Emotional and instrumental feeding practices of Dutch mothers regarding foods eaten between main meals

BMC Public Health

Patricia van Assema¹  Stef PJ Kremers¹  Dorit Teuscher²  Dorus WM Gevers¹  Lieke GM Raaijmakers¹ 

[1] Department of Health Promotion, NUTRIM School for Nutrition, Toxicology and Metabolism, Maastricht University Medical Centre +, Maastricht University, PO Box 616, 6200 MD Maastricht, The Netherlands;Department of Human Biology, NUTRIM School for Nutrition, Toxicology and Metabolism, Maastricht University Medical Centre +, Maastricht University, PO Box 616, 6200 MD Maastricht, The Netherlands

关键词: Primary school children;    Sweets and snacks;    Parenting practices;   

Others  :  1135500
DOI  :  10.1186/1471-2458-14-171

 received in 2013-10-03, accepted in 2014-01-26,  发布年份 2014

【 摘 要 】

Background

To assess how much of a public health problem emotional and instrumental feeding practices are, we explored the use of these feeding practices in a sample of Dutch mothers regarding their child’s food intake between main meals.

Methods

A cross-sectional questionnaire study was conducted among 359 mothers of primary school children aged 4–12 years. The questionnaires were completed online at home.

Results

Of the mothers, 29.5% reported using foods to reward, 18.1% to punish and 18.9% to comfort their child. Mothers most frequently offered energy-dense and nutrient-poor products such as candy in the context of emotional and instrumental feeding practices. The use of these practices was associated with a lower age of both mother and child and a higher educational level of the mother. Mothers living in neighborhoods with intermediate socioeconomic position used the practices less often than mothers from low and high socioeconomic position neighborhoods.

Conclusions

Our results show that mothers in our sample mainly used unhealthy products in the context of instrumental and emotional feeding practices. Research into the association between these practices and children’s dietary intake is warranted, since the use of unhealthy products in the context of these practices may not necessarily lead to an increased consumption of these products. Findings regarding the frequency of use of these practices among specific subgroups can be used to carefully determine the target population for interventions and tailor the content of interventions to specific target group characteristics. Besides examining associations between personal and family characteristics and the use of emotional and instrumental feeding practices, attempts should be made to understand parents’ reasons for using them.

