Develop and evaluate the psychometric properties of the Hunger and Satiety Cues Children’s Perception in infants under 6 months of age

Authors

  • Rosario Edith Ortiz-Felix Facultad de enfermería, Universidad Autónoma de Nuevo León. San Nicolás de los Garza, Mexico.
  • Velia Margarita Cardenas Villarreal Facultad de enfermería, Universidad Autónoma de Nuevo León. San Nicolás de los Garza, Mexico.
  • Milton Carlos Guevara Valtier Facultad de enfermería, Universidad Autónoma de Nuevo León. San Nicolás de los Garza, Mexico.
  • Patricia Enedina Miranda-Felix Facultad de enfermería, Universidad Autónoma de Nuevo León. San Nicolás de los Garza, Mexico.
  • Maria Mercedes Rizo-Baeza Facultad de enfermería, Universidad Autónoma de Nuevo León. San Nicolás de los Garza, Mexico.
  • Ernesto Cortes-Castell Facultad de enfermería, Universidad Autónoma de Nuevo León. San Nicolás de los Garza, Mexico.

DOI:

https://doi.org/10.14306/renhyd.24.1.774

Keywords:

Feeding Behavior, Breast Feeding, Satiety Response, Hunger, Infant.

Abstract

Introduction: The objective was to develop and evaluate the psychometric properties of Hunger and Satiety Cues Children’s Perception Scale (EPSHSL, by its Spanish acronym).
Material and methods: The sample consisted of 354 parents dyads (mother / father) - infants who attended the Healthy Child Control in primary care units in northeastern Mexico. The evaluation the psychometric properties included content validity through experts, internal consistency was estimated using Cronbach's Alpha coefficient, dimensional structure by exploratory factor analysis, and confirmatory factor analysis.
Results: The EPSHSL was designed to be self-administered, assessing how parents perceive the signs of hunger and satiety emitted by the child during feeding. The internal consistency was adequate (α=0.95), unifactorial with an explained variance of 56.4%. The confirmatory factor analysis identified that the model was adequate, the eight-adjustment index were good. Mothers perceive the child's feeding signals better than fathers.
Conclusions: The EPSHSL proved to be reliable with adequate psychometric properties; it can be used by pediatricians and nurses in primary care to prevent risk of overweight in children under 6 months of age.

References

(1) Lumeng JC, Taveras E M, Birch L, Yanovski S Z. Prevention of Obesity in Infancy and Early Childhood. JAMA Pediatrics [Internet]. 2015;169(5): 484. doi:10.1001/jamapediatrics.2014.3554

(2) Otterbach L, Mena NZ, Greene G, Redding CA, De-Groot A, Tovar A. Community-based childhood obesity prevention intervention for parents improves health behaviors and food parenting practices among Hispanic , low- income parents. BMC Obes. 2018;5:1–10.

(3) Pérez-Escamilla R, Segura-Pérez S, Lott M. Feeding Guidelines for Infants and Young Toddlers. Nutr Lifecycle. 2017;52(5):223–31.

(4) Hetherington MM. Understanding infant eating behaviour – Lessons learned from observation. Physiol Behav [Internet]. 2017;176:117–24. Available from: http://dx.doi.org/10.1016/j.physbeh.2017.01.022

(5) Shloim N, Vereijken CMJL, Blundell P, Hetherington MM. Looking for cues – infant communication of hunger and satiation during milk feeding. Appetite [Internet]. 2016;108:74–82. Available from: http://dx.doi.org/10.1016/j.appet.2016.09.020

(6) Mallan KM, Sullivan SE, De-Jersey SJ, Daniels LA. The relationship between maternal feeding beliefs and practices and perceptions of infant eating behaviours at 4 months. Appetite [Internet]. 2016;1(105):1–7. Available from: http://dx.doi.org/10.1016/j.appet.2016.04.032

(7) Hodges EA, Johnson SL, Hughes SO, Hopkinson JM, Butte NF, Fisher JO. Development of the responsiveness to child feeding cues scale. Appetite [Internet]. 2013;65:210–9. Available from: http://dx.doi.org/10.1016/j.appet.2013.02.010

(8) Hetherington MM. Understanding infant eating behaviour – Lessons learned from observation. Physiology & Behavior [Internet]. 2017;176: 117-124. Available from: https://doi.org/10.1016/j.physbeh.2017.01.022.

