Prevalence of picky eaters among infants and toddlers and their caregivers’ decisions about offering a new food

Carruth, Betty Ruth; Ziegler, Paula; Gordon, Anne; Barr, Susan I.

doi:10.1016/j.jada.2003.10.024

Cited by 416 publications

(422 citation statements)

References 39 publications

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“…These children typically grow and develop normally and have adequate energy and nutrient intakes. 1,2 The major concern for them is not their nutrition, 1,3,46 but family discord centered around coercive feeding and subsequent behavioral consequences. Chatoor et al 34 reported that conflict around feeding resulted in a lower Bayley Mental Developmental Index independent of the child's nutritional status.…”

Section: Misperceptionmentioning

confidence: 99%

“…Foods must often be offered 8 to 15 times without pressure to achieve acceptance. 1 In the mildly selective child, other simple techniques may be needed, such as "hiding" pureed vegetables in sauces, using "dips" to enhance flavor, modeling eating, giving foods appealing names, involving children in food preparation, and presenting it in attractive designs. [53][54][55][56] In contrast, the highly selective child frequently requires a more intense and systematic approach to increasing variety.…”

Section: Management Of Selectivitymentioning

confidence: 99%

“…When asked, more than 50% of mothers claim that at least 1 of their children eats poorly; this implicates ∼20% to 30% of children. [1][2][3][4] These perceived feeding problems encompass a broad range, from mild (so-called picky eating) to severe (as seen in autism). The pediatrician seeking to resolve these concerns needs a comprehensive approach, one that extends beyond the guidelines more suited for subspecialists and multidisciplinary teams, who are confronted by the more severe end of the spectrum: the so-called "feeding disorders" (Fig 1).…”

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confidence: 99%

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A Practical Approach to Classifying and Managing Feeding Difficulties

Kerzner¹,

et al. 2015

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Many young children are thought by their parents to eat poorly. Although the majority of these children are mildly affected, a small percentage have a serious feeding disorder. Nevertheless, even mildly affected children whose anxious parents adopt inappropriate feeding practices may experience consequences. Therefore, pediatricians must take all parental concerns seriously and offer appropriate guidance. This requires a workable classification of feeding problems and a systematic approach. The classification and approach we describe incorporate more recent considerations by specialists, both medical and psychological. In our model, children are categorized under the 3 principal eating behaviors that concern parents: limited appetite, selective intake, and fear of feeding. Each category includes a range from normal (misperceived) to severe (behavioral and organic). The feeding styles of caregivers (responsive, controlling, indulgent, and neglectful) are also incorporated. The objective is to allow the physician to efficiently sort out the wide variety of conditions, categorize them for therapy, and where necessary refer to specialists in the field.Parents of young children worldwide are concerned about feeding difficulties. When asked, more than 50% of mothers claim that at least 1 of their children eats poorly; this implicates ∼20% to 30% of children.

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Section: Misperceptionmentioning

confidence: 99%

Section: Management Of Selectivitymentioning

confidence: 99%

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confidence: 99%

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A Practical Approach to Classifying and Managing Feeding Difficulties

Kerzner¹,

et al. 2015

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“…This makes sense because mothers in the U.S. take the primary roles in their caregiving involvement. For example, a national random study indicates that 91% of American mothers are primarily responsible for choosing and offering food to their infants and toddlers (Carruth, Ziegler, Gordon, & Barr, 2004). Moreover, on average, mothers spend far more time with their children than do fathers.…”

Section: Assessing Primary Caregiver Statusmentioning

confidence: 99%

“…Although mothers in the United States are usually primary caregivers (Carruth et al, 2004) and, thus, previous studies (e.g., Belsky, 1979;Clarke-Stewart, 1978) have considered mothers the primary caregivers, any caregiver can be the primary caregiver if they spend more time with the child and are more involved in caregiving activities (Marvin et al, 1977). The present study also revealed that the combination of the parent's greater time spent with the child and greater involvement in caregiving tasks (e.g., awaking child, dressing child, supervising child at home, bathing child, putting child to bed, and looking after child when sick) predicted the child's preference for that parent even after controlling for parent gender.…”

Section: The Role Of Toddlers' Emotion In Their Preferencementioning

confidence: 99%

Do toddlers prefer the primary caregiver or the parent with whom they feel more secure? The role of toddler emotion

Umemura

Jacobvitz

Messina

et al. 2013

Infant Behavior and Development

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This article appeared in a journal published by Elsevier. The attached copy is furnished to the author for internal non-commercial research and education use, including for instruction at the authors institution and sharing with colleagues.Other uses, including reproduction and distribution, or selling or licensing copies, or posting to personal, institutional or third party websites are prohibited. a b s t r a c tThis study tested Bowlby and Ainsworth's hypothesis that a hierarchy of caregivers exists whereby infants prefer one caregiver over another when distressed. We examined parent gender (mother vs. father), primary caregiver status (defined as the parent who spent most time with the infant and performed most of the caregiving tasks), and role of toddlers' history of attachment security with each parent, as predictors of toddlers' preference for a particular caregiver when the toddlers are distressed and when they are content. Infants' attachment security with each parent was assessed at 12-15 months. At 24 months, mother-child and father-child interactions were observed in triadic (mother, father, toddler) home interactions. When distressed, regardless of the security of their attachment to each parent, toddlers more often interacted with the primary caregiver. When content, toddlers did not show this preference. As expected, toddlers' recovery from distress was predicted by their security of attachment with the parent whom they approached when distressed.

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