DOI QR코드

DOI QR Code

The effect of the mother's modeling and feeding practices on the eating behavior of young children

어머니의 모델링과 식사 지도가 유아의 식행동에 미치는 영향

  • Sim, Hyeonmi (Department of Food & Nutrition, Daegu Catholic University) ;
  • Han, Youngshin (Department of Food & Nutrition, Daegu Catholic University) ;
  • Lee, Kyung A (Department of Food & Nutrition, Daegu Catholic University)
  • 심현미 (대구가톨릭대학교 식품영양학과) ;
  • 한영신 (대구가톨릭대학교 식품영양학과) ;
  • 이경아 (대구가톨릭대학교 식품영양학과)
  • Received : 2021.12.20
  • Accepted : 2022.03.08
  • Published : 2022.04.30

Abstract

Purpose: To investigate the effect of a mother's modeling and feeding practices on the eating behavior of the children. Methods: From April to June 2018, 1,036 young children aged 2 to 6 years and their mothers in Gyeongsan, Gyeongsangbuk-do, were examined for their eating behavior and feeding practices using a verified dietary behavior test (DBT). The children's dietary behavior was classified into four categories: "access evasiveness", "sensory acuity", "hyperactivity", and "irregularity". The mother's eating behavior was classified into three categories: "pickiness", "negligence", and "irregularity", and feeding practice types were classified into two categories: "responsibility/monitoring", and "restriction/pressure". The differences between the groups were tested using the t-test, ANOVA, and Duncan's multiple range test. The influence of feeding practices on the children's eating behavior was analyzed by hierarchical regression analysis while controlling for the mother's modeling. Results: The problem rates of irregularity, negligence and pickiness in the mother's modeling were 33.7%, 22.8%, and 20.7%, respectively. An analysis of the mother's feeding practices revealed that responsibility/monitoring had a middle, high and low significance in 74.2%, 17.3%, and 8.5% of respondents, respectively and the risk rate of restriction/pressure when guiding children to eat was 15.3%. The problem rates for sensory acuity, access evasiveness, irregularity, and hyperactivity in children were 27.9%, 26.1%, 24.8%, and 22.0%, respectively. Among the four eating behavior characteristics of children, the child's access evasiveness and sensory acuity were more affected by their pickiness rather than the mother's feeding practices, and the child's hyperactivity was more influenced by feeding practices than the mother's eating behavior. The child's irregularity was similarly affected by the mother's eating behavior and feeding practices. Conclusion: Since the mother's eating behavior and feeding practices affect the children's eating behavior, a diet improvement program for children should consider not only the nutrition education of children but also the mother's eating behavior and provide the necessary intervention for feeding practices.

본 연구는 어머니의 모델링이 유아의 식행동에 미치는 영향을 알아보고자 아이와 어머니의 식사에 대한 행동을 조사하였다. 식행동검사는 아동 영역 58문항, 어머니 영역 20문항으로 구성되어 있으며, 2018년 4월부터 6월까지 어린이집 및 유치원 64개소, 총 1,103명을 조사하였다. 어머니의 식행동 및 식사 지도에 따른 자녀의 식행동을 살펴본 결과, 어머니의 식행동이 불규칙한 경우 자녀의 접근회피성, 과활동성, 불규칙성 점수가 유의하게 높았다. 또한 어머니가 까다로운 경우 자녀의 접근회피성과 감각예민성 점수가 유의하게 높았으며, 자기방임적인 식행동을 보이는 어머니에서 자녀의 과활동성 점수가 유의하게 높게 나타났다. 식사 시 관여도가 높을수록 자녀의 과활동성과 불규칙성 점수가 유의하게 낮았고, 식사 시 규제와 강요가 과할수록 자녀의 과활동성 점수가 유의하게 높은 것으로 나타났다. 위계적 회귀분석을 통해 어머니의 모델링과 식사 지도 유형이 자녀의 식행동에 미치는 영향을 확인한 결과, 자녀의 접근회피성과 감각예민성에는 어머니의 까다로운 식행동과 규제·강요의 식사지도방식이 정적인 영향을 미치며, 자녀의 접근회피성은 어머니의 식사지도방식보다는 까다로운 식행동에 의해 더 큰 영향을 받는 것으로 나타났다. 자녀의 과활동성에는 어머니의 불규칙하고 자기방임적인 식행동과 관심과 규제가 많은 식사 지도 방식이 정적인 영향을 미치며, 어머니의 모델링보다는 식사지도방식에 의해 영향을 많이 받는 것으로 조사되었다. 자녀의 불규칙성에는 어머니의 불규칙하고 까다로운 식행동과 과도한 관심과 규제가 많은 식사 지도 방식이 정적인 영향을 미치며, 식사 지도 방법보다 어머니의 불규칙하고 까다로운 식행동이 더 큰 영향을 미치고 있는 것으로 나타났다. 본 결과를 통해 유아의 올바른 성장과 식생활 형성을 위해서는 자녀가 어머니의 식행동을 모델링할 수 있도록 어머니의 자기 관리적이고 규칙적인 식생활을 통해 자녀들에게 모범을 보일 수 있도록 해야하며, 유아의 영양교육을 계획할 경우 반드시 어머니 교육을 병행하고 아이들의 식행동과 어머니의 식행동을 함께 고려한 맞춤형 솔루션 제공이 중요함을 확인하였다.