(9) Shloim N, Vereijken CMJL, Blundell P, Hetherington MM. Looking for cues - infant communication of hunger and satiation during milk feeding. Appetite [Internet]. 2017;108:74-82. Available from: https://doi.org/10.1016/j.appet.2016.09.020

(10) Burgess B, & Faith MS. Satiety Responsiveness and Eating Rate in Childhood: Development, Plasticity, and the Family Footprint. Pediatric Food Preferences and Eating Behaviors. Academic Press. 2018; 93-110. Available from: https://doi.org/10.1016/B978-0-12-811716-3.00005-1

(11) Mcnally J, Hugh-jones S, Caton S, Vereijken C, Weenen H, Hetherington M. Communicating hunger and satiation in the first 2 years of life: a systematic review. Matern Child Nutr. 2016;205–28.

(12) Hughes SO, Frazier-Wood AC. Satiety and the Self-Regulation of Food Take in Children: a Potential Role for Gene-Environment Interplay. Curr Obes Rep. 2016;5(1):81–87. doi:10.1007/s13679-016-0194-y.

(13) Browne, D. T., Wade, M., Plamondon, A., Leckie, G., Perlman, M., Madigan, S., & Jenkins, J. M. Child and contextual effects in the emergence of differential maternal sensitivity across siblings. Developmental psychology. 2018;1265-1276.

(14) Bergmeier H, Skouteris H, Hetherington M. Systematic research review of observational approaches used to evaluate mother-child mealtime interactions during preschool years. The American Journal of Clinical Nutrition [Internet]. 2015; 1: 7–15. Available from: https://doi.org/10.3945/ajcn.114.092114.

(15) Tovar A, Vaughn AE, Fallon M, Hennessy E, Burney R, Østbye T, Ward DS. Providers’ response to child eating behaviors: A direct observation study. Appetite [Internet].2016;105: 534-41. Available from: https://doi.org/10.1016/j.appet.2016.06.020.

(16) Denney L, Afeiche MC, Eldridge AL, Villalpando-Carrión S. Food Sources of Energy and Nutrients in Infants, Toddlers, and Young Children from the Mexican National Health and Nutrition Survey 2012. Nutrients. 2017;9(5):494.

(17) Cárdenas Villareal VM, Ortiz Félix RE, Cortés-Castell E, Miranda Félix PE, Guevara Valtier MC, Rizo-Baeza MM. Características maternas e infantiles asociadas a obesidad en lactantes menores de un año de edad del norte de México. Nutr Hosp 2018;35(5):1024-1032. Available from: http://dx.doi.org/10.20960/nh.1720

(18) Asociación Médica Mundial. (2014). Declaración de Helsinki. Principios éticos para la investigación en seres humanos [Declaration of Helsinki. Ethical principles for research in humans]. Boletín del Consejo Académico de Ética en Medicina, 1(2).

(19) Gobierno de México. Comisión nacional de mejora regulatoria. Reglamento de la Ley General de Salud en Materia de Investigación para la Salud [Internet]. 2014 [cited 2019 Mar 15]. Available from: https://www.gob.mx/conamer/prensa/reglamento-de-la-ley-general-de-salud-en-materia-de-investigacion-para-la-salud

(20) Escobedo-Portillo TM, Hernández-Gómez JA, Estebané-Ortega V, Martinez-Moreno G. Modelos de ecuaciones estructurales: características, fases, construcción, aplicación y resultados. Cienc Trab. 2016;18(55):16–22.

(21) Hair JF, Black WC, Babin BJ, Anderson RE, Black WC. Multivariate data analysis 8a ed. Pearson, 2018.

