Preschool children perceived by mothers as irregular eaters: physical and psychosocial predictors from a Birth Cohort Study

McDermott, Brett M., Mamun, Abdullah A., Najman, Jake M., Williams, Gail M., O'Callaghan, Michael J. and Bor, William (2008) Preschool children perceived by mothers as irregular eaters: physical and psychosocial predictors from a Birth Cohort Study. Journal of Developmental and Behavioural Pediatrics, 29 3: 197-205. doi:10.1097/DBP.0b013e318163c388

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Author McDermott, Brett M.
Mamun, Abdullah A.
Najman, Jake M.
Williams, Gail M.
O'Callaghan, Michael J.
Bor, William
Title Preschool children perceived by mothers as irregular eaters: physical and psychosocial predictors from a Birth Cohort Study
Journal name Journal of Developmental and Behavioural Pediatrics   Check publisher's open access policy
ISSN 1536-7312
0196-206X
Publication date 2008-01-01
Year available 2008
Sub-type Article (original research)
DOI 10.1097/DBP.0b013e318163c388
Open Access Status File (Author Post-print)
Volume 29
Issue 3
Start page 197
End page 205
Total pages 9
Editor S. D. Dixon
Place of publication Baltimore, USA
Publisher Lippincott, Williams & Wilkins
Language eng
Subject C1
920501 Child Health
111714 Mental Health
Abstract Objective: Parents often report their children display irregular eating patterns. Our aim is to describe the stability of maternal-perceived irregular eating of their offspring from 6 months to 2-4 years of age and to investigate factors that are associated with maternal perceived irregular eating of their 2-4 year old offspring. Methods: A longitudinal mother-child linked analysis was carried out using 5 year follow-up data from a population-based prospective birth cohort of 5122 mothers who were participants in the Mater-University Study of Pregnancy, Brisbane. Measures included responses to standardized questionnaires, pediatrician review and standardized measures such as the Peabody Picture Vocabulary Test-Revised and the Child Behavior Checklist. Results: 20.2% and 7.6% of mothers respectively stated their 2-4 year old was sometimes or often an irregular eater. Continuity of feeding difficulties from age 6 months was prominent: 48% of 6 month Olds with a feeding problem were 'sometimes' or 'often' irregular eaters at age 2-4 years. From a multivariable analysis, both child-intrinsic factors (chronic physical morbidity, sleeplessness and anxiety-depressive symptoms) and factors that impinge upon the child (poor maternal health and maternal depression and anxiety) independently contributed to irregular eating status at age 2-4 years. Conclusions: We conclude that approximately one third of mothers had some concern with their child's irregular eating, 7.6% of mothers were often concerned. irregular eating children were usually physically well, more likely to have persisting feeding problems, sleeplessness, behavioral problems and lived with mothers with perceived poor physical and mental health. Ontervention strategies should be family orientated and include child, mother and mother-child psychosocial approaches.
Formatted abstract
Objective: Parents often report their children display irregular eating patterns. Our aim is to describe the stability of maternal-perceived irregular eating of their offspring from 6 months to 2-4 years of age and to investigate factors that are associated with maternal perceived irregular eating of their 2-4 year old offspring.

Methods
: A longitudinal mother-child linked analysis was carried out using 5 year follow-up data from a population-based prospective birth cohort of 5122 mothers who were participants in the Mater-University Study of Pregnancy, Brisbane. Measures included responses to standardized questionnaires, pediatrician review and standardized measures such as the Peabody Picture Vocabulary Test-Revised and the Child Behavior Checklist.

Results: 20.2% and 7.6% of mothers respectively stated their 2-4 year old was sometimes or often an irregular eater. Continuity of feeding difficulties from age 6 months was prominent: 48% of 6 month olds with a feeding problem were 'sometimes' or 'often' irregular eaters at age 2-4 years. From a multivariable analysis, both child-intrinsic factors (chronic physical morbidity, sleeplessness and anxiety-depressive symptoms) and factors that impinge upon the child (poor maternal health and maternal depression and anxiety) independently contributed to irregular eating status at age 2-4 years.

Conclusions
: We conclude that approximately one third of mothers had some concern with their child's irregular eating, 7.6% of mothers were often concerned. Irregular eating children were usually physically well, more likely to have persisting feeding problems, sleeplessness, behavioral problems and lived with mothers with perceived poor physical and mental health. Intervention strategies should be family orientated and include child, mother and mother-child psychosocial approaches.
Keyword child
mother
irregular eating
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: 2009 Higher Education Research Data Collection
School of Public Health Publications
School of Medicine Publications
 
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Created: Wed, 15 Apr 2009, 01:36:44 EST by Denise Wilson on behalf of School of Medicine