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1.
Appetite ; 178: 106259, 2022 11 01.
Artigo em Inglês | MEDLINE | ID: mdl-35985496

RESUMO

Emotional child temperament has consistently been found to be related to food fussiness. One factor that may exacerbate or reduce the risk conferred by children's emotionality is parent feeding practices during mealtimes. Specifically, the use of controlling feeding practices aimed at increasing food consumption may particularly affect children with an emotional temperament. The primary aim of this study was to investigate whether the association between child food fussiness and higher emotionality found in previous studies is moderated by maternal use of controlling feeding practices, namely verbal pressure, physical prompts and food rewards. Sixty-seven mother-child dyads were video-recorded during a meal in their home and mothers' use of controlling feeding practices during this meal were coded. Mothers completed a questionnaire assessing child temperament. Moderation analyses revealed that maternal use of verbal pressure and physical prompts moderated the relationship between higher emotionality and food fussiness, but maternal use of food rewards did not. These results indicate that the use of verbal pressure and physical prompts may have a particularly negative influence on fussy eating for children higher in emotionality.


Assuntos
Seletividade Alimentar , Criança , Comportamento Infantil/psicologia , Pré-Escolar , Comportamento Alimentar/psicologia , Feminino , Preferências Alimentares/psicologia , Humanos , Refeições , Relações Mãe-Filho , Mães/psicologia , Poder Familiar/psicologia , Inquéritos e Questionários
2.
Appetite ; 177: 106155, 2022 10 01.
Artigo em Inglês | MEDLINE | ID: mdl-35779643

RESUMO

Picky eating in childhood is associated with children's dietary outcomes and parental feeding experiences. The Child Eating Behavior Questionnaire (CEBQ) is a frequently-used parent-report survey that measures children's eating behaviors, including picky eating. Limited work has adapted the CEBQ into a child-friendly format to measure children's ability to report directly on their own picky eating behavior. We sought to extend previous research by adapting the Food Fussiness subscale of the CEBQ into a child self-report format and measuring parent-child resemblance in scores, with children as young as 3 years. Our final sample included 3- to 10-year-old children (n = 95) and their parents, who were assessed at a local children's museum. The internal consistency of parent-report on the CEBQ FF was α = 0.9 and child-report was α = 0.7, with parent scores predicting child scores when controlling for child age and child gender. The largest difference between parent and child scores on child picky eating (with parents reporting higher scores) was for 3- to 4-year-old children. Children are able to report on their own picky eating and with age their reports converge with those of their parents, highlighting the potential benefit of collecting picky eating scores from multiple informants (parent and child). We suggest future directions for the validation and extension of this measure.


Assuntos
Seletividade Alimentar , Criança , Comportamento Infantil , Pré-Escolar , Dieta , Ingestão de Alimentos , Comportamento Alimentar , Preferências Alimentares , Humanos , Inquéritos e Questionários
3.
Nutrients ; 14(9)2022 Apr 28.
Artigo em Inglês | MEDLINE | ID: mdl-35565808

