Document Detail

Mother-child feeding interactions in children with and without weight faltering; nested case control study.
MedLine Citation:
PMID:  21396417     Owner:  NLM     Status:  Publisher    
AIMS: To explore whether the Mellow Parenting assessment scheme can detect any difference in parent-child meal time interaction between children with weight faltering (failure to thrive) and normally growing children.Subjects and Methods: Thirty mother-infant dyads with weight faltering and 29 healthy controls nested within the Gateshead Millennium prospective cohort study were assessed at mean age 15.6months (range 13-20). Video-tapes of two standardized meals per child by a researcher blind to infant health status were analyzed using a simplified version of the Mellow Parenting Coding System (MPCS), an all events measure of maternal-child interactivity. These were linked to questionnaire data on eating behaviour and growth held on the children. RESULTS: The MPCS had good inter-rater reliability (0.82) and coherent inter-relationships between coding domains. During case meals there significantly fewer positive interactions overall (cases median 81.5 (IQR 4-496); controls 169.5 (40-372) and within all the commonly observed domains (Anticipation (p=0.013), Autonomy (p=0.003), Responsiveness (p=0.005) and Cooperation (p=0.016)). There were only low levels of distress and control or negative behaviours and no significant differences were found in these between the groups.The case infants had significantly lower reported appetite by the age of 4months and higher reported avoidance of feeding at the age of 8months than controls. CONCLUSIONS: Mothers of weight faltering infants generally showed fewer interactions with their infants at mealtimes. It is not clear whether this is causal or simply a maternal adaptive response to their child's eating behaviour.
Joanne Robertson; Christine Puckering; Kathryn Parkinson; Charlotte Wright
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-3-8
Journal Detail:
Title:  Appetite     Volume:  -     ISSN:  1095-8304     ISO Abbreviation:  -     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-3-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8006808     Medline TA:  Appetite     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011. Published by Elsevier Ltd.
Institute of Health and Society, Human Nutrition Research Centre, Newcastle University.
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