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Demographic, familial and trait predictors of fruit and vegetable consumption by pre-school children

Published online by Cambridge University Press:  02 January 2007

L J Cooke*
Affiliation:
Department of Epidemiology and Public Health, University College London, Gower Street, London WC1E 6BT, UK
J Wardle
Affiliation:
Department of Epidemiology and Public Health, University College London, Gower Street, London WC1E 6BT, UK
EL Gibson
Affiliation:
Department of Epidemiology and Public Health, University College London, Gower Street, London WC1E 6BT, UK
M Sapochnik
Affiliation:
Department of Epidemiology and Public Health, University College London, Gower Street, London WC1E 6BT, UK
A Sheiham
Affiliation:
Department of Epidemiology and Public Health, University College London, Gower Street, London WC1E 6BT, UK
M Lawson
Affiliation:
Institute of Child Health, University College London, London, UK
*
*Corresponding author: Email [email protected]
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Abstract

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Objective:

To examine the contribution to fruit and vegetable eating in children of potential predictive variables within the domains of demographics, parental feeding practices and personality traits.

Design:

Cross-sectional survey.

Setting:

Questionnaires were distributed to parents through 22 London nursery schools.

Subjects:

Questionnaires were completed and returned by 564 parents or principal caregivers of 2–6-year-old children.

Results:

Significant predictors of children's fruit and vegetable intake emerged from all three domains examined. Demographic variables associated with child's vegetable consumption were mother's education and child's age and gender. Only ethnicity was significantly associated with fruit consumption. Parental consumption, breast-feeding and early introduction to fruit and vegetables were related to intake of both. Family mealtimes were associated with higher intake of vegetables, but not of fruit. Two characteristics of children themselves (food neophobia and enjoyment of food) were strongly related to the consumption of fruit and vegetables. Subsequent multivariate analyses revealed that parental intake and child food neophobia independently predicted intake of both foods. In the presence of these, fruit consumption was affected by breast-feeding and early introduction to fruit, whereas vegetable consumption was related only to child's gender and enjoyment of food.

Conclusions:

These findings may be used to inform future interventions aimed at increasing children's consumption of fruit and vegetables. Parents should be made aware of the possible impact of their own behaviour on the eating habits of their children.

