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Kim CN, Messito MJ, Duh-Leong C, Katzow M, Teli R, Gross RS. The effects of parent-child dysfunctional interactions on early childhood weight: A serial mediation model through emotional feeding and child appetite traits. Appetite 2024; 200:107564. [PMID: 38897417 DOI: 10.1016/j.appet.2024.107564] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2024] [Revised: 05/22/2024] [Accepted: 06/15/2024] [Indexed: 06/21/2024]
Abstract
Parent-child dysfunctional interactions (PCDI) are known to contribute to children's weight status. However, the underlying mechanisms in how dysfunctional interactions between parent and child influence child weight are not clear. This study investigates the impact of PCDI on toddlers' weight, focusing on the potential serial mediation by maternal emotional feeding and child appetite traits. We conducted a secondary analysis of longitudinal data from a larger intervention trial to prevent childhood obesity in low-income Hispanic families. A total of 241 mother-child dyads were included in these analyses. Measurements were taken at various stages: PCDI at child age 19 months, maternal emotional feeding at 28 months, and both child appetite traits and weight-for-age z-score (WFAz) at 36 months. Serial mediation analyses revealed a significant indirect effect of early PCDI on later child WFAz through maternal emotional feeding and two child food approach traits (food responsiveness, emotional overeating) out of the eight child appetite traits assessed. PCDI at 19 months was associated with increased use of emotional feeding in mothers at 28 months, which was associated with heightened food responsiveness and emotional overeating in children at 36 months, which in turn was linked to greater child WFAz at 36 months. The findings of this study expand the understanding of the mechanisms underlying PCDI and child weight, emphasizing the interplay between maternal feeding practices and child appetite in the context of adverse parent-child interactions during early childhood.
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Affiliation(s)
| | | | | | | | - Radhika Teli
- New York University Grossman School of Medicine, USA
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2
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Apergi K, Malisova O, Vlassopoulos A, Fidanoglou P, Kandyliari A, Kapsokefalou M. Investigating the Sociodemographic and Health Characteristics of Non-Sugar Sweeteners Consumption in Greek School-Aged Children: A Cross-Sectional Study. CHILDREN (BASEL, SWITZERLAND) 2024; 11:813. [PMID: 39062262 PMCID: PMC11274966 DOI: 10.3390/children11070813] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/30/2024] [Revised: 06/28/2024] [Accepted: 06/28/2024] [Indexed: 07/28/2024]
Abstract
BACKGROUND/OBJECTIVES The childhood consumption of non-sugar-sweetened (NSS) soft drinks is a growing concern due to its potential health implications. This study investigated demographic, anthropometric, and lifestyle factors influencing NSS soft drink consumption among children. METHODS A sample of 1304 children and their parents were surveyed. RESULTS Analysis revealed that nearly 60% reported consuming NSS soft drinks at least once a week. Also, positive associations were found between NSS soft drink consumption and lower socioeconomic status, increased total beverage consumption, higher maternal BMI, and parental soft drink habits. However, upon employing multivariable models, only the association between total and NSS soft drinks consumption remained statistically significant (OR = 18.925, p < 0.05 for children; OR = 3.801, p < 0.05 for parents), highlighting the pivotal role of parental behavior in shaping children's consumption patterns. CONCLUSIONS These findings emphasize the importance of tracking parental habits, revealing a strong correlation between parental behavior and children's soft drink consumption patterns. Understanding these factors is crucial for developing effective public health strategies for children, which should prioritize not only individual behaviors but also parental modeling and household dynamics.
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Affiliation(s)
- Kyriaki Apergi
- Department of Food Science and Technology, University of Patras, 30100 Agrinio, Greece; (K.A.); (O.M.)
| | - Olga Malisova
- Department of Food Science and Technology, University of Patras, 30100 Agrinio, Greece; (K.A.); (O.M.)
| | - Antonis Vlassopoulos
- Food Science and Human Nutrition, Agricultural University of Athens, 11855 Athens, Greece; (A.V.); (A.K.)
| | - Philippa Fidanoglou
- Department of Food Science and Technology, University of Patras, 30100 Agrinio, Greece; (K.A.); (O.M.)
| | - Aikaterini Kandyliari
- Food Science and Human Nutrition, Agricultural University of Athens, 11855 Athens, Greece; (A.V.); (A.K.)
| | - Maria Kapsokefalou
- Food Science and Human Nutrition, Agricultural University of Athens, 11855 Athens, Greece; (A.V.); (A.K.)
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Demir Kösem D, Demir Ş, Bektaş M. The effect of middle and high school students' emotional eating behavior on obesity. J Pediatr Nurs 2024; 77:e257-e262. [PMID: 38658305 DOI: 10.1016/j.pedn.2024.04.037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/06/2024] [Revised: 03/09/2024] [Accepted: 04/12/2024] [Indexed: 04/26/2024]
Abstract
AIM This study was conducted to determine the effect of middle and high school students' emotional eating behavior on obesity. METHOD A descriptive, correlational, and cross-sectional study design was used. The sample consisted of 267 students studying in 5th, 6th, 7th, 8th, 9th, 10th, 11th, and 12th grades. Data were collected using a Child Information Form and the Emotional Eating Scale. The researchers measured the students' height and weight and calculated their body mass indices (BMI), and BMI percentiles were evaluated according to age and gender. Percentage calculations, mean scores, Spearman correlation analysis, Pearson's correlation analysis, and multiple regression analysis were used in the analysis of the data. RESULTS Of the students participating in the study, 54.7% were girl and 45.3% were boy. It was determined that 28.4% of the students were overweight and obese. As a result of multiple regression analysis, it was determined that students' emotional eating behavior explained 25% of obesity (p < 0.001). It was found that anxiety-anger- frustration, one of the subscales of the emotional eating scale, was the only variable that significantly predicted students' obesity status (β = 0.387). Emotional eating significantly predicted the obesity status of boy and girl students (p < 0.001). CONCLUSION In this study, it was concluded that students' emotional eating behavior affected obesity. IMPLICATIONS FOR PRACTICE In line with these results, it is recommended that studies on other variables that may predict the effect of students' emotional eating behavior on obesity should be conducted and that nurses should contact schools to conduct emotional eating behavior screenings and provide emotional eating education for students who exhibit emotional eating behavior.
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Affiliation(s)
- Dilek Demir Kösem
- Hakkari University Faculty of Health Sciences, Department of Nursing, Hakkari, Turkey.
| | - Şenay Demir
- Selcuk University Faculty of Health Sciences, Department of Physical Therapy and Rehabilitation, Selcuklu, Konya, Turkey.
| | - Murat Bektaş
- Dokuz Eylul University Faculty of Nursing, Inciraltı, Izmir, Turkey.
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Kutbi HA, Mosli RH. Maternal concern and perception about child overweight risk, maternal feeding practices, and child eating behaviors: A cross-sectional study. PLoS One 2024; 19:e0302557. [PMID: 38861515 PMCID: PMC11166278 DOI: 10.1371/journal.pone.0302557] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2022] [Accepted: 04/07/2024] [Indexed: 06/13/2024] Open
Abstract
Abundant efforts have been directed to understand the global obesity epidemic and related obesogenic behaviors. However, the relationships of maternal concern and perception about child weight with child eating behaviors in Saudi Arabia have not been investigated. Therefore, this study aimed to examine the associations of maternal concern and perception about child overweight risk with maternal feeding practices and child eating behaviors among mothers and their children in Saudi Arabia. Mothers of 115 children aged 3-5 years old were recruited from eight preschools. Child eating behaviors (enjoyment of food, responsiveness to foods, food fussiness, satiety responsiveness, and slowness in eating) and maternal feeding practices (restriction, monitoring, and using food as a reward), maternal concern about child weight, and maternal perception about child overweight risk were assessed using validated questionnaires. Multiple linear regression models, adjusted for maternal body mass index (BMI) and child's BMI-z score and sex, were tested to examine the independent associations of maternal concern and perception about child overweight risk with child eating behaviors and maternal feeding practices. Maternal concern about child weight was positively associated with food enjoyment in children (B = 0.14 [95% confidence intervals = 0.02,0.27]) and responsiveness to food (B = 0.16 [0.03,0.29]), whereas a negative association with child food fussiness was observed (B = -0.19 [-0.33, -0.04]). Maternal perception about child overweight risk and child slowness in eating were negatively associated (B = -0.72 [-0.16 to -0.28]). Maternal concern and perception about child overweight risk were not associated with maternal feeding practices. In conclusion, maternal concern and perception about child overweight risk were found to be associated with food approach eating behavior traits but not with maternal feeding practices. Mothers who are concerned about child weight or perceive their children as overweight may need guidance and support to promote healthy eating behaviors among their children. Future cross-cultural studies are needed to understand the underlying mechanisms for the influence of maternal concern and perception about child overweight risk on maternal feeding practices, child eating behaviors, and weight status of children.
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Affiliation(s)
- Hebah Alawi Kutbi
- Department of Clinical Nutrition, Faculty of Applied Medical Sciences, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Rana Hisham Mosli
- Department of Clinical Nutrition, Faculty of Applied Medical Sciences, King Abdulaziz University, Jeddah, Saudi Arabia
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Gretschel S, Morgner A, Schindler C, Zierenberg NA, Kusian H, Herkner M, Reinsch S, Schoeneich F, Neugebauer EAM, Elbelt U. Correlation between Obesity and Socioeconomic and Psychological Characteristics of Students Attending Different Rural School Types. CHILDREN (BASEL, SWITZERLAND) 2024; 11:648. [PMID: 38929228 PMCID: PMC11202293 DOI: 10.3390/children11060648] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/20/2024] [Revised: 05/17/2024] [Accepted: 05/22/2024] [Indexed: 06/28/2024]
Abstract
We examined the prevalence of obesity in two types of schools-a comprehensive school and a grammar school-in a rural German region of Brandenburg. METHODS In a cross-sectional study, BMI values were measured in 114 students in grades 5, 7, and 10. In addition to the demographic data, data on nutrition, physical activity, and mental well-being were collected using a questionnaire. RESULTS A total of 44% (11/25) of the comprehensive school students and 15% (13/89) of the high school students are overweight, and 24% (6/25) of the comprehensive school pupils and 6% (5/89) of the grammar school pupils (p = 0.009) are obese. In addition, 91% (10/11) of the students with obesity, 36% (4/11) of the students with pre-obesity, and 31% (26/84) of the normal-weight students (p = 0.001) are concerned about their weight. Among the children with obesity, 82% (9/11) are afraid of gaining weight. In addition, 6% (5/82) of the normal-weight students, 25% (3/12) of the students with pre-obesity, and 70% (7/10) of the students with obesity feel restricted by their weight when exercising. CONCLUSION School attendance and parental socioeconomic status appear to correlate with students' weight statuses. There is a high level of suffering, and they feel uncomfortable with their bodies and worry about weight regulation.
