Problem eating behaviors related to social factors and body weight in preschool children: A longitudinal study

Dubois, Lise; Farmer, Anna; Girard, Manon; Peterson, Kelly; Tatone–Tokuda, Fabiola

doi:10.1186/1479-5868-4-9

Cited by 203 publications

(249 citation statements)

References 39 publications

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“…This finding is promising, particularly in cases where children experience food reluctance (e.g. fussy or picky eaters), a relatively common issue in early childhood (Dubois et al, 2007). As such, peers may be able to inadvertently help these children improve their eating behaviors, especially if childcare educators are able to group food reluctant children with peers who demonstrate positive eating behaviors at the same table at lunch time.…”

Section: Discussionmentioning

confidence: 86%

“Monkey see, monkey do”: Peers' behaviors predict preschoolers' physical activity and dietary intake in childcare centers

Ward

Bélanger

Donovan

et al. 2017

Preventive Medicine

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Preschoolers observe and imitate the behaviors of those who are similar to them. Therefore, peers may be important role models for preschoolers' dietary intake and physical activity in childcare centers. This study examined whether peers' behaviors predict change in preschoolers' dietary intake and physical activity in childcare centers over 9 months.A total of 238 preschoolers (3 to 5 years old) from 23 childcare centers in two Canadian provinces provided data at the beginning (October 2013 and 2014) and the end (June 2014 and 2015) of a 9-month period for this longitudinal study. Dietary intake was collected at lunch using weighed plate waste and digital photography on two consecutive weekdays. Physical activity was assessed using accelerometers over five days. Multilevel linear regressions were used to estimate the influence of peers' behaviors on preschoolers' change in dietary intake and physical activity over 9 months.Results showed that preschoolers whose dietary intake or physical activity level deviated the most from those of their peers at the beginning of the year demonstrated greater change in their intakes and activity levels over 9 months (all p values<0.05), which enabled them to become more similar to their peers. This study suggests that preschoolers' dietary intake and physical activity may be influenced by the behaviors of their peers in childcare centers. Since peers could play an important role in promoting healthy eating behaviors and physical activity in childcare centers, future studies should test interventions based on positive role modeling by children.4

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Section: Discussionmentioning

confidence: 86%

“Monkey see, monkey do”: Peers' behaviors predict preschoolers' physical activity and dietary intake in childcare centers

Ward

Bélanger

Donovan

et al. 2017

Preventive Medicine

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“…Our data suggest that pressure to eat, subversive feeding and bribes were all used despite the parents' clear descriptions of their child as healthy weight. However, these findings might be viewed in the context of recent evidence showing that fussy eating (31) , particularly persistent fussy eating in the early years (32) , is associated longitudinally with underweight.…”

Section: Discussionmentioning

confidence: 94%

What’s the fuss about? Parent presentations of fussy eating to a parenting support helpline

Harris

Ria-Searle

Jansen

et al. 2018

Public Health Nutr.

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Objective: To characterise parent presentations of fussy eating and mealtime interactions at a point of crisis, through analyses of real-time recordings of calls to a parenting helpline. Design: Qualitative analysis included an inductive thematic approach to examine clinical parent presentations of fussy eating and derive underlying themes relating to mealtime interactions. Setting: Calls made to the Child Health Line regarding feeding concerns were recorded and transcribed verbatim. Subjects: From a corpus of 723 calls made during a 4-week period in 2009, twelve were from parents of children aged 6-48 months. Results: Parents of infants (≤12 months, n 6) presented feeding concerns as learning challenges in the process of transitioning from a milk-based to a solidbased diet, while parents of toddlers (13-48 months, n 6) presented emotional accounts of feeding as an intractable problem. Parents presented their child's eating behaviour as a battle (conflict), in which their children's agency over limited intake and variety of foods (child control) was constructed as 'bad' or 'wrong'. Escalating parent anxiety (parent concern) had evoked parent non-responsive feeding practices or provision of foods the child preferred. Conclusions: Real-time descriptions of young children's fussy eating at a time of crisis that initiated parents' call for help have captured the highly charged emotional underpinnings of mealtime interactions associated with fussy eating. Importantly, they show the child's emerging assertion of food autonomy can escalate parents' emotional distress that, in the short term, initiates non-responsive feeding practices. The current study identifies the importance of educational and emotional support for parents across the period of introducing solids.

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“…Examinations of the relations between children's picky eating and weight status have revealed some cause for concern, whereby children who are picky eaters tend to have lower BMI than that of nonpicky eaters (5)(6)(7)(8). Earlier studies have indicated that picky eaters are twice as likely to be underweight as nonpicky eaters are, although findings have been inconsistent (1,9).…”

Section: Introductionmentioning

confidence: 99%

Girls’ picky eating in childhood is associated with normal weight status from ages 5 to 15 y

Berger

Hohman

Marini

et al. 2016

The American Journal of Clinical Nutrition

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Background: Picky eating has been associated with lower weight status and limited food intake and variety in childhood. Little is known about how the persistence of picky eating in childhood is associated with changes in weight and food intake from childhood into adolescence. Objective: We determined whether picky eating identified in childhood was related to growth, nutrition, and parental use of pressure over a 10-y period. Design: Non-Hispanic white girls (n = 181) participated in a longitudinal study and were assessed biannually from ages 5 to 15 y. The Child Feeding Questionnaire was used to classify girls as persistent picky eaters or nonpicky eaters and to assess parental use of pressure to eat. Height and weight were measured to calculate body mass index (BMI) z scores at each occasion. Three 24-h dietary recalls obtained at each occasion were used to determine intakes of fruit and vegetables. With the use of repeated-measures analyses, differences between persistent picky eaters and nonpicky eaters in BMI z scores, dietary intake, and use of pressure were examined. Results: From ages 5 to 15 y, persistent picky eaters (n = 33; 18%) had lower BMI (tracking at the 50th percentile) than did nonpicky eaters (n = 148; tracking at the 65th percentile) (P = 0.02). Persistent picky eaters were less likely to be overweight into adolescence. Both groups consumed less than the recommended amounts of fruit and vegetables, although persistent picky eaters had lower intakes of vegetables than did nonpicky eaters at all time points (P = 0.02). Persistent picky eaters also received higher amounts of pressure (P = 0.01). Conclusions: Findings that persistent picky eaters were within the normal weight range, were less likely to be overweight, and had similar fruit intakes to those of nonpicky eaters suggest that higher parental concerns about persistent picky eaters are unwarranted. All parents and children could benefit from evidence-based anticipatory guidance on alternatives to coercive feeding practices to increase fruit and vegetable consumption.Am J Clin Nutr 2016;104:1577-82.

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Problem eating behaviors related to social factors and body weight in preschool children: A longitudinal study

Cited by 203 publications

References 39 publications

“Monkey see, monkey do”: Peers' behaviors predict preschoolers' physical activity and dietary intake in childcare centers

“Monkey see, monkey do”: Peers' behaviors predict preschoolers' physical activity and dietary intake in childcare centers

What’s the fuss about? Parent presentations of fussy eating to a parenting support helpline

Girls’ picky eating in childhood is associated with normal weight status from ages 5 to 15 y

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