Relationships between feeding problems, eating behaviours and parental feeding practices in children with Down syndrome: A cross‐sectional study

Author(s):  
Samantha L. Rogers ◽  
Bobbie Smith ◽  
Silvana E. Mengoni
2020 ◽  
Author(s):  
Wesley R. Barnhart ◽  
Abby Braden ◽  
Lauren Ann Dial

Background: People with emotional eating (EE) may experience weight gain and obesity, eating disorder psychopathology, and emotion dysregulation. Limited research has examined experiences in childhood that may be associated with EE in adulthood. Perceived parental feeding practices and emotion regulation difficulties were examined as correlates of negative and positive EE in adulthood. Methods: A cross-sectional study using an online community sample of adults (N = 258) examined self-reported negative (Emotional Eating Scale-Revised; EE-anger/anxiety, EE-boredom, and EE-depression) and positive (Emotion Appetite Questionnaire; EE-positive) EE, perceived parental feeding practices (Child Feeding Questionnaire), and emotion regulation difficulties (Difficulties in Emotion Regulation Scale). Results: Moderation analyses calculated in PROCESS macro examined emotion regulation difficulties as a moderator of relationships between perceived parental feeding practices and EE. Across all models tested, age, BMI, and gender were entered as covariates. Higher perceptions of parental control (monitoring and restriction) of unhealthy eating behaviors and pressure to eat were more strongly associated with EE-anger/anxiety and EE-positive when emotion regulation difficulties were high. Higher perceptions of parental restriction of unhealthy eating behaviors and pressure to eat were more strongly associated with higher EE-boredom when emotion regulation difficulties were high. No significant interactions between perceived parental feeding practices and emotion regulation difficulties emerged in relation to EE-depression. Conclusions: Perceived controlling parental feeding practices and emotion regulation difficulties may explain meaningful variance in negative and positive EE in adulthood.


2021 ◽  
pp. 026010602110014
Author(s):  
Vassiliki Costarelli ◽  
Maria Michou ◽  
Demosthenes B. Panagiotakos ◽  
Christos Lionis

Background: Health literacy (HL) and nutrition literacy (NL) are important issues to consider, in the provision of health care to children and the establishment of healthy eating behaviors. Aim: The study investigates the possible role of HL and NL levels of Greek parents, in parental Feeding Practices (PFP). Methods: This is a cross-sectional study which was conducted in the urban area of the Attica region, Greece. The sample consisted of 402 parents (68.4% mothers). Parents completed the Greek version of Comprehensive Parental Feeding Questionnaire, the European Health Literacy Questionnaire 47 and the Greek version of the Nutrition Literacy Scale. Sociodemographic and anthropometric characteristics were also assessed. The non-parametric tests Mann-Whitney and Kruskal Wallis, the chi-square test and linear regression models were applied. Results: The median for HL and NL were 33.69 and 24.00, respectively. Mothers applied the “child control” practice more frequently than fathers ( p = 0.015). Linear regression analysis revealed that HL was associated positively with “healthy eating guidance” and “monitoring” ( p = 0.009 and p < 0.0001, respectively) and negatively with “emotion regulation/food as reward” and “child control” ( p = 0.037 and p = 0.015, respectively). NL was associated positively only with “healthy eating guidance” ( p = 0.009), positively but marginally with “monitoring” ( p = 0.051) and negatively with “emotion regulation/food as reward” ( p = 0.020). Conclusions: Higher parental levels of HL and NL are significantly positively associated with better parental feeding practices in Greece.


2020 ◽  
Author(s):  
Frøydis Nordgård Vik ◽  
Erik Grasaas ◽  
Maaike E. M. Polspoel ◽  
Margrethe Røed ◽  
Elisabet R. Hillesund ◽  
...  

Abstract BackgroundPositive parental feeding practices and a higher frequency of family meals are related to healthier child dietary habits. Parents play an essential role when it comes to the development of their child’s eating habits. However, parents are increasingly distracted by their mobile phone during mealtime. The aim of this study was to describe the feeding practices and daily shared family meals among parents who use and do not use mobile phone during mealtime, and further to explore the associations between the use of mobile phone during mealtime and feeding practices and daily shared family meals, respectively.Methods Cross-sectional data from the Food4toddler study were used to explore the association between mobile use during meals and parental feeding practices including family meals. In 2017/2018 parents of toddlers were recruited through social media to participate in the study. In total 298 out of 404 who volunteered to participate, filled in a baseline questionnaire, including questions from the comprehensive feeding practices questionnaire (CFPQ), questions of frequency of family meals and use of mobile phone during meals. ResultsHerein, 4 out of 10 parents reported various levels of phone use (meal distraction) during mealtimes. Parental phone use was associated with lower use of positive parental feeding practices like modelling (B= -1.05 (95% CI -1.69; -0.41)) and family food environment (B= -0.77 (95% CI -1.51; -0.03)), and more use of negative parental feeding practices like emotional regulation (B= 0.73 (95% CI 0.32; 1.14)) and the use of pressure to eat (B= 1.22 (95% CI 0.41; 2.03)). Furthermore, parental phone use was associated with a lower frequency of daily family breakfast (OR= 0.50 (95% CI 0.31; 0.82)) and dinner (OR= 0.57 (95% CI 0.35; 0.93)). ConclusionsMobile phone use is common among parents during mealtimes, and findings indicate that parental phone use is associated with less healthy feeding practices and shared family meals. These findings highlight the importance of making parents aware of potential impacts of meal distractions. Trial registration: ISRCTN92980420. Registered 13 September 2017. Retrospectively registered.


