The Impact of Child Care Providers’ Feeding on Children’s Food Consumption

Hughes, Sheryl O.; Patrick, Heather; Power, Thomas G.; Fisher, Jennifer O.; Anderson, Cheryl; Nicklas, Theresa A.

doi:10.1097/01.dbp.0000267561.34199.a9

Cited by 138 publications

(124 citation statements)

References 21 publications

(21 reference statements)

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“…Although more than 75% of childcare providers reported making children eat foods they think are good for them, this behavior differed significantly by ethnicity (χ2 (2,63) = 7.25, P<0.05), with more than 85% of Hispanic providers reporting this behavior compared to 69% of Asians and 44% of Caucasians. Hughes et al (8) similarly reported Hispanic childcare providers in Head Start practiced an authoritarian feeding style. Pressuring children to eat healthful foods appears to be counterproductive, as it has been linked to reduced consumption of fruit and vegetables in five year old girls (33), and reduced ability to regulate energy intake, contributing to overweight (34).…”

Section: Participant Characteristicsmentioning

confidence: 99%

Early Childhood Feeding: Assessing Knowledge, Attitude, and Practices of Multi-Ethnic Child-Care Providers

Freedman¹,

Alvarez²

2010

Journal of the American Dietetic Association

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Early childhood is a critical period for shaping and influencing feeding and lifestyle behaviors that have implications regarding future weight and health. With more women in the workforce, families have become reliant on childcare. Thus, the child-feeding relationship has become a shared responsibility between the parent and childcare provider. Little is known about the impact of childcare providers on development of early childhood feeding behaviors and subsequent risk for obesity, especially in the Hispanic ethnic group. This research examined child-feeding attitudes, practices and knowledge of multiethnic home-based and center-based childcare providers. Questionnaires were completed by a convenience sample of 72 providers, 50 of which completed a pre-and posttest on child feeding knowledge after receiving a 90-minute class based on Satter's division of responsibility feeding model during the spring of 2008. Results indicate many providers had practices consistent with this model. However, significant differences were reported by Hispanic providers, who were statistically more likely to encourage children to finish meals before dessert, prepare foods they perceived well-liked by children, coach children to eat foods perceived as appropriate, and not eat with children during mealtime. A significant increase in knowledge from 73% correct at pretest to 82% at posttest was noted, with significant increase in knowledge on five of 13 questions. However, knowledge was not always congruent with behavior. This study points to differences among providers based on ethnicity, and strongly recommends recruiting Hispanic childcare providers to participate in educational programs and community efforts to prevent obesity. INTRODUCTIONCurrently, 24% of children ages two to five and 33% of children ages six to 11 are overweight or obese (1), putting them at risk for adolescent and adult obesity and co-morbid disease (2,3). Particularly at risk are Mexican-American children, for whom elevated body mass indices are found in 30% of two to five year olds and in 43% of six to 11 year olds (1). Treatment of obesity is challenging, and long-term success modest (4). Consequently, preventative approaches should start in early childhood, a critical period for shaping and influencing feeding and lifestyle behaviors that impact future weight and health (5-11). Environmental factors can modulate feeding behaviors in children as young as two years of age (5,12,13). Parents and other role models who define the early childhood environment will influence a child's choices, preferences and quantities of food consumed (13)(14)(15)(16)(17)(18)(19).With more women in the workforce (20), up to 60% of children below six years of age spend at least 29 hours a week in a childcare setting (2,21,22). This suggests that children routinely eat several meals away from home each day. Childcare settings can support healthful feeding behaviors (23,24), and preschool is an optimal time to teach and practice healthful feeding habits (24). Little is know...

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Section: Participant Characteristicsmentioning

confidence: 99%

Early Childhood Feeding: Assessing Knowledge, Attitude, and Practices of Multi-Ethnic Child-Care Providers

Freedman¹,

Alvarez²

2010

Journal of the American Dietetic Association

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“…32 This is important because growing evidence suggests that the child-care environment can influence positive and negative dietary behaviors in young children. [33][34][35][36][37] Therefore, beginning to explore how the child-care food environment might influence the home feeding environment is of importance.…”

Section: Introductionmentioning

confidence: 99%

Contextual and Cultural Influences on Parental Feeding Practices and Involvement in Child Care Centers among Hispanic Parents

et al. 2015

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Contextual and cultural influences on parental feeding practices among Hispanics Hispanic preschoolers in the United States are at greater risk for obesity compared to non‐Hispanic whites. Obese children are more likely to be obese adolescents and adults thus, early prevention is critical. Growing evidence has addressed the role of caregivers’ indulgent or restrictive feeding practices in children’s eating behaviors and negative weight outcomes. However, the mechanisms driving these associations are largely unknown; including what influences these feeding practices among Hispanics. Therefore the goal of this qualitative study was to explore contextual and socio‐cultural influences on parental feeding. Four focus groups (n=37) were held with Hispanic parents of preschool‐aged children at two day care centers in Rhode Island. Audio recordings were transcribed and translated, and themes extracted. Parents commented that their childhood experiences of not being allowed to waste food influenced how they currently feed their children. They reported making conscious decisions not to use the same feeding strategies as their own parents and on the contrary, reported using different practices related to encouragement of healthy foods and promotion of self‐regulation. Parents reported wanting to feed their children healthy foods but other influences such as peer‐social interactions posed as challenges for example, some mother’s reported only buying juice after their child was exposed to it in daycare. Husband’s food preferences and grandparent’s indulgent behaviors were also viewed as a challenge to promoting healthy foods in the home. Understanding how cultural and environmental factors influence parental feeding and may help tailor obesity prevention efforts among Hispanics. Grant Funding Source: Supported by the University of Rhode Island

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“…Así mismo, Carruth y cols 16 , a través de encuestas telefónicas a más de 3.000 familias de preescolares, demostraron que los niños que lograban una alimentación independiente a menor edad, dentro del segundo año de vida, tenían una mayor ingesta de nutrientes que aquellos que eran alimentados pasivamente. Por esto es altamente recomendable permitir al niño explorar sus alimentos y facilitarle una dieta fácil de ser manipulada, ofrecerle una segunda cuchara mientras es alimentado y en un siguiente paso, considerar el primer período de la comida para que el niño explore e intente comer por sí mismo, para fi nalmente sólo ser supervisado a las horas de comida.…”

Section: Fomentar La Alimentación Independienteunclassified

Trastornos alimentarios del lactante y preescolar

2011

Rev. chil. pediatr.

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The Impact of Child Care Providers’ Feeding on Children’s Food Consumption

Cited by 138 publications

References 21 publications

Early Childhood Feeding: Assessing Knowledge, Attitude, and Practices of Multi-Ethnic Child-Care Providers

Early Childhood Feeding: Assessing Knowledge, Attitude, and Practices of Multi-Ethnic Child-Care Providers

Contextual and Cultural Influences on Parental Feeding Practices and Involvement in Child Care Centers among Hispanic Parents

Trastornos alimentarios del lactante y preescolar

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