Mosli Rana H, Kaaki Hajer M, Fallatah Kholod M, Badreiq Leen Y, Eid Noura Ms
Clinical Nutrition Department, Faculty of Applied Medical Sciences, King Abdulaziz University, P.O. Box 80215, Jeddah, 21589, Saudi Arabia.
Clinical Nutrition Department, Faculty of Applied Medical Sciences, King Abdulaziz University, P.O. Box 80215, Jeddah, 21589, Saudi Arabia.
Appetite. 2021 Oct 1;165:105322. doi: 10.1016/j.appet.2021.105322. Epub 2021 May 21.
Parenting stress has been linked to maladaptive feeding behaviors and adverse child outcomes. Maternal stress that is specific to child feeding during mealtimes has not been previously explored. We sought to examine our hypothesis that maternal feeding stress during mealtimes (MFS-mealtimes) mediates the association of child food fussiness and concern about child's diet with maladaptive feeding behaviors. Mothers (n = 100) were recruited through different preschoolers around the city of Jeddah, Saudi Arabia. Participants completed an online questionnaire, which included a newly developed MFS-mealtimes index (Cronbach's α = 0.89), the Child Feeding Questionnaire- Arabic (CFQ-A), and the child food fussiness scale. We conducted path analysis to test our hypothesis, and we used bivariate analyses to inform our path model. Mean child age was 4.76 years (SD = 0.62), and 62% of children were female. Mean maternal age was 33.9 years (SD = 5.83). Results from path analysis showed that concern about child's diet and child food fussiness were each associated with higher MFS-mealtimes (B = 0.11, 95% confidence interval (CI) = 0.01, 0.20, p < 0.05, and B = 0.29, 95% CI = 0.05, 0.53, p < 0.01, respectively). MFS-mealtimes was in turn associated with higher pressure to eat (B = 0.45, 95% CI = 0.18, 0.71, p < 0.05). Goodness of fit indices showed good model fit (p > X = 0.83, SRMR = 0.005, and CFI = 1.00). Our findings suggest a novel approach for promoting a favorable mealtime environment. Parenting stress reduction interventions have been shown to be successful in reducing stress levels and may be utilized for minimizing feeding stress during mealtimes. Mothers of picky eaters may be specifically targeted for intervention programs. Long term consequences of excessive MFS-mealtimes, as well as variations between cultures need further evaluation.
育儿压力与适应不良的喂养行为及不良儿童结局有关。此前尚未探讨过母亲在进餐时间特有的与儿童喂养相关的压力。我们试图检验我们的假设，即进餐时间的母亲喂养压力（MFS-进餐时间）介导了儿童食物挑剔和对儿童饮食的担忧与适应不良喂养行为之间的关联。通过沙特阿拉伯吉达市不同的学龄前儿童招募了母亲（n = 100）。参与者完成了一份在线问卷，其中包括一个新开发的MFS-进餐时间指数（克朗巴哈系数α = 0.89）、阿拉伯语儿童喂养问卷（CFQ-A）和儿童食物挑剔量表。我们进行了路径分析以检验我们的假设，并使用双变量分析为我们的路径模型提供信息。儿童平均年龄为4.76岁（标准差 = 0.62），62%的儿童为女性。母亲平均年龄为33.9岁（标准差 = 5.83）。路径分析结果表明，对儿童饮食的担忧和儿童食物挑剔均与更高的MFS-进餐时间相关（B = 0.11，95%置信区间（CI）= 0.01，0.20，p < 0.05；以及B = 0.29，95%CI = 0.05，0.53，p < 0.01）。MFS-进餐时间反过来又与更高的进食压力相关（B = 0.45，95%CI = 0.18，0.71，p < 0.05）。拟合优度指数显示模型拟合良好（p > X = 0.83，SRMR = 0.005，CFI = 1.00）。我们的研究结果提示了一种促进良好进餐环境的新方法。减少育儿压力的干预措施已被证明在降低压力水平方面是成功的，可用于将进餐时间的喂养压力降至最低。挑食儿童的母亲可能是干预项目的特定目标人群。MFS-进餐时间过长的长期后果以及不同文化之间的差异需要进一步评估。
