Predictors and consequences of food neophobia and pickiness in young girls

https://doi.org/10.1053/jada.2003.50134Get rights and content

Abstract

Objective Vegetable intake among children is well below recommended levels. We assessed whether food neophobia and pickiness contribute to low vegetable intake in school-aged girls and if there are distinct predictors for neophobia and pickiness. Children with food neophobia are reluctant to eat new foods whereas picky children resist eating many familiar foods. Design/subjects Participants were 192 7-year-old girls and their parents, recruited for a study of girls' nutrition and development. We examined relationships between food neophobia and pickiness and assessed whether these variables predicted girls' vegetable consumption and predictors of food neophobia and pickiness. Analyses The data were analyzed using a two-step process. First, we used a two-way analysis of variance to assess whether girls who scored high or low on food neophobia and pickiness measures had different levels of vegetable consumption. We used multiple regression analysis to determine predictors of food neophobia and pickiness in the girls. Results Girls with both food neophobia and pickiness consumed fewer vegetables (1.1±0.1) than girls with neither neophobia nor pickiness (1.6±0.1). Neophobia and pickiness were modestly related in this sample, but had different predictors. Girls with food neophobia were more anxious and had mothers with food neophobia. Picky girls had mothers with less variety in their vegetable intake (r=−0.22) and mothers who perceived their family to have little time to eat healthful foods (r=0.36). In addition, picky eaters were breastfed for fewer than 6 months (r=−0.25). Pickiness was predicted primarily by environmental or experiential factors subject to changes; neophobia was predicted by more enduring and dispositional factors. Applications Because food neophobia and pickiness negatively influence vegetable intake, intervention strategies to increase vegetable intake should focus on predictors of neophobia and pickiness, especially those subject to change. J Am Diet Assoc. 2003;103:692-698.

Section snippets

Participants

Newspaper advertisements, flyers, and letters of invitation were used to recruit prospective families in a 5-county radius of central Pennsylvania. Participating families were exclusively non-Hispanic white. We collected data from 192 young girls and their parents concerning early experience, nutrition, and a range of developmental issues when the girls were on average 7.3±0.3 years old. We obtained written parental consent from parents for themselves and their daughter and the study protocol

Statistical analysis

We used complete data from 191 families and analyzed the descriptive statistics for all variables of interest. Data from two families were dropped because the girls' data included outliers in two of the bivariate distributions. Data for three measurements-pickiness, no time to eat healthy, and breastfeeding-had skewed distributions that were unaffected by transformation. To address this problem, we dichotomized the skewed variables using a median split for all subsequent analyses, and

Descriptive measures of variables of interest

Table 1 provides descriptive information from our sample.Total vegetable consumption in girls was well below the 3 servings per day suggested by the USDA dietary guidelines (28), and below the 2.2 servings a day that Krebs-Smith et al (29) reported being consumed by this age group. As shown in Table 1, when we excluded potatoes in the form of french fries and potato chips, vegetable consumption dropped even further below these figures. Mothers' total vegetable consumption (including french

Discussion

These findings indicate that girls with neophobia and pickiness ate fewer servings of vegetables, compared with girls with neither food neophobia nor pickiness. Although they were modestly correlated, results from the regression analyses revealed that food neophobia and pickiness are distinct behavioral concepts with different predictors. Food neophobia in girls was predicted by traitlike variables: their mothers' own high food neophobia scores and their own comparatively high levels of

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