Luchini Virginia, Musaad Salma M, Donovan Sharon M, Lee Soo-Yeun
Division of Nutritional Sciences, University of Illinois at Urbana-Champaign, Urbana, IL, USA.
Department of Human Development and Family Studies, University of Illinois at Urbana-Champaign, Urbana, IL, USA.
Nutr Metab Insights. 2017 Feb 16;10:1178638816684830. doi: 10.1177/1178638816684830. eCollection 2017.
Picky eating is a problematic eating behavior caregivers may encounter with children under their care. A picky eater (PE) is typically characterized as consuming a narrow range of food, as well as rejecting several food items. Much of the literature regarding PEs involves parents, although use of nonparental childcare arrangements in the United States has increased in the past several decades. Although data on parental mealtime strategies exist, little is known about how parent and childcare provider pickiness perceptions differ between types of childcare, such as center-based childcare (CBCC) and home-based childcare (HBCC), or how these perceptions influence the mealtime strategies utilized. The objectives of this study were to (1) compare perceptions of child pickiness between parents and childcare providers, (2) compare percent agreement in pickiness perception between the dyads of CBCC parents and providers and HBCC parents and providers, and (3) identify mealtime strategy utilization based on pickiness perception. A total of 52 child, parent, and childcare provider triads participated in the study and completed the Mealtime Assessment Survey and the Parent/Teacher Mealtime Strategy Survey regarding the same child. Results showed that parents are 1.4 times more likely than childcare providers to perceive a child as being picky, HBCC parents and providers are 1.4 times more likely to perceive a child as being picky than CBCC parents and providers, CBCC parents and providers disagree more in their perception of child pickiness than HBCC parents and providers (41% vs 26%), and finally, perception of child pickiness has a greater influence on mealtime strategies utilized by parents. These results can be used to focus intervention efforts aimed at improving child eating habits across the home and childcare location.
挑食是照顾者在照顾儿童时可能会遇到的一种有问题的饮食行为。挑食者通常表现为食用的食物种类有限，并且会拒绝多种食物。尽管在过去几十年里，美国非父母照顾安排的使用有所增加，但关于挑食者的大部分文献都涉及父母。虽然有关于父母用餐时间策略的数据，但对于父母和儿童照顾提供者在不同类型的儿童照顾（如中心式儿童照顾（CBCC）和家庭式儿童照顾（HBCC））中对挑食的看法有何不同，或者这些看法如何影响所采用的用餐时间策略，人们却知之甚少。本研究的目的是：（1）比较父母和儿童照顾提供者对儿童挑食的看法；（2）比较CBCC父母与提供者以及HBCC父母与提供者在挑食看法上的一致率；（3）根据挑食看法确定用餐时间策略的使用情况。共有52个儿童、父母和儿童照顾提供者三人组参与了该研究，并就同一个孩子完成了用餐时间评估调查和家长/教师用餐时间策略调查。结果显示，父母认为孩子挑食的可能性比儿童照顾提供者高1.4倍，HBCC父母和提供者认为孩子挑食的可能性比CBCC父母和提供者高1.4倍，CBCC父母和提供者在对儿童挑食的看法上比HBCC父母和提供者分歧更大（41%对26%），最后，对儿童挑食的看法对父母采用的用餐时间策略影响更大。这些结果可用于集中干预措施，以改善家庭和儿童照顾场所中儿童的饮食习惯。
