ORIGINAL PAPER
Feeding neophobia and current feeding problems – a cross-sectional study among Polish children aged 2–7 years
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Department of Human Nutrition, Department of Dietetics, Faculty of Public Health in Bytom, Medical University of Silesia in Katowice, Zabrze, Poland
Submission date: 2023-09-11
Final revision date: 2023-11-08
Acceptance date: 2023-11-12
Publication date: 2024-03-06
Corresponding author
Agnieszka Białek-Dratwa
Dr Agnieszka Białek-Dratwa, Department of Human Nutrition, Department of Dietetics, Faculty of Public Health in Bytom, Medical University of Silesia in Katowice, 19 Jordana St., 41-808 Zabrze, Poland
Pediatr Pol 2024;99(1):7-14
KEYWORDS
TOPICS
ABSTRACT
Introduction:
The main aim of the study was to identify the prevalence of food neophobia using the standardised food neophobia of children scale (FNSC) questionnaire in a group of Polish children attending nurseries and kindergartens.
Material and methods:
The study was carried out using a survey method. The questionnaire was distributed to randomly selected nurseries and kindergartens. The period in which we conducted the above survey was January – March 2023. A total of 585 pairs of mothers and their children participated in the survey. A standardised questionnaire assessing food neophobia among children was used to assess food neophobia FNSC. A score below 27 indicated a low risk of neophobia, 28–40 an intermediate risk, and a score above 41 was a high risk.
Results:
In the study group, 171 children (29.23%) had a low risk of food neophobia, 182 children (31.11%) had a medium risk, and 232 children (39.66%) had a high risk. There were no differences in the risk of food neophobia between girls and boys (p = 0.907), between children’s weight (p = 0.776), or between place of residence (p = 0.095). There was a statistically significant difference between age and in the risk of food neophobia (p = 0.0002).
Conclusions:
In the study group, 40% of the children had a high risk of food neophobia. Food neophobia was highest among 4-year-olds and 5-year-olds. There were no differences between girls and boys and the prevalence of food neophobia. Among children with a higher risk of food neophobia, feeding problems such as playing while eating meals, fussing at meals, and picky eating were more common.
REFERENCES (50)
1.
Farrow C, Coulthard H. Multisensory evaulation and the neophobic food response. Food Sci Technol Nutr 2018; 219-236.
2.
Pliner P. Development of measures of food neophobia in children. Appetite 1994; 23: 147-163.
3.
Torres TO, Gomes DR, Mattos MP. Factors associated with food neophobia in children: systematic review. Rev Paul Pediatr 2020; 39: e2020089.
4.
Silva FM, Sousa DC, Batista Bezerra KC, et al. A influencia da Neofobia AAlimentar infatil no estado nutricional e suas repercussoes na vida adulta. Res Soc Develop 2022; 11: 2525- 3409.
5.
Sandvik P, Laureati M, Jilani H, et al. Yuck, this biscuit looks lumpy! neophobic levels and cultural differences drive children’s check-all-that-apply (CATA) descriptions and preferences for high-fibre biscuits. Foods 2020; 10: 21.
6.
Hazley D, Stack M, Walton J, et al. Food neophobia across the life course: Pooling data from five national cross-sectional surveys in Ireland. Appetite 2022; 171: 105941.
7.
Karaağaç Y, Bellikci-Koyu E. A narrative review on food neophobia throughout the lifespan: relationships with dietary behaviours and interventions to reduce it. Br J Nutr 2022; 1-34.
8.
Sarin HV, Taba N, Fischer K, et al. Food neophobia associates with poorer dietary quality, metabolic risk factors, and increased disease outcome risk in population-based cohorts in a metabolomics study. Am J Clin Nutr 2019; 110: 233-245.
9.
Białek-Dratwa A, Szczepańska E, Trzop P, et al. Practical implementation of the BLW method during the expansion of the infant diet-a study among Polish children. Front Nutr 2022; 9: 890843.
10.