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Affiliation(s)
- Stephan Gretschel
- Department of General, Visceral, Thoracic and Vascular Surgery, University Hospital Ruppin-Brandenburg, 16816 Neuruppin, Germany;
- Brandenburg Medical School Theodor Fontane (MHB), 16816 Neuruppin, Germany; (A.M.); (C.S.); (N.A.Z.); (M.H.); (E.A.M.N.)
- Faculty of Health Sciences Brandenburg (FGW), University Hospital Ruppin-Brandenburg (UKRB), Fehrbelliner Straße 38, 16816 Neuruppin, Germany;
| | - Annabell Morgner
- Brandenburg Medical School Theodor Fontane (MHB), 16816 Neuruppin, Germany; (A.M.); (C.S.); (N.A.Z.); (M.H.); (E.A.M.N.)
| | - Cornelia Schindler
- Brandenburg Medical School Theodor Fontane (MHB), 16816 Neuruppin, Germany; (A.M.); (C.S.); (N.A.Z.); (M.H.); (E.A.M.N.)
| | - Nina Amelie Zierenberg
- Brandenburg Medical School Theodor Fontane (MHB), 16816 Neuruppin, Germany; (A.M.); (C.S.); (N.A.Z.); (M.H.); (E.A.M.N.)
| | - Henry Kusian
- Department of General, Visceral, Thoracic and Vascular Surgery, University Hospital Ruppin-Brandenburg, 16816 Neuruppin, Germany;
| | - Meike Herkner
- Brandenburg Medical School Theodor Fontane (MHB), 16816 Neuruppin, Germany; (A.M.); (C.S.); (N.A.Z.); (M.H.); (E.A.M.N.)
| | - Stefan Reinsch
- Faculty of Health Sciences Brandenburg (FGW), University Hospital Ruppin-Brandenburg (UKRB), Fehrbelliner Straße 38, 16816 Neuruppin, Germany;
- Centre for Health Services Research Brandenburg (ZVF-BB), 15562 Rüdersdorf, Germany
| | | | - Edmund A. M. Neugebauer
- Brandenburg Medical School Theodor Fontane (MHB), 16816 Neuruppin, Germany; (A.M.); (C.S.); (N.A.Z.); (M.H.); (E.A.M.N.)
- Faculty of Health Sciences Brandenburg (FGW), University Hospital Ruppin-Brandenburg (UKRB), Fehrbelliner Straße 38, 16816 Neuruppin, Germany;
| | - Ulf Elbelt
- Medical Clinic B, 16816 Neuruppin, Germany;
- Division of Medicine, Department of Gastroenterology, Metabolism and Oncology, University Hospital Ruppin-Brandenburg, Brandenburg Medical School, 16816 Neuruppin, Germany
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Özer Ö, Uyhan O, Devrilmez E, Orhan İ, Bilgiç M, Uğurlu A, Tabak EY, Yüksel O, Şentürk A, Karakullukçu A, Eler N, Özcan K, Akpınar S. The relationship between attitude toward physical activity and weight gain in children and young adolescence. Front Pediatr 2024; 12:1300613. [PMID: 38774299 PMCID: PMC11106473 DOI: 10.3389/fped.2024.1300613] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/29/2023] [Accepted: 04/23/2024] [Indexed: 05/24/2024] Open
Abstract
Introduction The purpose of this study was to investigate the association between attitudes toward physical activity and weight gain among children and young adolescents with an additional focus on the impact of gender on these attitudes. Methods Employing a descriptive survey method, data were systematically gathered via purposive sampling from 11 specific cities in Türkiye, ensuring representation from all seven regions. A total of 3,138 students, aged between 9 and 14 years, participated in this study, with a distribution of 46% girls and 54% boys. To assess the attitudes of children and young adolescents toward physical activity, the Youth Physical Activity Attitude Scale was utilized. Height and body weight measurements were taken to determine the body mass index of participants. SPSS 26.0 software facilitated the statistical analyses, including Pearson correlation analysis to explore relationships between variables. Multivariate Analysis of Variance was employed to evaluate the impact of age, BMI, and gender on attitudes toward physical activity. Results Participants classified as normal weight exhibited a more positive attitude towards physical activity compared to their obese and overweight counterparts. Moreover, a significant gender difference emerged, with boys demonstrating significantly higher positive attitudes toward physical activity than girls. However, no significant difference was observed in negative attitudes based on gender. The study also revealed that an escalation in negative attitudes towards physical activity correlated with students being categorized as underweight, overweight, or obese, as opposed to having a normal weight status. Additionally, a statistically significant divergence in both positive and negative attitudes towards physical activity was found based on age. Specifically, the results indicated that students aged 9 and 14 exhibited lower levels of positive attitude when contrasted with their counterparts of different age groups. Conversely, in the domain of negative attitudes, students at the age of 9 scored higher than their peers in other age categories. Discussion Attitudes towards physical activity can serve as a convenient indicator and guide for assessing the effectiveness of various practices or interventions aimed at promoting physical activity, with recognition of the significant gender difference in positive attitudes among children and young adolescents.
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Affiliation(s)
- Ömer Özer
- Faculty of Sport Science, Department of Physical Education and Sport, Bandırma Onyedi Eylül University, Balıkesir, Türkiye
| | - Osman Uyhan
- Institute of Health Science, Bandırma Onyedi Eylül University, Balıkesir, Türkiye
| | - Erhan Devrilmez
- Faculty of Sport Science, Department of Physical Education and Sport, Karamanoğlu Mehmetbey University, Karaman, Türkiye
| | - İlkay Orhan
- Faculty of Sport Science, Department of Physical Education and Sport, Akdeniz University, Antalya, Türkiye
| | - Mert Bilgiç
- Faculty of Sport Science, Department of Coaching Education, Akdeniz University, Antalya, Türkiye
| | - Alkan Uğurlu
- Faculty of Sport Science, Department of Physical Education and Sport, Akdeniz University, Antalya, Türkiye
| | - Ekrem Yasin Tabak
- Institute of Social Science, Karamanoğlu Mehmetbey University, Karaman, Türkiye
| | - Oğuzhan Yüksel
- Faculty of Sport Science, Department of Recreation, Dumlupınar University, Kütahya, Türkiye
| | - Aydın Şentürk
- Faculty of Sport Science, Department of Coaching Education, Dumlupınar University, Kütahya, Türkiye
| | - Ayla Karakullukçu
- Faculty of Sport Science, Department of Sport Management, Kırıkkale University, Kırkkale, Türkiye
| | - Nebahat Eler
- School of Physical Education and Sport, Department of Coaching Education, Bülent Ecevit University, Zonguldak, Türkiye
| | - Kürşat Özcan
- Faculty of Sport Science, Department of Physical Education and Sport, Nevşehir Hacı Bektaş Veli University, Nevşehir, Türkiye
| | - Selçuk Akpınar
- Faculty of Sport Science, Department of Physical Education and Sport, Nevşehir Hacı Bektaş Veli University, Nevşehir, Türkiye
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Richardson TN, Reis P, Swanson M. Mental Health and Feeding Styles in Parents of Formula-Fed Infants. Child Obes 2024; 20:178-187. [PMID: 37130301 PMCID: PMC10979682 DOI: 10.1089/chi.2022.0225] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/04/2023]
Abstract
Background: Nonresponsive feeding styles can contribute to rapid weight gain in infancy and subsequent obesity in childhood. There is a need to investigate factors such as parental mental health symptoms (stress, depression, and anxiety) that may contribute to nonresponsive feeding styles. The purpose of this study was to investigate the relationship between parental mental health symptoms and feeding styles in parents of healthy, term formula-fed infants during the first year of life. Methods: A cross-sectional, descriptive correlational design was employed using online surveys. We recruited participants through Facebook groups and pediatricians' offices. Instruments included a demographic questionnaire, the Perceived Stress Scale-10, Patient Health Questionnaire-Depression Module-9, 7-item Generalized Anxiety Disorder Assessment, and Infant Feeding Style Questionnaire. Results: Participants were 306 parents of formula-fed infants. Greater depressive symptoms was the strongest predictor of the pressuring style (β = 0.54), while greater symptoms of stress (β = -0.13) and anxiety (β = -0.28) were associated with lower pressuring scores. Greater depressive symptoms was the strongest predictor of the laissez-faire style (β = 0.48), while greater symptoms of stress (β = -0.17) and anxiety (β = -0.23) were associated with lower laissez-faire scores. Engaging in ≤50% of the infant's feeds was the strongest control variable predictor for the pressuring and laissez-faire styles. None of the mental health variables were significantly related to the restrictive style. Conclusions: We recommend increased screening for depressive symptoms in parents of infants and responsive feeding support, especially for those experiencing depressive symptoms.
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Affiliation(s)
| | - Pamela Reis
- College of Nursing, East Carolina University, Greenville, NC, USA
| | - Mel Swanson
- College of Nursing, East Carolina University, Greenville, NC, USA
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de Sousa KG, de Carvalho Chaves S, de Souza Barbosa T, Gavião MBD. Nutritional status, feeding behavior, and oral conditions in preschool children exposed to secondhand smoke. Ecol Food Nutr 2024; 63:63-82. [PMID: 38308642 DOI: 10.1080/03670244.2024.2307431] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2024]
Abstract
This study evaluated whether the nutritional status of preschoolers is influenced by secondhand smoke. Pairs of mothers-children (N = 201) were allocated in "children exposed to secondhand smoke (ESHS)" or "not exposed (N_ESHS)." Mothers answered, "The Parental Feeding Style Questionnaire (PFSQ)." The nutritional status and oral conditions were evaluated using WHO criteria. ESHS was 3.5 more likely to have a high BMI and their mothers had 10 kg more than N_ESHS. The probability of having dental caries was 2.28 and 3.68 times greater when the mother's BMI increases and when family/mothers were smokers, independently whether they smoke in the child's presence.
