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Caregiver verbal encouragement increases food acceptance among Vietnamese toddlers.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Dearden, Kirk A. Hilton, Sterling Bentley, Margaret E. Caulfield, Laura E. Wilde, Cathleen Ha, Pham Bich Marsh, David
Spatial Coverage	Vietnam
Description	Country affiliation: United States Author Affiliation: Dearden KA ( Department of International Health, Boston University, Boston, MA 84602, USA. kdearden@bu.edu)
Abstract	Responsive feeding, defined as the positive environment and caregiving behaviors that encourage children to eat, is critical to their physical, mental, and social development. However, research and programs designed to foster responsive feeding have been limited. This research tested the hypothesis that caregiver encouragement, caregiver and child behaviors, and other feeding characteristics were associated with acceptance of food. A total of 91 mother/child pairs in rural, northern Vietnam were videotaped during 2 2-h feeding episodes. Children were 12 and 17 mo of age at the time of study. Caregiver and child behaviors were coded at the level of the 'intended bite' (7135 bites total). Feeding episodes were marked by few physical actions and minimal verbal encouragement by caregivers. Results from generalized linear mixed models suggest that when caregivers provided children with positive comments, children were 2.4 times as likely to accept bites compared with when no comments were given. Twelve-mo-olds who were in the caregiver's arms [odds ratio (OR) = 0.5] or lap (OR = 0.5) were significantly less likely than those who stood to accept bites. The 17-mo-olds who played were less likely than those with no physical action to accept bites. Play appeared to distract boys more than girls. In Vietnam, programs should help caregivers provide positive verbal encouragement to eat. Program planners and implementers may want to encourage caregivers to avoid force feeding and other forms of physical pressure. Further, mealtime should be seen as an opportunity to develop long-term feeding skills and encourage a healthy appetite.
File Format	HTM / HTML
ISSN	00223166
Issue Number	7
Volume Number	139
e-ISSN	15416100
Journal	Journal of Nutrition
Language	English
Publisher	American Society for Nutrition
Publisher Date	2009-07-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Caregivers Research Support, Non-u.s. Gov't Prospective Studies Prevention & Control Humans Child, Preschool Feeding Behavior Random Allocation Epidemiology Journal Article Child Nutrition Sciences Vietnam Child Behavior Rural Population Child Nutrition Disorders Behavior Discipline Nutrition Interpersonal Relations
Content Type	Text
Resource Type	Article
Subject	Nutrition and Dietetics Medicine

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Caregiver verbal encouragement increases food acceptance among Vietnamese toddlers.

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