Abstract
Responsive feeding is key in the implementation of healthy feeding practices in infants since it strengthens their self-regulation and adequate weight development. However, it has been little explored in the Mexican context. The objective of this research was to describe the practice of perceptual feeding in mothers of infants under 6 months of age in Mexico and to explore the relationship with sociodemographic variables. A cross-sectional study was designed with 197 mothers of infants under 6 months of age. The Feeding Practices and Structure Questionnaire for young infants was used, which assesses two dimensions of perceptual feeding practices (demand and directed) and two non-perceptual (calming, persuasive). Demand feeding was moderately used and was related to economic income, exclusive breastfeeding, and infant age. Calming feeding was the second most used, was related to infant age, formula feeding, and mother's occupation. These results emphasize the need to apply educational strategies to mothers with breastfeeding children in addition to the identification of hunger and satiety cues, calming techniques, adjusted to the baby's temperament to support them in promoting perceptive practices with their children.
References
Bahorski, J., Romano, M., McDougal, J. M., Kiratzis, E., Pocchio, K., & Paek, I. (2023). Development of an Individualized Responsive Feeding Intervention-Learning Early Infant Feeding Cues: Protocol for a Nonrandomized Study. JMIR research protocols, 12, e44329. https://doi.org/10.2196/44329
Black M.M. & Aboud F.E. 2011. Responsive feeding is embedded in a theoretical framework of responsive parenting. J. Nutr. 141(3): 490–494. https://doi.org/10.3945/jn.110.129973
Black, M. M., Tofail, F., Hodges, E. A., Bann, C. M., Hamadani, J. D., Aktar, S., & Lutter, C. K. (2022). Rethinking Responsive Feeding: Insights from Bangladesh. Nutrients, 14(15), 3156. https://doi.org/10.3390/nu14153156
Cárdenas-Villarreal, V. M., Hernández-Barrera, L., Castro-Sifuentes, D., Guevara-Valtier, M. C., & Trejo-Valdivia, B. (2023). Trends in overweight and obesity in children under 24 months of age in Mexico (2012-2020): analysis of four national health surveys. Cadernos De Saúde Pública, 39(12), e00046123. https://doi.org/10.1590/0102-311XEN046123
Faul, F., Erdfelder, E., Buchner, A., & Lang, A.-G. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41(4), 1149-1160. https://doi.org/10.3758/BRM.41.4.1149
Haines, J., Haycraft, E., Lytle, L., Nicklaus, S., Kok, F. J., Merdji, M., Fisberg, M., Moreno, L. A., Goulet, O., & Hughes, S. O. (2019). Nurturing Children's Healthy Eating: Position statement. Appetite, 137, 124–133. https://doi.org/10.1016/j.appet.2019.02.007
Jansen, E., Russell, C. G., Appleton, J., Byrne, R., Daniels, L. A., Fowler, C., Rossiter, C., & Mallan, K. M. (2021). The Feeding Practices and Structure Questionnaire: development and validation of age appropriate versions for infants and toddlers. The international journal of behavioral nutrition and physical activity, 18(1), 13. https://doi.org/10.1186/s12966-021-01079-x
Kim-Herrera, E. Y., Ramírez-Silva, I., Rodríguez-Oliveros, G., Ortiz-Panozo, E., Sánchez-Estrada, M., Rivera-Pasquel, M., Pérez-Escamilla, R., & Rivera-Dommarco, J. A. (2021). Parental Feeding Styles and Their Association With Complementary Feeding Practices and Growth in Mexican Children. Frontiers in pediatrics, 9, 786397. https://doi.org/10.3389/fped.2021.786397
Möller, E. L., de Vente, W., & Rodenburg, R. (2019). Infant crying and the calming response: Parental versus mechanical soothing using swaddling, sound, and movement. PloS one, 14(4), e0214548. https://doi.org/10.1371/journal.pone.0214548
Orrell-Valente, J. K., Hill, L. G., Brechwald, W. A., Dodge, K. A., Pettit, G. S., & Bates, J. E. (2007). "Just three more bites": an observational analysis of parents' socialization of children's eating at mealtime. Appetite, 48(1), 37–45. https://doi.org/10.1016/j.appet.2006.06.006
Öztürk Dönmez, R., & Bayik Temel, A. (2019). Effect of soothing techniques on infants' self-regulation behaviors (sleeping, crying, feeding): A randomized controlled study. Japan journal of nursing science : JJNS, 16(4), 407–419. https://doi.org/10.1111/jjns.12250