Wardle J, Cooke L. Genetic and environmental determinants of children’s food preferences. Br J Nutr 2008; 99: 15-S21.
11.
Kozioł-Kozakowska A, Piórecka B. Neofobia żywieniowa – jej uwarunkowania i konsekwencje zdrowotne [Food neophobia – its determinants and health consequences]. Standardy Medyczne, Media-Press Sp. z.o.o., Warszawa 2013, t. 1, 80-85.
12.
Blissett J, Fogel A. Intrinsic and extrinsic influences on children’s acceptance of new foods. Physiol Behav 2013; 121: 89-95.
13.
Scaglioni S, De Cosmi V, Ciappolino V, et al. Factors influencing children’s eating behaviours. Nutrients 2018; 10: 706-706.
14.
Zhao J, Gao Z, Li Y, et al. The food neophobia scale (FNS): Exploration and confirmation of factor structure in a healthy Chinese sample. Food Qual Prefer 2020; 79: 103791.
15.
Keller KL, Adise S. Variation in the ability to taste bitter thiourea compounds: implications for food acceptance, dietary intake, and obesity risk in children. Annu Rev Nutr 2016; 36: 157-82.
16.
Szakály Z, Kovács B, Soós M, et al. Adaptation and validation of the food neophobia scale: the case of Hungary. Foods (Basel, Switzerland) 2021; 10: 1766.
17.
Capiola A, Raudenbush B. The effects of food neophobia and food neophilia on diet and metabolic processing. Food Nutr Sci 2012; 3: 1397-1403.
18.
Galloway AT, Lee Y, Birch LL. Predictors and consequences of food neophobia and pickiness in young girls. J Am Diet Assoc 2003; 103: 692-698.
19.
Kaar JL, Shapiro ALB, Fell DM, et al. Parental feeding practices, food neophobia, and child food preferences: what combination of factors results in children eating a variety of foods? Food Qual Prefer 2016; 50: 57-64.
20.
Thorsteinsdottir S, Njardvik U, Bjarnason R, et al. Changes in eating behaviors following taste education intervention: focusing on children with and without neurodevelopmental disorders and their families: a randomized controlled trial. Nutrients 2022; 14: 4000.
21.
Lucarelli L, Cimino S, D’Olimpio F, et al. Feeding disorders of early childhood: an empirical study of diagnostic subtypes. Int J Eating Dis 2013; 46: 147-155.
22.
An M, Zhou Q, Younger KM, et al. Are maternal feeding practices and mealtime emotions associated with toddlers’ food neophobia? A follow-up to the DIT-coombe hospital birth cohort in Ireland. Int J Env Res Public Health 2020; 17: 8401.
23.
Falciglia GA, Couch SC, Gribble LS, et al. Food neophobia in childhood affects dietary variety. J Am Diet Assoc 2000; 100: 1474-1481.
24.
Regulation of the Minister of Health of 6 April 2020 on types, scope and models of medical records and the manner of their processing.
25.
Kułaga Z, Litwin M. Developmental norms of girls/boys born prematurely according to T.R. Fenton. Developmental norms for girls/boys aged 0–3 years according to WHO. Developmental norms of girls/boys aged 3–18 years and norms of blood pressure of girls/boys according to OLAF and OLA studies. Editorial. Media-Press sp. z o.o., Warsaw 2018.
26.
WHO Multicentre Growth Reference Study WHO Child Growth Standards: length/height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age: Methods and development. WHO, Geneva 2006.
27.
Wardle J, Carnell S , Cooke L. Parental control over feeding and children’s fruit and vegetable intake: how are they related? J Am Diet Assoc 2005; 105: 227-232.
28.
Cooke LJ, Wardle J, Gibson EL, et al. Demographic, familial and trait predictors of fruit and vegetable consumption by pre-school children. Public Health Nutr 2004; 7: 295-302.
29.
Guzek D, Glabska D, Lange E, et al. A Polish study on the influence of food neophobia in children (10-12 years old) on the intake of vegetables and fruits. Nutrients 2017; 9: 563.