RESUMO

OBJECTIVES: This study aimed to examine the relationship between daily screen time, picky eating, and consumption frequency of sugared foods and sugar-sweetened beverages (SSBs). METHODS: The research data came from the Young Investigation (YI) study conducted in 10 cities in China. This study used sociodemographic information, feeding behavior, picky eating reported by parents, and the consumption frequency of sugared foods and SSBs of 879 toddlers aged 1-3 years. The relationship between daily screen time and picky eating behavior was assessed using logistic regression. The zero-inflated negative binomial (ZINB) model was used to fit the consumption frequencies of sugared foods and SSBs. RESULTS: In all, 13.1% (n = 115) of toddlers did not have sugared foods 1 month before the survey, while 73.3% (n = 644) of toddlers did not have SSBs 1 month before the survey. The consumption rate of sugared foods was relatively higher than SSBs (χ2 = 661.25, p < 0.001). After adjusting for social demographic information, no relationship was found between daily screen time and picky eating (OR = 1.437; 95% CI: 0.990,2.092). The ZINB model showed that, among children who ate sugared foods, children who were picky eaters ate them more often (IRR = 1.133; 95% CI: 1.095,1.172), but no association was found between picky eating and the chance of avoiding sugared foods (OR = 0.949; 95% CI: 0.613,1.471). Children who were picky eaters were less likely not to drink SSBs (OR = 0.664; 95% CI: 0.478,0.921). However, among children who consumed SSBs, picky eaters drank them less frequently (IRR = 0.599; 95% CI: 0.552,0.650). Children with a screen time of no less than 1 h/d ate sugared foods more frequently (IRR = 1.383; 95% CI: 1.164,1.644), and they were less likely to avoid sugared foods (OR = 0.223; 95% CI: 0.085,0.587). The longer the screen time per day was, the less likely children did not have SSBs (<1 h/d: OR = 0.272; 95% CI: 0.130, 0.569; ≥1 h/d: OR = 0.136; 95% CI: 0.057, 0.328). CONCLUSIONS: The consumption rate of sugared foods was higher than that of SSBs. Picky eating and daily screen time were related to the consumption frequency of added sugar among Chinese toddlers aged 1-3 years. Picky eaters consumed sugared foods more frequently and were more likely to drink SSBs. Children whose daily screen time reached 1 h/d were more likely to eat sugared foods and drink SSBs.


Assuntos
Seletividade Alimentar , Pré-Escolar , Comportamento Alimentar , Preferências Alimentares , Humanos , Pais , Tempo de Tela , Açúcares
4.
J Pediatr Psychol ; 47(7): 816-826, 2022 07 19.
Artigo em Inglês | MEDLINE | ID: mdl-35238927

RESUMO

OBJECTIVE: To test whether childhood picky eating (PE)-a behavior previously linked to many forms of psychopathology-is specifically associated with symptoms of obsessive-compulsive disorder (OCD). METHODS: We investigated the relationship between PE and symptoms of several forms of psychopathology in two separate observational samples: a sample of 110 children (5 and 6 years old) and a sample of 210 children (8 and 9 years old) drawn from a longitudinal study. In each sample, regression models based on psychiatric symptoms or diagnoses were used to assess the specificity of PE associations while accounting for cooccurring symptoms or comorbidities. RESULTS: Although bivariate associations emerged between PE and multiple forms of psychopathology, multivariate analyses revealed these associations were driven by a strong and specific association between PE and symptoms of OCD in both samples. Moreover, PE among 8- and 9-year-olds in the longitudinal study predicted emergence of additional later psychopathology, specifically attention-deficit/hyperactivity disorder (ADHD). CONCLUSIONS: Findings suggest that PE, an easily identifiable clinical presentation, is also a specific marker for obsessive-compulsive symptomatology in school-age children and may impart risk for ADHD later in childhood.


Assuntos
Transtorno do Deficit de Atenção com Hiperatividade , Seletividade Alimentar , Transtorno Obsessivo-Compulsivo , Transtorno do Deficit de Atenção com Hiperatividade/psicologia , Criança , Pré-Escolar , Comorbidade , Humanos , Estudos Longitudinais , Transtorno Obsessivo-Compulsivo/diagnóstico , Transtorno Obsessivo-Compulsivo/epidemiologia , Transtorno Obsessivo-Compulsivo/psicologia
5.
Appetite ; 173: 106000, 2022 06 01.
Artigo em Inglês | MEDLINE | ID: mdl-35278591