Pallewaththa, P., Agampodi, S. B., Agampodi, T. C., & Siribaddana, S. H. (2019). Knowledge, Attitudes, and Practices of Responsive Feeding in Rural Sri Lanka (A Qualitative Study). The Ceylon medical journal, 64(2), 70–75. https://doi.org/10.4038/cmj.v64i2.8894
Pérez-Escamilla, R., Segura-Pérez, S., & Lott, M. (2017). Guías de alimentación para niñas y niños menores de dos años: Un enfoque de crianza perceptiva. Healthy Eating Reserch, 1-69. https://healthyeatingresearch.org/wp-content/uploads/2017/10/GuiaResponsiva_Final.pdf
Pérez-Escamilla, R., Segura-Pérez, S., & UNICEF. (2019). La alimentación perceptiva en el contexto del marco mundial del cuidado cariñoso y sensible durante la primera infancia. UNICEF. Infancia, adolescencia y juventud: oportunidades claves para el desarrollo, Montevideo, 41-65. https://www.cippec.org/wp-content/uploads/2020/01/oportunidades_claves_para_el_desarrollo_web.pdf#page=43
Peters, J., Parletta, N., Campbell, K., & Lynch, J. (2014). Parental influences on the diets of 2- to 5-year-old children: Systematic review of qualitative research. Journal of Early Childhood Research, 12(1), 3-19. https://doi.org/10.1177/1476718X13492940
Ramada-Rodilla, J. M., Serra-Pujadas, C., & Delclós-Clanchet, G. L. (2013). Adaptación cultural y validación de cuestionarios de salud: revisión y recomendaciones metodológicas. Salud Pública de México, 55(1), 57-66. http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0036-36342013000100009&lng=es&tlng=es.
Redsell, S. A., Slater, V., Rose, J., Olander, E. K., & Matvienko‐Sikar, K. (2021). Barriers and enablers to caregivers' responsive feeding behaviour: A systematic review to inform childhood obesity prevention. Obesity Reviews, 22(7), e13228. https://doi.org/10.1111/obr.13228
Rossiter, M. D., Richard, B., Whitfield, K. C., Mann, L., & McIsaac, J. D. (2022). Responsive feeding values and practices among families across the Canadian Maritime provinces. Applied physiology, nutrition, and metabolism = Physiologie appliquee, nutrition et metabolisme, 47(5), 495–501. https://doi.org/10.1139/apnm-2021-0692
Secretaría de Salud. (2014) Reglamento de la ley general de salud en materia de investigación. Diario Oficial de la Federación. http://www.diputados.gob.mx/LeyesBiblio//regley/Reg_LGS_MIS.pdf
Tauriello, S., Moding, K., Aronoff, N., Kubiniec, E., & Anzman-Frasca, S. (2023). Examining links between child temperament and feeding, eating, and weight outcomes: An updated systematic review of the literature. Eating behaviors, 49, 101739. https://doi.org/10.1016/j.eatbeh.2023.101739
Thompson, A. L., Wasser, H., Nulty, A., & Bentley, M. E. (2021). Feeding style profiles are associated with maternal and infant characteristics and infant feeding practices and weight outcomes in African American mothers and infants. Appetite, 160, 105084. https://doi.org/10.1016/j.appet.2020.105084
Vandenbroucke, J. P., Von Elm, E., Altman, D. G., Gøtzsche, P. C., Mulrow, C. D., Pocock, S. J. & Egger, M. (2009). Mejorar la comunicación de estudios observacionales en epidemiología (STROBE): explicación y elaboración. Gaceta sanitaria, 23, 158e1-158e28. http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0213-91112009000200015&lng=es&tlng=es.
Vaughn, A. E., Ward, D. S., Fisher, J. O., Faith, M. S., Hughes, S. O., Kremers, S. P., Musher-Eizenman, D. R., O'Connor, T. M., Patrick, H., & Power, T. G. (2016). Fundamental constructs in food parenting practices: a content map to guide future research. Nutrition reviews, 74(2), 98–117. https://doi.org/10.1093/nutrit/nuv061
Vilar-Compte, M., Pérez-Escamilla, R., Orta-Aleman, D., Cruz-Villalba, V., Segura-Pérez, S., Nyhan, K., & Richter, L. M. (2022). Impact of baby behaviour on caregiver's infant feeding decisions during the first 6 months of life: A systematic review. Maternal & child nutrition, 18 Suppl 3(Suppl 3), e13345. https://doi.org/10.1111/mcn.13345
Whitfield, K.C. & Ventura, A.K. (2019). Exploration of Responsive Feeding During Breastfeeding Versus Bottle Feeding of Human Milk: A Within-Subject Pilot Study. Breastfeeding Medicine 14 (7), 482-486. DOI: 10.1089/bfm.2019.0069
© Revista Mexicana de Trastornos Alimentarios/Mexican Journal of Eating Disorders.