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Affiliation(s)
- Karina Guedes de Sousa
- Departamento de Ciências da Saúde e Odontologia Infantil, Faculdade de Odontologia de Piracicaba, Universidade Estadual de Campinas (FOP-UNICAMP), Piracicaba, SP, Brasil
- Department of Dentistry, UniFacex, Natal, Brasil
| | | | - Taís de Souza Barbosa
- Department of Social and Pediatric Dentistry, Institute of Science and Technology, Campus of São José dos Campos, São Paulo State University (UNESP), São José dos Campos, Brasil
| | - Maria Beatriz Duarte Gavião
- Departamento de Ciências da Saúde e Odontologia Infantil, Faculdade de Odontologia de Piracicaba, Universidade Estadual de Campinas (FOP-UNICAMP), Piracicaba, SP, Brasil
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Mazurkiewicz A, Raczkowska E. The Connection between Knowledge and the Nutritional Behaviour of Parents and the Occurrence of Overweight and Obesity among Preschool Children-A Pilot Study. Nutrients 2024; 16:174. [PMID: 38202003 PMCID: PMC10780658 DOI: 10.3390/nu16010174] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2023] [Revised: 12/30/2023] [Accepted: 01/02/2024] [Indexed: 01/12/2024] Open
Abstract
The phenomenon of overweight and obesity constitutes a threat for health and children's lives at preschool age. Eating habits formed during this period seriously affect not only future dietary preferences but also the development of diet-related diseases. The purpose of the present study was the assessment of the relationship between the state of knowledge of children's nutrition and parents' eating behaviour and the prevalence of overweight and obesity in children aged 4-6 years. The study was conducted using 200 parent-child pairs. The behaviour and nutritional knowledge of parents was assessed using a questionnaire method. In contrast, anthropometric measurements were taken among the children. Nutritional disorders were noted in 46.5% of children of whom 39.0% struggled with overweight and 7.5% with obesity. The study showed that the children of parents with higher levels of nutritional knowledge were more likely to develop overweight and obesity. It also proved that irregularity of parental food intake predisposed the development of excessive body weight in children (p = 0.0049). Therefore, it is reasonable to undertake further investigation into factors implying the development of nutritional disorders among those youngest. Early recognition of dietary mistakes can contribute to their elimination at an early age.
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Affiliation(s)
| | - Ewa Raczkowska
- Department of Human Nutrition, Faculty of Biotechnology and Food Science, Wrocław University of Environmental and Life Sciences, 37 Chełmońskiego Street, 51-630 Wrocław, Poland;
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Yan HY, Lin FG, Tseng MCM, Fang YL, Lin HR. The psychometric properties of Binge Eating Scale among overweight college students in Taiwan. J Eat Disord 2023; 11:47. [PMID: 36964612 PMCID: PMC10039566 DOI: 10.1186/s40337-023-00774-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/28/2022] [Accepted: 03/15/2023] [Indexed: 03/26/2023] Open
Abstract
BACKGROUND The Binge Eating Scale (BES) is a widely used measuring tool to assess binge eating problems in Western countries. However, the psychometric properties of such scales among cross-cultural youth groups are insufficient, and the factor structure continues to be debated; therefore, further research is needed. The aim of this study was to examine the properties of BES among overweight college students in Taiwan. METHODS A cross-sectional design and convenience sampling were adopted to recruit 300 overweight students from five universities. A translated Traditional Chinese version of BES was used for the survey, and the validity of the scale was tested using the Confirmatory Factor Analysis (CFA) and Bulimic Investigatory Test, Edinburgh (BITE). The reliability was evaluated using internal consistency and test-retest reliability. RESULTS The CFA results showed a reasonable model fit. The first-order two-factor model was consistent with that of the original BES and significantly correlated with the criterion of BITE score. Cronbach's α value, representing internal consistency reliability, and the intraclass correlation coefficient of repeated measures made one month apart were both 0.83, indicating good reliability and stability. Significant correlations were observed between the BES score and sex and BMI; however, no correlation was observed between BES scores and age. CONCLUSION The BES presents sound psychometric properties, has good cross-cultural applicability, and can be used as a first-line screening tool by mental health professionals to identify the severity of binge eating behavior among overweight college students in Taiwan. It is recommended that participant diversity and obesity indicators be incorporated into the scale in the future to establish a universal psychometric tool.
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Affiliation(s)
- Huey-Yeu Yan
- PhD Program, School of Nursing, National Taipei University of Nursing and Health Sciences, Taipei City, 112303, Taiwan
- Department of Nursing, University of Kang Ning, Taipei City, 114311, Taiwan
| | - Fu-Gong Lin
- Department of Optometry, Asia University, Taichung, 413305, Taiwan
| | - Mei-Chih Meg Tseng
- Department of Psychiatry, School of Medicine, College of Medicine, Taipei Medical University, Taipei City, 110301, Taiwan
- Department of Psychiatry, Shuang Ho Hospital, Taipei Medical University, New Taipei City, 235041, Taiwan
- Department of Psychiatry, National Taiwan University College of Medicine, Taipei City, 100233, Taiwan
| | - Yue-Lin Fang
- Division of General Surgery, Department of Surgery, Shin Kong Wu Ho-Su Memorial Hospital, No.95, Wenchang Rd., Shilin Dist., Taipei City, 111045, Taiwan.
| | - Hung-Ru Lin
- School of Nursing, National Taipei University of Nursing and Health Sciences, No. 365, Mingde Rd., Beitou Dist., Taipei City, 112303, Taiwan.
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11
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Qiu C, Hatton R, Li Q, Xv J, Li J, Tian J, Yuan S, Hou M. Associations of parental feeding practices with children's eating behaviors and food preferences: a Chinese cross-sectional study. BMC Pediatr 2023; 23:84. [PMID: 36800939 PMCID: PMC9938626 DOI: 10.1186/s12887-023-03848-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/02/2021] [Accepted: 01/13/2023] [Indexed: 02/19/2023] Open
Abstract
BACKGROUND Childhood inadequate eating behaviors contribute to the epidemic of obesity. Previous research suggests that parental feeding practices are partially associated with development of eating behaviors among children, but the results are inconsistent. The present study was to investigate whether parental feeding practices were associated with eating behaviors and food preferences among Chinese children. METHODS A cross-sectional study was conducted to collect data from 242 children (ages 7-12) in six-primary schools in Shanghai, China. A series of questionnaires including parental feeding practices and children's eating behaviors have been validated, and were completed by one of parent who has responded for child's daily diet and living. In addition, researchers instructed children to complete the questionnaire of food preference. After adjustment for children's age, sex and BMI status, as well as parental education and family income, the linear regression analysis was used to evaluate relationships of parental feeding practices with children's eating behaviors and food preferences. RESULTS Parents with boys had higher level of control overeating practice than those with girls. Mothers who responded to child's daily diet and living and completed feeding practices questionnaire used a greater level of emotional feeding practices than fathers. Boys had higher levels of food responsiveness, emotional overeating, enjoyment of food and desire to drink than girls. Boys had different preferences for meat, processed meat products, fast foods, dairy foods, eggs, and snacks and starchy staples & beans from girls. In addition, scores of instrumental feeding practice and preference for meat significantly differed among children with different weight status. Furthermore, parental emotional feeding practice was positively associated with children's emotional undereating (β 0.54, 95% CI 0.16 to 0.92). There were also positive associations of parental encouragement to eat with children's preference for the processed meat (β 0.43, 95% CI 0.08 to 0.77). Moreover, instrumental feeding practice was negatively associated with children's fish liking (β -0.47, 95% CI -0.94 to -0.01). CONCLUSION The current findings support associations of emotional feeding practice with some children's emotional undereating, as well as parental encouragement to eat and instrumental feeding practice related to preference for processed meat and fish, respectively. Further studies should continue to ascertain these associations using longitudinal designs, and to evaluate efficacy of parental feeding practices impacting developments of healthy eating behaviors and preferences for healthy foods among children by interventional studies.
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Affiliation(s)
- Chao Qiu
- grid.258151.a0000 0001 0708 1323College of Humanities, Jiangnan University, 1800 Lihu Road, Wuxi, China
| | - Rosalind Hatton
- grid.498142.2Bradford District Care NHS Foundation Trust, Bradford, UK
| | - Qian Li
- grid.16821.3c0000 0004 0368 8293School of Public Health, College of Medicine, Shanghai Jiao Tong University, 227 Chongqing South Road, Shanghai, China
| | - Jiale Xv
- grid.16821.3c0000 0004 0368 8293School of Public Health, College of Medicine, Shanghai Jiao Tong University, 227 Chongqing South Road, Shanghai, China
| | - Jiaqin Li
- grid.16821.3c0000 0004 0368 8293School of Public Health, College of Medicine, Shanghai Jiao Tong University, 227 Chongqing South Road, Shanghai, China
| | - Jiahe Tian
- grid.16821.3c0000 0004 0368 8293School of Public Health, College of Medicine, Shanghai Jiao Tong University, 227 Chongqing South Road, Shanghai, China
| | - Shenghao Yuan
- grid.16821.3c0000 0004 0368 8293School of Public Health, College of Medicine, Shanghai Jiao Tong University, 227 Chongqing South Road, Shanghai, China
| | - Min Hou
- School of Public Health, College of Medicine, Shanghai Jiao Tong University, 227 Chongqing South Road, Shanghai, China.