RESUMO

'Fussy eating' behaviours are associated with increased mealtime stress, fewer family meals, and are considered a barrier to improving children's diets. A better understanding of these behaviours is critical to enable families to have more nutritious and enjoyable meals. Children's perspectives have not been adequately reported due to parents being seen as sufficient proxies in the past, and ethical challenges associated with carrying out research with children. 'Fussy eating' research has shifted to a bi-directional relational model, calling for deeper insight into how children experience, and contribute to, feeding dynamics. This study aims to explore 1) how 'fussy eating' behaviours are perceived, experienced and managed by children and 2) how children experience feeding dynamics relating to these behaviours. Qualitative interviews were conducted using visual tools and vignettes. Participants included 16 children aged 7-10 years. Children did not have to be considered 'fussy eaters' to participate and represented a wide range of Food Fussiness scores on the Children's Eating Behaviour Questionnaire reported by parents. Thematic analysis generated three themes: 1) Paradoxical Perceptions: 'Normal', yet 'Bad' Behaviour; 2) Grappling with Internal Experience and External Expectations and 3) Navigating Food Refusal and Managing Dislikes. The conceptualisation of 'fussy eating' as 'bad' behaviour likely contributes to mealtimes stress. Children described tension between their internal experiences with food (sensory and emotional) and external expectations on their eating. Children are acutely aware of their parents' goals, emotions and practices at mealtimes. In light of these parental expectations, children develop their own strategies for navigating food refusal, negotiating with parents and overcoming dislikes. This study highlights the need to listen to children and work with them to develop meaningful, relevant and effective eating interventions.


Assuntos
Seletividade Alimentar , Poder Familiar , Criança , Comportamento Infantil/psicologia , Comportamento Alimentar/psicologia , Humanos , Poder Familiar/psicologia , Pais/psicologia , Inquéritos e Questionários
6.
Nutrients ; 14(3)2022 Jan 19.
Artigo em Inglês | MEDLINE | ID: mdl-35276803

RESUMO

OBJECTIVE: This study aimed to evaluate whether preschool children identified as picky eaters showed differences in anthropometric characteristics (weight and height) from their non-picky peers at 15 years of age. DESIGN: This study was performed among the cohort members of the EL- SPAC-CZ study, a longitudinal study of pregnancy and childhood. The analysis included 2068 children (997 girls and 1071 boys) followed between births and 15 years of age. Picky eaters were identified at 1.5, 3, and 5 years of age. Anthropometric characteristics were measured at 15 years of age (15 years). RESULTS: Picky eaters (n = 346; 16.7%) had a lower weight and height than non-picky eaters (n = 1722; 83.3%) at 15 years. This difference in weight and height was maintained after controlling for sex of the child, birth weight, birth length, maternal education, family structure at 15 years, and maternal age at childbirth. The picky children were on average 2.3 kg lighter and 0.8 cm shorter than non- picky children at 15 years. CONCLUSIONS: Persistent picky eating in preschool children is related to lower weight and height at 15 years of age in ELSPAC-CZ study.


Assuntos
Seletividade Alimentar , Adolescente , Estatura , Criança , Pré-Escolar , Estudos de Coortes , Feminino , Preferências Alimentares , Humanos , Estudos Longitudinais , Masculino , Gravidez
7.
Matern Child Nutr ; 18(3): e13330, 2022 07.
Artigo em Inglês | MEDLINE | ID: mdl-35195333

RESUMO

"Picky eating" is a common behaviour seen in childhood in both clinical and nonclinical populations. Sensory processing difficulties have been repeatedly associated with food refusal and picky eating behaviours. The aim of this study was to explore the lived experiences of parents/caregivers who have a child displaying both sensory processing differences and picky eating behaviours utilising Interpretative Phenomenological Analysis (IPA). Participants were recruited from social media support groups for parents of picky eating children. Pre-selection criteria utilised an adapted short sensory profile questionnaire to ensure the children displayed probable/definite taste-smell, audio-visual and tactile sensory sensitivities. Twelve participants fulfilling the required criteria were interviewed face to face utilising a semi-structured interview schedule. Interviews were transcribed and analysed following IPA guidelines and three common themes are presented here: Battling for control of the sensory environment, Living with stigma and, disapproval, and Staying positive and moving forward. The findings show the very considerable day-to-day challenges of parenting a child with sensory issues with food, including a lack of support and criticism from others. It was apparent that the parents in our study gradually adopted a positive and accepting attitude to their child's eating. This acceptance allowed them to have positive interactions around food with their child such as cooking and playing with food, suggesting that experiential activities serve an important purpose in this population. Further research should examine whether parental interventions based on acceptance of child eating behaviour, and commitment to gradual positive food interactions would be the best strategy to support parents and children.


