國立虎尾科技大學 |

Comprehensive Caregiver Influences on Preschool Children's Energy Balance-Related Behaviors /

紀錄類型:	書目-語言資料,印刷品 : Monograph/item
正題名/作者:	Comprehensive Caregiver Influences on Preschool Children's Energy Balance-Related Behaviors // Divya Ketankumar Patel.
作者:	Patel, Divya Ketankumar,
面頁冊數:	1 electronic resource (125 pages)
附註:	Source: Dissertations Abstracts International, Volume: 86-03, Section: A.
Contained By:	Dissertations Abstracts International86-03A.
標題:	Pediatrics. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=31238462
ISBN:	9798384068099

Comprehensive Caregiver Influences on Preschool Children's Energy Balance-Related Behaviors /
Patel, Divya Ketankumar,

Comprehensive Caregiver Influences on Preschool Children's Energy Balance-Related Behaviors /Divya Ketankumar Patel. - 1 electronic resource (125 pages)

Source: Dissertations Abstracts International, Volume: 86-03, Section: A.

BACKGROUND/PURPOSE: Childhood obesity is influenced by numerous caregiver-level factors both at home and at childcare settings. However, their relationships with preschool children's weight status are unclear. This dissertation project aims to explore the independent and comprehensive influences of parent and childcare provider feeding practices on children's weight outcome.METHODS: This project includes results from three studies - one pilot study with 30 parents in Oklahoma, testing a remote weight and height protocol using increasing levels of support; one scoping review, synthesizing evidence on comprehensive caregiver influence on children's energy balance behaviors; and a statewide survey study with 82 triads of parent-child-childcare provider in Oklahoma. This study explored independent and comprehensive associations between parent and childcare provider responsive and controlling feeding practices and children's Body Mass Index (BMI) percentiles.RESULTS: The pilot study using a remote weight and height protocol observed a significant increase in parental accuracy of their children's weight and height with level 2 (instructional guide + video) as compared to level 1 (only instructional guide). Weight accuracy remained the same across the three levels. The scoping review discussed three key studies that included both parent and childcare provider-level measures and emphasized the unclear nature of relationships between caregiver practices and children's energy balance behaviors, specifically diet, physical activity, and sedentary behavior. This identified gap was addressed in the final survey study that measured both parent and childcare provider feeding practices. Further, the final study also explored independent and comprehensive relationships between both caregiver feeding practices and children's BMI percentiles. Per study 1's findings, level 2 support was provided to parents to measure their children's weights and heights at home while ensuring accuracy. There were no significant relationships observed between parent and childcare providers' use of feeding practices and preschool children's weight status, with two unexpected significant associations between parent modeling and restriction and child percentiles. Further, there were discrepancies between parent and provider practices, with providers using more desirable feeding practices compared to parents.DISCUSSION/CONCLUSION: From study 1, level 2 support is sufficient for parents to measure their children's weight and height while ensuring accuracy. Study 2 identified the lack of comprehensive approach to improve children's overall health. Study 3 observed no significant associations except for parent modeling being associated with higher BMI percentiles and restriction with lower percentiles, both unexpected. However, there were clear discrepancies observed between the two caregivers, parents used controlling feeding practices more often than providers. Future interventions can include both these caregivers to foster partnerships and knowledge exchange to improve the nutritional environments offered to young children, in turn improving their overall health and wellbeing.

English

ISBN: 9798384068099Subjects--Topical Terms:

644839
Pediatrics.
Subjects--Index Terms:

Childhood obesity

Comprehensive Caregiver Influences on Preschool Children's Energy Balance-Related Behaviors /
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653 $a Energy balance behaviors
653 $a Caregiver influences
653 $a Body Mass Index
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