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Assessing the children's views on foods and consumption of selected food groups: outcome from focus group approach

  • Received : 2012.05.20
  • Accepted : 2013.02.08
  • Published : 2013.04.01

Abstract

The food choices in childhood have high a probability of being carried through into their adulthood life, which then contributes to the risk of many non-communicable diseases. Therefore, there is a need to gather some information about children's views on foods which may influence their food choices for planning a related dietary intervention or programme. This paper aimed to explore the views of children on foods and the types of foods which are usually consumed by children under four food groups (snacks, fast foods, cereals and cereal products; and milk and dairy products) by using focus group discussions. A total of 33 school children aged 7-9 years old from Selangor and Kuala Lumpur participated in the focus groups. Focus groups were audio-taped, transcribed and analyzed according to the listed themes. The outcomes show that the children usually consumed snacks such as white bread with spread or as a sandwich, local cakes, fruits such as papaya, mango and watermelon, biscuits or cookies, tea, chocolate drink and instant noodles. Their choices of fast foods included pizza, burgers, French fries and fried chicken. For cereal products, they usually consumed rice, bread and ready-to-eat cereals. Finally, their choices of dairy products included milk, cheese and yogurt. The reasons for the food liking were taste, nutritional value and the characteristics of food. The outcome of this study may provide additional information on the food choices among Malaysian children, especially in urban areas with regard to the food groups which have shown to have a relationship with the risk of childhood obesity.