Assuntos
Seletividade Alimentar , Criança , Comportamento Infantil , Comportamento Alimentar , Preferências Alimentares , Humanos , Poder Familiar , Pais
8.
Matern Child Nutr ; 18(2): e13316, 2022 04.
Artigo em Inglês | MEDLINE | ID: mdl-35132813

RESUMO

Food fussiness is associated with non-responsive parent feeding practices, such as persuasive and instrumental feeding. Although most children described as 'fussy eaters' are likely exhibiting developmentally typical behaviours, up to half of the parents of children 2-5 years old express concerns. Concern for fussy eating may mediate the use of non-responsive feeding practices and so must be addressed in parent feeding interventions. Therefore, it is critical to better understand parents' concerns and how they may relate to feeding practices. This study aimed to explore how parents' feeding practices and the social cognitive factors that may drive them clustered based on parents' concern for fussy eating. Data were collected from parent discussions of fussy eating on a Reddit forum (80,366 posts). Latent Dirichlet allocation was used to identify discussions of fussy eating. Relevant posts (1542) made by users who identified as a parent of a fussy eater (n = 630) underwent qualitative coding and thematic analysis. Five clusters of parents were identified, ranging in size from 53 to 189 users. These were primarily characterised by parents' degree of concern and feeding practices: (1) High concern, nonresponsive; (2) Concerned, nonresponsive; (3) Low concern, responsive; (4) Low concern, mixed strategies; (5) Low concern, indulgent. Parents who used responsive practices tended to be less concerned for fussy eating, have greater trust in their child's ability to self-regulate hunger, have longer-term feeding goals, and exhibit greater ability for personal self-regulation. Future research should further examine how these constructs may be leveraged in parent feeding interventions.


Assuntos
Seletividade Alimentar , Poder Familiar , Criança , Comportamento Infantil/psicologia , Pré-Escolar , Análise por Conglomerados , Comportamento Alimentar/psicologia , Humanos , Relações Pais-Filho , Poder Familiar/psicologia , Pais/psicologia , Inquéritos e Questionários
9.
Appetite ; 168: 105713, 2022 01 01.
Artigo em Inglês | MEDLINE | ID: mdl-34563498

RESUMO

Food selectivity has been shown to be more persistent and severe in children with Tourette syndrome (TS) compared to their typically developing peers. The current study aimed to examine differences in food selectivity, food neophobia and Avoidant Restrictive Food Intake Disorder (ARFID)-associated behaviours, between adults with and without TS. Fifty-three adults diagnosed with TS were compared to 53 neurotypical adults and completed the following measures online: Adult Eating Behaviour Questionnaire (AEBQ), Nine-Item Avoidant/Restrictive Food Intake disorder screen (NIAS), Food Neophobia Scale (FNS) and the Sensory Perception Quotient (SPQ). Higher levels of food avoidant behaviours, in terms of food fussiness, food neophobia and ARFID-associated behaviours, were identified in adults with TS compared to adults without TS. While heightened sensory sensitivity failed to predict food fussiness, greater sensitivity to taste was found to be predictive of food neophobia in TS. These are the first findings to suggest that food avoidant behaviours are more prevalent for adults with TS and signal a need to address health implications.


Assuntos
Transtorno da Evitação ou Restrição da Ingestão de Alimentos , Transtornos da Alimentação e da Ingestão de Alimentos , Seletividade Alimentar , Síndrome de Tourette , Adulto , Criança , Preferências Alimentares , Humanos
11.
J Nutr Educ Behav ; 53(10): 822-831, 2021 10.
Artigo em Inglês | MEDLINE | ID: mdl-34629162

