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Maternal Feeding Practices and Feeding Behaviors of Australian Children Aged 12–36 Months

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Abstract

To explore parents’ perceptions of the eating behaviors and related feeding practices of their young children. Mothers (N = 740) of children aged 12–36 months and born in South Australia were randomly selected by birth date in four 6-month age bands from a centralized statewide database and invited to complete a postal questionnaire. Valid completed questionnaires were returned for 374 children (51% response rate; 54% female). Although mothers generally reported being confident and happy in feeding their children, 23% often worried that they gave their child the right amount of food. Based on a checklist of 36 specified items, 15% of children consumed no vegetables in the previous 24 h, 11% no fruit and for a further 8% juice was the only fruit. Of 12 specified high fat/sugar foods and drinks, 11% of children consumed none, 20% one, 26% two, and 43% three or more. Six of eight child-feeding practices that promote healthy eating behaviors were undertaken by 75% parents ‘often’ or ‘all of the time’. However, 8 of 11 practices that do not promote healthy eating were undertaken by a third of mothers at least ‘sometimes’. In this representative sample, dietary quality issues emerge early and inappropriate feeding practices are prevalent thus identifying the need for very early interventions that promote healthy food preferences and positive feeding practices. Such programs should focus not just on the ‘what’, but also the ‘how’ of early feeding, including the feeding relationship and processes appropriate to developmental stage.

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References

  1. Wake, M., Hardy, P., Canterford, L., Sawyer, M., & Carlin, J. B. (2007). Overweight, obesity and girth of Australian preschoolers: Prevalence and socio-economic correlates. International Journal of Obesity, 31(7), 1044–1051.

    Article  PubMed  CAS  Google Scholar 

  2. Department Health and Ageing (2008). 2007 Australian National Children’s Nutrition and Physical Activity Survey. Canberra: Commonwealth of Australia.

  3. Lobstein, T., Baur, L., & Uauy, R. (2004). Obesity in children and young people: A crisis in public health. Obesity Reviews, 5(1), 4–85.

    Article  PubMed  Google Scholar 

  4. Power, C., & Parsons, T. (2002). Nutritional and other influences in childhood as predictors of adult obesity. Proceedings of the Nutrition Society, 59, 267–272.

    Article  Google Scholar 

  5. Magarey, A. M., Daniels, L. A., Boulton, T. J., & Cockington, R. A. (2003). Predicting obesity in early adulthood from childhood and parental obesity. International Journal of Obesity, 27, 505–513.

    Article  PubMed  CAS  Google Scholar 

  6. Reilly, J. J., Methven, E., McDowell, Z. C., Hacking, B., Alexander, D., Stewart, L., et al. (2003). Health consequences of obesity. Archives of Disease in Childhood, 88, 748–752.

    Article  PubMed  CAS  Google Scholar 

  7. Reilly, J. J., Armstrong, J., Sherriff, A., Dorosty, A. R., Emmett, P. M., Ness, A., et al. (2005). Early life risk factors for childhood obesity: A cohort study. British Medical Journal, 330, 1357–1363.

    Article  PubMed  Google Scholar 

  8. Baird, J., Fisher, D., Lucas, P., Kleijnen, J., Roberts, H., & Law, C. (2005). Being big or growing fast: Systematic review of size and growth in infancy and later obesity. British Medical Journal, 331, 929–935.

    Article  PubMed  Google Scholar 

  9. Gardner, D. S. L., Hosking, J., Metcalf, B. S., Jeffery, A. N., Voss, L. D., & Wilkin, T. J. (2009). Contribution of early weight gain to childhood overweight and metabolic health: A longitudinal study (EarlyBird 36). Pediatrics, 123, e67–e73.

    Article  PubMed  Google Scholar 

  10. Birch, L. (1999). Development of food preferences. Annual Review of Nutrition, 19, 41–62.

    Article  PubMed  CAS  Google Scholar 

  11. Webb, K. L., Lahti-Koski, M., Rutishauser, I., Hector, D. J., Knezevic, N., Gill, T., et al. (2006). Consumption of ‘extra’ foods (energy-dense, nutrient-poor) among children aged 16–24 months from Western Sydney, Australia. Public Health Nutrition, 9(8), 1035–1044.

