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Comparison of eating behaviors and mothers' eating attitudes based on visual function levels in children with

Özge Cemali1, Özgün Elmas2, Mustafa Cemali3

  • 1Faculty of Health Sciences, Department of Nutrition and Dietetics, Trakya University, Edirne, Turkey. dytozgecemali@gmail.com.

BMC Pediatrics
|December 13, 2025
PubMed

Insights

Children with cerebral palsy (CP) and cerebral visual impairment (CVI) show worsening eating behaviors as vision decreases. Mothers

Area of Science:

  • Pediatric Neurology
  • Developmental Pediatrics
  • Nutritional Science

Background:

  • Limited research exists on eating behaviors in children with cerebral palsy (CP) and cerebral visual impairment (CVI) concerning visual function.
  • Existing studies often focus on CP alone or maternal attitudes without considering visual impairment levels.
  • Understanding these behaviors is crucial for targeted interventions.

Purpose of the Study:

  • To compare the eating behaviors of children with CP and CVI based on their visual function level.
  • To compare the eating attitudes of mothers of children with CP and CVI based on their child's visual function level.

Main Methods:

  • A study involving 90 children (aged 36-72 months) with CP and CVI, categorized into VFCS levels 2, 3, and 4 (30 per level).
  • Children's eating behaviors were assessed using the Children's Eating Behavior Questionnaire (CEBQ).
  • Mothers' attitudes towards feeding were evaluated using The Mother's Attitudes Towards the Feeding Process Scale (MAFPS).

Main Results:

  • Statistically significant differences were observed in most CEBQ subdomains (except emotional overeating) and all MAFPS subdomains and total scores across the three visual function levels (p < 0.001).
  • Pairwise comparisons revealed significant differences in all areas except emotional overeating (p < 0.05).
  • Emotional overeating showed no significant difference between groups (p = 0.184).

Conclusions:

  • Children with CP and CVI at higher visual impairment levels (e.g., level 4) and their mothers exhibited more negative eating behaviors and attitudes.
  • Decreased vision negatively impacts both children's eating behaviors and mothers' feeding attitudes.
  • Routine assessment and mother-inclusive interventions are recommended for children with CP and CVI.
Abstract

Keywords:
Cerebral palsyCerebral visual impairmentEating behaviorFeeding problemsMother’s eating attitude

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