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Mother-child feeding interactions in children with and without weight faltering; nested case control study.

Joanne Robertson1, Christine Puckering, Kathryn Parkinson

  • 1NHS Greater Glasgow and Clyde, United Kingdom.

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Summary

Mothers of infants with weight faltering showed fewer positive mealtime interactions compared to controls. This difference may be causal or an adaptive response to infant feeding behaviors.

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Area of Science:

  • Pediatrics
  • Developmental Psychology
  • Nutrition Science

Background:

  • Weight faltering (failure to thrive) in infants is a significant concern.
  • Understanding parent-child interactions during mealtimes is crucial for infant development and growth.
  • The Mellow Parenting Coding System (MPCS) offers a tool to assess these interactions.

Purpose of the Study:

  • To determine if the Mellow Parenting assessment system can differentiate parent-child mealtime interactions in infants with weight faltering versus normally growing infants.
  • To investigate the relationship between mealtime interaction patterns and infant growth status.

Main Methods:

  • A simplified Mellow Parenting Coding System (MPCS) was used to analyze video recordings of mother-infant mealtime interactions.
  • Thirty mother-infant dyads with weight faltering and 29 healthy controls were assessed.
  • Data on infant eating behavior and growth were collected via questionnaires.

Main Results:

  • The MPCS demonstrated good inter-rater reliability.
  • Mothers of infants with weight faltering exhibited significantly fewer positive interactions (anticipation, autonomy, responsiveness, cooperation) during mealtimes compared to controls.
  • Infants with weight faltering reported lower appetite at 4 months and higher feeding avoidance at 8 months.

Conclusions:

  • Mothers of infants experiencing weight faltering tend to engage in fewer positive interactions during mealtimes.
  • The observed interaction differences may be a cause or a consequence of the infant's feeding behaviors and growth status.