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12
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Acosta P, Rojas-Humpire R, Newball-Noriega EE, Morales-García WC, Saintila J, Ruiz Mamani PG, Huancahuire-Vega S. Dietary practices and nutritional status of children served in a social program for surrogate mothers in Colombia. BMC Nutr 2023; 9:26. [PMID: 36747251 PMCID: PMC9901049 DOI: 10.1186/s40795-023-00685-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2022] [Accepted: 01/31/2023] [Indexed: 02/08/2023] Open
Abstract
BACKGROUND Dietary practices are acquired in the family context and in turn can affect the health of family members, especially the nutritional status of children. The objective of this study was to determine the relationship between nutritional status and feeding practices in children from foster families served by the SOS Children's Villages program in Cartagena, Colombia. METHODS The study had a cross-sectional design. Through a non-probabilistic purposive sampling, 139 children from 0 to 5 years of age from the SOS Children's Villages Cartagena program were involved. The sociodemographic background of the participants was recorded and the nutritional status of the children was evaluated through anthropometric and biochemical measurements. Dietary practices were measured by means of a standardized questionnaire. Analyses were performed with Poisson regression models with robust variance. These regression models provided prevalence ratios (PR) with their respective 95% confidence intervals (95%CI). RESULTS Among dietary practices, it was observed that most families eat together at home (63.3%), watch television when they eat (55.4%), and have dietary norms (80.6%). Consumption of plant foods was predominantly high, especially vegetables (86.3%), fruits (92.1%), cereals (84.9%), root vegetables, and bananas (93.5%). Consumption < 4 times/week of soft drinks and industrialized juices increases 14.3 times the probability of low weight-for-height in the study population compared to the group that does not consume them. On the other hand, watching television while eating (PR: 2.82, 95%CI 1.32-4.69) and consumption of sweet snacks (PR: 2.24, 95%CI 1.03-4.87) increased the probability of low height-for-age; while having eaten norms at home decreased the probability of low height-for-age in the study population by 50%. CONCLUSION It is necessary to develop and implement interventions such as preventive measures and early diagnosis of inappropriate feeding behaviors to ensure adequate nutritional status among children under 5 years of age.
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Affiliation(s)
- Patricia Acosta
- Aldeas Infantiles SOS Colombia, Programa Cartagena, Bolívar, Colombia
| | - Ricardo Rojas-Humpire
- grid.441893.30000 0004 0542 1648Departamento de Ciencias Básicas, Escuela de Medicina Humana, Facultad de Ciencias de La Salud, Universidad Peruana Unión, Lima, Perú ,grid.441893.30000 0004 0542 1648Grupo de Investigación P53, Escuela de Medicina Humana, Facultad de Ciencias de La Salud, Universidad Peruana Unión, Carretera Central Km 19, Ñaña, Lima 15, Peru
| | - Edda E. Newball-Noriega
- grid.441893.30000 0004 0542 1648Departamento de Ciencias Básicas, Escuela de Medicina Humana, Facultad de Ciencias de La Salud, Universidad Peruana Unión, Lima, Perú ,grid.441893.30000 0004 0542 1648Grupo de Investigación P53, Escuela de Medicina Humana, Facultad de Ciencias de La Salud, Universidad Peruana Unión, Carretera Central Km 19, Ñaña, Lima 15, Peru
| | - Wilter C. Morales-García
- grid.441893.30000 0004 0542 1648Unidad de Salud Pública Escuela de Posgrado, Universidad Peruana Unión, Lima, Perú
| | - Jacksaint Saintila
- grid.441720.40000 0001 0573 4474Escuela de Medicina Humana, Universidad Señor de Sipán, Chiclayo, Perú
| | - Percy G. Ruiz Mamani
- grid.441740.20000 0004 0542 2122Facultad de Ciencias de La Salud, Universidad Privada San Juan Bautista, Lima, Perú
| | - Salomón Huancahuire-Vega
- grid.441893.30000 0004 0542 1648Departamento de Ciencias Básicas, Escuela de Medicina Humana, Facultad de Ciencias de La Salud, Universidad Peruana Unión, Lima, Perú ,grid.441893.30000 0004 0542 1648Grupo de Investigación P53, Escuela de Medicina Humana, Facultad de Ciencias de La Salud, Universidad Peruana Unión, Carretera Central Km 19, Ñaña, Lima 15, Peru
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Food Fussiness in Children. TOP CLIN NUTR 2023. [DOI: 10.1097/tin.0000000000000301] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
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14
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Thorsteinsdottir S, Njardvik U, Bjarnason R, Olafsdottir AS. Changes in Eating Behaviors Following Taste Education Intervention: Focusing on Children with and without Neurodevelopmental Disorders and Their Families: A Randomized Controlled Trial. Nutrients 2022; 14:4000. [PMID: 36235654 PMCID: PMC9571701 DOI: 10.3390/nu14194000] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2022] [Revised: 09/17/2022] [Accepted: 09/21/2022] [Indexed: 11/16/2022] Open
Abstract
Fussy-eating children often display problematic behaviors around mealtimes, such as irritation, opposition, or may even throw tantrums. This may lead to reduced food variety and poor nutritional profiles, which may increase parents' worries about their children's diet, particularly when the children also have neurodevelopmental disorders (ND) such as Autism Spectrum Disorder (ASD) and Attention-Deficit/Hyperactive Disorder (ADHD). To investigate the effect of Taste Education on problematic mealtime behaviors, 81 children aged 8-12 years, with ND (n = 33) and without (n = 48), and their parents, participated in a 7-week Taste Education intervention. Children were matched on age, sex, and ND, and allocated at random into Immediate-intervention and Delayed-intervention groups. Parents completed the Meals in Our Household Questionnaire (MiOH). To examine changes in MiOH-scores, repeated-measures analysis-of-variance with time-points were used, with condition as factors (Immediate intervention and Delayed intervention). Baseline measures were adjusted for, and a robust linear mixed-model was fitted. Results showed superior outcomes for Intervention compared to waiting on all measures of MiOH, with stable effects through six-month follow-up. Differences were non-significant between children with and without ND. The Taste Education program suggests a promising, simple, and non-intrusive way to reduce children's problematic mealtime behaviors in the long term.
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Affiliation(s)
- Sigrun Thorsteinsdottir
- Faculty of Health Promotion, Sport and Leisure Studies, School of Education, University of Iceland, Stakkahlid, 105 Reykjavik, Iceland
| | - Urdur Njardvik
- Faculty of Psychology, School of Health Sciences, University of Iceland, Saemundargata 12, 102 Reykjavik, Iceland
| | - Ragnar Bjarnason
- Faculty of Medicine, School of Health Sciences, University of Iceland, Laeknagardur 4th Floor, Vatnsmyrarvegur 16, 101 Reykjavik, Iceland
- Department of Pediatrics, National University Hospital, Hringbraut, 101 Reykjavik, Iceland
| | - Anna S. Olafsdottir
- Faculty of Health Promotion, Sport and Leisure Studies, School of Education, University of Iceland, Stakkahlid, 105 Reykjavik, Iceland
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Latorre‐Román PÁ, Guzmán‐Guzmán IP, Antonio Párraga‐Montilla J, Caamaño‐Navarrete F, Salas‐Sánchez J, Palomino‐Devia C, Reyes‐Oyola FA, Álvarez C, de la Casa‐Pérez A, Cardona Linares AJ, Delgado‐Floody P. Healthy lifestyles and physical fitness are associated with abdominal obesity among Latin-American and Spanish preschool children: A cross-cultural study. Pediatr Obes 2022; 17:e12901. [PMID: 35233958 PMCID: PMC9286564 DOI: 10.1111/ijpo.12901] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/21/2021] [Accepted: 01/20/2022] [Indexed: 12/13/2022]
Abstract
BACKGROUND Identifying environmental factors that influence health in children are necessary to develop preventive strategies. OBJECTIVE To determine the association between the lifestyles of children (i.e., Mediterranean diet (MD), physical activity (PA), fitness and screen time (ST) with abdominal obesity (AO) of preschoolers from three Spanish-speaking countries (Chile, Colombia and Spain) with different socioeconomic levels and Human Development Index (HDI) indicators. MATERIAL AND METHODS This cross-sectional study included 982 schoolchildren (aged 4-6 years; 56.8% girls) from Chile (n = 409), Colombia (n = 281), and Spain (n = 292). Body mass index (BMI), waist circumference (WC), waist-to-height ratio (WtHR), adherence to the MD, PA, ST and physical fitness were evaluated. RESULTS Spanish preschoolers reported a lower WtHR (p < 0.001), greater physical fitness (Z-score) (p < 0.001) and higher adherence to the MD (p < 0.001) than their Chilean and Colombian peers. In addition, Colombian preschoolers had a better lifestyle (PA + ST) than their Chilean and Spanish peers (p < 0.001). Chilean preschoolers reported a higher prevalence of AO than the Spanish preschoolers (65% vs. 51.9%; p = 0.001). CONCLUSION Lifestyle had a significant association with AO among Spanish-speaking preschool children, with physical fitness especially being a relevant factor regardless of the country of origin. The findings of the current study may support the development of public guidelines focusing on healthy lifestyles in children to create effective plans that contribute to the early treatment of AO in preschool children.
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Affiliation(s)
| | | | | | | | | | | | | | - Cristian Álvarez
- Department of HealthUniversidad de Los LagosOsornoChile
- Exercise and Rehabilitation Sciences Laboratory, School of Physical Therapy, Faculty of Rehabilitation SciencesUniversidad Andres BelloSantiagoChile
| | - Ana de la Casa‐Pérez
- Department of Didactics of Music, Plastic and Corporal ExpressionUniversity of JaénJaénSpain
| | | | - Pedro Delgado‐Floody
- Department of Physical Education, Sport and RecreationUniversidad de La FronteraTemucoChile
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16
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Nikooyeh B, Ghodsi D, Amini M, Rasekhi H, Rabiei S, Doustmohammadian A, Al-Jawaldeh A, Neyestani TR. The Analysis of Trends of Preschool Child Stunting, Wasting and Overweight in the Eastern Mediterranean Region: Still More Effort Needed to Reach Global Targets 2025. J Trop Pediatr 2022; 68:6565201. [PMID: 35393613 DOI: 10.1093/tropej/fmac028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
BACKGROUND This study was undertaken to analyze and compare Eastern Mediterranean (EM) countries in achievement of WHO nutrition global targets for children growth indicators by 2025. METHODS A total of 108 national surveys from 20 countries in EM region were analyzed to estimate the prevalence of stunting and wasting and 93 surveys to estimate the prevalence of overweight/obesity in children. These data were obtained from national surveys included in the WHO Global Database on Child Growth and Malnutrition. RESULTS In EM region, the prevalence of childhood stunting was estimated to have a 38% decline from 2000 (34.7%) to 2025 (21.2%). Only three countries in EM region (Iran and Jordan, Saudi Arabia) were anticipated to achieve the expected WHO target by 2025. From 2000 to 2020, the prevalence of wasting decreased from 6.9 to 5.3. Six countries were presumed to achieve the expected WHO target by 2025. Nine countries will presumably have overweight rates >5% (Djibouti, Egypt, Iraq, Kuwait, Lebanon, Libya, Morocco, Syrian Arab Republic and Tunisia) in 2025 whereas five countries will have overweight rates above 10% (Egypt, Libya, Morocco, Syrian Arab Republic and Tunisia). CONCLUSION Despite descending trends of child stunting and wasting and a secular trend of child obesity in EM region, it is expected that WHO targets will not be achieved by 2025. A diverse socio-economic condition in EM countries necessitates different action plans. International determination, political commitment and, above all, involvement of the families are needed to achieve 2025 targets for child stunting, wasting and overweight/obesity.
