Food avoidance behaviour among children aged 2 – 6 years in North Jakarta and its correlation with weight and energy intake

Alfi Rahma Putri, Dian Novita Chandra, Luh Ade Ari Wiradnyani

Abstract


Background: Children generally facing food avoidance or food refusal behaviour and it may affect their food consumption. But there is limited information on food avoidance behaviour among Indonesian children. Therefore, this study aimed to assess whether energy intake and body weight are influenced by food avoidance behaviour in children aged 2-6 years in North Jakarta.

Methods: Participants (N=168) were recruited between February – March 2020. Data collection was obtained via interviews with the mother or caregiver of the children. Food avoidance behaviour consisting of satiety responsiveness, slowness in eating, emotional under-eating, and food fussiness was measured with the Child Eating Behaviour Questionnaire. The child’s weight and dietary intake were assessed using a digital weighing scale and 2 x 24 hours food recall. Spearman test was performed to analyse the correlation between these variables. Multivariate analysis was done using linear regression to determine predictors of a child’s body weight and energy intake.

Results: Energy intake among children was below the recommendation, and it was significantly correlated with the child’s body weight. Satiety responsiveness was negatively correlated with the child’s body weight (r = -0.166; p-value < 0.05) and energy intake (r = -0.210; p-value < 0.05). After running a linear regression test, we found that satiety responsiveness along with family income and child’s age was a significant predictor of energy intake among children.

Conclusions: Children who are more responsive to satiety had lower body weight and energy intake. Understanding the child’s food avoidance behaviour is useful for designing intervention programs related to optimizing intake in children and malnutrition.


Keywords


Children; Food avoidance behaviour; Energy intake; body weight

Full Text:

WNJ.V05.i1.0016

References


Kementerian Kesehatan Republik Indonesia. Profil Kesehatan Indonesia Tahun 2018. Jakarta: Kementerian Kesehatan RI; 2018.

Pasricha SR, Biggs BA. Undernutrition among children in South and South-East Asia. J Paediatr Child Health. 2010;46:497–503.

NB T, GA B, SM A, ME Y. Prevalence and Major Contributors of Child Malnutrition in Developing Countries: Systematic Review and Meta-Analysis. J Child Obes. 2017;2(4):16.

Sandjaja S, Budiman B, Harahap H, Ernawati F, Soekatri M, Widodo Y, et al. Food consumption and nutritional and biochemical status of 0·5-12-year-old Indonesian children: The SEANUTS study. Br J Nutr. 2013;110:11–20.

Poh BK, Ng BK, Siti Haslinda MD, Nik Shanita S, Wong JE, Budin SB, et al. Nutritional status and dietary intakes of children aged 6 months to 12 years: Findings of the Nutrition Survey of Malaysian Children (SEANUTS Malaysia). Br J Nutr. 2013;110:211–35.

Serra-Majem L, Ribas L, Pérez-Rodrigo C, García-Closas R, Peña-Quintana L, Aranceta J. Determinants of nutrient intake among children and adolescents: Results from the enKid study. Ann Nutr Metab. 2002;46:31–8.

Rodenburg G, Kremers SPJ, Oenema A, van de Mheen D. Associations of Children’s Appetitive Traits with Weight and Dietary Behaviours in the Context of General Parenting. PLoS One. 2012;7(12).

Al-Shookri A, Al-Shukaily L, Hassan F, Al-Sheraji S, Al-Tobi S. Effect of mothers nutritional knowledge and attitudes on Omani children’s dietary intake. Oman Med J. 2011;26:253–7.

Scaglioni S, De Cosmi V, Ciappolino V, Parazzini F, Brambilla P, Agostoni C. Factors influencing children’s eating behaviours. Nutrients. 2018;10(6):1–17.

Shariff ZM, Lin KG, Sariman S, Lee HS, Siew CY, Yusof BNM, et al. The relationship between household income and dietary intakes of 1-10 year old urban Malaysian. Nutr Res Pract. 2015;9(3):278–87.

Shloim N, Edelson LR, Martin N, Hetherington MM. Parenting styles, feeding styles, feeding practices, and weight status in 4-12 year-old children: A systematic review of the literature. Front Psychol. 2015;6(1849).

