointed out that non-responsive practices were described as even more intense in the presence of refusal to eat.…”

Section: Discussionmentioning

confidence: 99%

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Maternal Feeding Practices among Children with Feeding Difficulties—Cross-sectional Study in a Brazilian Reference Center

Machado¹,

Tosatti²,

Malzyner³

et al. 2018

Front. Pediatr.

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BackgroundGiven the positive influence of responsive caregiving on dietary habits in childhood, to raise awareness of caregivers regarding their behavior is crucial in multidisciplinary care on infant feeding.ObjectivesTo identify the most common responsive and non-responsive feeding practices in mothers of children with feeding complaints, as well as to seek associations between practices and caregivers’ profile.MethodsCross-sectional study with 77 children under 18 years old, with complaints of feeding difficulties. Data were collected during interviews with mothers: child age, gender, duration of exclusive breastfeeding, presence of organic disease, dynamics of bottle use, self-feeding practices and posture at meals, use of appropriate feeding equipment; basic information about the mothers (parity and level of education), caregiver feeding style, presence of coercive feeding, frequency and characteristics of family meals. Statistical analysis considered significance level at 5%.ResultsThe non-responsive profile predominated among mothers (76.2%, with the Authoritarian style being the most prevalent—39.7%). The responsive profile was characterized by absence of coercive feeding, stimulation of self-feeding practices, use of appropriate feeding equipment and meal environment, with interaction at meals. Non-responsive profile consisted of both inadequate environment and posture at meals, use of distraction and coercive feeding, lack of shared meals, and disregard for children’s hunger signals. Only the habit of sharing meals with children was associated with mothers’ profile, and considered a protection factor against non-responsive care (OR 0.23; 95% CI 0.06–0.88). Both Authoritarian (p = 0.000) and indulgent mothers (p = 0.007) breastfed exclusively for longer time than negligent ones. There was a higher level of interaction with children in “responsive” parental style (OR 0.056; p = 0.01) compared to other feeding styles.ConclusionResults highlight the need for educational interventions focused on caregivers’ behaviors.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Maternal Feeding Practices among Children with Feeding Difficulties—Cross-sectional Study in a Brazilian Reference Center

Machado¹,

Tosatti²,

Malzyner³

et al. 2018

Front. Pediatr.

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“…For the assessment of maternal feeding styles, an adaptation of the Carvalhaes et al [13] observational script was carried out.The adaptation was performed by researchers analysis and decision, and the modification consisted of transformation of the original observational script into questions, excluding items that could not be observed in the age of the children evaluated. The adapted formulary included questions related to the context of feeding, kinds of food, feeding styles, and interactive sequences.…”

Section: Evaluation Of Maternal Styles Of Feeding Small Childrenmentioning

confidence: 99%

Feeding style of adolescent mothers and complementary feeding practice of their infants

et al. 2018

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Objective To evaluate feeding styles of adolescent mothers and complementary feeding practices of their infants. Methods A cross-sectional study comparing a group of dyads of 50 adolescent mothers (ages 15 to 19) with 62 adult mothers (ages 24 to 44) and their infants (9 to 24 months) was performed. All mothers and infants were assisted by three basic health family units in the city of Recife, Brazil. Data were collected through a structured interview on socioeconomic conditions, maternal styles of feeding the child, and evaluation of infant feeding practices. The food styles were classified as responsive, authoritative, and passive, according to the adapted form of Carvalhaes, Perosa and Silveira of 2009. The frequency of food intake was calculated for six food groups (1. Bread and cereals; 2. Fruits and vegetables; 3. Meat, eggs, and beans; 4. Milk and dairy products; 5. Sugars, sweets, and fats; 6. Industrialized food). Children’s anthropometry and body mass index by age were classified into Z-score according to the World Health Organization Standard Curves, 2006. Results Adolescent mothers began complementary feeding more frequently before the seventh month (.=0,02), presented less responsive (.=0.04) and more authoritarian feeding styles (.=0.01), and their children received more foods with sugars, oils, and fats (.=0.02), and less meat, eggs, and beans (.=0.06) than the children of adult mothers. Conclusion Adolescent mothers adopt less responsive eating styles and offer more inadequate complementary feeding for their infants.

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“…[2][3][4] Essas queixas podem acompanhar a criança em todas as circunstâncias nas quais a alimentação esteja envolvida (rotina escolar, familiar ou de lazer), com possibilidade de implicações no crescimento e desenvolvimento quando persistentes e não acompanhadas. [5][6][7] Neste cenário, tanto aspectos orgânicos (presença de doença orgânica ou distúrbio psicológico) quanto comportamentais podem ter parcela na etiologia das DAs. Por isto, a interação entre cuidadores e crianças, os hábitos e preferências alimentares dos pais, seus estilos e práticas são componentes da avaliação e acompanhamento das DAs.…”

Section: Introductionunclassified

Aspectos comportamentais e ambientais associados às dificuldades alimentares na infância: Estudo com grupo controle

Maximino¹,

Machado

Fontanezi

et al. 2019

International Journal of Nutrology

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Resumo Objetivos Investigar os fatores associados à presença de dificuldades alimentares (DAs) na infância, dentre dinâmicas de refeições e práticas parentais. Métodos Trata-se de um estudo observacional caso-controle. Para o grupo de crianças com queixas de DA, as informações foram retiradas dos prontuários dos pacientes. Para o grupo de crianças sem queixas de DA, a amostragem foi constituída por conveniência (abordagem de famílias nas unidades de pronto atendimento). As entrevistas foram baseadas em questionário estruturado e aplicado na mesma versão para grupo caso e grupo controle. Resultados O grupo caso foi composto majoritariamente por indivíduos do sexo masculino, enquanto o grupo controle apresentou-se dividido igualmente entre os gêneros. A média de idade foi menor no grupo caso quando comparado ao controle. Verificou-se menor frequência de refeições compartilhadas nas famílias de crianças com DA, especialmente por motivos de estresse, assim como maior ocorrência de refeições mais longas. Observou-se ainda maior risco de desenvolver DA em crianças que realizavam refeições em ambientes inadequados, com menor autonomia, e os cuidadores do grupo caso demonstraram maior chance de não respeitar os sinais de fome da criança, de usarem estratégias como coerção e distração durante as refeições. Conclusão O estilo autoritário foi associado à presença de DA. Práticas parentais e todos os fatores que envolvem a dinâmica das refeições devem ser avaliados e acompanhados. A dinâmica familiar e de refeições apresentou-se modificada no grupo com DA. Tais comportamentos devem ser avaliados e orientados durante o acompanhamento da queixa alimentar, pois compõem o cenário da queixa.

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Comportamentos maternos e infantis durante alimentação: estudo mediante observação

Cited by 3 publications

References 12 publications

Maternal Feeding Practices among Children with Feeding Difficulties—Cross-sectional Study in a Brazilian Reference Center

Maternal Feeding Practices among Children with Feeding Difficulties—Cross-sectional Study in a Brazilian Reference Center

Feeding style of adolescent mothers and complementary feeding practice of their infants

Aspectos comportamentais e ambientais associados às dificuldades alimentares na infância: Estudo com grupo controle

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