Picky eating and the role of school: do children who attend school regularly have a greater food repertoire?
DOI:
https://doi.org/10.11606/issn.2176-7262.rmrp.2021.172886Keywords:
Picky eating, Infant feeding, Feeding difficultiesAbstract
Objective: To compare the number of foods accepted by children aged 0 to 5 years old with picky eating who attended school or not. Methods: Retrospective cross-sectional study with data from 94 children aged 0 to 5 years with picky eating attended at a feeding difficulty (FD) reference center. The patient's diagnosis is based on the Kerzner classification and the food repertoire was assessed using the food recall. The child's attendance at school or not was reported by the child’s parent/caregivers. Chi-square and t-student tests were used for possible differences. Results: Most children were male (64.9%), older than 2 years old (78.7%), normal weight (86.0%), mild picky (77, 7%) and without an organic disease (63.7%). The average number of foods accepted by the sample was 19.2±SD 7.7 foods. 67.0% of the children attended school regularly. Although there was a lower number of accepted foods between those not attending vs. attending school (17.8±7.3 vs. 20.8±7.8), there was no significant difference (p=0.074). Overall, a higher number was found when there was school attendance. Children at risk for being overweight/overweight or who were exclusively breastfed until 6 months of age attending school have a higher number of accepted foods when compared to those who did not attend (p = 0.002 and p = 0.046, respectively). Conclusion: Severe picky eaters were less enrolled in schools than mild picky eaters; fewer accepted foods were found when not attending school. Children at risk of being overweight/overweight who did not attend school are more severe picky.
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References
Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Saúde da Criança: Aleitamento Materno e Alimentação Complementar. 2Ed. Brasília-DF: Ministério da Saúde, 2015. 184p.
Raulio S, Roos E, Prättälä R. School and workplace meals promote healthy food habits. Public Health Nutrition. 2010;13(6A):987-992.
Casey R, Rozin P. Changing children’s food preferences: parent opinions. Appetite. 1989;12:171-182.
Rawlins E. Choosing Health? Exploring Children’s Eating Practices at Home and at School. Antipode. 2009;41(5):1084-1109.
Sperandio N, Priore SE. Inquéritos antropométricos e alimentares na população brasileira: importante fonte de dados para o desenvolvimento de pesquisas. Ciência & Saúde Coletiva. 2017; 22(2):499-508.
Ulin PR, Robbison ET, Tolley EE. Investigación aplicada en salud pública: métodos cualitativos. Washington: OPAS/OMS; 2006.
Hursti UKK. Factors influencing children’s food choice. Annals of Medicine. 1999;31(1):26-32.
Hendy HM, Raudenbush B. Effectiveness of teacher modeling to encourage food acceptance in preschool children. Appetite. 2000;34:61-76.
Kerzner B, Milano K, MacLean WC Jr, Berall G, Stuart S, Chatoor I. A Practical Approach to Classifying and Managing Feeding Difficulties. Pediatrics. 2015;135(2):344-353.
Kerzner, B. Clinical Investigation of Feeding Difficulties in Young Children: A Practical Approach. Clin Pediatr (Phila). 2009;48(1):960-5.
Maranhão HS, Aguiara RC, Liraa DTJ, Salesa MUF, Nóbrega NAN. Feeding difficulties in preschool children, previous feeding practices, and nutritional status. Rev Paul Pediatr. 2018;36(1):45-51.
Cole NC, An R, Lee SY, Donovan SM. Correlates of picky eating and food neophobia in young children: a systematic review and meta-analysis. Nutr Rev. 2017;75(7):516-532.
Delormier R, Frohlich KL, Potvin L. Food and eating as social practice – understanding eating patterns as social phenomena and implications for public health. Sociology of Health & Illness. 2009;31(2):215-228.
Bandura A. Self-efficacy: the exercise of control. NY: Freeman & Company. 1997. 604p.
Viana V, Santos PL, Guimaraes MJ. Comportamento e hábitos alimentares em crianças e jovens: Uma revisão da literatura. Psic., Saúde & Doenças. 2008;9(2):209-231.
Cervato-Mancuso AM, Westphal MF, Araki EL, Bógus CM. O papel da alimentação escolar na formação dos hábitos alimentares. Rev Paul Pediatr. 2013;31(3):324-330.
Sacchetti R, Dallolio L, Musti MA, Guberti E, Garulli A, Beltrami P et al. Effects of a school based intervention to promote healthy habits in children 8-11 years old, living in the lowland area of Bologna Local Health Unit. Ann Ig. 2015;27:432-446.
McEvoy CT, Lawton J, Kee F, Young IS, Woodside JV, McBratney J. Adolescents’ view about a proposed rewards intervention to promote healthy food choice in secondary school canteens. Health Education Research. 2014;29(5):799-811.
Maximino P, Machado RHV, Junqueira P, Ciari M, Tosatti AM, Ramos CdC, et al. How to monitor children with feeding difficulties in a multidisciplinary scope? Multidisciplinary care protocol for children and adolescents. J Hum Growth Dev. 2016;26(3):327.
