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The role of care in nutrition programmes: current research and a research agenda

  • Patrice L. Engle (a1), Margaret Bentley (a2) and Gretel Pelto (a3)
Abstract

The importance of cultural and behavioural factors in children’s nutrition, particularly with regard to feeding, has been recognized only recently. The combination of evidence regarding the importance of caregiving behaviour for good nutrition, and improved strategies for measuring behaviour have led to a renewed interest in care. The UNICEF conceptual framework suggests that care, in addition to food security and health care services, are critical for children’s survival, growth and development. The present paper focuses on the care practice of complementary feeding, specifically behavioural factors such as parental interaction patterns, feeding style and adaptation of feeding to the child’s motor abilities (self-feeding or feeding by others). Three kinds of feeding styles (Birch & Fisher, 1995) are identified: controlling; laissez-faire; responsive. Probable effects of each feeding style on nutrient intake are described. A number of studies of feeding behaviour have suggested that the laissez-faire style is most frequently observed among families and communities with a higher prevalence of malnourished children. Nutrition interventions that have been able to show significant effects on outcomes, such as the Hearth Model in Vietnam (Sternin et al. 1997), have usually incorporated behavioural components in their intervention. At this time, there have been no tests of the efficacy of behavioural interventions to improve feeding practices. Research is needed to understand behavioural factors in complementary feeding, and to identify and test intervention strategies designed to improve nutrient intake of young children. Finally, the paper concludes with a discussion of how nutrition programmes might change if care were incorporated.

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Copyright
Corresponding author
*Corresponding author: Professor Patrice L. Engle, fax +1 805 756 1134, email pengle@calpoly.edu
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LL Birch & JA Fisher (1995) Appetite and eating behavior in children. Pediatric Clinics of North America 42, 931953.

LE Caulfield , SL Huffman & E Piwoz (1999) Interventions to improve complementary food intakes of 6–12 month old infants: What have we been able to accomplish? Food and Nutrition Bulletin 20, 183200.

K Connolly & M Dalgleish (1989) The emergence of tool-using skill in infancy. Developmental Psychology 25, 894912.

K Dettwyler (1989) Styles of infant feeding: parental/caretaker control of food consumption in young children. American Anthropologist 91, 696703.

PL Engle , P Menon & L Haddad (1999) Care and nutrition: concepts and measurement. World Development 27, 13091338.

EG Gisel (1991) Effect of food texture on the development of chewing of children between six months and two years of age. Developmental Medicine and Child Neurology 33, 6979.

J Gittlesohn , AV Shanker , KP West , F Faruque , T Gnywali & ED Pradhan (1998) Child feeding and care behaviours are associated with xeropthalmia in rural Nepalese households. Social Science and Medicine 47, 477486.

GS Guldan , MF Zeitlin , AS Beiser , CM Super , SN Gershoff & S Datta (1993) Maternal education and child feeding practices in rural Bangladesh. Social Science and Medicine 36, 925935.

HC Kanishiro , M Fukumoio , ME Bentley , E Jacoby , C Versoza & KH Brown (1991) Use of recipe trials and anthropological techniques for the development of a home-prepared weaning food in the central highlands of Peru. Journal of Nutrition Education 23, 3035.

NJ Kotchabhakdi , P Winichagoon , S Smitasiri , S Dhanamitta & A Valyasevi (1987) The integration of psychosocial components of early childhood development in a nutrition education programme of Northeast Thailand. Asia Pacific Journal of Public Health 1, 1625.

AL Morrow , M Lourdes Guerro , J Sjults , JJ Calva , C Lutter , J Bravo , G Ruiz-Palacios , RC Morrow & FD Butterfoss (1999) Efficacy of home-based peer counselling to promote exclusive breastfeeding: a randomized controlled trial. Lancet 353, 12261231.

M Sigman , C Neumann , M Baksh , N Bwibo & MA McDonald (1989) Relationship between nutrition and development in Kenyan toddlers. Journal of Pediatrics 115, 357364.

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Proceedings of the Nutrition Society
  • ISSN: 0029-6651
  • EISSN: 1475-2719
  • URL: /core/journals/proceedings-of-the-nutrition-society
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