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Affiliation(s)
- Bahareh Nikooyeh
- Department of Nutrition Research, National Nutrition and Food Technology Research Institute and Faculty of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Delaram Ghodsi
- Department of Nutrition Research, National Nutrition and Food Technology Research Institute and Faculty of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Maryam Amini
- Department of Nutrition Research, National Nutrition and Food Technology Research Institute and Faculty of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Hamid Rasekhi
- Department of Nutrition Research, National Nutrition and Food Technology Research Institute and Faculty of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Samira Rabiei
- Department of Nutrition Research, National Nutrition and Food Technology Research Institute and Faculty of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Azam Doustmohammadian
- Gastrointestinal and Liver Diseases Research Center (GILDRC), Iran University of Medical Sciences, Tehran, Iran
| | - Ayoub Al-Jawaldeh
- Regional Office for the Eastern Mediterranean (EMRO), World Health Organization (WHO), Cairo 7608, Egypt
| | - Tirang R Neyestani
- Department of Nutrition Research, National Nutrition and Food Technology Research Institute and Faculty of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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17
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Al-Hamad AH, Al-Naseeb AM, Al-Assaf MS, Al-Obaid SA, Al-Abdulkarim BS, Olszewski PK. Preliminary Exploration of Obesity-Related Eating Behaviour Patterns in a Sample of Saudi Preschoolers Aged 2-6 Years through the Children's Eating Behaviour Questionnaire. Nutrients 2021; 13:nu13114156. [PMID: 34836411 PMCID: PMC8618833 DOI: 10.3390/nu13114156] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2021] [Revised: 11/17/2021] [Accepted: 11/18/2021] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND The Children's Eating Behaviour Questionnaire (CEBQ) is used with parents to determine the characteristics of eating behaviour of their children and, consequently, children's propensity to become obese. It has been successfully used mainly in Western countries, but not in Saudi Arabia. In this pilot study, we explored the use of the Saudi version of the CEBQ for preschool children aged 2-6 years in Saudi Arabia, and assessed the associations between eating behaviours and children's age, gender and relative weight and parental weight. METHODS Parents of 200 Saudi preschool children in Riyadh completed the Saudi version of the CEBQ. Factor analyses on all CEBQ items were performed and differences between genders and age groups were examined. Correlations between children's BMI z-scores and eating behaviours were analysed using linear regression. RESULTS The factor analysis revealed an eight-factor solution similar to the theoretical factor structure, with good internal reliability and acceptable correlations between subscales. Boys scored higher than girls on food responsiveness; no difference between age groups was found. Positive associations between BMI z-scores and 'food approach' subscales, food responsiveness, enjoyment of food and emotional overeating were found, while 'food avoidant' subscales, satiety responsiveness and slowness in eating had inverse relationships with BMI z-scores. Maternal BMI had a positive association with BMI z-scores and food responsiveness. CONCLUSION The CEBQ is a valid psychometric tool that can be reliably used to assess eating behaviour characteristics in Saudi preschool children.
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Affiliation(s)
- Ali H. Al-Hamad
- Department of Pathology & Laboratory Medicine, King Abdulaziz Medical City, Riyadh 22490, Saudi Arabia
- Correspondence:
| | - Aljohara M. Al-Naseeb
- Clinical Nutrition Department, King Fahad Medical City, Riyadh 11525, Saudi Arabia; (A.M.A.-N.); (M.S.A.-A.); (S.A.A.-O.); (B.S.A.-A.)
| | - Maha S. Al-Assaf
- Clinical Nutrition Department, King Fahad Medical City, Riyadh 11525, Saudi Arabia; (A.M.A.-N.); (M.S.A.-A.); (S.A.A.-O.); (B.S.A.-A.)
| | - Suzan A. Al-Obaid
- Clinical Nutrition Department, King Fahad Medical City, Riyadh 11525, Saudi Arabia; (A.M.A.-N.); (M.S.A.-A.); (S.A.A.-O.); (B.S.A.-A.)
| | - Bandar S. Al-Abdulkarim
- Clinical Nutrition Department, King Fahad Medical City, Riyadh 11525, Saudi Arabia; (A.M.A.-N.); (M.S.A.-A.); (S.A.A.-O.); (B.S.A.-A.)
| | - Pawel K. Olszewski
- Department of Biological Sciences, University of Waikato, Hamilton 3240, New Zealand;
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Borloz S, Bucher Della Torre S, Collet TH, Jotterand Chaparro C. Consumption of Ultraprocessed Foods in a Sample of Adolescents With Obesity and Its Association With the Food Educational Style of Their Parent: Observational Study. JMIR Pediatr Parent 2021; 4:e28608. [PMID: 34779776 PMCID: PMC8663715 DOI: 10.2196/28608] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/11/2021] [Revised: 08/05/2021] [Accepted: 08/17/2021] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Both parental education and the food environment influence dietary intake and may therefore contribute to childhood obesity. OBJECTIVE We aimed to assess the consumption of ultraprocessed foods (UPFs) in a convenience sample of adolescents with obesity and to determine its association with the food educational style of their parent. METHODS This observational study included 24 participants, 12 adolescents (8 boys and 4 girls) aged from 12 to 14 years and their 12 parents, who were followed in a specialized pediatric obesity clinic in the French-speaking part of Switzerland. The adolescents were asked to take a photograph with a smartphone application of all meals and beverages consumed in their daily routine over 14 consecutive days. They evaluated their parent's food educational style using the Kids' Child Feeding Questionnaire. The parent who was present at the study visits also completed the Feeding Style Questionnaire. A dietitian analyzed the pictures to extract food group portions and to identify UPFs using the NOVA classification. A nonparametric statistical test was used to investigate associations between UPF intake and food educational style. RESULTS Overall, the adolescents had unbalanced dietary habits compared to national recommendations. They consumed an insufficient quantity of vegetables, fruits, dairy products, and starchy foods and an excessive amount of meat portions and sugary and fatty products compared to the current Swiss recommendations. Their consumption of UPFs accounted for 20% of their food intake. All adolescents defined their parent as being restrictive in terms of diet, with a mean parental restriction score of 3.3±SD 0.4 (norm median=2.1). No parent reported a permissive food educational style. A higher intake of UPFs was associated with a lower parental restriction score (P=.04). CONCLUSIONS Despite being followed in a specialized pediatric obesity clinic, this small group of adolescents had an unbalanced diet, which included 20% UPFs. The intake of UPFs was lower in participants whose parent was more restrictive, suggesting the importance of parents as role models and to provide adequate food at home. TRIAL REGISTRATION ClinicalTrials.gov NCT03241121; https://clinicaltrials.gov/ct2/show/NCT03241121.
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Affiliation(s)
- Sylvie Borloz
- Pediatric Service, Department Woman-Mother-Child, Lausanne University Hospital (CHUV), Lausanne, Switzerland
| | - Sophie Bucher Della Torre
- Department of Nutrition and Dietetics, Geneva School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland, Geneva, Switzerland
| | - Tinh-Hai Collet
- Service of Endocrinology, Diabetology, Nutrition and Therapeutic Education, Geneva University Hospitals (HUG), Geneva, Switzerland
| | - Corinne Jotterand Chaparro
- Department of Nutrition and Dietetics, Geneva School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland, Geneva, Switzerland
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Demir D, Bektas M. The Effect of an Obesity Prevention Program on Children's Eating Behaviors, Food Addiction, Physical Activity, and Obesity Status. J Pediatr Nurs 2021; 61:355-363. [PMID: 34563806 DOI: 10.1016/j.pedn.2021.09.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/28/2021] [Revised: 08/31/2021] [Accepted: 09/01/2021] [Indexed: 11/26/2022]
Abstract
PURPOSE This study was carried out to determine the effect of an obesity prevention program on children's eating behaviors, food addiction, physical activity, and obesity prevalence. DESIGN AND METHODS A pretest-posttest quasi-experimental design was used in the study. The study was conducted with a total of 128 students, including 55 in the intervention and 73 in the control groups. The obesity prevention program was implemented in the intervention group, and a routine curriculum training program was followed in the control group. The study data were collected before the intervention and in the third, sixth, and fifteenth months after the completion of the intervention. The data were evaluated using the chi-square test, McNeamer test, Cochrane Q test, multivariate analysis of variance in repeated measures, the Bonferroni adjusted paired t-test, power analysis, effect size, and regression analysis. RESULTS At the end of the study, it was determined that the body mass index values and food addiction rates of the students in the intervention group were lower than those of the students in the control group (p < .05). There was a significant difference between the mean scores of the students in the intervention and control groups obtained from the eating behavior questionnaire and the physical activity questionnaire in terms of time, group, and group * time interaction (p < .05). Also, the intervention program was found to have a large effect size (0.39) and a strong effect (0.85) on body mass index. CONCLUSION The obesity prevention intervention program was found to be effective in increasing children's positive eating behaviors and mean physical activity score and decreasing food addiction rates and body mass index values. PRACTICE IMPLICATIONS We recommend that the intervention program implemented in this study should be used widely in the curriculum of the Ministry of Education. This program shows that the school nurse is effective in preventing obesity in children. For this reason, there should be a school nurse in schools for implementing health-promoting education programs.
