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Childhood fussy/picky eating behaviours: a systematic review and synthesis of qualitative studies

Fussy/picky eating behaviours are common across childhood. Recent reviews of the fussy eating literature focus on quantitative research and do not adequately account for families’ subjective experiences, perceptions and practices. This review aims to synthesise the increasing volume of qualitative w...

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Autores principales: Wolstenholme, Hazel, Kelly, Colette, Hennessy, Marita, Heary, Caroline
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6942299/
https://www.ncbi.nlm.nih.gov/pubmed/31900163
http://dx.doi.org/10.1186/s12966-019-0899-x
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author Wolstenholme, Hazel
Kelly, Colette
Hennessy, Marita
Heary, Caroline
author_facet Wolstenholme, Hazel
Kelly, Colette
Hennessy, Marita
Heary, Caroline
author_sort Wolstenholme, Hazel
collection PubMed
description Fussy/picky eating behaviours are common across childhood. Recent reviews of the fussy eating literature focus on quantitative research and do not adequately account for families’ subjective experiences, perceptions and practices. This review aims to synthesise the increasing volume of qualitative work on fussy eating. A systematic search of relevant databases was carried out. Studies were included if they were qualitative, published since 2008, with a primary focus on families’ experiences, perceptions and practices regarding fussy eating, food neophobia, or food refusal in children (aged one to young adult). Studies with clinical samples, or relating to children under one year were excluded. Ten studies were eligible for this review and were synthesised using meta-ethnography (developed by Noblit and Hare). This review provides a comprehensive description and definition of fussy eating behaviours. A conceptual model of the family experience of fussy eating was developed, illustrating relationships between child characteristics (including fussy eating behaviours), parent feeding beliefs, parent feeding practices, mealtime emotions and parent awareness of food preference development. Our synthesis identified two ways in which fussy eating relates to mealtime emotions (directly and via parent feeding practices) and three distinct categories of parent beliefs that relate to fussy eating (self-efficacy, attributions and beliefs about hunger regulation). The model proposes pathways which could be explored further in future qualitative and quantitative studies, and suggests that parent beliefs, emotions, and awareness should be targeted alongside parent feeding practices to increase effectiveness of interventions. The majority of studies included in this review focus on pre-school children and all report the parent perspective. Further research is required to understand the child’s perspective, and experiences of fussy eating in later childhood. PROSPERO Registration: CRD42017055943
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spelling pubmed-69422992020-01-07 Childhood fussy/picky eating behaviours: a systematic review and synthesis of qualitative studies Wolstenholme, Hazel Kelly, Colette Hennessy, Marita Heary, Caroline Int J Behav Nutr Phys Act Review Fussy/picky eating behaviours are common across childhood. Recent reviews of the fussy eating literature focus on quantitative research and do not adequately account for families’ subjective experiences, perceptions and practices. This review aims to synthesise the increasing volume of qualitative work on fussy eating. A systematic search of relevant databases was carried out. Studies were included if they were qualitative, published since 2008, with a primary focus on families’ experiences, perceptions and practices regarding fussy eating, food neophobia, or food refusal in children (aged one to young adult). Studies with clinical samples, or relating to children under one year were excluded. Ten studies were eligible for this review and were synthesised using meta-ethnography (developed by Noblit and Hare). This review provides a comprehensive description and definition of fussy eating behaviours. A conceptual model of the family experience of fussy eating was developed, illustrating relationships between child characteristics (including fussy eating behaviours), parent feeding beliefs, parent feeding practices, mealtime emotions and parent awareness of food preference development. Our synthesis identified two ways in which fussy eating relates to mealtime emotions (directly and via parent feeding practices) and three distinct categories of parent beliefs that relate to fussy eating (self-efficacy, attributions and beliefs about hunger regulation). The model proposes pathways which could be explored further in future qualitative and quantitative studies, and suggests that parent beliefs, emotions, and awareness should be targeted alongside parent feeding practices to increase effectiveness of interventions. The majority of studies included in this review focus on pre-school children and all report the parent perspective. Further research is required to understand the child’s perspective, and experiences of fussy eating in later childhood. PROSPERO Registration: CRD42017055943 BioMed Central 2020-01-03 /pmc/articles/PMC6942299/ /pubmed/31900163 http://dx.doi.org/10.1186/s12966-019-0899-x Text en © The Author(s). 2020 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Review
Wolstenholme, Hazel
Kelly, Colette
Hennessy, Marita
Heary, Caroline
Childhood fussy/picky eating behaviours: a systematic review and synthesis of qualitative studies
title Childhood fussy/picky eating behaviours: a systematic review and synthesis of qualitative studies
title_full Childhood fussy/picky eating behaviours: a systematic review and synthesis of qualitative studies
title_fullStr Childhood fussy/picky eating behaviours: a systematic review and synthesis of qualitative studies
title_full_unstemmed Childhood fussy/picky eating behaviours: a systematic review and synthesis of qualitative studies
title_short Childhood fussy/picky eating behaviours: a systematic review and synthesis of qualitative studies
title_sort childhood fussy/picky eating behaviours: a systematic review and synthesis of qualitative studies
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6942299/
https://www.ncbi.nlm.nih.gov/pubmed/31900163
http://dx.doi.org/10.1186/s12966-019-0899-x
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