Type
Research Article
Copyright
Copyright © CAB International 2004

References

1McCrory, MA, Fuss, PJ, McCallum, JE, Yao, M, Vinken, AG, Hays, NP, et al. Dietary variety within food groups: association with energy intake and body fatness in men and women. American Journal of Clinical Nutrition 1999; 69: 440–7.CrossRefGoogle ScholarPubMed
2Joshipura, KJ, Hu, FB, Manson, JE, Stampfer, MJ, Rimm, EB, Speizer, FE, et al. The effect of fruit and vegetable intake on risk for coronary heart disease. Annals of Internal Medicine 2001; 134: 1106–14.CrossRefGoogle ScholarPubMed
3Joshipura, KJ, Ascherio, A, Manson, JE, Stampfer, MJ, Rimm, EB, Speizer, FE, et al. Fruit and vegetable intake in relation to risk of ischemic stroke. Journal of the American Medical Association 1999; 282: 1233–9.CrossRefGoogle ScholarPubMed
4Ford, ES, Mokdad, AH. Fruit and vegetable consumption and diabetes mellitus incidence among US adults. Preventive Medicine 2000; 31: 17.Google Scholar
5Willett, WC, Trichopoulos, D. Nutrition and cancer: a summary of the evidence. Cancer Causes & Control 1996; 7: 178–80.CrossRefGoogle ScholarPubMed
6Steinmetz, KA, Potter, JD. Vegetables, fruit and cancer prevention: a review. Journal of the American Dietetic Association 1996; 96: 1027–39.CrossRefGoogle ScholarPubMed
7World Health Organization (WHO). Diet, Nutrition and The Prevention of Chronic Diseases. Geneva: WHO, 1990.Google Scholar
8Cannon, G. Food and Health: The Experts Agree. London: Consumers Association, 1992.Google Scholar
9Gregory, J, Foster, K, Tyler, H, Wiseman, M. The Dietary and Nutritional Survey of Adults. London: HMSO, 1990.Google Scholar
10Patterson, BH, Block, G, Rosenberger, WF, Pee, D, Kahle, LL. Fruit and vegetables in the American diet: data from the NHANES II survey. American Journal of Public Health. 1990; 80: 1443–9.CrossRefGoogle ScholarPubMed
11Gregory, J, Lowe, S, Bates, CJ, Prentice, A, Jackson, LV, Smithers, G, et al. The National Diet and Nutrition Survey: Young People aged 4 to 18 years. London: HMSO, 2000.Google Scholar
12Dennison, BA, Rockwell, HL, Baker, SL. Fruit and vegetable intake in young children. Journal of the American College of Nutrition 1998; 17: 371–8.CrossRefGoogle ScholarPubMed
13Kelder, SH, Perry, CL, Klepp, KI, Lytle, L. Longitudinal tracking of adolescent smoking, physical activity and food choice behaviors. American Journal of Public Health 1994; 84: 1121–6.CrossRefGoogle ScholarPubMed
14Lien, N, Lytle, LA, Klepp, KI. Stability in consumption of fruit, vegetables and sugary foods in a cohort from age 14 to age 21. Preventive Medicine 2001; 33: 217–26.CrossRefGoogle Scholar
15Lytle, LA, Seifert, S, Greenstein, J, McGovern, P. How do children's eating patterns and food choices change over time? Results from a cohort study. American Journal of Health Promotion 2000; 14: 222–8.CrossRefGoogle ScholarPubMed
16Whincup, PH, Gilg, JA, Papacosta, O, Seymour, C, Miller, GJ, Alberti, KGMM, et al. Early evidence of ethnic differences in cardiovascular risk: cross sectional comparison of British South Asian and white children. British Medical Journal 2002; 324: 16.CrossRefGoogle ScholarPubMed
17Klesges, RC, Klesges, LM, Eck, LH, Shelton, ML. A longitudinal analysis of accelerated weight gain in preschool children. Pediatrics 1995; 95: 126–30.Google ScholarPubMed
18Moller, JH, Taubert, KA, Allen, HD, Clark, EB, Lauer, RM. Cardiovascular health and disease in children: current status. A Special Writing Group from the Task Force on Children and Youth, American Heart Association. Circulation 1994; 89: 923–30.CrossRefGoogle ScholarPubMed
19Billson, H, Pryer, JA, Nichols, R. Variation in fruit and vegetable consumption among adults in Britain. An analysis from the dietary and nutritional survey of British adults. European Journal of Clinical Nutrition 1999; 53: 946–52.CrossRefGoogle ScholarPubMed
20Irala-Estevez, JD, Groth, M, Johansson, L, Oltersdorf, U, Prattala, R, Martinez-Gonzalez, MA. A systematic review of socio-economic differences in food habits in Europe: consumption of fruit and vegetables. European Journal of Clinical Nutrition 2000; 54: 706–14.CrossRefGoogle ScholarPubMed
21Milligan, RA, Burke, V, Beilin, LJ, Dunbar, DL, Spencer, MJ, Balde, E. Influence of gender and socio-economic status on dietary patterns and nutrient intakes in 18-year-old Australians. Australian and New Zealand Journal of Public Health 1998; 22: 485–93.CrossRefGoogle ScholarPubMed
22Wardle, J, Jarvis, MJ, Steggles, N, Sutton, S, Williamson, S, Farrimond, H. Socioeconomic disparities in cancer-risk behaviours in adolescence: baseline results from the Health and Behaviour in Teenagers Study (HABITS). Preventive Medicine 2003; 36: 721–30.CrossRefGoogle ScholarPubMed
23Prescott-Clarke, P, Primatesta, P. Health Survey for England: The Health of Young People 1995–1997. London: HMSO, 1998.Google Scholar
24Gibson, EL, Wardle, J, Watts, CJ. Fruit and vegetable consumption, nutritional knowledge and beliefs in mothers and children. Appetite 1998; 31: 205–28.CrossRefGoogle ScholarPubMed
25Laitinen, S, Rasanen, L, Viikari, J, Akerblom, HK. Diet of Finnish children in relation to the family's socio-economic status. Scandinavian Journal of Social Medicine 1995; 23: 8894.CrossRefGoogle Scholar