Webber L, Cooke L, Hill C, Wardle J. Associations between children’s appetitive traits and maternal feeding practices. J Am Diet Assoc [Internet]. 2010;110:1718–22. Available from: http://dx.doi.org/10.1016/j.jada.2010.08.007

Harbron J, Booley S, B N, CE D. Responsive feeding: establishing healthy eating behaviour early on in life. South African J Clin Nutr. 2013;26(3):S141–9.

Oliveira A, Jones L, De Lauzon-Guillain B, Emmett P, Moreira P, Charles MA, et al. 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. Br J Nutr. 2015;114:763–71.

Wardle J, Guthrie CA, Sanderson S, Rapoport L. Development of the children’s eating behaviour questionnaire. J Child Psychol Psychiatry Allied Discip. 2001;42(7):963–70.

Syrad H, Johnson L, Wardle J, Llewellyn CH. Appetitive traits and food intake patterns in early life. Am J Clin Nutr. 2016;103:231–5.

Carnell S, Pryor K, Mais LA, Warkentin S, Benson L, Cheng R. Lunch-time food choices in preschoolers: Relationships between absolute and relative intakes of different food categories, and appetitive characteristics and weight. Physiol Behav. 2016;162:151–60.

Webber L, Hill C, Saxton J, Van Jaarsveld CHM, Wardle J. Eating behaviour and weight in children. Int J Obes. 2009;33:21–8.

Mallan KM, Nambiar S, Magarey AM, Daniels LA. Satiety responsiveness in toddlerhood predicts energy intake and weight status at four years of age. Appetite. 2014;74:79–85.

Gibson RS. Principles of Nutritional Assessment - Rosalind S. Gibson - Google Books. Oxford University Press. 2005.

Börnhorst C, Huybrechts I, Ahrens W, Eiben G, Michels N, Pala V, et al. Prevalence and determinants of misreporting among European children in proxy-reported 24 h dietary recalls. Br J Nutr. 2013;109:1257–65.

Rosidi A, Bening S, Sulistyowati E, Hunandar C, Wijaningsih W, Sunarto. Inadequate Energy Intake As A Risk Factor To Developmental Delay Of Pre-School Aged Children. Curr Nutr Food Sci. 2018;15:1–5.

Rydén PJ, Hagfors L. Diet cost, diet quality and socio-economic position: How are they related and what contributes to differences in diet costs? Public Health Nutr. 2011;14(9):1680–92.

French SA, Epstein LH, Jeffery RW, Blundell JE, Wardle J. Eating behavior dimensions. Associations with energy intake and body weight. A review. Appetite. 2012;59(2):541–9.

Fildes A, Mallan KM, Cooke L, van Jaarsveld CHM, Llewellyn CH, Fisher A, et al. The relationship between appetite and food preferences in British and Australian children. Int J Behav Nutr Phys Act. 2015;12:116.

Jalkanen H, Lindi V, Schwab U, Kiiskinen S, Venäläinen T, Karhunen L, et al. Eating behaviour is associated with eating frequency and food consumption in 6–8 year-old children: The Physical Activity and Nutrition in Children (PANIC) study. Appetite. 2017;114:28–37.

Scaglioni S, Arrizza C, Vecchi F, Tedeschi S. Determinants of children’s eating behavior. Am J Clin Nutr. 2011;94(suppl):2006S-2011S.

Wood AC. Appetitive Traits: Genetic Contributions to Pediatric Eating Behaviors. In: Julie C. Lumeng JOF, editor. Pediatric Food Preferences and Eating Behaviors. Academic Press; 2018. p. 127–46.

Carnell S, Benson L, Pryor K, Driggin E. Appetitive traits from infancy to adolescence: Using behavioral and neural measures to investigate obesity risk. Physiol Behav. 2013;10(121):79–88.

Carnell S, Wardle J. Appetite and adiposity in children: Evidence for a behavioral susceptibility theory of obesity. Am J Clin Nutr. 2008;88:22–9.

Smith AD, Herle M, Fildes A, Cooke L, Steinsbekk S, Llewellyn CH. Food fussiness and food neophobia share a common etiology in early childhood. J Child Psychol Psychiatry. 2017;58(2):189–96.




DOI: https://doi.org/10.25220/WNJ.V05.i1.0016

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