Abstract
Background/objectives:
To investigate and analyze differences in parental concerns during earlier and later phases of complementary feeding.
Subject/methods:
Eight focus group interviews were conducted with 45 mothers of children aged 7 or 13 months. Deductive and inductive coding procedures were applied in the analysis.
Results:
There were marked differences in mothers’ health concerns in early and in later phases of complementary feeding. In the early phase, feeding a child healthy food was an unquestioned and self-evident practice. The child’s food was a specific category, separated from the rest of the family’s food, and the mother’s focus was on the immediate well-being and safety of the child. In the later phase, health concerns shifted towards a longer-term perspective, and the aim of integrating the child into the family’s social world became as important as concerns about well-being and safety. Contested and partly contradictory practices resulted, including conscious acceptance of some intake of sugar and unhealthy fats. Perceived relevance of nutritional guidelines on complementary feeding was high in the early phase but declined later.
Conclusion:
Mothers’ concerns and practices in the feeding of a young child vary considerably across the early and later phases of complementary feeding. This should be explored further and taken into consideration in the targeting and timing of dietary guideline communications.
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References
Agostoni C, Decsi T, Fewtrell M, Goulet O, Kolacek S, Koletzko B et al. Complementary feeding: a commentary by the ESPGHAN Committee on Nutrition. J Pediatr Gastroenterol Nutr 2008; 46: 99–110.
Synnott K, Bogue J, Edwards CA, Scott JA, S Higgins S, Norin E et al. Parental perceptions of feeding practices in five European countries: an exploratory study. Eur J Clin Nutr 2007; 61: 946–956.
Arden MA . Conflicting influences on UK mothers’ decisions to introduce solid foods to their infants. Matern Child Nutr 2010; 6: 159–173.
Cody A . Health visiting as therapy: a phenomenological perspective. J Adv Nurs 1999; 29: 119–127.
Tveiten S, Severinsson E . Communication—a core concept in client supervision by public health nurses. J Nurs Manag 2006; 14: 235–243.
Killien MG . Postpartum return to work: mothering stress, anxiety, and gratification. Can J Nurs Res 1998; 30: 53–66.
Troy NW, Dalgas-Pelish P . The natural evolution of postpartum fatigue among a group of primiparous women. Clin Nurs Res 1997; 6: 126–141.
McBridge AB, Shore CP . Women as mothers and grandmothers. Annu Rev Nurs Res 2001; 19: 63–85.
Deepika G, Gay CL, Lee KA . Patterns of sleep disruption and depressive symptoms in new mothers. J Perinat Neonat Nurs 2007; 21: 123–129.
Alstveit M, Severinsson E, Karlsen B . Obtaining confirmation through social relationships: Norwegian first-time mothers’ experiences while on maternity leave. Nurs Health Sci 2010; 12: 113–118.
Galtry J . The impact on breastfeeding of labour market policy and practice in Ireland, Sweden, and the USA. Soc Sci Med 2003; 57: 167–177.
Johansen A, Jespersen LN, Davidsen M, Michelsen SI, Morgen CS, Helweg-Larsen K et al Danske børns sundhed og sygelighed. National Institute of Public Health: Syddansk Universitet: Denmark, 2009.
Danish Health and Medicines Authority. Mad til spædbørn og småbørn. Sundhedsstyrelsen: Copenhagen, Denmark, 2013.
Danmarks Statistik. Nordisk Statistisk Årbog. Statistics Denmark: Copenhagen, Denmark, 2011.
Bloor M, Frankland J, Thomas M et al Focus groups in social research. Sage: London, UK, 2001.
Danish Data Protection Agency 2013, Private research and statistics projects. Available at http://www.datatilsynet.dk/english/health-research-and-statisticsprojects/private-research-and-statistics-projects/.
Danish Health Research Ethics Committee 2013, Act on research ethics review of health research projects. Available at http://www.cvk.sum.dk/English/actonabiomedicalresearch.aspx.
British Sociological Association 2002, Statement of ethical practice for the British Sociological Association, appendix revised 2004 http://www.britsoc.co.uk/media/27107/StatementofEthicalPractice.pdf.
King N . Using templates in the thematic analysis of text. In: Cassell C, Symon G, (eds). Essential guide to qualitative methods in organizational research. Sage: London, UK, 2004.
Strauss A, Corbin J . Techniques and procedures for developing grounded theory 2nd (edn). Basics of qualitative research. Sage Publications: London, UK, 1998.
Malterud K . Qualitative research: standards, challenges, and guidelines. Lancet 2001; 358: 483–488.
Morgan DL . Focus groups as qualitative research 2nd (edn). Sage: London, UK, 1997.
Gage H, Raats M, Williams P, Egan B, Jakobik V, Laitinen K et al. Developmental origins of health and disease: the views of first-time mothers in 5 European countries on the importance of nutritional influences in the first year of life. Am J Clin Nutr 2011; 94: 2018S–2024S.
Anderson AS, Gutherie CA, Alder EM, Forsyth S, Howie PW, Williams FLR . Rattling the plate—reasons and rationales for early weaning. Health Edu Res 2001; 16: 471–479.
Holly B-H, Silk K, Horodynski MA, Mercer L, Olson B . Key theoretical frameworks for intervention: Understanding and promoting behavior change in parent-infant feeding choices in a low-income population. J Prim Prev 2009; 30: 191–208.
Bentley M, Gavin L, Black MM, Teti L . Infant feeding practices of low-income, African-American, adolescent mothers: an ecological, multigenerational perspective. Soc Sci Med 1999; 49: 1085–1100.
Bisogni C, Jastran M, Seligson M, Thompson A . How people interpret healthy eating: contributions of qualitative research. J Nutr Educ Behav 2012; 44: 282–301.
Hendricks K, Briefel R, Novak T, Ziegler P . Maternal and child characteristics associated with infant and toddler feeding practices. J Am Diet Assoc 2006; 106: 135–148.
Acknowledgements
This project was part of the research project ’Complementary and young child feeding’ (CYCF) – impact on short- and long-term development and health. It was funded by The Danish Directorate for Food, Fisheries and Agri Business in 2006. We thank the mothers who participated in the focus group study.
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Kim Fleischer Michaelsen is an advisor to the Danish Health and Medicines Authority on infant and young child nutrition and has been a co-author on a policy paper on complementary feeding as a member of the ESPGHAN Committee of Nutrition.
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Nielsen, A., Michaelsen, K. & Holm, L. Parental concerns about complementary feeding: differences according to interviews with mothers with children of 7 and 13 months of age. Eur J Clin Nutr 67, 1157–1162 (2013). https://doi.org/10.1038/ejcn.2013.165
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DOI: https://doi.org/10.1038/ejcn.2013.165