RESUMO

OBJECTIVE: To examine the relation between young adult picky eating (PE) and psychosocial outcomes (eg, social phobia, quality of life) and dietary intake. DESIGN: Cross-sectional study including demographic, quantitative, and qualitative measures. PARTICIPANTS: Midwestern undergraduate convenience sample (n = 488) recruited early 2020. MAIN OUTCOME MEASURES: Picky eating identity and bias internalization, social phobia, quality of life, and dietary intake. ANALYSES: Pearson correlations were conducted among study variables. Independent t tests compared picky eaters and nonpicky eaters on key variables. Qualitative data were coded using content analysis. RESULTS: Picky eaters reported eating less fiber (t[445] = -3.51; P < 0.001; d = 0.34) and vegetables (t[464] = -3.57; P < 0.001; d = 0.33), and reported more social phobia (t[336.84] = 4.04; P < 0.001; d = 0.39) than nonpicky eaters. Picky eating behaviors were positively correlated with PE identity (r[190] = 0.48; P < 0.001; R2 = 0.23) and bias internalization (r[190] = 0.44; P < 0.001; R2 = 0.19). CONCLUSIONS AND IMPLICATIONS: Future research might explore additional factors that theoretically overlap with PE behavior (eg, other eating styles, disordered eating patterns) or play a role in PE (eg, anxiety, obsessive-compulsive difficulties). A greater understanding of these factors may lead to intervention to reduce PE in adults. In addition, validation of the PE identity and PE distress measures is essential for future use and to replicate this study's findings.


Assuntos
Seletividade Alimentar , Estudos Transversais , Ingestão de Alimentos , Comportamento Alimentar , Preferências Alimentares , Humanos , Qualidade de Vida , Estudantes , Inquéritos e Questionários , Adulto Jovem
12.
Nutrients ; 13(10)2021 Oct 14.
Artigo em Inglês | MEDLINE | ID: mdl-34684591

RESUMO

The problem of poor nutrition with impaired growth persists in young children worldwide, including in India, where wasting occurs in 20% of urban children (<5 years). Exacerbating this problem, some children are described by their parent as a picky eater with behaviors such as eating limited food and unwillingness to try new foods. Timely intervention can help prevent nutritional decline and promote growth recovery; oral nutritional supplements (ONS) and dietary counseling (DC) are commonly used. The present study aimed to determine the effects of ONS along with DC on growth in comparison with the effects of DC only. Enrolled children (N = 321) were >24 to ≤48 months old, at malnutrition risk (weight-for-height percentile 3rd to 15th), and described as a picky eater by their parent. Enrollees were randomized to one of the three groups (N = 107 per group): ONS1 + DC; ONS2 + DC; and DC only. From day 1 to day 90, study findings showed significant increases in weight-for-height percentile for ONS1 + DC and for ONS2 + DC interventions, as compared to DC only (p = 0.0086 for both). There was no significant difference between the two ONS groups. Anthropometric measurements (weight and body mass index) also increased significantly over time for the two ONS groups (versus DC only, p < 0.05), while ONS1 + DC significantly improved mid-upper-arm circumference (p < 0.05 versus DC only), as well. ONS groups showed a trend toward greater height gain when compared to DC only group, but the differences were not significant within the study interval. For young Indian children with nutritional risk and picky eating behaviors, our findings showed that a 90-day nutritional intervention with either ONS1 or ONS2, along with DC, promoted catch-up growth more effectively than did DC alone.


Assuntos
Suplementos Nutricionais , Seletividade Alimentar , Desnutrição/epidemiologia , Administração Oral , Adulto , Braço/anatomia & histologia , Estatura , Índice de Massa Corporal , Peso Corporal , Criança , Pré-Escolar , Dieta , Suplementos Nutricionais/efeitos adversos , Ingestão de Energia , Feminino , Humanos , Masculino , Fatores de Tempo
13.
Artigo em Inglês | MEDLINE | ID: mdl-34501656

RESUMO

The health benefits and importance of family mealtimes have been extensively documented. Picky eating can impact this complex activity and has numerous extrinsic (or external) and intrinsic (or internal) features. Occupational therapists work with children and their families by looking at both intrinsic and extrinsic influences and are therefore well-placed to work within this context. This scoping review comprises a comprehensive search of key health industry databases using pre-determined search terms. A robust screening process took place using the authors pre-agreed inclusion and exclusion criteria. There were 80 studies that met the inclusion criteria, which were then mapped using content analysis. The most common assessments used to identify picky eating relied on parental reports and recall. Often additional assessments were included in studies to identify both the intrinsic and extrinsic features and presentation. The most common reported intrinsic features of the child who is a picky eater included increased sensitivity particularly to taste and smell and the child's personality. Extrinsic features which appear to increase the likelihood of picky eating are authoritarian parenting, rewards for eating, and pressuring the child to eat. Most commonly reported extrinsic features that decrease the likelihood of picky eating are family meals, responsive parents, and involving the child in the preparation of food. In conclusion, there is a lack of published papers addressing the role of occupational therapists in the assessment and identification of picky eating in children. There appears to be a complex interplay between intrinsic and extrinsic features which impact caregiver responses and therefore on the picky eater.


