Does Picky Eating Affect Weight-for-Length Measurements in Young Children?

Ekstein, Sivan; Laniado, David; Glick, Benjamin S.

doi:10.1177/0009922809337331

Cited by 91 publications

(82 citation statements)

References 21 publications

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“…A consensus around a definition would enable the development of interventions to avert poor health outcomes. We support the definition of Lumeng (2005) cited in Ekstein et al (2010) as it includes elements of lack of dietary variety, neophobia and persistent behaviour: 'unwillingness to eat familiar foods or try new foods, severe enough to interfere with daily routines to an extent that is problematic to the parent, child, or parentechild relationship'.…”

Section: Definition Of Picky Eatingsupporting

confidence: 77%

“…Although some studies report a higher intake of energy (Finistrella et al, 2012) or energy-dense foods such as savoury snacks and sweets (Tharner, Jansen, Kiefte-de Jong, Moll, & van der Ende, 2014) among children who are picky eaters, most report that picky eating is likely to lead to a reduction in overall food consumption and a distortion of the nutrient composition of the diet through lack of variety [reduced energy intake (Cardona Cano et al, 2015;Carruth, Ziegler, Gordon, & Barr, 2004;Jacobi et al, 2003;Volger et al, 2013); lower intake of fruits and vegetables Galloway, Fiorito, Lee, & Birch, 2005;Haszard, Skidmore, Williams, & Taylor, 2014;Horodynski, Stommel, Brophy-Herb, Xie, & Weatherspoon, 2010;Jacobi et al, 2003;Tharner et al, 2014); lower intake of vitamins and minerals (Cardona Cano et al, 2015;Carruth et al, 2004;Galloway et al, 2005); and lower intakes of whole grain products and dietary fibre (Galloway et al, 2005)]. This can lead to a higher risk of being underweight and having poor growth (Dubois, Farmer, Girard, Peterson, & Tatone-Tokuda, 2007;Ekstein, Laniado, & Glick, 2010;Jansen et al, 2012;Kwok, Ho, Chow, So, & Leung, 2013;Sleddens, Kremers, & Thijs, 2008;Viana, Sinde, & Saxton, 2008;Webber, Hill, Saxton, Van Jaarsveld, & Wardle, 2009), or of being overweight (Finistrella et al, 2012), or of developing eating disorders (Marchi & Cohen, 1990). Caregiver stress and effects on family relationships are likely (Goh & Jacob, 2012).…”

Section: Introductionmentioning

confidence: 99%

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Picky/fussy eating in children: Review of definitions, assessment, prevalence and dietary intakes

Wernimont²,

et al. 2015

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Picky eating (also known as fussy, faddy or choosy eating) is usually classified as part of a spectrum of feeding difficulties. It is characterised by an unwillingness to eat familiar foods or to try new foods, as well as strong food preferences. The consequences may include poor dietary variety during early childhood. This, in turn, can lead to concern about the nutrient composition of the diet and thus possible adverse health-related outcomes. There is no single widely accepted definition of picky eating, and therefore there is little consensus on an appropriate assessment measure and a wide range of estimates of prevalence. In this review we first examine common definitions of picky eating used in research studies, and identify the methods that have been used to assess picky eating. These methods include the use of subscales in validated questionnaires, such as the Children's Eating Behaviour Questionnaire and the Child Feeding Questionnaire as well as study-specific question(s). Second, we review data on the prevalence of picky eating in published studies. For comparison we present prevalence data from the UK Avon Longitudinal Study of Parents and Children (ALSPAC) in children at four time points (24, 38, 54 and 65 months of age) using a study-specific question. Finally, published data on the effects of picky eating on dietary intakes (both variety and nutrient composition) are reviewed, and the need for more health-related data and longitudinal data is discussed.

