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Picky eating in children: Causes and consequences

Research output: Contribution to journalArticle

Original languageEnglish
Pages (from-to)161-169
Number of pages9
JournalProceedings of the Nutrition Society
Volume78
Issue number2
Early online date5 Nov 2018
DOIs
DateAccepted/In press - 24 Aug 2018
DateE-pub ahead of print - 5 Nov 2018
DatePublished (current) - 1 May 2019

Abstract

Picky eating is a common behaviour in early childhood. There is no universally accepted definition of picky eating, nor is there agreement on the best tool to identify it. ‘Causes’ of picky eating include early feeding difficulties, late introduction of lumpy foods at weaning, pressure to eat, and early choosiness especially if the mother is worried by this; protective factors include provision of fresh foods and eating the same meal as the child. The ‘consequences’ for the child’s diet include poor dietary variety and a possible distortion of nutrient intakes, with low intakes of iron and zinc (associated with low intakes of meat, and fruits and vegetables) being of particular concern. Low intakes of dietary fibre as a result of low intakes of fruit and vegetables are associated with constipation in picky eaters. There may be developmental difficulties in some children with persistent picky eating. There is little evidence, however, for a consistent effect of being a picky eater on growth trajectories. There may be a small subgroup of children in whom picky eating does not resolve who might be at risk of thinness during adolescence, or of developing an eating disorder or adult picky eating: these children need to be identified at an early age to enable support, monitoring and advice to be offered to parents. Strategies for avoiding or ameliorating picky eating include repeated exposures to unfamiliar foods, parental modelling of eating fruits and vegetables and unfamiliar foods, and creation of positive social experiences around mealtimes.

    Research areas

  • Picky eating, Child, Diet, Fussy eating, Selective eating, Child development, Growth

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    Rights statement: This is the author accepted manuscript (AAM). The final published version (version of record) is available online via Cambridge University Press at https://www.cambridge.org/core/journals/proceedings-of-the-nutrition-society/article/picky-eating-in-children-causes-and-consequences/34921F967B9F37046962CA866DC199C3 . Please refer to any applicable terms of use of the publisher.

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    Licence: Unspecified

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