30.
Kozioł-Kozakowska A, Piórecka B, Schlegel-Zawadzka M. Prevalence of food neophobia in pre-school children from southern Poland and its association with eating habits, dietary intake and anthropometric parameters: a cross-sectional study. Public Health Nutr 2018; 21: 1106-1114.
31.
Galloway AT, Fiorito LM, Francis LA, et al. ‘Finish your soup’: counterproductive effects of pressuring children to eat on intake and affect. Appetite 2006; 46: 318-323.
32.
Addessi E, Galloway AT, Visalberghi E, et al. Specific social influences on the acceptance of novel foods in 2-5-year-old children. Appetite 2005; 45: 264-271.
33.
Hafstad GS, Abebe DS, Torgersen L, et al. Picky eating in preschool children: the predictive role of the child’s temperament and mother’s snegative affectivity. Eat Behav 2013; 14: 274-277.
34.
Tan CC, Holub SC. Maternal feeding practices associated with food neophobia. Appetite 2012; 59: 483-487.
35.
Russell CG, Worsley A.. A population-based study of preschoolers’ food neophobia and its associations with food preferences. J Nutr Educ Behav 2008; 40: 11-19.
36.
Maratos FA, Staples P. Attentional biases towards familiar and unfamiliar foods in children. The role of food neophobia. Appetite 2015; 91: 220-225.
37.
Lafraire J, Rioux C, Giboreau A, et al. Food rejections in children: cognitive and social/environmental factors involved in food neophobia and picky/fussy eating behavior. Appetite 2016; 96: 347-57.
38.
Cosmi V, Scaglioni S, Agostoni C. Early taste experiences and later food choices. Nutrients 2017; 9: 107.
39.
Harper LV, Sanders KM. The effects of adults’ eating on young children’s acceptance of unfamiliar foods. J Exp Child Psychol 1975; 20: 206-214.
40.
Van der Horst K. Overcoming picky eating. Eating enjoyment as a central aspect of children’s eating behaviours. Appetite 2012; 58: 567-574.
41.
Howard AJ, Mallan KM, Byrne R, et al. Toddlers food preferences. The impact of novel food exposure, maternal preferences and food neophobia. Appetite 2012; 59: 818-825.
42.
Kral TV, Rauh EM. Eating behaviors of children in the context of their family environment. Physiol Behav 2010; 100: 567-573.
43.
Mitchell GL, Farrow C, Haycraft E, et al. Parental influences on children’s eating behaviour and characteristics of successful parent-focused interventions. Appetite 2013; 60: 85-94.
44.
DeCosta P, Møller P, Frøst MB, et al. Changing children’s eating behaviour-a review of experimental research. Appetite 2017; 113: 327-357.
45.
Scaglioni S, De Cosmi V, Ciappolino V, et al. Factors influencing children’s eating behaviours. Nutrients 2018; 10: 706.
46.
Lobos P, Januszewicz A. Food neophobia in children. Pediatr Endocrinol Diabetes Metab 2019; 25: 150-154.
47.
Cooke L. Genetic and environmental influences on food neophobia. In: Reilly S (ed.). Woodhead publishing series in foodscience, technology and nutrition. Food neophobia: behavioural and biological influences. Woodhead Publishing, Cambridge 2018, 237-254.
48.
Laureati M, Bergamaschi V, Pagliarini E. School-based intervention with children. Peer-modeling, reward and repeated exposure reduce food neophobia and increase liking of fruits and vegetables. Appetite 2014; 83: 26-32.
49.
Foinant D, Lafraire J, Thibaut JP. Tears for pears: influence of children’s neophobia on categorization performance and strategy in the food domain. Front Nutr 2022; 9: 951890.
50.
Perry RA, Mallan KM, Koo J, et al. Food neophobia and its association with diet quality and weight in children aged 24 months: a cross sectional study. Int J Behav Nutr Phys Act 2015; 12: 13.