Keywords

Acknowledgement

This research was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by Korean Ministry of Education (NRF2020R1F1A1048943).

References

  1. Briley ME, Jastrow S, Vickers J, Roberts-Gray C. Dietary intake at child-care centers and away: are parents and care providers working as partners or at cross-purposes? J Am Diet Assoc 1999; 99(8): 950-954. https://doi.org/10.1016/S0002-8223(99)00226-6
  2. Kang KJ. A study on food habits, nutritional quality of preschool children in Seoul. Korean J Community Nutr 2005; 10(4): 471-483.
  3. Seoul Metropolitan City Dietary Life Comprehensive Support Center. Infant and infant unbalanced food survey result report using the eating behavior test tool. Seoul: Seoul Metropolitan City Dietary Life Comprehensive Support Center. 2015. p.38-40.
  4. Oh UJ, Chang YK. Children's unbalanced dieted and parents' attitudes. Korean J Nutr 2006; 39(2): 184-191.
  5. Blissett J, Haycraft E. Are parenting style and controlling feeding practices related? Appetite 2008; 50(2-3): 477-485. https://doi.org/10.1016/j.appet.2007.10.003
  6. Sim HM, Han YS, Lee KA. Analysis of the types of eating behavior affecting the nutrition of preschool children: using the Dietary Behavior Test (DBT) and Nutrition Quotiet (NQ). J Nutr Health 2019; 52(6): 604-617. https://doi.org/10.4163/jnh.2019.52.6.604
  7. Kim YJ, Chung SJ, Han YS, Lee YN, Lee SI, Byun KW, et al. The characteristics of infants' temperament, maternal feeding behavior DNA feeding practices in picky eaters. Korean J Community Nutr 2005; 10(4): 462-470.
  8. Han YS, Park SH. A child who does not eat, a child who eats well. Seoul: ChungeoramLife; 2017. p.96-100.
  9. Lee EY, Jeon YY, Park SY. The status correlation of levels of 3- and 4-year-old childrens eating behaviors, their mothers eating behaviors and feeding practices. The Korean Society for Early Childhood Thecher Education 2017; 21(6): 253-281.
  10. Birch LL, Fisher JO. Mothers' child-feeding practices influence daughters' eating and weight. Am J Clin Nutr 2000; 71(5): 1054-1061. https://doi.org/10.1093/ajcn/71.5.1054
  11. Kim SW, Jo YK, Kang JH, Lee SH, Lee JE, Park HA, et al. The relationship between parents' lifestyle and their child's overweight. Korean J Fam Pract 2008; 29: 395-404.
  12. Davison KK, Birch LL. Obesigenic families: parents' physical activity and dietary intake patterns predict girls' risk of overweight. Int J Obes Relat Metab Disord 2002; 26(9): 1186-1193. https://doi.org/10.1038/sj.ijo.0802071
  13. Chun IA, Han MA, Park J, Choi SW, Ryu SY. The association between parental characteristics and dietary habits of early childhood. J Korean Soc Matern Child Health 2013; 17(1): 150-161. https://doi.org/10.21896/JKSMCH.2013.17.1.150
  14. Seo JY, Choi BS, Lee IS. Effects of nutritional education featuring cooking activities on preschool children in the Daegu area: food habits and dietary attitudes. J East Asian Soc Diet Life 2010; 20(5): 794-801.
  15. Cho HN, Park E. Development and evaluation of sensory education program for young children. Korean J Early Child Educ 2014; 35(2): 263-292. https://doi.org/10.18023/kjece.2015.35.2.012
  16. Lee MS, Lee KH. Development and application of dietary education to improve the vegetable intake of preschoolers. J Korean Diet Assoc 2014; 20(1): 26-35. https://doi.org/10.14373/JKDA.2014.20.1.26
  17. Han YS, Kim SA, Lee YN, Kim JM. The development and validation of eating behavior test form for infants and young children. Korean J Community Nutr 2015; 20(1): 1-10. https://doi.org/10.5720/kjcn.2015.20.1.1
