1. Early problematic eating behaviours are associated with lower fruit and vegetable intake and less dietary variety at 4–5 years of age. A prospective analysis of three European birth cohorts
- Author
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Marie-Aline Charles, Carla Lopes, Andreia Oliveira, B. de Lauzon-Guillain, Louise R Jones, Pedro Moreira, Pauline M Emmett, Faculdade de Ciências da Nutrição e Alimentação, ISPUP-EPIUnit, University of Porto Medical School and Institute of Public Health, School of Social and Community Medicine [Bristol], University of Bristol [Bristol], Centre de recherche en épidémiologie et santé des populations (CESP), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université Paris-Sud - Paris 11 (UP11)-Hôpital Paul Brousse-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Versailles Saint-Quentin-en-Yvelines (UVSQ), faculty of food and nutrition sciences, Universidade do Porto, Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Université Paris-Sud - Paris 11 (UP11)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Paul Brousse-Institut National de la Santé et de la Recherche Médicale (INSERM), Universidade do Porto = University of Porto, and de Lauzon-Guillain, Blandine
- Subjects
Male ,030309 nutrition & dietetics ,Child Behavior ,Medicine (miscellaneous) ,Logistic regression ,Body Mass Index ,Eating ,Prospective analysis ,0302 clinical medicine ,Surveys and Questionnaires ,Vegetables ,Prospective Studies ,Early childhood ,Food science ,Feeding and Eating Disorders of Childhood ,Eating behaviour ,2. Zero hunger ,0303 health sciences ,Meal ,Nutrition and Dietetics ,digestive, oral, and skin physiology ,Neophobia ,Breast Feeding ,Child, Preschool ,Female ,France ,Birth cohort ,Personality ,Cohort study ,Adult ,030209 endocrinology & metabolism ,Food Preferences ,Young Adult ,03 medical and health sciences ,medicine ,Humans ,Portugal ,business.industry ,Infant ,Feeding Behavior ,medicine.disease ,United Kingdom ,Diet ,[SDV.AEN] Life Sciences [q-bio]/Food and Nutrition ,[SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie ,Fruit ,Infant Behavior ,[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie ,Energy Intake ,business ,[SDV.AEN]Life Sciences [q-bio]/Food and Nutrition ,Demography - Abstract
Problematic eating behaviours during early childhood could be mediators of poor dietary habits. This study aims to prospectively relate early eating behaviours with fruit and vegetable (F&V) intake and a healthy diet variety score of children aged between 4 and 5 years. Eating behaviours were assessed in three European birth cohorts (Generation XXI from Portugal, ALSPAC from the UK and EDEN from France) at 4–6, 12–15, 24 and 48–54 months of age, based on the child’s feeding difficulties, mother’s perception of child’s poor eating (eating small quantities at each meal, not eating enough or needing to be stimulated to eat), food refusal and difficulties in the establishment of daily food routines. Daily servings of F&V (>1 v. ≤1 serving/d, except in Generation XXI: >3 v. ≤3) and the Healthy Plate Variety Score (categorised by the median score of each sample) were calculated using FFQ. Associations were tested by logistic regressions adjusted for maternal age, education, smoking during pregnancy, any breast-feeding and the child’s z-score BMI at 4–5 years of age. Children with more feeding difficulties, poor eating, food refusal/neophobia and difficulties in establishing a daily routine at 12–15, 24 and 48–54 months of age had in general lower F&V intake at 4–5 years of age. The association with vegetables was slightly stronger than with fruits. These early feeding problems were also inversely associated with the variety score at 4–5 years of age, particularly when eating behaviours were reported after 12–15 months of age. A better understanding of these early feeding difficulties may help define strategies to increase the dietary quality in children.
- Published
- 2015
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