To explore family members' influences on mothers' feeding practices of preschoolers in Chilean families residing in vulnerable neighborhoods from the Metropolitan Region of Santiago, Chile. Qualitative study. Nine child care centers in Región Metropolitana, Santiago, Chile. Twenty-four mothers and one father of preschool children. Photo-elicitation techniques were applied to 25 semi-structured interviews and their subsequent inductive thematic analysis of family influences. The participants described that the family influences on their feeding practices depended on the family structure and the interpersonal closeness between relatives. Some influences directly affected child eating behavior, especially in relatives who live together, while others were mediated by the relationships generated between parents and other members of the family. Fathers, in two-parent families, and grandparents are the most influential relatives on the participants' feeding practices. Generally, fathers participated and were in line with the mother's feeding practices of their children. Grandparents enriched their grandchildren's eating experiences by offering homemade preparations, expressing affection with food, including unhealthy options, and supporting parents to diversifying and structuring feeding practices. According to their interpersonal closeness or cohabitation, parental feeding practices and child eating behaviors were impacted by family members and their dynamics. The development of strategies to prevent and treat childhood obesity should consider a family approach in vulnerable families.

Introduction In Chile, there is a high prevalence of obesity, and most people have an inadequate quality of food. Food environments can constitute barriers that prevent healthy food choices and lead to overweight and obesity, as well as diet-related non-communicable diseases. There are international instruments that allow the characterization of food environments. In Chile, there are no studies on the perception of food environments. This study aimed to characterize the perception of obesogenicity of food environments in the urban Chilean population using an instrument previously validated in Chile. Methods This is a cross-sectional study with probabilistic sampling. The "Perceived Nutrition Environment Measures Survey", based on the Chilean model of food environments, was applied to 256 participants from two urban communities of the Metropolitan Region. Scores were calculated for the instrument items, which allowed calculating scores by environments included in the Chilean model of Food Environments. Negative scores were related to a higher obesogenic level. Results The results show that the domestic food environment is perceived as less obesogenic (median of 15.8 points), with more than 90% of households having fruits, vegetables, and legumes, even though the supply food environment was negative (median -0.19 points). However, about 50% of households had ultra-processed foods. The street food environment was perceived as the most obesogenic (median -1.91 points), with more than 60% of the participants indicating difficulty finding healthy options. Conclusions According to the level of obesogenicity of the environments studied, it is necessary to have public policies that improve them and ensure the availability and physical and economic access to healthy food, particularly in the food supply and public road environments.

Introducción: Debido a la pandemia por COVID-19, la Escuela de Nutrición y Dietética de laUniversidad de Chile, suspendió todas las prácticas profesionales (PP) presenciales,incorporando la Consejería Nutricional Online (CNO) como actividad de telemedicina. Elobjetivo de este estudio fue analizar la percepción de estudiantes, usuarias/os y docentessupervisores respecto a la implementación, satisfacción usuaria y el desempeño estudiantil enlas CNO, como una nueva actividad de enseñanza aprendizaje.Material y métodos: Estudio observacional descriptivo transversal, con muestreo noprobabilístico. Se invitó a participar a estudiantes (n=42), usuarios/as (n=133) y docentessupervisores (n=6) y se evaluó con encuestas semiestructuradas online el nivel de satisfacciónusuaria, percepción de la implementación y del desempeño estudiantil. Se analizaronresultados cuantitativos y cualitativos con programa Excel de Office.Resultados: Un 55,6% de usuarios/as respondió la encuesta, el 100% de los/as docentes y el87,2% del estudiantado. Las/os usuarias/os participantes, percibieron una alta satisfacción porlas CNO (95,9%), en términos de su buena implementación (98,1%) y buena atención recibidapor el estudiantado (98,6%). Tanto estudiantes (83,3%) como docentes (79,6%), percibieronun alto nivel de satisfacción relacionado a la implementación de la actividad. En cuanto aldesempeño estudiantil, estudiantes (89,7%) y docentes (86,7%) percibieron un alto nivel dedesempeño.Conclusiones: Se evaluaron percepciones usuarias, docentes y estudiantiles, respecto a lasatisfacción usuaria, implementación y desempeño estudiantil en las CNO, obteniéndose unaalta valoración por parte de todos los involucrados. Se sugiere considerar a la CNO como unaestrategia de enseñanza-aprendizaje permanente y complementaria a actividades de PPpresencial.Financiación: Los autores declaran que no recibieron financiación externa de fondosconcursables, becas u otros. Los equipos tecnológicos y materiales de escritorio utilizadosfueron proporcionados por la Escuela de Nutrición y Dietética de la Universidad de Chile.

Chile, like many other countries in the world, is experiencing a high prevalence of childhood overweight. Among the factors influencing children’s eating behaviors are the food parenting practices promoted by community organizations. More information is needed on the influences of these recommendations on the parenting practices of parents of preschoolers. This study examined what types of food parenting practices are promoted in childcare and primary healthcare centers and how these recommendations influence subsequent parental behavior. Interviews using photo-elicitation were conducted with 25 parents of Chilean preschoolers. The interviews were analyzed using inductive thematic analysis. Five themes were identified to describe food parenting practices promoted by community organizations and the influences that these practices had on parents of preschoolers. Healthcare centers were found to educate parents and provided a structured feeding. However, parents found their advice regarding dietary restriction challenging to follow. Childcare centers also provided information about healthy diet, food monitoring, and diversifying the child’s diet in a way that was perceived as adequate. While childcare centers encouraged structured and autonomous food parenting practices in a positive and supportive manner, healthcare centers tended to provide more restrictive guidance that posed challenges for parents struggling with preschool nutritional care.