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.
Public Health Nutr. 2020 Mar;23(4):620-630. doi: 10.1017/S1368980019003173. Epub 2019 Nov 21.
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.
Cross-sectional.
North-eastern Mexico.
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.
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).
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.
墨西哥的儿童肥胖率居世界首位。然而，人们对影响母亲喂养行为的因素知之甚少。本研究旨在评估喂养行为的流行率，并探讨体重关注度、体重感知、社会人口学特征与这些喂养行为之间的关系。
横断面研究。
墨西哥东北部。
负责喂养 2-6 岁、无内分泌疾病或明显遗传畸形的单胎儿童的年龄≥18 岁的母亲（n=507）。通过访谈收集了 6 项母亲喂养行为、对儿童体重的关注和感知以及人口统计学信息。测量了母亲和儿童的身高和体重。喂养行为问卷进行了内容、结构和收敛效度分析。然后，获得平均喂养评分，并确定得分≥3 的流行率和 95%置信区间；进行了多变量逻辑回归。
不塑造（63.5%；95%置信区间 59.2, 67.8%）和强迫进食（55.6%；95%置信区间 51.2, 60.0%）是最常见的喂养行为，其次是容易获得不健康食品（45.4%；95%置信区间 40.9, 49.8%）和儿童控制（43.2%；95%置信区间 38.8, 47.6%）。尽管对儿童超重或超重/肥胖的感知存在担忧，但这些行为仍普遍存在。教育与更多的喂养行为有关（受教育程度高的母亲更倾向于强迫进食、较少限制和更容易获得不健康食品；或较少存在监测缺失）。
某些喂养行为的频率需要改进。关注儿童的体重担忧、肥胖感知和母亲教育对于优化干预计划至关重要。
