Combination and adaptation of two tools to assess parental feeding practices in pre-school children |
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| Affiliation: | 1. Institute of Public Health, University of Porto, Rua das Taipas, 135-139 4050-600 Porto, Portugal;2. Department of Clinical Epidemiology, Predictive Medicine and Public Health, University of Porto Medical School, Alameda Prof. Hernâni Monteiro, 4200-319 Porto, Portugal;3. Faculty of Nutrition and Food Sciences of the University of Porto, Rua Dr. Roberto Frias, 4200-465 Porto Portugal;1. Division of Pediatrics, Department of Clinical Science, Intervention and Technology (CLINTEC), B62, Karolinska Institute, 141 86 Stockholm, Sweden;2. Department of Clinical Neuroscience, Division of Psychology, Karolinska Institute, 171 65 Solna, Sweden;3. Pediatric Unit, Verona University Medical School, Policlinic GB. Rossi, P.le LA. Scuro, 1, 37134 Verona, Italy;4. Pennington Biomedical Research Center, Baton Rouge, LA, USA;5. Childhood Obesity Unit, Childhood Centre Malmö, Skåne University Hospital, 205 02 Malmö, Sweden;6. Department of Nutrition, Gillings School of Global Public Health, University of North Carolina – Chapel Hill, 2211 McGavran Greenberg Hall, CB 7461, Chapel Hill, NC 27599-7461, USA;1. Division of Pediatrics, Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden;2. Childhood Obesity Unit, Childhood Centre Malmö, Skåne University Hospital, Malmö, Sweden;3. Department of Nutrition, Gillings School of Global Public Health, University of North Carolina - Chapel Hill, USA;1. Department of Nutrition and Dietetics, Health Sciences Faculty, Baskent University, Ankara 06790, Turkey;2. Department of Nutrition and Dietetics, Health Sciences Faculty, Acıbadem University, İçerenköy Mahallesi Kayışdağı Caddesi No:32, Istanbul 34742, Turkey;1. Department of Nutrition, Harvard School of Public Health, Boston, MA, USA;2. Department of Public Health, Temple University, Philadelphia, PA, USA |
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| Abstract: | ObjectiveTo test a combined version of the Child Feeding Questionnaire and the expanded concept of parental control (“covert” and “overt”) among Portuguese preschool children.MethodsThe final questionnaire comprised 38 items and 9 subscales. The translated questionnaire was self-administered to 854 mothers of 4 year-old children from the Generation XXI birth cohort. Maternal and children's weight and height and socio-demographic characteristics were measured. The global goodness of fit was evaluated by confirmatory factor analysis. Cronbach's alpha was used to measure the reliability of subscales. Construct validity was tested for different dimensions.ResultsA 9-factor model was obtained, after excluding five “restriction” items and 1 “overt control” item, with a global goodness of fit (CFI = 0.961, TLI = 0.973, RMSEA = 0.057). Cronbach's alpha ranged from 0.684 to 0.889. Children's body mass index (BMI) was significantly and positively related with “perceived parental weight”, “perceived child's weight” and “concern about child's weight”, and inversely related with “pressure to eat”, supporting the theoretical hypothesis. Maternal BMI was positively related with “perceived parental weight”.ConclusionsOur study confirmed the usefulness of this questionnaire for Portuguese preschool children, and supports the need of reformulating the restriction dimension and keeping separately the overt and covert control dimensions. |
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