Assuntos
Seletividade Alimentar , Criança , Comportamento Infantil , Ingestão de Alimentos , Comportamento Alimentar , Preferências Alimentares , Humanos , Relações Pais-Filho , Poder Familiar
14.
Appetite ; 167: 105645, 2021 12 01.
Artigo em Inglês | MEDLINE | ID: mdl-34391841

RESUMO

We raise the hypothesis that adult picky eating behavior may be related to subjects' tendency to impute structure in random stimuli. We test said hypothesis in an empirical study which operationalizes subjects' objective abilities and subjective decision criteria in discriminating between correlated and independent signals in terms of the classic Signal Detection Theory. A robust regularized Bayesian multiple regression analysis indicates that liberal subjective decision criteria which indicate a tendency to over-impute structure when trying to discriminate between random and correlated patterns are associated with elevated scores of picky eating while controlling for several other variables. The predictive power of our discriminating procedure appears comparable to that of related eating dispositions. Our results strongly suggest that cognitive factors might indeed have substantial and meaningful relationships with certain eating behaviors.


Assuntos
Seletividade Alimentar , Adulto , Teorema de Bayes , Cognição , Ingestão de Alimentos , Comportamento Alimentar , Preferências Alimentares , Humanos , Inquéritos e Questionários
15.
Appl Physiol Nutr Metab ; 46(12): 1559-1562, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34432990

RESUMO

This study examined associations between child food involvement and food fussiness. Analyses used survey data from 62 children ages 1.5 to 5.9 years who participated in the Guelph Family Health Study Pilot. Overall involvement (ß = -0.51, p = 0.02), involvement in meal preparation (ß = -0.42, p = 0.009), and involvement in grocery shopping (ß = -0.29, p = 0.04) were inversely associated with food fussiness. Experimental research including larger, more diverse samples is needed to test whether food involvement reduces food fussiness among young children. Novelty: Our study identified significant, inverse associations between child food involvement and food fussiness.


Assuntos
Comportamento Infantil , Seletividade Alimentar , Refeições , Relações Pais-Filho , Pré-Escolar , Feminino , Preferências Alimentares , Humanos , Renda , Lactente , Masculino , Poder Familiar , Fatores Sexuais
16.
Nutrients ; 13(8)2021 Jul 22.
Artigo em Inglês | MEDLINE | ID: mdl-34444655

RESUMO

In order to create a short, internationally valid scale to assess eating behaviour (EB) in young children at risk of undernutrition, we refined 15 phrases describing avidity or food refusal (avoidance). In study one, 149 parents matched phrases in English, Urdu, Cantonese, Indonesian or Greek to videos showing avidity and avoidance; 82-100% showed perfect agreement for the avidity phrases and 73-91% for the avoidant phrases. In study two, 575 parents in the UK, Cyprus and Indonesia (healthy) and in Kenya, Pakistan and Guatemala (healthy and undernourished) rated their 6-24 months old children using the same phrases. Internal consistency (Cronbach's α) was high for avidity (0.88) and moderate for avoidance (0.72). The best-performing 11 items were entered into a principal components analysis and the two scales loaded separately onto 2 factors with Eigen values > 1. The avidity score was positively associated with weight (r = 0.15 p = 0.001) and body mass index (BMI) Z scores (r = 0.16 p = 0.001). Both high and low avoidance were associated with lower weight and BMI Z scores. These scales are internationally valid, relate to nutritional status and can be used to inform causes and treatments of undernutrition worldwide.


