Parents' beliefs about appropriate infant size, growth and feeding behaviour: implications for the prevention of childhood obesity

BMC Public Health

Research Article

Philippa Atkinson¹  Dilip Nathan²  Judy A Swift³  Cris Glazebrook⁴  A Niroshan Siriwardena⁵  Sarah A Redsell⁶ 

[1] Nottingham City Primary Care Trust, 1 Standard Court, NG1 6GN, Nottingham, UK;Nottingham University Hospitals NHS Trust, NG7 2UH, Nottingham, UK;School of Biosciences, University of Nottingham, LE12 5RD, Nottingham, UK;School of Community Health Sciences, University of Nottingham, NG7 2HA, Nottingham, UK;School of Health and Social Care, University of Lincoln, LN6 7TS, Lincoln, UK;School of Nursing, Midwifery and Physiotherapy, University of Nottingham, Queen's Medical Centre, B Floor, South Block, NG7 2HA, Nottingham, UK;

关键词: Childhood Obesity;    Infant Feeding;    Formula Milk;    Participant Number;    Infant Feeding Practice;   

DOI  :  10.1186/1471-2458-10-711

 received in 2010-02-02, accepted in 2010-11-18,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundA number of risk factors are associated with the development of childhood obesity which can be identified during infancy. These include infant feeding practices, parental response to infant temperament and parental perception of infant growth and appetite. Parental beliefs and understanding are crucial determinants of infant feeding behaviour; therefore any intervention would need to take account of their views. This study aimed to explore UK parents' beliefs concerning their infant's size, growth and feeding behaviour and parental receptiveness to early intervention aimed at reducing the risk of childhood obesity.MethodSix focus groups were undertaken in a range of different demographic localities, with parents of infants less than one year of age. The focus groups were audio-recorded, transcribed verbatim and thematic analysis applied using an interpretative, inductive approach.Results38 parents (n = 36 female, n = 2 male), age range 19-45 years (mean 30.1 years, SD 6.28) participated in the focus groups. 12/38 were overweight (BMI 25-29.99) and 8/38 obese (BMI >30). Five main themes were identified. These were a) parental concern about breast milk, infant contentment and growth; b) the belief that the main cause of infant distress is hunger is widespread and drives inappropriate feeding; c) rationalisation for infants' larger size; d) parental uncertainty about identifying and managing infants at risk of obesity and e) intentions and behaviour in relation to a healthy lifestyle.ConclusionsThere are a number of barriers to early intervention with parents of infants at risk of developing obesity. Parents are receptive to prevention prior to weaning and need better support with best practice in infant feeding. In particular, this should focus on helping them understand the physiology of breast feeding, how to differentiate between infant distress caused by hunger and other causes and the timing of weaning. Some parents also need guidance about how to recognize and prepare healthy foods and facilitate physical activity for their infants.

【 授权许可】

CC BY   
© Redsell et al; licensee BioMed Central Ltd. 2010. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.