2021 ◽  
Vol 8 (02) ◽  
pp. 75-79
Author(s):  
Sujatha Nambudiri ◽  
Sinumol Sukumaran Thulaseedharan ◽  
Seena T.V

BACKGROUND Down syndrome, first described in 1866, is the most common chromosomal derangement in live births. More than half of the patients with Down syndrome have ophthalmic manifestations. We wanted to evaluate the most common ocular abnormalities in children with Down syndrome in South India. METHODS All children with positive chromosomal analysis report for Down syndrome between 2 - 18 years attending a semi-urban, tertiary medical care centre from 1/1/2013 to 1/1/2015 were included in this hospital based clinical cross sectional study. Detailed ocular examination included visual acuity assessment using age specific tests, diffuse light examination, assessment of ocular alignment, motility, cover tests, slit-lamp biomicroscopy, cycloplegic refraction and direct and indirect ophthalmoscopy. RESULTS In our study, 95 % of children had ocular abnormalities. The most important defects were refractive errors (83.33 %), hyperopia (35 %), myopia 21 % of whom 2 children had high myopia of more than - 6D, and astigmatism (15 %). Among the refractive errors, hyperopia was the commonest. Other ocular abnormalities were cataract (13.33 %), esotropia (13.33 %), exotropia (3.33 %), nystagmus (6.67 %), nasolacrimal duct obstruction (8.3 %) and optic disc coloboma (1.6 %). CONCLUSIONS Refractive errors, strabismus were the most common and significant visual defects identified in children with Down syndrome in our study. Early detection of refractive errors, strabismus and prompt and appropriate intervention like glasses for refractive errors and surgical correction of strabismus is absolutely necessary to prevent development of amblyopia. Improvement of vision accelerates the overall development of the child. Management of Down syndrome children should be a team approach with ophthalmologist playing an important role. These children should have early and regular ophthalmological evaluations to maximise the benefit. KEYWORDS Down Syndrome, Ocular Abnormalities, Visual Acuity in Children


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Frøydis N. Vik ◽  
Erik Grasaas ◽  
Maaike E. M. Polspoel ◽  
Margrethe Røed ◽  
Elisabet R. Hillesund ◽  
...  

Abstract Background Positive parental feeding practices and a higher frequency of family meals are related to healthier child dietary habits. Parents play an essential role when it comes to the development of their child’s eating habits. However, parents are increasingly distracted by their mobile phone during mealtimes. The aim of this study was to describe the feeding practices and daily shared family meals among parents who use and do not use a mobile phone during mealtimes, and further to explore the associations between the use of a mobile phone during mealtimes and feeding practices and daily shared family meals, respectively. Methods Cross-sectional data from the Food4toddler study were used to explore the association between mobile use during meals and parental feeding practices including family meals. In 2017/2018 parents of toddlers were recruited through social media to participate in the study. In total 298 out of 404 who volunteered to participate, filled in a baseline questionnaire, including questions from the comprehensive feeding practices questionnaire (CFPQ), questions of frequency of family meals and use of mobile phone during meals. Results Herein, 4 out of 10 parents reported various levels of phone use (meal distraction) during mealtimes. Parental phone use was associated with lower use of positive parental feeding practices like modelling (B = − 1.05 (95% CI -1.69; − 0.41)) and family food environment (B = − 0.77 (95% CI -1.51; − 0.03)), and more use of negative parental feeding practices like emotional regulation (B = 0.73 (95% CI 0.32; 1.14)) and the use of pressure to eat (B = 1.22 (95% CI 0.41; 2.03)). Furthermore, parental phone use was associated with a lower frequency of daily family breakfast (OR = 0.50 (95% CI 0.31; 0.82)) and dinner (OR = 0.57 (95% CI 0.35; 0.93)). Conclusions Mobile phone use is common among parents during mealtimes, and findings indicate that parental phone use is associated with less healthy feeding practices and shared family meals. These findings highlight the importance of making parents aware of potential impacts of meal distractions. Trial registration ISRCTN92980420. Registered 13 September 2017. Retrospectively registered.


Author(s):  
Patricia Inclán-López ◽  
Raquel Bartolomé-Gutiérrez ◽  
David Martínez-Castillo ◽  
Joseba Rabanales-Sotos ◽  
Isabel María Guisado-Requena ◽  
...  

Childhood obesity has become a public health problem. Parents play an important role in the transmission of feeding habits and the detection of their child′s weight status. The aim was to analyse the prevalence of overweight/obesity and to determine the relationship between children′s weight status, different feeding practices and weight misperception. A cross-sectional study was conducted in randomly selected schools. The children’s weight status was measured, and a questionnaire was used to identify the feeding practices applied by parents and their perception of their children′s weight. The sample comprised 127 children aged 4 and 5 years and 189 aged 10 and 11. Differences were observed between parental feeding practices and weight status, monitoring being the most used practice. Parents use less pressure to eat and more restriction if their children have overweight or obesity. Misperception of weight was 39.6%, being higher in overweight children, who were perceived as normal weight in 53.19%. Children classified as obese were perceived as overweight in 88.23%. The use of inappropriate eating practices shows a need for health education in parents according to weight status. In addition, the parents’ perception should be improved to increase early detection of overweight and start actions or seek professional help.


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