Amaç: Bu çalışmada, okul öncesi çocuğu olan annelerin, çocuklarını besleme tarzları ve besleme tarzlarını etkileyen faktörleri incelemek amaçlanmıştır. Gereç ve Yöntemler: Kesitsel-analitik nitelikteki bu çalışmanın örneklemini, İç Anadolu'da bir il merkezinin anaokullarında öğrenimlerine devam eden 260 çocuğun (kız=132, erkek=128) annesi oluşturmuştur. Veriler, 'Sosyodemografik-Antropometrik Veri Formu' ve 'Ebeveyn Besleme Tarzı Anketi (EBTA)' ile toplanmış, değerlendirilmesinde tanımlayıcı istatistikler, independent t-test, ANOVA ve Tukey testleri kullanılmıştır. Bulgular: Annelerin, EBTA alt boyutlarından alabileceği maksimum puan ortalamaları dikkate alındığında; çalışmada en yüksek puan ortalamasının sıkı kontrollü besleme (14,94±3,18) alt boyutundan alındığı, daha sonra bunu cesaretlendirici besleme (28,99±5,41) ve yardımcı besleme (8,30±3,31) alt boyut puan ortalamalarının izlediği belirlenmiştir. Annelerin, kız çocuklarını 'teşvik edici besleme', genç yaş annelerin, 'duygusal besleme', üniversite mezunu ve çalışan annelerin, 'teşvik edici', 'toleranslı-kontrollü besleme' tek çocuklu annelerin, 'toleranslı-kontrollü besleme', eşlerinin beden kitle indeksi (BKİ) normal olan annelerin, 'teşvik edici besleme' alt boyut puan ortalamaları daha yüksek bulunmuştur (p<0,05). Çocuğunu kilosuna göre 'zayıf' algılayan annelerin 'duygusal, teşvik edici besleme', 0-6 ay anne sütü alan çocukların annelerinin 'yardımcı besleme' çocuğunun reklamlardan etkilendiğini ifade eden annelerin 'duygusal ve yardımcı besleme' tarzı puan ortalamalarının daha yüksek olduğu belirlenmiştir (p<0,05). Sonuç: Annelerin, Ebeveyn Besleme Tarzı Anketi'nden aldıkları puanlara göre, daha çok sıkı kontrollü ve cesaretlendirici besleme tarzına yatkın oldukları, en az duygusal besleme tarzını kullandıkları belirlenmiştir. Ayrıca besleme tarzlarının sosyodemografik ve antropometrik özelliklerden etkilendiği bulunmuştur. Ebeveyn besleme tarzı ve çocukların kilosu arasında ilişkiyi belirlemek amacıyla uzun süreli gözlemsel çalışmalar ve geniş örneklem üzerinde çalışmalar yapılması önerilmektedir.
Anahtar Kelimeler: Okul öncesi çocuk; ebeveyn besleme tarzı; çocukluk çağı obezitesi; okul sağlığı, çocuklarda beslenme
Objective: It is aimed to examine the feeding styles of mothers who have preschool children and the factors that affect these styles. Material and Methods: The sample of this cross-sectional analytical study was mothers of 260 children (girl:132, boy:128) who were attending kindergartens at a city center in Central Anatolia. The data were collected with 'Sociodemographic-Anthropometric Data Form' and 'Parental Feeding Style Questionnaire'. Descriptive statistics, independent t-test, ANOVA and Tukey tests were used for evaluation. Results: Considering the maximum mean scores that mothers can get from the Parental Feeding Style Questionnaire (PFSQ) sub-dimensions; it was determined that the highest mean score was obtained from the strictly controlled feeding (14.94±3.18) and the encouraging feeding (28.99±5.41) and instrumental feeding (8.30±3.31) sub-dimensions mean scores followed this. Some subscale means were higher as 'encouraging feeding nutrition' for mothers of girls, 'emotional feeding' for young mothers, 'encouraging' ''tolerant-controlled feeding'' for university graduates and working mothers, 'tolerant- controlled feeding' for mothers with one child, 'encouraging feeding' for mothers whose husband with normal BMI (p<0.05). Also, mean scores were higher as following; 'Emotional, encouraging nutrition' for mothers who perceive their children as underweight, 'instrumental feeding' for mothers whose children breastfed for 0-6 months, and "emotional and instrumental feeding" for mothers who thought their children affected from advertisements (p<0.05). Conclusion: It is determined that mothers are more tend to strictly controlled and encouraging feeding style and use emotional feeding style at least, according to their scores on the Parental Feeding Style Scale. Also, parental feeding styles were affected by sociodemographic and anthropometric features. It is suggestedthat long-term observational and with large sampling studies should be conducted to determine relationship between parental feding style and children's weight.
