Título:	Division of responsibility in child feeding and eating competence : a cross-sectional study in a sample of caregivers of Brazilian children with celiac disease
Autor(es):	Silva, Larissa Caetano Nakano, Eduardo Yoshio Zandonadi, Renata Puppin
ORCID:	https://orcid.org/0000-0002-9071-8512 https://orcid.org/0000-0003-0370-3089
Afiliação do autor:	University of Brasília, Faculty of Health Sciences, Nutrition Department University of Brasília, Department of Statistics University of Brasília, Faculty of Health Sciences, Nutrition Department
Assunto:	Alimentação infantil Competência alimentar Doença celíaca Crianças - Brasil - Nutrição Cuidadores Comportamento alimentar
Data de publicação:	4-Abr-2024
Editora:	MDPI
Referência:	SILVA, Larissa Caetano et al. Division of responsibility in child feeding and eating competence: a cross-sectional study in a sample of caregivers of Brazilian children with celiac disease. Nutrients, [S. l.], v. 16, n. 7, 1052. 2024. DOI: https://doi.org/10.3390/nu16071052. Disponível em: https://www.mdpi.com/2072-6643/16/7/1052. Acesso em: 22 abr. 2026.
Abstract:	The objective of this cross-sectional study was to assess eating competence (EC) and the adherence to the division of responsibility in child feeding (sDOR) of Brazilian caregivers of children with celiac disease (CD). It also examined the association between EC and sDOR, children’s adherence to a gluten-free diet, and sociodemographic data. This study administered a survey set that included sociodemographic data, health-related data, eating habits, and the instruments ecSI2.0TMBR and sDOR.2-6yTM BR, validated for a Brazilian population. The sample comprised 50 caregivers of children with CD (between 24 and 72 months of age). The participants following a gluten-free diet (GFD) presented higher scores for all EC domains and the total EC. The total EC scores were higher for the participants over 40 y/o, frequently having meals as a family, with their children consuming more than three servings of fruit and at least one serving of vegetables daily and complying with a GFD. Different from the EC, the sDOR.2-6yTM scores did not differ between the participants complying with a GFD. The sDOR.2-6yTM mealtime structure domain scores were significantly associated with the EC eating attitude, food acceptance, contextual skills, and total. These findings support the need for greater attention to exploring the division of responsibility in feeding and EC in pediatric celiac disease, potentially enhancing intervention strategies for patients and their families.
Unidade Acadêmica:	Faculdade de Ciências da Saúde (FS) Departamento de Nutrição (FS NUT) Instituto de Ciências Exatas (IE) Departamento de Estatística (IE EST)
Programa de pós-graduação:	Programa de Pós-Graduação em Nutrição Humana
Licença:	© 2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https:// creativecommons.org/licenses/by/ 4.0/).
DOI:	https://doi.org/10.3390/nu16071052
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