Ribeiro LW, Ricci R, Maximino P, Machado RHV, Bozzini AB, Claudia CR, et al. Clinical use of a food inventory to identify maternal underreport on children’s food intake: experience of a reference center in Brazil. Nutr. Clín. Diet. Hosp. 2018;38(1):81-89.
Sociedade Brasileira de Pediatria. Departamento Científico de Nutrologia. Avaliação Nutricional da Criança e do Adolescente: Manual de Orientação. Rio de Janeiro. 2009, p.45.
Schmitz BAS, Recine E, Cardoso GT, da SILVA JRM, Amorim FA, Bernardon R, et al. A escola promovendo hábitos alimentares saudáveis: uma proposta metodológica de capacitação para educadores e donos de cantina escolar. Cadernos de Saúde Pública. 2008;24(2): 312-322.
Burke L. Healthy eating in the school environment – a holistic approach. International Journal of Consumer Studies. 2002;26(2):159-163.
Raulio S, Pietikäinen M, Prättälä R. Ruokapalveluiden seurantaraportti 2: Suomalaisnuorten kouluaikainen ateriointi (Food Services Monitoring Report 2: Finnish youth school meals). Helsinki: National Public Health Institute. 2007.
Staiano AE, Marker AM, Frelier JM, Hsia DS, Martin CK. Influence of Screen-Based Peer Modeling on Preschool Children’s Vegetable Consumption and Preferences. J Nutr Educ Behav. 2016;48(5):331–335.
Birch LL. Effects of Peer Models’ Food Choices and Eating Behaviors on Preschoolers’ Food Preferences. Child Development. 1980;51(2):489-496.
Horne PJ, Tapper K, Lowe CF, Hardman CA, Jackson MA, Woolner J. Increasing children's fruit and vegetable consumption: a peer-modelling and rewards-based intervention. Eur J Clin Nutr. 2004;58(12):1649-1660.
Morris JG, Gorely T, Sedgwick MJ, Nevill A, Nevill ME. Effect of the great activity programme on healthy lifestyle behaviours in 7-11 years old. J Sport Sci. 2013;31(12):1280-1293.
Waters E, de Silva-Sanigorski A, Hall BJ, Brown T, Campbell KJ, Gao Y et al. Interventions for preventing obesity in children. Cochrane Database Syst Rev. 2011;12:CD001871.
Camozzi ABQ, Monego ET, Menezes IHCF, Silva PO. Promoção na Alimentação Saudável na Escola: realidade ou utopia?. Cad. Saúde Colet. 2015;23(1):32-37.
Brasil. Ministério da Saúde. Secretaria de Atenção Primária à Saúde. Departamentos de Promoção da Saúde. Guia Alimentar para crianças brasileiras menores de 2 anos. 2019: 265 p.
Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Guia alimentar para a população brasileira. 2014: 165 p.
Gaglianone CP, Taddei JAAC, Colugnati FAB, Magalhães CG, Davanço GM, de Macedo L, et al. Nutrition education in public elementary schools of São Paulo, Brazil: the Reducing Risks of Illness and Death in Adulthood project. Revista de Nutrição. 2006;19(3): 309-320.
Brasil. Lei nº 13.666/2018, de 17 de maio de 2018. Disponível em: http://www.planalto.gov.br/ccivil_03/_Ato2015-2018/2018/Lei/L13666.htm. Acesso em 1 de abril de 2020.
Kupolati MD, Gericke GJ, Macintyre UE. Teachers' perceptions of school nutrition education's influence on eating behaviours of learners in the Bronkhorstspruit District. S. Afr. J. Educ. 2015;35(2):1-10.
Birch LL. A call for the explicit recognition of affect in models of human eating behavior. J Nutr Educ. 1981;13:49-53.
Brown K, Mellveen H, Strugnell C. Young consumers’ food preference within selected sectors of the hospitality sprectrum. Journal of Consumer Studies and Home Economics. 2000;24(2):104-112.
Carter RC. The Impact of Public Schools on Childhood Obesity. JAMA. 2002;288(17):2180.
Kim HS, Park J, Ma Y, Im M. What Are the Barriers at Home and School to Healthy Eating?: Overweight/Obese Child and Parent Perspectives. Journal of Nursing Research. 2019;27(5):e48.
De Cosmi V, Scaglioni S, Agostoni C. Early taste experiences and later food choices. Nutrients. 2017;9(2):107.
Dunn RL, Lessen R. The Influence of Human Milk on Flavor and Food Preferences. Current Nutrition Reports. 2017;6(1):134–140.
Taylor CM, Emmett PM. Picky eating in children: causes and consequences. Proceedings of the Nutrition Society. 2019;78(2):161-169.
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Copyright (c) 2021 Mariana Correia Stevenson Braga, Luana Romão Nogueira, Arissa Matsuyama Okuizumi, Nilvane Oliveira Rocha, Andrea Romero de Almeida, Priscila Maximino, Mauro Fisberg
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