    Article  PubMed  Google Scholar 

  12. Webb, K. L., Rutihauser, I., & Knezevic, N. (2008). Foods, nutrients and portions consumed by a sample of Australian children aged 16–24 months. Nutrition and Dietetics, 65, 56–65.

    Article  Google Scholar 

  13. Fox, M. K., Pac, S., Devaney, B., & Jankowski, L. (2004). Feeding infants and toddlers study: What foods are infants and toddlers eating? Journal of the American Dietetic Association, 104(1), S22–S30.

    Article  PubMed  Google Scholar 

  14. Birch, L. L., Fisher, J. O., Grimm-Thomas, K., Markey, C. N., Sawyer, R., & Johnson, S. L. (2001). Confirmatory factor analysis of the Child Feeding Questionnaire: A measure of parental attitudes, beliefs and practices about child feeding and obesity proneness. Appetite, 36(3), 201–210.

    Article  PubMed  CAS  Google Scholar 

  15. Birch, L. (2006). Child feeding practices and the etiology of obesity. Obesity, 14(3), 343–344.

    Article  PubMed  Google Scholar 

  16. Hill, A. J. (2002). Developmental issues in attitudes to food and diet. Proceedings of the Nutrition Society, 61(2), 259–266.

    Article  PubMed  Google Scholar 

  17. Birch, L. L. (1998). Development of food acceptance patterns in the first years of life. Proceedings of the Nutrition Society, 57(4), 617–624.

    Article  PubMed  CAS  Google Scholar 

  18. Sullivan, S. A., & Birch, L. L. (1994). Infant dietary experience and acceptance of solid foods. Pediatrics, 93(2), 271–277.

    PubMed  CAS  Google Scholar 

  19. Skinner, J. D., Carruth, B. R., Bounds, W., Zeigler, P., & Reidy, K. (2002). Do food-related experiences in the first 2-years of life predict dietary variety in school-aged children? Journal of Nutrition Education and Behaviour, 34(6), 310.

    Article  Google Scholar 

  20. Skinner, J. D., Carruth, B. R., Wendy, B., & Ziegler, P. J. (2002). Children’s food preferences: a longitudinal analysis. Journal of the American Dietetic Association, 102(11), 1638–1647.

    Article  PubMed  Google Scholar 

  21. Fox, M. K., Devaney, B., Reidy, K., Razafindrakoto, C., & Ziegler, P. (2006). Relationship between portion size and energy intake among infants and toddlers: evidence of self-regulation. Journal of the American Dietetic Association, 106(1), S77–S83.

    Article  PubMed  Google Scholar 

  22. Johnson, S. L., & Birch, L. L. (1994). Parents’ and children’s adiposity and eating style. Pediatrics, 94(5), 653–661.

    PubMed  CAS  Google Scholar 

  23. Savage, J. S., Fisher, J. O., & Birch, L. L. (2007). Parental influence on eating behavior: Conception to adolescence. Journal of Law and Medical Ethics, 35(1), 22–34.

    Article  Google Scholar 

  24. Benton, D. (2004). Role of parents in the determination of the food preferences of children and the development of obesity. International Journal of Obesity, 28, 858–869.

    Article  PubMed  CAS  Google Scholar 

  25. Ventura, A., & Birch, L. (2008). Does parenting affect children’s eating and weight status? International Journal of Behavioral Nutrition and Physical Activity, 5, 15–44.

    Article  PubMed  Google Scholar 

  26. Chan, A., Scott, J., Nguyen, A., & Sage, L. (2005). Pregnancy outcome in South Australia 2003. Adelaide: Pregnancy Outcome Unit, South Australian Department of Health.

    Google Scholar 

  27. Chan, A., Scott, J., Nguyen, A., & Sage, L. (2006). Pregnancy outcome in South Australia 2004. Adelaide: Pregnancy Outcome Unit, South Australian Department of Health.

    Google Scholar 

  28. Cerro, N., Zeunert, S., Simmer, K. N., & Daniels, L. A. (2002). Eating behaviour of children 1.5–3.5 years born preterm: Parents’ perceptions. Journal of Paediatrics and Child Health, 38, 72–78.

    Article  PubMed  CAS  Google Scholar 

  29. Smith, A., Kellett, E., & Schmerlaib, Y. (1998). The Australian guide to healthy eating. Canberra: Commonwealth Department of Health and Family Services.

