Estimating and differentiating maternal feeding practices in a country ranked first in childhood obesity.

Autor:	Salinas Martínez AM; Epidemiologic and Health Services Research Unit/CIBIN, Mexican Institute of Social Security, Lincoln Ave. and Ma. Jesús Candia. Col. Valle Verde, 2º sector, Monterrey, 64360 Nuevo Leon, Mexico.; School of Public Health and Nutrition, Autonomous University of Nuevo Leon, Monterrey, Nuevo Leon, Mexico., Cordero Franco HF; Epidemiologic and Health Services Research Unit/CIBIN, Mexican Institute of Social Security, Lincoln Ave. and Ma. Jesús Candia. Col. Valle Verde, 2º sector, Monterrey, 64360 Nuevo Leon, Mexico.; School of Medicine, Autonomous University of Nuevo Leon, Monterrey, Nuevo Leon, Mexico., Estrada de León DB; School of Public Health and Nutrition, Autonomous University of Nuevo Leon, Monterrey, Nuevo Leon, Mexico., Medina Franco GE; Epidemiologic and Health Services Research Unit/CIBIN, Mexican Institute of Social Security, Lincoln Ave. and Ma. Jesús Candia. Col. Valle Verde, 2º sector, Monterrey, 64360 Nuevo Leon, Mexico., Guzmán de la Garza FJ; Epidemiologic and Health Services Research Unit/CIBIN, Mexican Institute of Social Security, Lincoln Ave. and Ma. Jesús Candia. Col. Valle Verde, 2º sector, Monterrey, 64360 Nuevo Leon, Mexico.; School of Medicine, Autonomous University of Nuevo Leon, Monterrey, Nuevo Leon, Mexico., Núñez Rocha GM; School of Public Health and Nutrition, Autonomous University of Nuevo Leon, Monterrey, Nuevo Leon, Mexico.
Jazyk:	angličtina
Zdroj:	Public health nutrition [Public Health Nutr] 2020 Mar; Vol. 23 (4), pp. 620-630. Date of Electronic Publication: 2019 Nov 21.
DOI:	10.1017/S1368980019003173
Abstrakt:	Objective: Mexico ranks first in childhood obesity worldwide. However, little is known about the factors influencing maternal feeding practices. The present study aimed to estimate the prevalence of feeding practices and explore associations between weight concern, weight perception, sociodemographic characteristics and those feeding practices. Design: Cross-sectional. Setting: North-eastern Mexico. Participants: Mothers aged ≥18 years who were in charge of feeding a singleton child aged 2-6 years with no endocrine disease or visible genetic malformations (n 507). Information on six maternal feeding practices, concern and perception of the child's weight and demographics were collected by interview. The mother's and child's height and weight were measured. The feeding practices questionnaire was subject to content, construct and convergent validity analysis. Then, mean feeding scores were obtained and prevalence and 95 % CI were determined for scores ≥3; multivariate logistic regression was performed. Results: Not modelling (63·5 %; 95 % CI 59·2, 67·8 %) and pressuring to eat (55·6 %; 95 % CI 51·2, 60·0 %) were the most frequent feeding practices, followed by easy access to unhealthy foods (45·4 %; 95 % CI 40·9, 49·8 %) and child control (43·2 %; 95 % CI 38·8, 47·6 %). They prevailed despite concern about the child's excess weight or a perception of the child as overweight/obese. Education was associated with the highest number of practices (educated mothers used more pressuring to eat, less regulation and less easy access; or monitoring was less absent). Conclusions: The frequency of certain feeding practices needs to be improved. Emphasis on the child's weight concern, obesity perception and maternal education is essential for optimizing intervention planning.
Databáze:	MEDLINE
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