Keywords: Preschool child; parental feeding style; childhood obesity; school health; nutrition in children
- Muslu GK, Beytut D, Kahraman A, Yardımcı F, Başbakkal Z. Nutritional style of parents and examination of the effective factors. Turk Pediatri Ars. 2014;49(3):224-30.[Crossref] [PubMed] [PMC]
- Balogun TB, Yakubu AM. Recent illness, feeding practices and father's education as determinants of nutritional status among preschool children in a rural Nigerian community. J Trop Pediatr. 2015;61(2):92-9.[Crossref] [PubMed]
- Aktaç Ş, Kızıltan G, Avcı S. The effect of family participation in nutrition education intervention on the nutritional status of preschool age children. Education and Science. 2019;44(199):415-31. https://pdfs.semanticscholar.org/a4fa/4ea7c52f09d8c37774f671dbfa8ca64420bf.pdf?_ga=2.204499858.360680653.1605787390-203843941.1605517813
- Lipowska M, Lipowski M, Jurek P, Jankowska AM, Pawlicka P. Gender and body-fat status as predictors of parental feeding styles and children's nutritional knowledge, eating habits and behaviours. Int J Environ Res Public Health. 2018;15(5):852.[Crossref] [PubMed] [PMC]
- Lovell JL. How parents process child health and nutrition information: a grounded theory model. Appetite. 2016;97:138-45.[Crossref] [PubMed]
- Khalsa AS, Woo JG, Kharofa RY, Geraghty SR, DeWitt TG, Copeland KA. Parental intuitive eating behaviors and their association with infant feeding styles among low-income families. Eat Behav. 2019;32:78-84.[Crossref] [PubMed]
- Erdem S, Gökmen Özel H, Çınar Z, Yılmaz Işıkhan S. [The effects of nutrition attitude and behaviors of the families on nutrition status in children at different socioeconomic status]. Bes Diy Derg. 2017;45(1):3-11. https://beslenmevediyetdergisi.org/index.php/bdd/article/view/5/2
- Goodman LC, Roberts LT, Musher-Eizenman DR. Mindful feeding: a pathway between parenting style and child eating behaviors. Eat Behav. 2020;36:101335.[Crossref] [PubMed]
- Ek A, Sorjonen K, Eli K, Lindberg L, Nyman J, Marcus C, et al. Associations between parental concerns about preschoolers' weight and eating and parental feeding practices: results from analyses of the child eating behavior questionnaire, the child feeding questionnaire, and the lifestyle behavior checklist. PLoS One. 2016;11(1):e0147257.[Crossref] [PubMed] [PMC]
- Rodenburg G, Kremers SP, Oenema A, van de Mheen D. Associations of parental feeding styles with child snacking behaviour and weight in the context of general parenting. Public Health Nutr. 2014;17(5):960-9.[Crossref] [PubMed]
- Lydecker JA, Grilo CM. Fathers and mothers with eating-disorder psychopathology: associations with child eating-disorder behaviors. J Psychosom Res. 2016;86:63-9.[Crossref] [PubMed] [PMC]
- Williams JE, Helsel B, Griffin SF, Liang J. Associations between parental bmı and the family nutrition and physical activity environment in a community sample. J Community Health. 2017;42(6):1233-9.[Crossref] [PubMed]
- Boucher NL. Feeding style and a child's body mass ındex. J Pediatr Health Care. 2016;30(6):583-9.[Crossref] [PubMed]
- Shloim N, Edelson LR, Martin N, Hetherington MM. Parenting styles, feeding styles, feeding practices, and weight status in 4-12 year-old children: a systematic review of the literature. Front psychol. 2015;6:1849.[Crossref] [PubMed] [PMC]
- Scaglioni S, De Cosmi V, Ciappolino V, Parazzini F, Brambilla P, Agostoni C. Factors influencing children's eating behaviours. Nutrients. 2018;10(6):706.[Crossref] [PubMed] [PMC]
- van der Horst K, Sleddens EFC. Parenting styles, feeding styles and food-related parenting practices in relation to toddlers' eating styles: a cluster-analytic approach. PLoS One. 2017;12(5):e0178149.[Crossref] [PubMed] [PMC]
- Yiğit R. [Nurse's role in the management of childhood obesity]. Hemşirelikte Araştırma Geliştirme Derg. 2011;13:71-80. https://dergipark.org.tr/tr/download/article-file/984411
- Berkowitz B, Borchard M. Advocating for the prevention of childhood obesity: a call to action for nursing. Online J Issues Nurs. 2009;14(1):1-9. https://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol142009/No1Jan09/Prevention-of-Childhood-Obesity_1.aspx
- Turcosa. Turcosa Analytics [Cloud-based statistical software]. 2017. http://software.turcosa.com.tr/