    Google Scholar 

  30. Trewin, D. Socio-Economic Indexes for Areas (SEIFA): ABS2001. Report No.: 2039.0.

  31. Australian Bureau of Statistics. 2001 Census Basic Community Profile. 2002; Catalogue No. 2001.0. [cited Jul 2009]. Available from: http://www.censusdata.abs.gov.au/ABSNavigation/prenav/ViewData?&action=404&documentproductno=4&documenttype=Details&tabname=Details&areacode=4&issue=2001&producttype=Community%20Profiles&&producttype=Community%20Profiles&javascript=true&textversion=false&navmapdisplayed=true&breadcrumb=LPD&#Basic%20Community%20Profile.

  32. Australian Bureau of Statistics. National Health Survey 2001, Summary of Results. Canberra, 2002; Catalogue No. 4364.0. [cited Jul 2009]. Available from: http://www.abs.gov.au/AUSSTATS/abs@.nsf/allprimarymainfeatures/0E3F9F6786419026CA25711F0008D22F?opendocument.

  33. Satter, E. (2000). Child of mine. Feeding with love and good sense. Boulder, Colorado: Bull Publishing Co.

    Google Scholar 

  34. American Academy of Pediatrics Committee on Nutrition. (2001). The use and misuse of fruit juice in pediatrics. Pediatrics, 107(5), 1210–1213.

    Article  Google Scholar 

  35. Devaney, B., Kalb, L., Briefel, R., Zavitsky-Novak, T., Clusen, N., & Ziegler, P. (2004). Feeding infants and toddlers study: Overview of the study design. Journal of the American Dietetic Association, 104(1), S8–S13.

    Article  PubMed  Google Scholar 

  36. Cooke, L. (2007). The importance of exposure for healthy eating in childhood: A review. Journal of Human Nutrition & Dietetics, 20(4), 294–301.

    Article  CAS  Google Scholar 

  37. Skinner, J., Carruth, B., Houck, K., Bounds, W., Morris, M., Cox, D., et al. (1999). Longitudinal study of nutrient and food intakes of white preschool children aged 24 to 60 months. Journal of the American Dietetic Association, 99(12), 1514–1521.

    Article  PubMed  CAS  Google Scholar 

  38. Eneli, I. U., Crum, P. A., & Tylka, T. L. (2008). The trust model: A different feeding paradigm for managing childhood obesity. Obesity, 16, 2197–2204.

    Article  PubMed  Google Scholar 

  39. Satter, E. M. (1996). Internal regulation and the evolution of normal growth as the basis for prevention of obesity in children. Journal of the American Dietetic Association, 96(9), 860–864.

    Article  PubMed  CAS  Google Scholar 

  40. Bell, A., Kremer, P., Magarey, A., & Swinburn, B. (2005). Contribution of ‘noncore’ foods and beverages to the energy intake and weight status of Australian children. European Journal of Clinical Nutrition, 59, 639–645.

    Article  PubMed  CAS  Google Scholar 

  41. Magarey, A. M., Daniels, L. A., & Smith, A. (2001). Fruit and vegetable intakes of young Australians aged 2 to 18 years: An evaluation of the 1995 National Nutrition Survey data. Australian and New Zealand Journal of Public Health, 25, 155–161.

    Article  PubMed  CAS  Google Scholar 

  42. Carruth, B. R., Ziegler, P. J., Gordon, A., & Barr, S. I. (2004). Prevalence of picky eaters among infants and toddlers and their caregivers’ decisions about offering a new food. Journal of the American Dietetic Association, 104(1), S57–S64.

    Article  PubMed  Google Scholar 

  43. Butte, N., Cobb, K., Dwyer, J., Graney, L., Heird, W., & Rickard, K. (2004). The start healthy feeding guidelines for infants and toddlers. Journal of the American Dietetic Association, 104(3), 442–454.

    Article  PubMed  Google Scholar 

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Acknowledgments

Funding: Supported by Channel 7 Children’s Research Foundation. The authors would like to thank the participants for taking part in the study and the staff at Child and Youth Health for facilitating the recruitment process.

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Correspondence to L. Chan.

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Chan, L., Magarey, A.M. & Daniels, L.A. Maternal Feeding Practices and Feeding Behaviors of Australian Children Aged 12–36 Months. Matern Child Health J 15, 1363–1371 (2011). https://doi.org/10.1007/s10995-010-0686-4

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