Assuntos
Comportamento Alimentar , Comportamento do Lactente , Transtornos da Nutrição do Lactente/etiologia , Desnutrição/etiologia , Inquéritos e Questionários , Fatores Etários , Aprendizagem da Esquiva , Índice de Massa Corporal , Pré-Escolar , Compreensão , Seletividade Alimentar , Preferências Alimentares , Humanos , Lactente , Transtornos da Nutrição do Lactente/fisiopatologia , Transtornos da Nutrição do Lactente/psicologia , Fenômenos Fisiológicos da Nutrição do Lactente , Desnutrição/fisiopatologia , Desnutrição/psicologia , Estado Nutricional , Valor Preditivo dos Testes , Reprodutibilidade dos Testes , Fatores de Risco , Terminologia como Assunto , Tradução , Gravação em Vídeo , Aumento de Peso
17.
Nutrients ; 13(8)2021 Jul 23.
Artigo em Inglês | MEDLINE | ID: mdl-34444678

RESUMO

Children exhibiting picky eating behavior often demonstrate strong food preferences and rejection of particular foods or food texture, which may lead to limited dietary variety and possibly inadequate or unhealthy diet. Yet, the relationship between picky eating and nutrient intake in school-aged children has not been established previously. This study aimed to investigate the sociodemographic determinants of picky eating and the associations between picky eating and dietary intake in children. Data of 424 healthy Saudi children aged 6-12 years were collected from their mothers. A child's picky eating habits were captured using a validated questionnaire. Sociodemographic characteristics of the children were assessed. Dietary data, including 24 h dietary recalls and frequency of fruit, vegetable, and milk consumption, were collected by dietetic professionals using phone-administered interviews. Compared to those of normal-weight mothers, children of mothers with obesity had higher odds of being in the highest tertile of picky eating (OR = 1.93; 95% CI 1.02, 3.63). Children exhibiting higher levels of picky eating consumed less fruits (B = -0.03; 95% CI -0.06, -0.01), vegetables (B = -0.05; 95% CI -0.07, -0.02), and protein (B = -0.21; 95% CI -0.33, -0.09), and had higher consumption of trans fatty acid intake (B = 1.10; 95% CI 0.06, 2.15). Children with higher levels of picky eating presented unhealthy dietary behaviors. Future studies are needed to examine the long-term effect of picky eating on cardiovascular health. Dietary behaviors of mothers with obesity must be taken into consideration when designing intervention programs aiming to improve eating behaviors of children.


Assuntos
Dieta , Seletividade Alimentar , Preferências Alimentares , Fatores Socioeconômicos , Animais , Criança , Estudos Transversais , Ingestão de Alimentos , Feminino , Frutas , Humanos , Masculino , Comportamento Materno/psicologia , Leite , Mães , Obesidade , Arábia Saudita , Inquéritos e Questionários , Verduras
18.
Appetite ; 167: 105623, 2021 12 01.
Artigo em Inglês | MEDLINE | ID: mdl-34371121

RESUMO

Children with neurodevelopmental disorders (ND) such as Autism Spectrum Disorder (ASD) and Attention-Deficit/Hyperactive Disorder (ADHD) have high levels of fussy eating. However, no school-based food interventions exist for children with ASD and ADHD. To investigate the effect of Taste Education, 81 children with ND (n = 33), and without (n = 48), aged 8-12 years, and their parents, participated in a 7-week food intervention. Children were matched on age, ND, and sex, and randomized into Immediate-intervention and Delayed-intervention groups. Parents completed the Children's Eating Behaviour Questionnaire (CEBQ), and a food-variety questionnaire. After adjusting for baseline measures, repeated-measures analysis-of-variance with time-points, and condition as factors (Immediate intervention and Delayed intervention) were used to examine changes in CEBQ-scores, with a robust linear mixed-model fitted. Changes in percentage of accepted foods were tested using a logistic-regression model adjusting for baseline acceptance. Results showed superior results for Intervention compared to waiting, on Food fussiness, but not Enjoyment of food, with stable effects through six-months follow-up. There were non-significant differences between children with and without ND. Results also showed increased odds of accepting vegetables by a factor of 1.6 (95% Confidence Interval [CI]: 1.33-1.93, p < .001); nuts and seeds by a factor of 1.4 (95% CI: 1.27-1.6, p < .001), but no significant association for fruit (OR 1.12, 95% CI: 0.92-1.34, p = .244). Trends were similar for children regardless of ND-status. The Taste Education program, shows promise, as a simple, non-invasive way to decrease fussy eating and increase food variety in the long-term.


