Document Detail

Mealtime energy intake and feeding behaviour in children who fail to thrive: a population-based case-control study.
MedLine Citation:
PMID:  15225344     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The essential link between energy needs and energy intake is feeding behaviour, yet few studies have directly observed feeding behaviour in children who have failed to thrive. A cohort of 961 term infants was screened to identify children with first year weight gain below the 5th centile in order to examine their feeding behaviour and food intake. METHODS: A nested case-control study was used with direct observation at 13-21 months over two lunchtime meals, one consisting of finger foods and the other of 'spoon foods'. Thirty children who failed to thrive and 57 controls were studied. The video-tapes were coded for feeding behaviour using a behavioural coding inventory which distinguishes between children feeding themselves and responding to being fed by their mother. The main outcome measures were counts of five feeding actions (give, accept, feedself, refuse, reject) and measures of energy intake, the weight of food eaten and meal duration. RESULTS: There were systematic differences in feeding behaviour between meal types, with mothers feeding their child more often at meals comprising spoon foods and children feeding themselves more often at meals comprising finger foods. By weight, more food was consumed at the spoon food meals, but energy intake was no higher, showing that the children compensated for the differing energy yields of the foods. Children who failed to thrive took in less energy than controls, and were less likely to sit in a highchair throughout the meal, but there were no clear differences in other aspects of feeding behaviour. CONCLUSIONS: Food type is an important variable when studying childhood feeding behaviour. Children who fail to thrive take in less energy than controls of the same age, despite there being no major differences in mealtime feeding behaviour.
Kathryn N Parkinson; Charlotte M Wright; Robert F Drewett
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of child psychology and psychiatry, and allied disciplines     Volume:  45     ISSN:  0021-9630     ISO Abbreviation:  J Child Psychol Psychiatry     Publication Date:  2004 Jul 
Date Detail:
Created Date:  2004-06-30     Completed Date:  2005-02-09     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0375361     Medline TA:  J Child Psychol Psychiatry     Country:  England    
Other Details:
Languages:  eng     Pagination:  1030-5     Citation Subset:  IM    
Copyright Information:
Copyright 2004 Association for Child Psychology and Psychiatry
Department of Psychology, University of Durham, UK.
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MeSH Terms
Case-Control Studies
Energy Intake*
Failure to Thrive*
Feeding Behavior / psychology*
Parent-Child Relations

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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