Keywords

References

  1. Stewart L. Childhood obesity. Medicine 2011; 39:42-4. https://doi.org/10.1016/j.mpmed.2010.10.004
  2. Ismail MN, Ruzita AT, Norimah AK, Poh BK, Nik Shanita S, Nik Mazlan M, Roslee R, Nurunnajiha N, Wong JE, Nur Zakiah MS, Raduan S. Prevalence and trends of overweight and obesity in two cross-sectional studies of Malaysian children, 2002-2008. Proceedings of the MASO 2009 Scientific Conference on Obesity: Obesity and Our Environment; 2009 August 12-13; Kuala Lumpur, Malaysia. 2009. p.26-7.
  3. Tee ES, Khor SC, Ooi HE, Young SI, Zakiyah O, Zulkafli H. Regional study of nutritional status of urban primary schoolchildren. 3. Kuala Lumpur, Malaysia. Food Nutr Bull 2002;23:41-7. https://doi.org/10.1177/156482650202300106
  4. Khor GL, Noor Safiza MN, Rahmah R, Jamaluddin AR, Kee CC, Geeta A, Jamaiyah H, Suzana S, Wong NF, Ahmad Ali Z, Ruzita AT, Ahmad Faudzi Y. The Third National Health and Morbidity Survey (NHMS III) 2006. Nutritional status of children aged 0 to below 18 years. Proceedings of the 23rd Scientific Conference of the Nutrition Society of Malaysia, Holistic Approach to Nutritional Wellbeing; 2008 March 27-28; Kuala Lumpur, Malaysia. 2008.
  5. Zaini MZ, Lim CT, Low WY, Harun F. Factors affecting nutritional status of Malaysian primary school children. Asia Pac J Public Health 2005;17:71-80. https://doi.org/10.1177/101053950501700203
  6. Ali R, Staub H, Leveille GA, Boyle PC. Dietary fiber and obesity: a review. In: Vahouny GV, Kritchevsky D, editors. Dietary Fiber in Health and Disease. New York, NY: Plenum Press; 1982.
  7. Skinner J, Carruth B, Coletta F. Does dietary calcium have a role in body fat mass accumulation in young children. Scand J Nutr 1999;43:45S.
  8. Carruth BR, Skinner JD. The role of dietary calcium and other nutrients in moderating body fat in preschool children. Int J Obes Relat Metab Disord 2001;25:559-66. https://doi.org/10.1038/sj.ijo.0801562
  9. Davies KM, Heaney RP, Recker RR, Lappe JM, Barger-Lux MJ, Rafferty K, Hinders S. Calcium intake and body weight. J Clin Endocrinol Metab 2000;85:4635-8.
  10. Heaney RP, Davies KM, Barger-Lux MJ. Calcium and weight: clinical studies. J Am Coll Nutr 2002;21:152S-155S. https://doi.org/10.1080/07315724.2002.10719213
  11. Maynard M, Gunnell D, Emmett P, Frankel S, Davey Smith G. Fruit, vegetables, and antioxidants in childhood and risk of adult cancer: the Boyd Orr cohort. J Epidemiol Community Health 2003;57:218-25. https://doi.org/10.1136/jech.57.3.218
  12. Ness AR, Maynard M, Frankel S, Smith GD, Frobisher C, Leary SD, Emmett PM, Gunnell D. Diet in childhood and adult cardiovascular and all cause mortality: the Boyd Orr cohort. Heart 2005;91:894-8. https://doi.org/10.1136/hrt.2004.043489
  13. Douglas L. Children's food choice. Nutr Food Sci 1998;1:14-8.
  14. Skinner JD, Carruth BR, Bounds W, Ziegler PJ. Children's food preferences: a longitudinal analysis. J Am Diet Assoc 2002;102: 1638-47. https://doi.org/10.1016/S0002-8223(02)90349-4
  15. Bell AC, Swinburn BA. What are the key food groups to target for preventing obesity and improving nutrition in schools? Eur J Clin Nutr 2004;58:258-63. https://doi.org/10.1038/sj.ejcn.1601775
  16. Cooke LJ, Wardle J. Age and gender differences in children's food preferences. Br J Nutr 2005;93:741-6. https://doi.org/10.1079/BJN20051389
  17. Fiates GM, Amboni RD, Teixeira E. Television use and food choices of children: qualitative approach. Appetite 2008; 50:12-8. https://doi.org/10.1016/j.appet.2007.05.002
  18. Moy FM, Gan CY, Siti Zaleha MK. Eating pattern of school children and adolescents in Kuala Lumpur. Malays J Nutr 2006;12:1-10.
  19. Neumark-Sztainer D, Story M, Perry C, Casey MA. Factors influencing food choices of adolescents: findings from focusgroup discussions with adolescents. J Am Diet Assoc 1999;99: 929-34, 937. https://doi.org/10.1016/S0002-8223(99)00222-9
  20. Gosling R, Stanistreet D, Swami V. 'If Michael Owen drinks it, why can't I?'- 9 and 10 year olds' perceptions of physical activity and healthy eating. Health Educ J 2008;67:167-81. https://doi.org/10.1177/0017896908094635
  21. Husby I, Heitmann BL, O'Doherty Jensen K. Meals and snacks from the child's perspective: the contribution of qualitative methods to the development of dietary interventions. Public Health Nutr 2009;12:739-47. https://doi.org/10.1017/S1368980008003248
  22. Nicolaou M, Doak CM, van Dam RM, Brug J, Stronks K, Seidell JC. Cultural and social influences on food consumption in Dutch residents of Turkish and Moroccan origin: a qualitative study. J Nutr Educ Behav 2009;41:232-41. https://doi.org/10.1016/j.jneb.2008.05.011
  23. Betts NM, Baranowski T, Hoerr SL. Recommendations for planning and reporting focus group research. J Nutr Educ 1996; 28:279-81. https://doi.org/10.1016/S0022-3182(96)70101-2
  24. Krueger RA. Focus Groups: A Practical Guide for Applied Research. Thousand Oaks, CA: Sage Publications; 1994.
  25. Molaison EF, Connell CL, Stuff JE, Yadrick MK, Bogle M. Influences on fruit and vegetable consumption by low-income black American adolescents. J Nutr Educ Behav 2005;37:246-51. https://doi.org/10.1016/S1499-4046(06)60279-0
  26. Olson CM, Gemmill KP. Association of sweet preference and food selection among four to five year old children. Ecol Food Nutr 1981;11:145-50. https://doi.org/10.1080/03670244.1981.9990670
  27. Perez-Rodrigo C, Ribas L, Serra-Majem L, Aranceta J. Food preferences of Spanish children and young people: the enKid study. Eur J Clin Nutr 2003;57 Suppl 1:S45-8.
  28. Ricketts CD. Fat preferences, dietary fat intake and body composition in children. Eur J Clin Nutr 1997;51:778-81. https://doi.org/10.1038/sj.ejcn.1600487
  29. Liem DG, de Graaf C. Sweet and sour preferences in young children and adults: role of repeated exposure. Physiol Behav 2004;83:421-9. https://doi.org/10.1016/j.physbeh.2004.08.028
  30. Toornvliet AC, Pijl H, Hopman E, Elte-de Wever BM, Meinders AE. Serotoninergic drug-induced weight loss in carbohydrate craving obese patients. Int J Obes Relat Metab Disord 1996;20:917-20.
  31. Adair LS, Popkin BM. Are child eating patterns being transformed globally? Obes Res 2005;13:1281-99. https://doi.org/10.1038/oby.2005.153
  32. Wurtman J, Wurtman R, Berry E, Gleason R, Goldberg H, McDermott J, Kahne M, Tsay R. Dexfenfluramine, fluoxetine, and weight loss among female carbohydrate cravers. Neuropsychopharmacology 1993;9:201-10. https://doi.org/10.1038/npp.1993.56
  33. Resnicow K. The relationship between breakfast habits and plasma cholesterol levels in schoolchildren. J Sch Health 1991; 61:81-5. https://doi.org/10.1111/j.1746-1561.1991.tb03242.x
  34. Williams CL. Importance of dietary fiber in childhood. J Am Diet Assoc 1995;95:1140-6, 1149. https://doi.org/10.1016/S0002-8223(95)00307-X
  35. Nicklas TA, O'Neil CE, Berenson GS. Nutrient contribution of breakfast, secular trends, and the role of ready-to-eat cereals: a review of data from the Bogalusa Heart Study. Am J Clin Nutr 1998;67:757S-763S. https://doi.org/10.1093/ajcn/67.4.757S

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