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Affiliation(s)
- Dilek Demir
- Dokuz Eylul University Health Science Institute, Departmant of Pediatric Nursing, Turkey; Dokuz Eylul University Health Science Institute, Departmant of Pediatric Nursing, Inciraltı, Turkey.
| | - Murat Bektas
- Dokuz Eylul University Faculty of Nursing, Inciraltı, Turkey
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Bensignor MO, Freese RL, Sherwood NE, Berge JM, Kunin-Batson A, Veblen-Mortenson S, French SA. The Relationship between Household SNAP Participation, Parent Feeding Styles, and Child Eating Behaviors. JOURNAL OF HUNGER & ENVIRONMENTAL NUTRITION 2021; 19:23-37. [PMID: 38174344 PMCID: PMC10760976 DOI: 10.1080/19320248.2021.1994506] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
This cross-sectional analysis of the Minnesota Now Everybody Together for Amazing Healthful Kids (NET-Works) study evaluated whether SNAP participation was associated with specific parental feeding styles and child eating behaviors. Associations between parent-reported feeding styles and child eating behaviors and SNAP participation were examined using multiple linear regression analyses and responses from 534 parent/child dyads (49.1% female children, 91.7% female parents). SNAP participation was not associated with specific feeding styles or child eating behaviors when adjusting for food insecurity, timing in SNAP cycle, and other covariates in this large, ethnically and racially diverse sample of predominantly mothers and preschool-aged children. Other factors, such as food insecurity, not SNAP participation, may influence parental feeding and child eating behaviors, and screening by health care providers is recommended.
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Affiliation(s)
- Megan O Bensignor
- Department of Pediatrics, Medical School, University of Minnesota, Minneapolis, MN
- Center for Pediatric Obesity Medicine, University of Minnesota Medical School, Minneapolis, MN
- Healthy Weight Research Center, University of Minnesota, Minneapolis, MN
| | - Rebecca L Freese
- Biostatistical Design and Analysis Center, Clinical and Translational Science Institute, University of Minnesota, Minneapolis, MN
| | - Nancy E Sherwood
- Healthy Weight Research Center, University of Minnesota, Minneapolis, MN
- Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN
| | - Jerica M Berge
- Healthy Weight Research Center, University of Minnesota, Minneapolis, MN
- Department of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, MN
| | - Alicia Kunin-Batson
- Department of Pediatrics, Medical School, University of Minnesota, Minneapolis, MN
- Center for Pediatric Obesity Medicine, University of Minnesota Medical School, Minneapolis, MN
- Healthy Weight Research Center, University of Minnesota, Minneapolis, MN
| | - Sara Veblen-Mortenson
- Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN
| | - Simone A French
- Healthy Weight Research Center, University of Minnesota, Minneapolis, MN
- Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN
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Stressed out and fed up: The effect of stress on maternal feeding behaviors and the moderating role of executive function. Appetite 2021; 168:105762. [PMID: 34666137 DOI: 10.1016/j.appet.2021.105762] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2020] [Revised: 10/06/2021] [Accepted: 10/15/2021] [Indexed: 11/20/2022]
Abstract
Stress is associated with a range of unhealthy eating habits, yet few studies have examined how stress may influence the intergenerational transmission of eating habits from parents to their children. Specifically, there is a lack of data regarding the role of stress on feeding practices. Moreover, most work investigating the associations between parental stress and their feeding behaviors has been correlational, limiting our understanding of causality. In the current study, we used an experimental design, induced high and low stress in mothers using a standard laboratory stressor, and observed mother-child interactions during a snack break. We also examined the potential role of maternal executive functioning (EF) for buffering the effects of stress on maternal feeding behaviors. Levels of maternal stress were manipulated with the Trier Social Stress Task (TSST) in a community sample (N = 80 dyads, Child Mage = 41.89 months, female = 43). We measured maternal EF with a series of computerized tasks. Maternal feeding behaviors were coded for controlling behaviors, which included pressuring and restricting behaviors. Results indicate a main effect of stress on controlling feeding behaviors, such that mothers in the high-stress condition exhibited higher levels of controlling behaviors. The effect of stress on controlling feeding behaviors was ameliorated among mothers with higher levels of EF after controlling for child age and income. Results provide causal evidence for the role of stress on feeding behaviors and suggest EF as a factor to be considered in the treatment and prevention of diet-related illnesses.
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22
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Zhou N, Sun L. Confirmatory factor analysis of the Children's Eating Behaviour Questionnaire in a Chinese urban preschooler sample. Int J Behav Nutr Phys Act 2021; 18:113. [PMID: 34479579 PMCID: PMC8414728 DOI: 10.1186/s12966-021-01175-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2021] [Accepted: 07/26/2021] [Indexed: 11/17/2022] Open
Abstract
Background Understanding young children's eating behaviours is vital to childhood obesity prevention. However, the widely used Children's Eating Behaviour Questionnaire (CEBQ) has not been validated in Chinese young children. Thus, the present study aimed to assess the validity of the CEBQ in a Chinese urban sample of preschool children. Methods Participants included 389 mothers with preschool children residing in Beijing, China. Confirmatory factor analysis was conducted, and measurement invariance between child genders was evaluated. Results The modified 8-factor structure of the CEBQ exhibited acceptable model fit in our sample, and no measurement bias against any gender was observed. The associations between the CEBQ factors and child age showed that desire to drink, emotional overeating, and emotional undereating significantly decreased with age, but food responsiveness increased with age. The relation between child BMI and the CEBQ factors provided convergent validity for the CEBQ. Conclusions Our study supported the validity of the CEBQ as a measurement tool for examining preschool children's eating behaviours in a Chinese urban sample.
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Affiliation(s)
- Nan Zhou
- College of Early Childhood Education, Capital Normal University, #5, North 3rd Street, Fu Cheng Rd., Haidian District, Beijing, 100048, China.
| | - Luning Sun
- The Psychometrics Centre, Cambridge Judge Business School, University of Cambridge, Trumpington Street, Cambridge, CB2 1AG, UK.
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Marvin-Dowle K, Soltani H, Spencer R. Infant feeding in diverse families; the impact of ethnicity and migration on feeding practices. Midwifery 2021; 103:103124. [PMID: 34425256 DOI: 10.1016/j.midw.2021.103124] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2020] [Revised: 07/02/2021] [Accepted: 08/09/2021] [Indexed: 11/15/2022]
Abstract
OBJECTIVE To investigate differences in infant feeding practices and styles by maternal migration status. DESIGN Prospective cohort study. SETTING Maternity unit of a large hospital in Northern England PARTICIPANTS: Women recruited to the Born in Bradford longitudinal cohort study MEASUREMENTS: Breastfeeding initiation; breastfeeding at six months; breastfeeding at twelve months; timing of introduction of complementary feeding; maternal feeding style at twelve months. FINDINGS Migrant women were more likely to initiate breastfeeding and continue breastfeeding for longer compared to native women. Native women also introduced complementary feeding earlier than migrant women. There was evidence of feeding practices among second= generation migrants becoming increasingly more aligned with those of native women, with lower breastfeeding rates and earlier introduction of complementary feeding compared to first-generation migrants. Migrant women were more likely to adopt a 'Demanding' feeding style, with the strongest associations seen in first-generation migrants. KEY CONCLUSIONS Migration status is an important factor to consider in reference to infant feeding practices. This is particularly important in considering intergenerational changes in families with migration backgrounds and the potential of culture to impact on family practices. IMPLICATIONS FOR PRACTICE Interventions to maintain cultural norms around infant feeding in families with migration backgrounds would be beneficial, due to the observed higher rates of breastfeeding in first-generation migrants. Targeted interventions to improve breastfeeding in white British native women should consider the role that culture can play in encouraging positive health behaviours.
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Affiliation(s)
- Katie Marvin-Dowle
- Sheffield Hallam University, Faculty of Health and Wellbeing, College of Health, Wellbeing and Life Sciences, Collegiate Crescent, Sheffield S10 2BP, United Kingdom.
| | - Hora Soltani
- Sheffield Hallam University, Faculty of Health and Wellbeing, College of Health, Wellbeing and Life Sciences, Collegiate Crescent, Sheffield S10 2BP, United Kingdom.
| | - Rachael Spencer
- Sheffield Hallam University, Faculty of Health and Wellbeing, College of Health, Wellbeing and Life Sciences, Collegiate Crescent, Sheffield S10 2BP, United Kingdom.
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Zhang L, Zhang Y, Qiu L, Yang G, Jiang H, Zheng M, Wang J. Parental feeding knowledge, practices and Chinese children and adolescents’ weight status. CHILDRENS HEALTH CARE 2021. [DOI: 10.1080/02739615.2021.1919112] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- Li Zhang
- Sociology, China University of Political Science and Law, Beijing, China
| | - Yaorong Zhang
- Social Work, China University of Political Science and Law, Beijing, China
| | - Liya Qiu
- Sociology, Peking University, Beijing, China
| | | | - Haiyan Jiang
- Sociology, China University of Political Science and Law, Beijing, China
- Social Work, China University of Political Science and Law, Beijing, China
| | - Mengyi Zheng
- Sociology, China University of Political Science and Law, Beijing, China
- Social Work, China University of Political Science and Law, Beijing, China
| | - Jie Wang
- Sociology, School of Law, Anhui Normal University, Anhui, China
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25
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Getting started with virtual reality for sensory and consumer science: Current practices and future perspectives. Food Res Int 2021; 145:110410. [PMID: 34112413 DOI: 10.1016/j.foodres.2021.110410] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2021] [Revised: 04/21/2021] [Accepted: 05/08/2021] [Indexed: 11/24/2022]
Abstract
While virtual reality (VR) has become increasingly popular in food-related research, there has been a lack of clarity, precision, and guidelines regarding what exactly constitutes a virtual reality study, as well as the options available to the researcher for designing and implementing it. This review provides a practical guide for sensory and consumer scientists interested in exploring the emerging opportunities offered by VR. We take a deep dive into the components that make up a VR study, including hardware, software, and response measurement methods, all the while being grounded in immersion and presence theory. We then review how these building blocks are put together to create two major categories of research scenarios: product selection, which can be entirely created in VR, and food evaluation, which involve tasting products in real life. For each category, we review current literature with a focus on experimental design, then highlight future avenues and technical development opportunities within sensory and consumer research. Finally, we evaluate limitations and ethical issues in VR food research, and offer future perspectives which go above and beyond ensuring ecological validity in product testing.