(22) Mokkink LB. Mosmuller DG. Terwee CB. Spearman–Brown prophecy formula and Cronbach's alpha: different faces of reliability and opportunities for new applications. Journal of Clinical Epidemiology [Internet]. 2017;85: 45-9. Available from: https://doi.org/10.1016/j.jclinepi.2017.01.013

(23) Cascaes F, Gonçalves E, Valdivia B, Graziele G, da T, Soleman S, da R. Estimadores de consistencia interna en las investigaciones en salud: el uso del coeficiente alfa. Revista Peruana de Medicina Experimental y Salud Pública [Internet]. 2015; 32 (1): 129-138. Disponible en: https://www.redalyc.org/articulo.oa?id=36338592019

(24) Lloret S, Ferreres A, Hernández A, Tomás I. The exploratory factor analysis of items: guided analysis based on empirical data and software. Annals of Psychology [Internet]. 2017; 33(2): 417-32. Avaliable from: https://doi.org/10.6018/analesps.33.2.270211.

(25) Carmines E, Zeller R. Reliability and validity assessment [Internet]. 2455 Teller Road, Thousand Oaks California 91320 Ñ.GV.LZÑP´PFUnited States of America: SAGE Publications, Inc.; 1979 [cited 2019 Mar 15]. Available from: http://methods.sagepub.com/book/reliability-and-validity-assessmen

(26) Medrano LA, Muñoz-Navarro R. Aproximación conceptual y práctica a los Modelos de Ecuaciones Estructurales. Revista Digital de Investigación en Docencia Universitaria [Internet]. 2017; 11(1):219-39. Disponible en: http://dx.doi.org/10.19083/ridu.11.486.

(27) Kline R. Principles and practice of structural equation modeling,Chapter 12: Global fit testing, 4a ed.New York: Gilford Press,2016.

(28) Manzano PAP. Introducción a los modelos de ecuaciones estructurales. Investigación en Educación Medica. 2017; 7(25); 67-72. Disponible en: https://doi.org/10.1016/j.riem.2017.11.002

(29) Torres SG. Una aproximación al análisis de la competitividad aplicando la técnica del modelo de ecuaciones estructurales [Internet]. TesCoatl. 2015 [cited 2015 Sep 16]. Disponible en: http://www.tesco.edu.mx/gem/DOC/PDF/ publi-caciones/tescoatl/tesco_pdf_tescoatl31_4_analisiscompetitividad.pdf.

(30) Magaña MDE, Aguilar MN, Vázquez RJM. Análisis Factorial Confirmatorio para medir las limitantes percibidas en el pregrado para el desarrollo de actividades de investigación. Nova scientia [Internet]. 2017; 9(18): 515-36. Disponible en: http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S2007-07052017000100515&lng=es. http://dx.doi.org/10.21640/ns.v9i18.838.

(31) Nicolás, HMD. Comportamientos de salud relacionados con la obesidad infantil desde una perspectiva multicultural. [dataset]. 2016 febrero 18 [citado 2019 diciembre 23]. En Digitum: Repositorio Institucional de la Universidad de Murcia [internet]. Disponible en: http://hdl.handle.net/10201/48021.

(32) Barrial MA, Barrial MA. La educación alimentaria y nutricional desde una dimensión sociocultural como contribución a la seguridad alimentaria y nutricional. Contribuciones a las Ciencias Sociales [Internet]. 2011. Disponible en: www.eumed.net/rev/cccss/16/

Published

2020-06-13

How to Cite

Ortiz-Felix, R. E., Cardenas Villarreal, V. M., Guevara Valtier, M. C., Miranda-Felix, P. E., Rizo-Baeza, M. M., & Cortes-Castell, E. (2020). Develop and evaluate the psychometric properties of the Hunger and Satiety Cues Children’s Perception in infants under 6 months of age. Spanish Journal of Human Nutrition and Dietetics, 24(1), 39–49. https://doi.org/10.14306/renhyd.24.1.774