- Özçetin M, Yılmaz R, Erkorkmaz Ü, Esmeray H. [Reliability and validity study of parental feeding style questionnaire]. Turk Arch Ped. 2010;45:124-31.[Crossref]
- 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(6):453-62.[Crossref] [PubMed]
- WHO. Obesity and Overweight. (Erişim tarihi: 1 Aralık 2018) http://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight
- Neyzi O, Günöz H, Furman A, Bundak R, Gökçay G, Darendeliler F, et al. [Reference values of body weight, stature, head circumference, and body mass index in Turkish children]. Çocuk Sağlığı ve Hastalıkları Dergisi. 2008;51:1-14. http://www.cshd.org.tr/uploads/pdf_CSH_279.pdf
- Lu Q, Tao F, Hou F, Zhang Z, Ren LL. Emotion regulation, emotional eating and the energy-rich dietary pattern. A population-based study in Chinese adolescents. Appetite. 2016;99:149-56.[Crossref] [PubMed]
- Ozgen L, Demiriz S. Determining mothers' attitude in developing preschool children' eating behaviours. Procedia Soc Behav Sci. 2015;191:662-7.[Crossref]
- Akalın S, İrkin R. [The relations between the parents' attitudes-habits and childhood obesity]. İzmir Democr Univ Heal Sci J. 2018;1:49-62. https://dergipark.org.tr/tr/download/article-file/612605
- He L, Zhai Y, Engelgau M, Li W, Qian H, Si X, et al. Association of children's eating behaviors with parental education, and teachers' health awareness, attitudes and behaviors: a national school-based survey in China. Eur J Public Health. 2014;24(6):880-7.[Crossref] [PubMed] [PMC]
- Raaijmakers LG, Gevers DW, Teuscher D, Kremers SP, Van Assema P. Emotional and instrumental feeding practices of Dutch mothers regarding foods eaten between main meals. BMC Public Health. 2014;14:171.[Crossref] [PubMed] [PMC]
- Carnell S, Benson L, Driggin E, Kolbe L. Parent feeding behavior and child appetite: associations depend on feeding style. Int J Eat Disord. 2014;47(7):705-9.[Crossref] [PubMed] [PMC]
- Derks IP, Tiemeier H, Sijbrands EJ, Nicholson JM, Voortman T, Verhulst FC, et al. Testing the direction of effects between child body composition and restrictive feeding practices: results from a population-based cohort. Am J Clin Nutr. 2017;106(3):783-90.[Crossref] [PubMed]
- Bauer KW, Haines J, Miller AL, Rosenblum K, Appugliese DP, Lumeng JC, et al. Maternal restrictive feeding and eating in the absence of hunger among toddlers: a cohort study. Int J Behav Nutr Phys Act. 2017;14(1):172.[Crossref] [PubMed] [PMC]
- Quah PL, Fries LR, Chan MJ, Fogel``A, McCrickerd K, Goh AT, et al. Validation of the children's eating behavior questionnaire in 5 and 6 year-old children: the gusto cohort study. Front Psychol. 2019;10:824.[Crossref] [PubMed] [PMC]
- Dev DA, Speirs KE, Williams NA, Ramsay S, McBride BA, Hatton-Bowers H. Providers perspectives on self-regulation impact their use of responsive feeding practices in child care. Appetite. 2017;118:66-74.[Crossref] [PubMed]
- Berge JM, Tate AD, Trofholz A, Conger K, Neumark-Sztainer D. Sibling eating behaviours and parental feeding practices with siblings: similar or different? Public Health Nutr. 2016;19(13):2415-23.[Crossref] [PubMed] [PMC]
- Hardman CA, Christiansen P, Wilkinson LL. Using food to soothe: maternal attachment anxiety is associated with child emotional eating. Appetite. 2016;99:91-6.[Crossref] [PubMed]
- Warnick JL, Stromberg SE, Krietsch KM, Janicke DM. Family functioning mediates the relationship between child behavior problems and parent feeding practices in youth with overweight or obesity. Transl Behav Med. 2019;9(3):431-9.[Crossref] [PubMed] [PMC]
- Remy E, Issanchou S, Chabanet C, Boggio V, Nicklaus S. Impact of adiposity, age, sex and maternal feeding practices on eating in the absence of hunger and caloric compensation in preschool children. Int J Obes (Lond). 2015;39(6):925-30.[Crossref] [PubMed]
- Nicklaus S. The role of food experiences during early childhood in food pleasure learning. Appetite. 2016;104:3-9.[Crossref] [PubMed]
- Duncanson K, Burrows TL, Collins CE. Child feeding and parenting style outcomes and composite score measurement in the 'feeding healthy food to kids randomised controlled trial'. Children (Basel). 2016;3(4):28.[Crossref] [PubMed] [PMC]
.: Process List