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26
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Kininmonth A, Smith A, Carnell S, Steinsbekk S, Fildes A, Llewellyn C. The association between childhood adiposity and appetite assessed using the Child Eating Behavior Questionnaire and Baby Eating Behavior Questionnaire: A systematic review and meta-analysis. Obes Rev 2021; 22:e13169. [PMID: 33554425 DOI: 10.1111/obr.13169] [Citation(s) in RCA: 79] [Impact Index Per Article: 26.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/16/2020] [Revised: 10/20/2020] [Accepted: 10/20/2020] [Indexed: 12/21/2022]
Abstract
This systematic review and meta-analysis aimed to quantify associations between Child Eating Behavior Questionnaire (CEBQ) and Baby Eating Behavior Questionnaire (BEBQ) appetitive traits (food approach: Food Responsiveness [FR], Enjoyment of Food [EF], Emotional Overeating [EOE], and Desire to Drink [DD]; food avoidant: Satiety Responsiveness [SR], Slowness in Eating [SE], Emotional Undereating [EUE], Food Fussiness [FF]) and measures of child adiposity. Searches of six databases up to February 2019 identified 72 studies (CEBQ, n = 67; BEBQ, n = 5), and 27 met the meta-analysis criteria. For cross-sectional studies reporting unadjusted correlations with body mass index z-scores (BMIz) (n = 19), all traits were associated with BMIz in expected directions (positive: FR, EF, EOE, and DD; negative: SR, SE, EUE, and FF). Pooled estimates ranged from r = 0.22 (FR) to r = -0.21 (SR). For cross-sectional studies reporting regression coefficients (n = 10), three traits (FR, EF, and EOE) associated positively, and three traits (SR, SE, and EUE) negatively, with BMIz (β = -0.31 [SR] to β = 0.22 [FR]). Eleven studies reported prospective relationships from appetite to adiposity measures for six scales (positive: FR, EF, EOE, and DD; negative: SR and SE). Five studies reported relationships from adiposity measures to appetite for five traits (positive: FR, EF, and EOE; negative: SR). All BEBQ traits were consistently cross-sectionally associated with adiposity measures. Overall, CEBQ/BEBQ-assessed appetitive traits show consistent cross-sectional relationships with measures of child adiposity.
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Affiliation(s)
- Alice Kininmonth
- School of Psychology, Faculty of Medicine and Health, University of Leeds, Leeds, UK
| | - Andrea Smith
- Obesity Group, Research Department of Behavioural Science and Health, University College London, London, UK
| | - Susan Carnell
- Department of Psychiatry and Behavioural Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
| | - Silje Steinsbekk
- Department of Psychology, Faculty of Social and Educational Sciences, Norwegian University of Science and Technology, Trondheim, Norway
| | - Alison Fildes
- School of Psychology, Faculty of Medicine and Health, University of Leeds, Leeds, UK
| | - Clare Llewellyn
- Obesity Group, Research Department of Behavioural Science and Health, University College London, London, UK
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Headid Iii RJ, Park SY. The impacts of exercise on pediatric obesity. Clin Exp Pediatr 2021; 64:196-207. [PMID: 32777917 PMCID: PMC8103043 DOI: 10.3345/cep.2020.00997] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/02/2020] [Accepted: 07/10/2020] [Indexed: 12/17/2022] Open
Abstract
Over the last few decades, the rates of pediatric obesity have more than doubled regardless of sociodemographic categorization, and despite these rates plateauing in recent years there continues to be an increase in the severity of obesity in children and adolescents. This review will discuss the pediatric obesity mediated cardiovascular disease (CVD) risk factors such as attenuated levels of satiety and energy metabolism hormones, insulin resistance, vascular endothelial dysfunction, and arterial stiffness. Additionally, early intervention to combat pediatric obesity is critical as obesity has been suggested to track into adulthood, and these obese children and adolescents are at an increased risk of early mortality. Current suggested strategies to combat pediatric obesity are modifying diet, limiting sedentary behavior, and increasing physical activity. The effects of exercise intervention on metabolic hormones such as leptin and adiponectin, insulin sensitivity/resistance, and body fat in obese children and adolescents will be discussed along with the exercise modality, intensity, and duration. Specifically, this review will focus on the differential effects of aerobic exercise, resistance training, and combined exercise on the cardiovascular risks in pediatric obesity. This review outlines the evidence that exercise intervention is a beneficial therapeutic strategy to reduce the risk factors for CVD and the ideal exercise prescription to combat pediatric obesity should contain both muscle strengthening and aerobic components with an emphasis on fat mass reduction and long-term adherence.
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Affiliation(s)
- Ronald J Headid Iii
- School of Health and Kinesiology, University of Nebraska at Omaha, Omaha, NE, USA
| | - Song-Young Park
- School of Health and Kinesiology, University of Nebraska at Omaha, Omaha, NE, USA
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28
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Rumbo-Rodríguez L, Sánchez-SanSegundo M, Ruiz-Robledillo N, Albaladejo-Blázquez N, Ferrer-Cascales R, Zaragoza-Martí A. Use of Technology-Based Interventions in the Treatment of Patients with Overweight and Obesity: A Systematic Review. Nutrients 2020; 12:E3634. [PMID: 33255982 PMCID: PMC7760174 DOI: 10.3390/nu12123634] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2020] [Revised: 11/18/2020] [Accepted: 11/23/2020] [Indexed: 01/17/2023] Open
Abstract
Introduction: Obesity is one of the most important health problems worldwide. The prevalence of obesity has increased dramatically in the last decades and is now recognized as a global epidemic. Given the dramatic consequences of obesity, new intervention approaches based on the potential of technologies have been developed. Methods: We conducted a systematic review of studies using PubMed, ScienceDirect, Cochrane Library, and MedLine databases to assess how different types of technologies may play an important role on weight loss in obese patients. Results: Forty-seven studies using different types of technologies including smartphones, app, websites, virtual reality and personal digital assistant were included in the review. About half of interventions (47%) found a significant effect of the technology-based interventions for weight lost in obese patients. The provision of feedback could also be effective as a complement to interventions carried out using technology to promote weight loss. Conclusions: The use of technologies can be effective to increase weight loss in patients with obesity improving treatment adherence through self-monitoring.
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Affiliation(s)
| | - Miriam Sánchez-SanSegundo
- Department of Health Psychology, University of Alicante, 03690 Alicante, Spain; (M.S.-S.); (N.R.-R.); (N.A.-B.); (R.F.-C.)
| | - Nicolás Ruiz-Robledillo
- Department of Health Psychology, University of Alicante, 03690 Alicante, Spain; (M.S.-S.); (N.R.-R.); (N.A.-B.); (R.F.-C.)
| | - Natalia Albaladejo-Blázquez
- Department of Health Psychology, University of Alicante, 03690 Alicante, Spain; (M.S.-S.); (N.R.-R.); (N.A.-B.); (R.F.-C.)
| | - Rosario Ferrer-Cascales
- Department of Health Psychology, University of Alicante, 03690 Alicante, Spain; (M.S.-S.); (N.R.-R.); (N.A.-B.); (R.F.-C.)
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Pérez Alonso-Geta PM, Moreno MCB. Hygiene and Eating Healthy Habits and Practices in Spanish Families with Children Aged 6 to 14. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17228671. [PMID: 33266434 PMCID: PMC7700584 DOI: 10.3390/ijerph17228671] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/19/2020] [Revised: 11/11/2020] [Accepted: 11/18/2020] [Indexed: 11/23/2022]
Abstract
During childhood and pre-adolescence, the family environment is key to initiating and consolidating healthy styles in children through a balanced diet and basic hygiene habits. This study analyses hygiene, nutrition and health practices in Spanish families with children between 6 and 14 years of age according to the type of family (nuclear, single-parent or reconstituted) and the quantity, age and gender of the children. A representative Spanish national sample of 1103 Spanish parents, 270 fathers and 833 mothers, with children aged 6 to 14, is analysed. The study is descriptive, using statistical techniques with classic indicators (means, percentages). The results show that nuclear families manifest healthier habits, in general, and consider the consumption of pastries, ultra-processed food and excessive amounts of salt to be harmful. Furthermore, this family typology develops healthy and hygienic habits, such as brushing teeth daily, sleeping at least 8 h a day, drinking a glass of milk a day, eating fish more than once a week and eating fast food sporadically. They are also concerned about their children’s annual medical check-ups (paediatrician and dentist). It is concluded that the family type is related to the hygiene and feeding habits of the children.
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30
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Damen FW, Steenbekkers BL, de Vaal MT, Kampen JK, Fogliano V, Luning PA. General parenting and mothers’ snack giving behavior to their children aged 2–7. Food Qual Prefer 2020. [DOI: 10.1016/j.foodqual.2020.103961] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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De Giuseppe R, Calcaterra V, Biino G, Rodriguez N, Gerbaldo A, Mantelli M, Cena H. Dietary habits and physical activity: Which influence on abdominal fat deposition in children and adolescents? MEDITERRANEAN JOURNAL OF NUTRITION AND METABOLISM 2020. [DOI: 10.3233/mnm-200407] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND: Prevention of childhood obesity is recommended throughout interventions aiming at enhancing healthy dietary habits (DH) and increasing physical activity (PA). OBJECTIVE: This cross-sectional study aimed at investigating DH and PA, in a sample of Italian children/adolescents. METHODS: We evaluated DH and PA by means of a previously validated questionnaire in 178 children/adolescents (88F/90M, 11.8±2.6 years): 49 normal weight (NW), 76 overweight (OW) and 53 with obesity (OB). Abdominal obesity was defined as Waist to Height Ratio (WHeR) >0.5. RESULTS: DH did not differ in NW subjects compared to OW and OB but higher PA score (p = 0.001) was observed in NW than OW and OB. No association was found between DH and WHeR, unlike PA. Four clusters of subjects were identified that could be defined by DH and PA; only one cluster, defined by PA, showed a significantly lower WHeR within subjects playing sports at least 3–4 hours/week. Moreover, subjects belonging to this cluster did not skip the main meals, eat a varied diet and drank milk at breakfast. CONCLUSIONS: In our sample PA performed at least 3–4 hours/week is inversely associated with abdominal fat deposition and is expected to positively impact health, protecting from abdominal obesity.
