Cole Natasha Chong, Musaad Salma M, Lee Soo-Yeun, Donovan Sharon M
Division of Nutritional Sciences, University of Illinois, Urbana, IL 61801, USA.
Family Resiliency Center, University of Illinois, Urbana, IL 61801, USA.
Eat Behav. 2018 Aug;30:76-82. doi: 10.1016/j.eatbeh.2018.06.003. Epub 2018 Jun 7.
Picky eating is prevalent in young children and is associated with poor dietary quality and nutrient deficiencies. Identifying predictors of picky eating could inform the development of anticipatory feeding guidance for parents and caregivers of young children. This study identified the association between factors of the home feeding environment with picky eating behavior in a cohort of preschool-aged children.
Parents of preschool-aged children (n = 497) completed questionnaires including measures of the home feeding environment (i.e., television during mealtime, family mealtime routines, and feeding practices) and child picky eating behavior. The questionnaire was repeated one year later, in which 326 parent-child dyads participated. Logistic regression was used to determine the cross-sectional and prospective associations between home feeding environment measures and child picky eating behavior outcomes.
Child control over feeding and watching television during mealtime were associated with higher odds of picky eating behavior in both cross-sectional and prospective analyses. A higher sense of positive climate during family meals and mealtime ritualization was associated with lower odds of picky eating behavior one year later.
The home feeding environment plays a role in the development of young children's picky eating behavior. Avoiding the television and maintaining parent control of food choices during mealtimes could lead to improvements in children's food preferences and dietary intake.
挑食在幼儿中很普遍，且与饮食质量差和营养缺乏有关。确定挑食的预测因素可为针对幼儿父母和照顾者的预期喂养指导的制定提供依据。本研究在一组学龄前儿童中确定了家庭喂养环境因素与挑食行为之间的关联。
学龄前儿童的父母（n = 497）完成了问卷，包括家庭喂养环境（即用餐时看电视、家庭用餐习惯和喂养方式）以及儿童挑食行为的测量。一年后重复进行该问卷，有326对亲子参与。采用逻辑回归来确定家庭喂养环境测量与儿童挑食行为结果之间的横断面和前瞻性关联。
在横断面和前瞻性分析中，儿童对喂养的控制以及用餐时看电视与挑食行为的较高几率相关。家庭用餐时较高的积极氛围和用餐仪式感与一年后较低的挑食行为几率相关。
家庭喂养环境在幼儿挑食行为的发展中起作用。用餐时避免看电视并保持父母对食物选择的控制可能会改善儿童的食物偏好和饮食摄入。