26Wolfe, WS, Campbell, CC. Food pattern, diet quality, and related characteristics of schoolchildren in New York State. Journal of the American Dietetic Association 1993; 93: 1280–4.CrossRefGoogle ScholarPubMed
27Fagerli, RA, Wandel, M. Gender differences in opinions and practices with regard to a 'healthy diet'. Appetite 1999; 32: 171–90.CrossRefGoogle ScholarPubMed
28Thompson, RL, Margetts, BM, Speller, VM, McVey, D. The Health Education Authority's health and lifestyle survey 1993: who are the low fruit and vegetable consumers? Journal of Epidemiology and Community Health 1999; 53: 294–9.CrossRefGoogle ScholarPubMed
29Wardle, J, Steptoe, A, Bellisle, F, Davou, B, Reschke, K, Lappalainen, R, et al. Healthy dietary practices among European students. Health Psychology 1997; 16: 443–50.CrossRefGoogle ScholarPubMed
30Beech, BM, Rice, R, Myers, L, Johnson, C, Nicklas, TA. Knowledge, attitudes and practices related to fruit and vegetable consumption of high school students. Journal of Adolescent Health 1999; 24: 244–50.CrossRefGoogle ScholarPubMed
31Neumark-Sztainer, D, Story, M, Resnick, MD, Blum, RW. Correlates of inadequate fruit and vegetable consumption among adolescents. Preventive Medicine 1996; 25: 497505.CrossRefGoogle ScholarPubMed
32Reynolds, KD, Baranowski, T, Bishop, DB, Farris, RP, Binkley, D, Nicklas, TA et al. Patterns in child and adolescent consumption of fruit and vegetables: effects of gender and ethnicity across four sites. Journal of the American College of Nutrition 1999; 18: 248–54.CrossRefGoogle ScholarPubMed
33Cartwright, M, Wardle, J, Steggles, N, Simon, AE, Croker, H, Jarvis, MJ. Stress and dietary practices in adolescents. Health Psychology. 2003; 22: 362–9.CrossRefGoogle ScholarPubMed
34Gregory, JR, Collins, DL, Davies, PSW, Hughes, JM, Clarke, PC. The National Diet and Nutrition Survey: Children aged 1 1/2 to 4 1/2 years. Vol. 1. Report of the Diet and Nutrition Survey. London: HMSO, 1995.Google Scholar
35Fisher, JO, Mitchell, DC, Smiciklas-Wright, H, Birch, LL. Parental influences on young girls' fruit and vegetable, micronutrient, and fat intakes. Journal of the American Dietetic Association 2002; 102: 5864.CrossRefGoogle Scholar
36Mennella, JA, Jagnow, CP, Beauchamp, GK. Prenatal and postnatal flavor learning by human infants. Pediatrics 2001; 107: E88.CrossRefGoogle ScholarPubMed
37Stanek, K, Abbott, D, Cramer, S. Diet quality and the eating environment of preschool children. Journal of the American Dietetic Association 1990; 90: 1582–4.CrossRefGoogle ScholarPubMed
38Gillman, MW, Rifas-Shiman, SL, Frazier, AL, Rockett, HRH, Camargo, CA, Field, AE, et al. Family dinner and diet quality among older children and adolescents. Archives of Family Medicine 2000; 9: 235–40.CrossRefGoogle ScholarPubMed
39Hobden, K, Pliner, P. Effects of a model on food neophobia in humans. Appetite 1995; 25: 101–14.CrossRefGoogle Scholar
40Hendy, HM. Effectiveness of trained peer models to encourage food acceptance in preschool children. Appetite 2002; 39: 217–25.CrossRefGoogle ScholarPubMed
41Cullen, KW, Baranowski, T, Rittenberry, L, Cosart, C, Hebert, D, de Moor, C. Child-reported family and peer influences on fruit, juice and vegetable consumption: reliability and validity of measures. Health Education Research 2001; 16: 187200.CrossRefGoogle ScholarPubMed
42Rozin, P. The selection of food by rats, humans and other animals. In: Rosenblatt, R, Hinde, RA, Beer, C, Shaw, E, eds. Advances in the Study of Behavior. New York: Academic Press, 1976; 2176.Google Scholar
43Birch, LL, McPhee, L, Shoba, BC, Pirok, E, Steinberg, L. What kind of exposure reduces children's food neophobia? Looking vs tasting. Appetite 1987; 9: 171–8.CrossRefGoogle ScholarPubMed
44Falciglia, GA, Couch, SC, Gribble, LS, Pabst, SM, Frank, R. Food neophobia in childhood affects dietary variety. Journal of the American Dietetic Association 2000; 100: 1474–81.CrossRefGoogle ScholarPubMed
45Wardle, J, Guthrie, CA, Sanderson, S, Birch, LL, Plomin, R. Food and activity preferences in children of lean and obese parents. International Journal of Obesity 2001; 25: 977.CrossRefGoogle ScholarPubMed
46Pliner, P. Development of measures of food neophobia in children. Appetite 1994; 23: 147–63.CrossRefGoogle ScholarPubMed
47Wardle, J, Guthrie, CA, Sanderson, S, Rapoport, L. Development of the Children's Eating Behaviour Questionnaire. Journal of Child Psychology and Psychiatry 2001; 42: 963–70.CrossRefGoogle ScholarPubMed
48Tabachnik, BG, Fidell, LS. Using Multivariate Statistics, 3rd ed. New York: HarperCollins, 1996.Google Scholar
49Bingham, SA, Gill, C, Welch, A, Day, K, Cassidy, A, Khaw, KT, et al. Comparison of dietary assessment methods in nutritional epidemiology: weighed records v. 24 h recalls, food-frequency questionnaires and estimated-diet records. British Journal of Nutrition 1994; 72: 619–43.CrossRefGoogle ScholarPubMed
50Hearn, M, Baranowski, T, Baranowski, J, Doyle, C, Lin, LS, Smith, M, et al. Environmental influences on dietary behavior among children: availability and accessibility of fruits and vegetables enable consumption. Journal of Health Education 1998; 29: 2632.CrossRefGoogle Scholar
51Ministry of Agriculture Fisheries and Foods. National Food Survey, 1999. London: HMSO, 2000.Google Scholar