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Affiliation(s)
- Rachele De Giuseppe
- Laboratory of Dietetics and Clinical Nutrition, Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia, Italy
| | - Valeria Calcaterra
- Department of Maternal and Children’s Health, Pediatric Endocrinology Unit, Fondazione IRCCS Policlinico S. Matteo and University of Pavia, Department of Internal Medicine, Pavia, Italy
| | - Ginevra Biino
- Institute of Molecular Genetics, National Research Council of Italy, Pavia, Italy
| | - Noelia Rodriguez
- Laboratory of Dietetics and Clinical Nutrition, Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia, Italy
- Master of Medicine, KU Leuven, Leuven, Belgium
| | - Anna Gerbaldo
- Laboratory of Dietetics and Clinical Nutrition, Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia, Italy
| | - Melissa Mantelli
- Immunology and Transplantation Laboratory/Cell Factory/Pediatric Hematology/Oncology Department, Fondazione IRCCS Policlinico S. Matteo, Pavia, Italy
| | - Hellas Cena
- Laboratory of Dietetics and Clinical Nutrition, Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia, Italy
- Clinical Nutrition and Dietetics Service, Unit of Internal Medicine and Endocrinology, ICS Maugeri IRCCS, Pavia, Italy
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Psychometric properties of the Turkish version of the Child Three-Factor Eating Questionnaire for primary and secondary school students. Public Health Nutr 2020; 24:427-435. [PMID: 32669147 DOI: 10.1017/s1368980020001767] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
OBJECTIVE This study aims to evaluate the validity and reliability of the Turkish version of the Child Three-Factor Eating Questionnaire for primary and secondary school students. DESIGN A methodological, descriptive and correlational study design was adopted. SETTING The study was conducted in the western and central regions of Turkey. PARTICIPANTS This methodological-descriptive-correlational study was conducted with 351 children between July 2018 and August 2018. The mean age of children is 10·74 ± 1·79 (8-14). RESULTS The scale consists of seventeen items and three sub-dimensions (restraint, uncontrolled eating and emotional eating), which explained 52·88 % of the total variance. All the factor loadings were >0·40 in both exploratory factor analysis and confirmatory factor analysis (CFA). In CFA, all of the fit indices were >0·85, and root mean square error of approximation was <0·08. For the whole of the scale, Cronbach's α was 0·81 and it was found that Cronbach's α values of all sub-dimensions were >0·70. CONCLUSIONS The results of the study show that the Child Three-Factor Eating Questionnaire for primary and secondary school students is a valid and reliable measurement tool for Turkish sampling.
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Slater V, Rose J, Olander E, Matvienko-Sikar K, Redsell S. Barriers and enablers to Caregivers Responsive feeding Behaviour (CRiB): A mixed method systematic review protocol. HRB Open Res 2020; 3:2. [PMID: 32715274 PMCID: PMC7333359 DOI: 10.12688/hrbopenres.12980.2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/04/2020] [Indexed: 12/18/2022] Open
Abstract
Background: Childhood overweight and obesity is a major public health issue. Responsive feeding has been identified as having a protective effect against child overweight and obesity, and is associated with healthy weight gain during infancy. Responsive feeding occurs when the caregiver recognises and responds in a timely and developmentally appropriate manner to infant hunger and satiety cues. Despite its benefits, responsive feeding is not ubiquitous. To better support caregivers to engage in responsive feeding behaviours, it is necessary to first systematically identify the barriers and enablers associated with this behaviour. This mixed-methods systematic review therefore aims to synthesise evidence on barriers and enablers to responsive feeding using the COM-B model of behavioural change. Methods: 7 electronic databases will be searched (Maternal and Infant Care, CINAHL, Cochrane, PubMed, Medline, PsycINFO, EMBASE). Studies examining factors associated with parental responsive and non-responsive feeding of infants and children (<2 years) will be included. Papers collecting primary data, or analysing primary data through secondary analysis will be included. All titles, abstracts and full texts will be screened by two reviewers. Quantitative and qualitative data from all eligible papers will be independently extracted by at least two reviewers using pre-determined standardised data extraction forms. Two reviewers will independently assess the methodological quality of the studies using the Mixed Methods Appraisal Tool (MMAT). This review will be reported according to the Preferred Reporting Items for Systematic reviews and Meta Analyses (PRISMA). Ethics and dissemination: Ethical approval is not required for this review as no primary data will be collected, and no identifying personal information will be present. The review will be disseminated in a peer reviewed journal. PROSPERO registration: CRD42019144570 (06/08/2019).
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Affiliation(s)
- Vicki Slater
- Faculty of Health, Education, Medicine and Social Care, Anglia Ruskin University, Cambridge, CB1 1PT, UK
| | - Jennie Rose
- Faculty of Health, Education, Medicine and Social Care, Anglia Ruskin University, Cambridge, CB1 1PT, UK
| | - Ellinor Olander
- Centre for Maternal and Child Health Research, City, University of London, London, EC1V 0HB, UK
| | | | - Sarah Redsell
- Faculty of Health, Education, Medicine and Social Care, Anglia Ruskin University, Cambridge, CB1 1PT, UK
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Kininmonth AR, Smith AD, Llewellyn CH, Fildes A. Socioeconomic status and changes in appetite from toddlerhood to early childhood. Appetite 2020; 146:104517. [DOI: 10.1016/j.appet.2019.104517] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2019] [Revised: 10/14/2019] [Accepted: 11/13/2019] [Indexed: 12/12/2022]
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Power TG, Hidalgo-Mendez J, Fisher JO, O’Connor TM, Micheli N, Hughes SO. Obesity risk in Hispanic children: Bidirectional associations between child eating behavior and child weight status over time. Eat Behav 2020; 36:101366. [PMID: 31962209 PMCID: PMC7044049 DOI: 10.1016/j.eatbeh.2020.101366] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/01/2019] [Revised: 01/11/2020] [Accepted: 01/13/2020] [Indexed: 02/08/2023]
Abstract
Individual differences in eating behaviors have been associated with obesity among young children. Food responsiveness tends to be positively associated with childhood obesity, satiety responsiveness tends to show a negative association, and the results for emotional overeating are mixed. Previous studies in this area, however, have generally employed cross-sectional designs. The purpose of the present study was to examine, in a sample of Hispanic children from families with low-income levels, the degree to which individual differences in child eating behaviors in the preschool years predicted changes in child weight into the early elementary school years. Parent/child dyads (n = 113) were seen on three separate occasions starting when the children were 4-years-old and ending when they were 8-years-old. Separate cross-lag panel analyses were conducted for food responsiveness, satiety responsiveness, and emotional overeating in examining the relationships between child eating behavior and child weight status over time. Consistent with previous cross-sectional studies, at all three time points, food responsiveness was positively associated with concurrent child weight status and satiety responsiveness showed a negative relationship. No concurrent relationship with child weight status was found for emotional overeating until the third time point when children were eight-years-old. Only two cross-lag associations between child eating behavior and child weight status were significant: emotional overeating and child weight status showed a bidirectional relationship between the second and third time points. Future longitudinal studies should examine these relationships in other populations.
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Affiliation(s)
- Thomas G. Power
- Department of Human Development, Washington State University, PO Box 644852, Pullman WA 99164, USA
| | - Jackelyn Hidalgo-Mendez
- Department of Human Development, Washington State University, PO Box 644852, Pullman, WA 99164, USA.
| | - Jennifer Orlet Fisher
- Center for Obesity Research and Education, Temple University, 3223 N. Broad Street, Suite 175, Philadelphia, PA 19140, USA.
| | - Teresia M. O’Connor
- USDA/ARS Children’s Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, 1100 Bates Street, Houston TX 77030, USA
| | - Nilda Micheli
- USDA/ARS Children's Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, 1100 Bates Street, Houston, TX 77030, USA.
| | - Sheryl O. Hughes
- USDA/ARS Children’s Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, 1100 Bates Street, Houston TX 77030, USA
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Mantzios M, Egan H, Bahia H, Hussain M, Keyte R. How does grazing relate to body mass index, self-compassion, mindfulness and mindful eating in a student population? Health Psychol Open 2018; 5:2055102918762701. [PMID: 29552351 PMCID: PMC5846935 DOI: 10.1177/2055102918762701] [Citation(s) in RCA: 40] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Contemporary research investigating obesity has focused on grazing (i.e. an uncontrolled and repetitive consumption of small amounts of food). Meanwhile, constructs such as mindfulness, mindful eating and self-compassion have received much attention in assisting individuals with eating behaviours and weight regulation. The association between those constructs and grazing, however, has not been explored. In a cross-sectional study, university students (n = 261) were recruited to explore the relationship of mindfulness, mindful eating and self-compassion with current weight and grazing. Results indicated that all constructs were negatively related to grazing, but only mindful eating related negatively to current weight. In addition, mindful eating mediated the relationship between grazing and current weight. Possible explanations and future directions are discussed further with an emphasis on the need for more empirical work.
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Affiliation(s)
- Michail Mantzios
- Department of Psychology and Faculty of Business, Law and Social Sciences, Birmingham City University, Birmingham, UK
| | - Helen Egan
- Department of Psychology and Faculty of Business, Law and Social Sciences, Birmingham City University, Birmingham, UK
| | - Henna Bahia
- Department of Psychology and Faculty of Business, Law and Social Sciences, Birmingham City University, Birmingham, UK
| | - Misba Hussain
- Department of Psychology and Faculty of Business, Law and Social Sciences, Birmingham City University, Birmingham, UK
| | - Rebecca Keyte
- Department of Psychology and Faculty of Business, Law and Social Sciences, Birmingham City University, Birmingham, UK
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ALTAN SS, BEKTAS M. The effects of parental feeding styles, children’s self-efficacy and social anxiety on adolescent obesity. REV NUTR 2017. [DOI: 10.1590/1678-98652017000600008] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
ABSTRACT Objective To examine the effect of parental feeding styles and children’s self-efficacy and social anxiety on adolescent obesity. Methods The samples of this descriptive and cross-sectional study were collected by using a simple sampling method. The study group was composed of 649 Turkish secondary schools students and their parents. Three secondary schools were selected from both rural and urban areas of the province. Data of the study were collected with the child-parent socio-demographic data collection form, the parenting feeding style questionnaire, the middle school self-efficacy scale and the social anxiety scale for the adolescent. To analyze the data of the study, we used percentages, mean, correlation, and regression analysis. Results The average age of the students was 11.58+1.21 years and percentages of female students 55.0%. The factors that significantly affect male adolescent obesity were fear of social situations in general, interpersonal relations, preventive healthcare self-efficacy, and strict dietary control, respectively. The factors affect male adolescent obesity at the rate of 35.0%. The factors that significantly affect female adolescent obesity were fear of social situations in general, preventive healthcare self-efficacy, emotional feeding, social evasion and distress in new situations, and tolerant dietary control, respectively. These factors affect female adolescent obesity at the rate of 32.8%. Conclusion It is indicated that the obesity of children is affected by self-efficacy levels, social anxiety, and the parental feeding style.
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