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Parental practices perceived by children using a French version of the Kids' Child Feeding Questionnaire
Sandrine Monnery-Patris1, Natalie Rigal, Claire Chabanet
1Centre des Sciences du Goût et de l'Alimentation (CSGA), UMR6265 CNRS, UMR1324 INRA, Université de Bourgogne, AgroSup Dijon, F-21000 Dijon, France. Sandrine.Monnery-Patris@dijon.inra.fr
Insights
French children
Area of Science:
- Pediatric Nutrition
- Childhood Obesity Research
- Psychometrics in Health
Background:
- 18% of French children aged 6-11 are overweight, with 3.3% obese.
- Parental feeding practices like restriction and pressure-to-eat may encourage overeating.
- A validated tool was needed to assess French children's perception of these practices.
Purpose of the Study:
- Validate a French version of the Kids' Child Feeding Questionnaire (KCFQ).
- Assess the relationship between KCFQ dimensions and children's Body Mass Index (BMI) z-scores.
- Provide a reliable measure for childhood weight status research in France.
Main Methods:
- Administered the French KCFQ to 240 children aged 9-11.
- Employed confirmatory factor analysis for validation.
- Assessed internal consistency using Cronbach's coefficients.
Main Results:
- The two-factor model (pressure-to-eat, restriction) showed acceptable fit and internal consistency after item deletion.
- Children's perception of restriction positively correlated with BMI z-scores (r=0.36, p<.001).
- Perception of pressure-to-eat did not significantly correlate with BMI z-scores (r=-0.09, p=.24).
Conclusions:
- The validated French KCFQ is a reliable tool for measuring children's perceptions of parental feeding.
- Children's perception of restrictive feeding practices is linked to higher BMI z-scores.
- This tool aids in understanding the impact of feeding practices on childhood weight status.
Abstract:
About 18% of 6-11-year-old French children are overweight, of whom 3.3% are obese. Parental feeding practices, especially restriction and pressure-to-eat, seem to promote overeating in children. Since no tool was available for the perception of parental feeding practices of French children, our aim was to validate a French version of the Kids'Child Feeding Questionnaire (KCFQ, Carper, Orlet Fischer, & Birch, 2000), and to determine the relationship between KCFQ's dimensions and children's standardised body mass index (BMI z-scores). The questionnaire was completed by 240 normal-weighted or overweight children between the age of 9 and 11. The validation was based on a confirmatory factor analysis. The internal consistency of factors was confirmed using Cronbach's coefficients. After deleting some items (3 for the pressure-to-eat subscale and 3 for the restriction subscale), the two-factor model (pressure-to-eat, restriction) provided an acceptable fit (χ² (34)=64; RMSEA=.06; CFI=0.93; NNFI=.90), and satisfactory internal consistency. Children's perception of restriction was significantly and positively correlated with BMI z-scores (r=36, p<.001), whereas their perception of pressure-to-eat was not significantly associated with BMI z-scores (r=-.09, p=.24). This scale appears to be a sound tool for highlighting children's perceptions of parental feeding practices, and their links to weight status.
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