【 授权许可】

   
2014 Raaijmakers et al.; licensee BioMed Central Ltd.

【 参考文献 】

• [1]Currie C, Roberts C, Morgan A, Smith R, Settertobulte W, Samdal O, Barnekow Rasmussen V: Young people’s health in context. Health behaviour in school-aged children (HBSC) study: international report from the 2001/2002 survey. Geneva: WHO; 2004.
• [2]TNO Voeding: Basisrapportage en tabellen voedselconsumptiepeiling 1997-1998 en gegevens op het niveau van voedingsmiddelen en voedingsstoffen over een periode van tien jaar. (Basic report and tables on the 1997-1998 food consumption survey and results on the level of food products and nutrients over a 10-year period). http://www.zuivelengezondheid.nl/tno/Start.htm webcite
• [3]Ocké MC, Van Rossum CTM, Fransen HP, Buurma EJM, de Boer EJ, Brants HAM, Niekerk EM, Van der Laan JD, Drijvers JJMM, Ghameslou Z: Dutch National Food Consumption Survey - Young Children 2005/2006. Bilthoven: National Institute for Public Health and the Environment; 2007.
• [4]World Health Organization: Diet, Nutrition and the Prevention of Chronic Diseases. Geneva: WHO; 2003.
• [5]Ministry of Health Welfare and Sport: Preventienota Kiezen voor gezond leven (Prevention memorandum: Choosing a healthy lifestyle). The Hague: Ministry of Health Welfare and Sport; 2006.
• [6]Netherlands Nutrition Centre: Richtlijnen voedselkeuze (Guidelines on food choice). The Hague: Netherlands Nutrition Centre; 2009.
• [7]Netherlands Nutrition Centre: Tabel hoeveelheden calorieën voor extra’s (Table of amounts of calories for extras). The Hague: Netherlands Nutrition Centre; 2009.
• [8]van Rossum CTM, Fransen HP, Verkaik-Kloosterman J, Buurma-Rethans EJM, Ocke MC: Dutch National Food Consumption Survey 2007–2010: Diet of children and adults aged 7 to 69 years. Bilthoven: National Institute for Public Health and the Environment; 2011.
• [9]Kremers SP, Brug J, de Vries H, Engels RC: Parenting style and adolescent fruit consumption. Appetite 2003, 41(1):43-50.
• [10]Brown R, Ogden J: Children’s eating attitudes and behaviour: a study of the modelling and control theories of parental influence. Health Educ Res 2004, 19(3):261-271.
• [11]Birch L, Savage JS, Ventura A: Influences on the development of children’s eating behaviours: from infancy to adolescence. Can J Diet Pract Res 2007, 68(1):1-56.
• [12]Wardle J, Sanderson S, Guthrie CA, Rapoport L, Plomin R: Parental feeding style and the inter-generational transmission of obesity risk. Obes Res 2002, 10:453-462.
• [13]Saxton J, Carnell S, van Jaarsveld CH, Wardle J: Maternal education is associated with feeding style. J Am Diet Assoc 2009, 109(5):894-898.
• [14]Evans A, Seth JG, Smith S, Harris KK, Loyo J, Spaulding C, Van Eck M, Gottlieb N: Parental feeding practices and concerns related to child underweight, picky eating, and using food to calm differ according to ethnicity/race, acculturation, and income. Matern Child Health J 2011, 15(7):899-909.
• [15]Newman J, Taylor A: Effect of a means-end contingency on young children’s food preferences. J Exp Child Psychol 1992, 53(2):200-216.
• [16]Carnell S, Wardle J: Associations between multiple measures of parental feeding and children’s adiposity in United Kingdom preschoolers. Obesity (Silver Spring) 2007, 15(1):137-144.
• [17]Birch LL, Birch D, Marlin DW, Kramer L: Effects of instrumental consumption on children’s food preference. Appetite 1982, 3(2):125-134.
• [18]Faith MS, Scanlon KS, Birch LL, Francis LA, Sherry B: Parent–child feeding strategies and their relationships to child eating and weight status. Obes Res 2004, 12(11):1711-1722.
• [19]Kroller K, Jahnke D, Warschburger P: Are maternal weight, eating and feeding practices associated with emotional eating in childhood? Appetite 2013, 65:25-30.
• [20]Brink PJ, Ferguson K, Sharma A: Childhood memories about food: the Successful Dieters Project. J Child Adolesc Psychiatr Nurs 1999, 12(1):17-25.
• [21]Puhl RM, Schwartz MB: If you are good you can have a cookie: how memories of childhood food rules link to adult eating behaviors. Eat Behav 2003, 4(3):283-293.
• [22]Sleddens EF, Kremers SP, De Vries NK, Thijs C: Relationship between parental feeding styles and eating behaviours of Dutch children aged 6–7. Appetite 2010, 54(1):30-36.
• [23]Vereecken CA, Keukelier E, Maes L: Influence of mother’s educational level on food parenting practices and food habits of young children. Appetite 2004, 43(1):93-103.
• [24]Kröller K, Warschburger P: Associations between maternal feeding style and food intake of children with a higher risk for overweight. Appetite 2008, 51(1):166-172.
• [25]de Lauzon-Guillain B, Musher-Eizenman D, Leporc E, Holub S, Charles MA: Parental feeding practices in the United States and in France: relationships with child’s characteristics and parent’s eating behavior. J Am Diet Assoc 2009, 109(6):1064-1069.
• [26]Musher-Eizenman D, Holub S: Comprehensive Feeding Practices Questionnaire: validation of a new measure of parental feeding practices. J Pediatr Psychol 2007, 32(8):960-972.
• [27]Baughcum AE, Powers SW, Johnson SB, Chamberlin LA, Deeks CM, Jain A, Whitaker RC: Maternal feeding practices and beliefs and their relationships to overweight in early childhood. J Dev Behav Pediatr 2001, 22(6):391.
• [28]Clark HR, Goyder E, Bissell P, Blank L, Walters SJ, Peters J: A pilot survey of socioeconomic differences in child-feeding behaviours among parents of primary-school children. Public Health Nutr 2007, 11(10):1030-1036.
• [29]Hendy HM, Williams KE: Mother’s feeding practices for children 3–10 years of age and their associations with child demographics. Appetite 2012, 58(2):710-716.
• [30]Hardy LL, King L, Hector D, Lloyd B: Weight status and weight-related behaviors of children commencing school. Prev Med 2012, 55(5):433-437.
• [31]Dekovic M, Rispens J: Vaders en de opvoeding en ontwikkeling van kinderen Een inleiding. (Fathers and child rearing and evelopment – an introduction). Kind en adolescent 1998, 19(1):39-40.
• [32]Central Committee on Research Inv. Human Subjects [ http://www.ccmo.nl/nl/uwonderzoek-wmo-plichtig-of-niet webcite]
• [33]BMI classification [ http://apps.who.int/bmi/index.jsp?introPage=intro_3.html webcite]
• [34]Keij I: Standaarddefinitie allochtonen. (Standard definition of ethnic minorities). Index 2000, 10:24-25.
• [35]Sociaal Cultureel Planbureau (SCP) (The Netherlands Institute for Social Research): Statusscores (Status scores). http://www.scp.nl/content.jsp?objectid=default:20133 webcite
• [36]Verweij A: Scholing en opleiding: indeling opleidingsniveau. (Education and training: categorization of educational levels). Bilthoven: National Institute for Public Health and the Environment; 2008.
• [37]Brink van den CL, Blokstra A: Hoeveel mensen hebben overgewicht of ondergewicht? (How many people are overweight or underweight?). 2013. [ http://www.nationaalkompas.nl/gezondheidsdeterminanten/persoonsgebonden/overgewicht/hoeveel-mensen-hebbenovergewicht/ webcite]
• [38]Campbell KJ, Crawford DA, Hesketh KD: Australian parents’ view on their 5–6-year old children’s food choices. Health Promot Int 2006, 22(1):11-18.
• [39]Birch LL: Development of food preferences. Annu Rev Nutr 1999, 19:41-62.