Maternal visual perception of children’s nutritional status and feeding style

Main Article Content

Ikromi Dalimunthe
Tiangsa Sembiring
Rita Evalina

Abstract

Background Mothers’ visual perception is an important determinant for their children’s nutritional status. Visual perception of their children’s nutritional status is believed to drive mothers to modify or apply certain feeding styles, which influence the probability of either optimal growth or malnutrition.


Objective To determine if maternal visual perception of children’s nutritional status influences maternal feeding style.


Methods The study was conducted in 3 kindergartens in Medan, North Sumatera, involving children aged 4-5 years and their mothers. Mothers filled three-part questionnaires, consisting of basic information, a series of body image sketches by a graphic artist to assess maternal visual perception, and the Parental Feeding Style Questionnaire (PFSQ) to assess maternal feeding style. Children’s body heights and weights were measured to assess their nutritional status.


Results A total of 102 subjects were eligible for this study. Surprisingly, more than half of the mothers involved in our study misinterpreted their children nutritional status. Thus, there was no significant relationship between maternal visual perception, nor maternal misperception, and maternal feeding style. In fact, mothers tended to encourage their children to eat when they considered their children to have normal nutritional status.


Conclusion Mothers’ visual perception does not influence feeding practice.

Article Details

How to Cite
1.
Dalimunthe I, Sembiring T, Evalina R. Maternal visual perception of children’s nutritional status and feeding style. PI [Internet]. 20Jan.2021 [cited 7Mar.2021];61(1). Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/2459
Section
Pediatric Nutrition & Metabolic Disease
Received 2020-08-02
Accepted 2021-01-20
Published 2021-01-20

References

1. Maynard LM, Galuska DA, Blanck HM, Serdula MK. Maternal perceptions of weight status of children. Pediatrics. 2003;111:1226-31. PMID: 12728143.
2. Patrick H, Nicklas TA. A review of family and social determinants of children’s eating patterns and diet quality. J Am Coll Nutr. 2005;24:83–92. Doi: 0.1080/07315724.2005.10719448.
3. Ainuki T, Akamatsu R. Association between children’s appetite patterns and maternal feeding practices. FNS. 2011;2:228-34. Doi: 10.4236/fns.2011.23032.
4. Oude Luttikhuis HG, Stolk RP, Sauer PJ. How do parents of 4- to 5-year-old children perceive the weight of their children? Acta Paediatr. 2010;99:263-7. Doi: 10.1111/j.1651-2227.2009.01576.x.
5. Yilmaz R, Erkorkmaz U, Ozcetin M, Karaaslan E. How does parents’ visual perception of their child’s weight status affect their feeding style? Nutr Hosp. 2013;28:741-6. Doi: 10.3305/nh.2013.28.3.6358.
6. Eckstein KC, Mikhail LM, Ariza AJ, Thomson JS, Millard SC, Binns HJ, et al. Parents’ perceptions of their child’s weight and health. Pediatrics. 2006;117:681-90. Doi: 10.1542/peds.2005-0910.
7. Tam W, Keung V, Lee A, Lo K, Cheung C. Chinese translation and validation of a parental feeding style questionnaire for parents of Hong Kong preschoolers. BMC Public Health. 2014;14:1194. Doi: 10.1186/1471-2458-14-1194.
8. World Health Organization. The WHO Child Growth Standards. [cited 2016 Feb 13]. Available from: https://www.who.int/tools/child-growth-standards/standards/weight-for-age.
9. Savage JS, Fisher JO, Birch LL. Parental influence on eating behavior: conception to adolescence. J Law Med Ethics. 2007;35:22–34. Doi: 10.1111/j.1748-720X.2007.00111.x.
10. Story M, Stang J. Understanding adolescent eating behaviour. In: Stang J, Story M, editors. Guidelines for adolescent nutrition services. Minneapolis: University of Minnesota; 2005. p. 9-17.
11. Schalkwijk AA, Bot SDM, de Vries L, MJ Westerman MJ, Nijpels G, Elders PJ. Perspectives of obese children and their parents on lifestyle behavior change: a qualitative study. Int J Behav Nutr Phys Act. 2015;12:102. Doi: 10.1186/s12966-015-0263-8.
12. Francescatto C, Santos NS, Coutinho VF, Costa RF. Mothers’ perceptions about the nutritional status of their overweight children: a systematic review. J Pediatr (Rio J). 2014;90:332-43. Doi: 10.1016/j.jped.2014.01.009.
13. Lundahl A, Kidwell KM, Nelson TD. Parental underestimates of child weight: a meta-analysis. Pediatrics. 2014;133:689-703. Doi: 10.1542/peds.2013-2690.
14. Remmers T, van Grieken A, Renders CM, Hirasing RA, Broeren SM, Raat H. Correlates of parental misperception of their child’s weight status: the ‘be active, eat right’ study. PloS One. 2014;9:e88931. Doi: 10.1371/journal.pone.0088931.
15. Cheng TK, Loy SL, Cheung YB, Chan JK, Tini MT, Godfrey KM, et al. Singaporean mothers’ perception of their three-year-old child’s weight status: a cross-sectional study. PloS One. 2016;11:e0147563. Doi: 10.1371/journal.pone.0147563.
16. Clark HR, Goyder E, Bissell P, Blank P, Peters J. How do parents’ child-feeding behaviours influence child weight? Implications for childhood obesity policy. J Public Health (Oxf). 2007;29:132-41. Doi: 10.1093/pubmed/fdm012.