Do children who were preschool picky eaters eat different foods at school lunch when aged 13 years than their non-picky peers?

Abigail Kemp, Pauline M Emmett, Caroline M Taylor*

*Corresponding author for this work

Research output: Contribution to journalArticle (Academic Journal)peer-review

Abstract

Background: 
Picky eating behaviour is characterised by an unwillingness to eat familiar foods, try new foods, and/or strong food preferences. Prevalence peaks at about 3 years of age and usually declines during school years but behavioural characteristics may persist. Parental pressure may influence this. Our aim was to assess food choices in a school setting, away from the family environment, of 13-year-old children who were preschool picky eaters compared with those who were never picky eaters.

Methods: 
Children were recruited at birth in south-west England and followed to age 13 years. Children (n=7554) were classified as never (26%), low (59%) or high picky eaters (15%) based on parental responses to questionnaires completed when they were pre-schoolers. In a questionnaire completed at age 13 years (n=5348) the children were asked about frequency of consumption of lunchtime food items at school . Adjusted binary logistic regression modelling was used to determine the associations with picky eating classification.

Results:  
There were no differences between picky and non-picky eaters in the frequency of packed lunch compared with school dinner uptake. Both high and low picky eaters were less likely to have meat, fish or cheese/egg sandwiches or fruit or salad in packed lunches than non-picky eaters. High picky eaters ate fewer ham/meat sandwiches (OR 0.49 (95% CI 0.39, 0.61)) and fruits (0.62 (0.49, 0.80)) compared with non-picky eaters. Picky eaters were more likely to choose meat products in school dinners (e.g. meat burgers/sausages 1.29 (1.06, 1.57)) and have similar intakes of roast meats and fruit but were less likely to have cooked vegetables or salad (0.68 (0.52, 0.90) and 0.62 (0.46, 0.83) respectively) than non-picky eaters.

Conclusion: 
Behaviours characteristic of picky eating, such as avoiding meat, fish and fruit, were less evident in school dinner than packed lunch choices. However, avoidance of vegetable/salad persisted. It is likely that family norms have a stronger influence over packed lunch content than over school dinner choices where the child has more autonomy and may be influenced by their peers
Original languageEnglish
Article numbere70063
Number of pages11
JournalJournal of Human Nutrition and Dietetics
Volume38
Issue number3
Early online date14 May 2025
DOIs
Publication statusE-pub ahead of print - 14 May 2025

Research Groups and Themes

  • ALSPAC

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