Picky eating - A risk factor for underweight in Finnish preadolescents

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Viljakainen , H T , Figueiredo , R A O , Rounge , T B & Weiderpass , E 2019 , ' Picky eating - A risk factor for underweight in Finnish preadolescents ' , Appetite , vol. 133 , pp. 107-114 . https://doi.org/10.1016/j.appet.2018.10.025

Title: Picky eating - A risk factor for underweight in Finnish preadolescents
Author: Viljakainen, Heli T.; Figueiredo, Rejane A. O.; Rounge, Trine B.; Weiderpass, Elisabete
Contributor organization: Department of Food and Nutrition
Environmental Sciences
University of Helsinki
Faculty of Medicine
Department of Medical and Clinical Genetics
HUS Children and Adolescents
Date: 2019-02-01
Language: eng
Number of pages: 8
Belongs to series: Appetite
ISSN: 0195-6663
DOI: https://doi.org/10.1016/j.appet.2018.10.025
URI: http://hdl.handle.net/10138/299209
Abstract: Background Picky eating (PE) is the most common cause of early-life feeding problems. However, the consequences of PE on food intake and weight development in general populations have not been established. Objectives: This study aims to investigate the associations of PE and food neophobia (FN) with weight status in 5700 Finnish preadolescents. In addition, we described food consumption by PE/FN status. Material and methods: We utilised the Finnish Health in Teens (Fin-HIT) cohort of 9-12-year-old preadolescents, who were categorised as having PE and FN based on answers from parental questionnaires. Weight was categorised as underweight, normal weight, and overweight/obesity based on body mass index (BMI) according to IOTF age- and sex-specific cut-offs. Eating patterns were obtained with a 16-item food frequency questionnaire. Multinomial logistic regression models were used to estimate odds ratios (OR) and 95% confidence intervals (CIs). Results: The overall prevalence of PE and FN were 34% and 14%, respectively. PE was inversely associated with overweight/obesity (OR = 0.7; 95% CI 0.6-0.8) and led to a higher risk of underweight (OR = 2.0; 95% CI 1.7-2.4), while this was not observed with FN. Compared with preadolescents without PE/FN, those with PE/FN reported consuming unhealthy foods such as pizza, hamburgers/hot dogs, and salty snacks more frequently (p <0.0038). By the same token, these preadolescents reported consuming healthy foods such as cooked vegetables, fresh vegetables/salad, fruit/berries, milk/soured milk, and dark bread less frequently. Conclusions: Among Finnish preadolescents, only PE was associated with a higher risk for underweight and inversely with overweight/obesity. PE and FN were accompanied with unhealthy eating patterns. Management of PE in children may be explored as a potential strategy for improving healthy eating and avoiding underweight in preadolescents.
Subject: Picky eating
Food neophobia
Food intake
Unhealthy eating
3143 Nutrition
Peer reviewed: Yes
Usage restriction: openAccess
Self-archived version: publishedVersion

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