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Section: Definition Of Picky Eatingsupporting

confidence: 77%

Section: Introductionmentioning

confidence: 99%

Picky/fussy eating in children: Review of definitions, assessment, prevalence and dietary intakes

Wernimont²,

et al. 2015

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“…SE has been associated with impairment in emotional, physical, and social domains. [3][4][5][6][7][8] Both researchers and clinicians need to understand the level of severity at which SE causes impairment, so that practitioners can know when to intervene. 3 Parents can reliably identify SE, are concerned about the social and health implications of SE, and frequently seek professional help, especially from primary care providers.…”

Section: What This Study Addsmentioning

confidence: 99%

Psychological and Psychosocial Impairment in Preschoolers With Selective Eating

et al. 2015

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OBJECTIVE: We examined the clinical significance of moderate and severe selective eating (SE).Two levels of SE were examined in relation to concurrent psychiatric symptoms and as a risk factor for the emergence of later psychiatric symptoms. Findings are intended to guide health care providers to recognize when SE is a problem worthy of intervention.METHODS: A population cohort sample of 917 children aged 24 to 71 months and designated caregivers were recruited via primary care practices at a major medical center in the Southeast as part of an epidemiologic study of preschool anxiety. Caregivers were administered structured diagnostic interviews (the Preschool Age Psychiatric Assessment) regarding the child's eating and related selfregulatory capacities, psychiatric symptoms, functioning, and home environment variables. A subset of 188 dyads were assessed a second time ∼24.7 months from the initial assessment.RESULTS: Both moderate and severe levels of SE were associated with psychopathological symptoms (anxiety, depression, attention-deficit/hyperactivity disorder) both concurrently and prospectively. However, the severity of psychopathological symptoms worsened as SE became more severe. Impairment in family functioning was reported at both levels of SE, as was sensory sensitivity in domains outside of food and the experience of food aversion.

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“…Picky eating in children younger than five is a risk factor for underweight or poor growth (e.g., [3, 8, 9]). Picky eating has been associated with lower fruit and vegetable consumption in school aged children [14] and with malnutrition in the elderly [21], and has been nominated as a barrier to healthy eating by several focus group samples (e.g., [19, 33]).…”

Section: Introductionmentioning

confidence: 99%

Adult picky eaters with symptoms of avoidant/restrictive food intake disorder: comparable distress and comorbidity but different eating behaviors compared to those with disordered eating symptoms

2016

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Background: One presentation of Avoidant/Restrictive Food Intake Disorder (ARFID) is characterized by picky eating, i.e., selective eating based on the sensory properties of food. The present study has two aims. The first is to describe distress and impairment in individuals with ARFID secondary to picky eating. The second is to determine whether eating behaviors hypothesized to be specific to picky eating can differentiate picky eaters with and without ARFID from typical eaters (e.g., individuals not reporting picky or disordered eating) and individuals who strongly endorse attitudes associated with anorexia and bulimia (eating disordered attitudes). Methods: Participants were recruited from Amazon's Mechanical Turk (N = 325) and an online support group for adult picky eaters (N = 81). Participants were grouped based on endorsement of picky eating, ARFID symptoms, and elevated eating disordered attitudes on the Eating Attitudes Test (EAT-26). The resulting four eating behavior groups were compared on measures of distress and impairment (e.g., anxiety/depression and, obsessive compulsive disorder symptoms, eating-related quality of life) and on measures of eating behaviors associated with picky eating (e.g., food neophobia, inflexibility about preparation and presentation of preferred foods, sensitivity to sensory stimuli, and eating from a very narrow range of foods). The groups were compared using one way ANOVA with post-hoc Tamhane's T2 tests. Results: On measures of distress and impairment, participants with ARFID reported higher scores than both typical eaters and picky eaters without ARFID, and comparable scores to those with disordered eating attitudes. Three of four measures of picky eating behavior, eating inflexibility, food neophobia, and eating from a range of 20 or fewer foods, distinguished picky eaters with and without ARFID form typical eaters and those with disordered eating attitudes. Picky eaters with ARFID reported greater food neophobia and eating inflexibility, and were more likely to eat from a narrow range of foods, compared to picky eaters without ARFID.

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Does Picky Eating Affect Weight-for-Length Measurements in Young Children?

Abstract: Children with picky eating habits, especially those younger than 3 years of age, are at increased risk of being underweight.

Cited by 91 publications

References 21 publications

Picky/fussy eating in children: Review of definitions, assessment, prevalence and dietary intakes

Picky/fussy eating in children: Review of definitions, assessment, prevalence and dietary intakes

Psychological and Psychosocial Impairment in Preschoolers With Selective Eating

Adult picky eaters with symptoms of avoidant/restrictive food intake disorder: comparable distress and comorbidity but different eating behaviors compared to those with disordered eating symptoms

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