Assuntos
Transtorno do Espectro Autista , Seletividade Alimentar , Transtornos do Neurodesenvolvimento , Criança , Humanos , Instituições Acadêmicas , Paladar
19.
Nutrients ; 13(7)2021 Jul 02.
Artigo em Inglês | MEDLINE | ID: mdl-34371805

RESUMO

Trace elements are vital components for healthy growth, development, and physical activity. The aim of this study was to investigate the relationship between trace element (iron, zinc, copper) deficiencies and picky eating behavior, development level, and physical activity level. This cross-sectional study involved 203 children aged 4-7 years; picky eating behavior, development level, and physical activity level were assessed through questionnaires. Zinc deficiency has the highest prevalence (37.4%); 67.5% of the children were assessed as picky eaters. Children with picky eating behaviors, poor development level, or poor physical activity level have significantly lower zinc levels, and higher prevalence of zinc deficiency. Pearson's correlation coefficient indicated a positive correlation between serum zinc level and development scores (r = 0.221, p = 0.002) and physical activity scores (r = 0.469, p < 0.001). In multivariate analysis, zinc deficiency independently related to picky eating (OR = 2.124, p = 0.037, CI = 1.042-4.312), developmental level (OR = 0.893, p = 0.022, CI = 0.810-0.984), and physical activity level (OR = 0.785, p < 0.001, CI = 0.700-0.879). In conclusion, the prevalence of zinc deficiency in children aged 4-7 was high, especially in picky eaters. Zinc deficiency was significantly associated with low development and poor physical activity in early childhood.


Assuntos
Desenvolvimento Infantil , Transtornos da Nutrição Infantil/sangue , Exercício Físico , Seletividade Alimentar , Oligoelementos/sangue , Criança , Transtornos da Nutrição Infantil/epidemiologia , Transtornos da Nutrição Infantil/psicologia , Fenômenos Fisiológicos da Nutrição Infantil , Pré-Escolar , Estudos Transversais , Feminino , Humanos , Masculino , Análise Multivariada , Estado Nutricional , Prevalência , Zinco/sangue , Zinco/deficiência
20.
Nutrients ; 13(7)2021 Jun 25.
Artigo em Inglês | MEDLINE | ID: mdl-34202394

RESUMO

Parents are important agents in shaping children's eating habits. However, the associations between children's and parents' eating behaviors are complex and may be convoluted for various reasons, such as parenting feeding styles, stressful mealtimes, and children's neurodevelopmental disorders (ND), such as Autism Spectrum Disorder (ASD) and Attention-Deficit/Hyperactivity Disorder (ADHD). The purpose of this study was to analyze associations between parents and their children's fussy eating, in a cross-sectional sample of children, with and without ND. Ninety-seven parents answered screening questionnaires prior to an intervention study. Associations were investigated using two-way ANOVAs and chi-square analyses. Overall, children with ND accepted fewer food items and consumed unhealthier foods more frequently than children without ND. Fussy eating parents had children who accepted fewer food items and consumed unhealthier foods more frequently than children whose parents were not fussy eaters. Interaction effects were not significant. A higher proportion of fussy eating parents, than non-fussy eating parents, had children who had difficulties with combined foods and hidden ingredients. The findings highlight the need for further investigation into the relationships between parents' influence on their children's eating behavior and food consumption, as well as possible reciprocal impacts.


Assuntos
Comportamento Infantil/psicologia , Seletividade Alimentar , Transtornos do Neurodesenvolvimento/psicologia , Poder Familiar/psicologia , Pais/psicologia , Adulto , Análise de Variância , Transtorno do Deficit de Atenção com Hiperatividade/psicologia , Transtorno do Espectro Autista/psicologia , Distribuição de Qui-Quadrado , Criança , Estudos Transversais , Feminino , Humanos , Masculino , Relações Pais-Filho , Inquéritos e Questionários
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