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

Machado, Rachel H V ; Tosatti, Abykeyla M ; Malzyner, Gabriela ; Maximino, Priscilla ; Ramos, Cláudia C ; Bozzini, Ana Beatriz ; Ribeiro, Letícia ; Fisberg, Mauro

Frontiers in pediatrics, 2018-01, Vol.5, p.286-286 [Periódico revisado por pares]

Switzerland: Frontiers Research Foundation

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  • Título:
    Maternal Feeding Practices among Children with Feeding Difficulties-Cross-sectional Study in a Brazilian Reference Center
  • Autor: Machado, Rachel H V ; Tosatti, Abykeyla M ; Malzyner, Gabriela ; Maximino, Priscilla ; Ramos, Cláudia C ; Bozzini, Ana Beatriz ; Ribeiro, Letícia ; Fisberg, Mauro
  • Assuntos: Analysis ; children ; feeding complaints ; feeding difficulties ; Feeding methods ; feeding practices ; Health aspects ; Infants ; mothers ; Observational studies ; Pediatrics ; responsive caregiving
  • É parte de: Frontiers in pediatrics, 2018-01, Vol.5, p.286-286
  • Notas: ObjectType-Article-1
    SourceType-Scholarly Journals-1
    ObjectType-Feature-2
    content type line 23
    Specialty section: This article was submitted to Pediatric Gastroenterology, Hepatology and Nutrition, a section of the journal Frontiers in Pediatrics
    Reviewed by: Tudor Lucian Pop, Iuliu Haţieganu University of Medicine and Pharmacy, Romania; Marta Cristina Sanabria, Universidad Nacional de Asunción, Paraguay
    Edited by: Christophe Faure, Centre Hospitalier Universitaire Sainte-Justine, Canada
  • Descrição: Given the positive influence of responsive caregiving on dietary habits in childhood, to raise awareness of caregivers regarding their behavior is crucial in multidisciplinary care on infant feeding. To identify the most common responsive and non-responsive feeding practices in mothers of children with feeding complaints, as well as to seek associations between practices and caregivers' profile. Cross-sectional study with 77 children under 18 years old, with complaints of feeding difficulties. Data were collected during interviews with mothers: child age, gender, duration of exclusive breastfeeding, presence of organic disease, dynamics of bottle use, self-feeding practices and posture at meals, use of appropriate feeding equipment; basic information about the mothers (parity and level of education), caregiver feeding style, presence of coercive feeding, frequency and characteristics of family meals. Statistical analysis considered significance level at 5%. The non-responsive profile predominated among mothers (76.2%, with the Authoritarian style being the most prevalent-39.7%). The responsive profile was characterized by absence of coercive feeding, stimulation of self-feeding practices, use of appropriate feeding equipment and meal environment, with interaction at meals. Non-responsive profile consisted of both inadequate environment and posture at meals, use of distraction and coercive feeding, lack of shared meals, and disregard for children's hunger signals. Only the habit of sharing meals with children was associated with mothers' profile, and considered a protection factor against non-responsive care (OR 0.23; 95% CI 0.06-0.88). Both Authoritarian (  = 0.000) and indulgent mothers (  = 0.007) breastfed exclusively for longer time than negligent ones. There was a higher level of interaction with children in "responsive" parental style (OR 0.056;  = 0.01) compared to other feeding styles. Results highlight the need for educational interventions focused on caregivers' behaviors.
  • Editor: Switzerland: Frontiers Research Foundation
  • Idioma: Inglês
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  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

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