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Phenotypes of controlling feeding behaviours in mothers of toddlers: A mixed methods study

机译:幼儿母亲控制喂养行为的表型:混合方法研究

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摘要

Background: Maternal feeding behaviours, in particular controlling behaviours, are associated with risk of childhood obesity. Objectives: To qualitatively examine patterns of mothers' beliefs and behaviours around controlling feeding through a semi-structured interview and to examine associations of those patterns with participant demographic characteristics and classical child feeding instruments. Methods: A convenience sample of mothers (N = 35) of toddlers (mean age 25 months) participated in a semi-structured interview about their child feeding beliefs and behaviours. Anthropometrics were measured. Transcripts were analyzed using narrative analysis for patterns from which two emerged, known as phenotypes. A coding scheme was created and reliably applied. Bivariate correlates of the phenotypes with participant child characteristics and mother self-reported feeding behaviours were examined. Results: The phenotypes were High Covert Control (n = 12) and Shared Control (n = 23). High Covert Control phenotype membership was correlated with higher child and mother BMI (body mass index) and child female sex. Shared Control phenotype membership was correlated with lower child and mother BMI and greater pressure to eat. Conclusions: Two controlling feeding phenotypes emerged among mothers of toddlers, which were associated with participant characteristics including BMI, but did not map onto classical child feeding instruments.
机译:背景:母亲的喂养行为,特别是控制行为,与儿童肥胖的风险有关。目的: 通过半结构化访谈定性检查母亲关于控制喂养的信念和行为模式,并检查这些模式与参与者人口统计学特征和经典儿童喂养工具的关联。方法:幼儿(平均年龄 25 个月)的母亲 (N = 35) 的便利样本参加了关于其孩子喂养信念和行为的半结构化访谈。测量人体测量学。使用叙述分析来分析转录本,从中出现两种模式,称为表型。创建并可靠地应用了编码方案。检查表型与受试者儿童特征和母亲自我报告的喂养行为的双变量相关性。结果:表型为高隐性对照(n = 12)和共享对照(n = 23)。高隐蔽对照表型成员与较高的儿童和母亲BMI(体重指数)和儿童女性性别相关。共享对照表型成员资格与较低的儿童和母亲BMI以及更大的进食压力相关。结论:幼儿母亲中出现了两种控制喂养表型,它们与包括BMI在内的参与者特征相关,但未映射到经典的儿童喂养工具上。

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