Table 1. Effect of picky eating on intakes of nutrients, foods and food groups and comparison with recommended daily allowances: data from the UK ALSPAC study.
Authors/aim | Aim | Age of dietary assessment (years) | n | Dietary assessment tool | Nutrients | Comparison with recommended intakes | Foods and food groups |
---|---|---|---|---|---|---|---|
Taylor et al. (22) | Investigate macro- and micronutrient intakes in PE and non-PE | 3.5 a | PE: 131 Non-PE: 364 PE assessed cross-sectionally at 3 years |
3-day food record b | PE had lower intakes of protein, carotene, Fe, Zn and Se than non-PE No differences in energy intakes between groups |
Energy intakes were adequate in terms of EAR Fe and Zn intakes were more likely to be below RNI in PE than non-PE Free sugar was much higher than recommended in both groups |
PE consumed less meat, fish, vegetables and fruits than non-PE |
Taylor et al. (22) | Investigate macro- and micronutrient intakes in PE and non-PE according to persistence and timing of onset | 7.5 c | Persistent-PE: 403 Non-persistent-PE: 279 Late-onset-PE: 100 Non-PE: 1350 PE assessed longitudinally |
3-day food record b | Intakes of protein, carotene, vitamin D, Fe, Zn and Se were all highest in non-PE and lowest in late-onset-PE and persistent-PE (3–16% lower). Free sugars were lowest in non-PE and highest in persistent-PE and late-onset-PE Non-persistent-PE were intermediate Energy intakes were not different |
Energy intakes were adequate in terms of EAR Retinol equivalents, iron and zinc were most likely to be below RNI and LRNI for persistent-PE and late onset-PE than non-PE Free sugars were much higher than recommended in all groups |
Persistent and late-onset-PE consumed less meat, vegetables and fruits than non-PE Persistent-PE consumed the most sweet biscuits and confectionery |
Taylor et al.(40) | Investigate association of dietary fibre intakes and stool hardness with picky eating | 3 | PE: 1400 Non-PE: 4307 PE assessed cross-sectionally at 3 years |
FFQ | Dietary fibre intake lower in PE than in non-PE 12.5% of variation in fibre intake explained by PE score |
Dietary fibre intake in both PE and non-PE below recommended level | PE had a 6.8% lower percentage of fibre from vegetables than non-PE |
Taylor and Emmett (50) | Investigate diet at 10 and 13 years in children identified as PE at age 3 years | 10 and 13 | PE: 804, 693 Non-PE: 2341, 1981 PE assessed cross-sectionally at 3 years |
3-day food record | Lower intakes of protein, carotene, vitamin D, Se, Zn and dietary fibre; higher intakes of free sugars in PE vs non-PE at 10 years old. Difference less evident at 13 years except for higher free sugars and lower Zn intakes in PE than non-PE. |
PE more likely than non-PE to be below LRNI for Zn at both 10 and 13 years Free sugars were much higher than recommended in all groups |
Lower intakes of meat, fish, fruit and vegetables for PE vs non-PE at 10 years Similar difference persisted at 13 years |
EAR, estimated average requirement; FFQ, food frequency questionnaire; LRNI, lower reference nutrient intake; PE, picky eater.
Picky eating identified by single question at 3 years old: Does your child have definite likes and dislikes as far as food is concerned? (No/Yes, quite choosy/Yes, very choosy).
Similar results obtained from FFQ at 4 years
Picky eating identified longitudinally as ‘never’/‘low’/‘early onset’ (persistent or not persistent)/‘late onset’ at 2–5.5 years old (for details see Taylor et al. (22)).