The use of inappropriate feeding practices by rural parents and their effect on preschoolers' fruit and vegetable preferences and intake.

OBJECTIVE

To describe the frequency of inappropriate feeding practices used by parents of preschoolers and the impact on a child's preference for and intake of fruits and vegetables (FV).

DESIGN

Cross-sectional analysis of baseline data from a telephone interview.

SETTING

A community-based program in rural southeastern Missouri.

PARTICIPANTS

1555 rural parents participating in the High 5 for Kids project. The mean age of parents was 28.9 years, the mean age for children was 38.0 months, and 52.1% of children were male.

VARIABLES MEASURED

Demographic characteristics; intake and preferences for FV; inappropriate child feeding practices.

ANALYSIS

Inappropriate feeding practices, preferences for and intake of FV were examined using Kruskal-Wallis tests and Spearman's correlations. Logistic regression was used to assess the relationships between FV intake and preference and inappropriate feeding practices.

RESULTS

An increasing number of inappropriate feeding practices negatively impacted FV preference of children but positively impacted FV intake.

CONCLUSIONS AND IMPLICATIONS

This study documents the public health need to develop programs that guide and advise rural parents on information about how children develop patterns of intake, and how to foster children's preferences and acceptance of healthful food.