  18. Kim YJ, Han YS, Chung SJ, Lee YN, Lee SI, Choi HM. Characteristics of infants' temperaments and eating behaviors and feeding practices in poor eating infants. Korean J Community Nutr 2006; 11(4): 449-458.
  19. Kim JD, Kim WK, Rhim YT, Kim MJ. The relations between obese child who lived in Namyangju city province and the factors of parent's eating pattern. Korean J Sports Sci 2009; 18(4): 1139-1148.
  20. Cha W, Park SH, Jung SJ, Chang KJ. Effect of dietary habits and feeding practices of their parents on dietary habits and food preference of children in Incheon. Foodserv Ind J 2019; 15(3): 31-43. https://doi.org/10.22509/KFSA.2019.15.3.003
  21. Noh HJ, Jeong MA. Relationship between snack consumption patterns and socio-economic status and oral health behavior in Samcheok-Si children. J Korea Contents Assoc 2013; 13(8): 250-257. https://doi.org/10.5392/JKCA.2013.13.08.250
  22. Lee HO. A comparison of nutrient intakes and food lifestyles between double income families' and fulltime housewives' children. Korean J Food Nutr 2008; 21(1): 106-113.
  23. Shloim N, Edelson LR, Martin N, Hetherington MM. Parenting styles, feeding styles, feeding practices, and weight status in 4-12 year-old children: a systematic review of the literature. Front Psychol 2015; 6: 1849.
  24. Jung HY, Ahn JH. The effects of mother's feeding guidance and parenting attitude on children's selfregulation. J Parent Educ 2018; 10(4): 91-108.
  25. Lee JE. The relationship between children's picky eating behavior, physical growth and mother's child feeding practice. Korean J Child Stud 2013; 34(4): 1-17.
  26. Caliendo MA, Sanjur D, Wright J, Cummings G. Nutritional status of preschool children. J Am Diet Assoc 1977; 71(1): 20-26.
  27. Gevers DW, Kremers SP, de Vries NK, van Assema P. Clarifying concepts of food parenting practices. A Delphi study with an application to snacking behavior. Appetite 2014; 79: 51-57. https://doi.org/10.1016/j.appet.2014.04.002
  28. Faith MS, Storey M, Kral TV, Pietrobelli A. The feeding demands questionnaire: assessment of parental demand cognitions concerning parent-child feeding relations. J Am Diet Assoc 2008; 108(4): 624-630. https://doi.org/10.1016/j.jada.2008.01.007
  29. Carper JL, Orlet Fisher J, Birch LL. Young girls' emerging dietary restraint and disinhibition are related to parental control in child feeding. Appetite 2000; 35(2): 121-129. https://doi.org/10.1006/appe.2000.0343
  30. van Strien T, Bazelier FG. Perceived parental control of food intake is related to external, restrained and emotional eating in 7-12-year-old boys and girls. Appetite 2007; 49(3): 618-625. https://doi.org/10.1016/j.appet.2007.03.227
  31. Ventura AK, Birch LL. Does parenting affect children's eating and weight status? Int J Behav Nutr Phys Act 2008; 5(1): 15. https://doi.org/10.1186/1479-5868-5-15
  32. Faith MS, Scanlon KS, Birch LL, Francis LA, Sherry B. Parent-child feeding strategies and their relationships to child eating and weight status. Obes Res 2004; 12(11): 1711-1722. https://doi.org/10.1038/oby.2004.212
  33. Galloway AT, Fiorito LM, Francis LA, Birch LL. 'Finish your soup': counterproductive effects of pressuring children to eat on intake and affect. Appetite 2006; 46(3): 318-323. https://doi.org/10.1016/j.appet.2006.01.019
  34. Birch LL, Fisher JO, Grimm-Thomas K, Markey CN, Sawyer R, Johnson SL. Confirmatory factor analysis of the child feeding questionnaire: a measure of parental attitudes, beliefs and practices about child feeding and obesity proneness. Appetite 2001; 36(3): 201-210. https://doi.org/10.1006/appe.2001.0398