DOI QR코드

DOI QR Code

Exploring parenting variables associated with sweetness preferences and sweets intake of children

  • Woo, Taejung (Department of Food and Nutrition, Changwon National University) ;
  • Lee, Kyung-Hea (Department of Food and Nutrition, Changwon National University)
  • Received : 2018.12.23
  • Accepted : 2019.03.07
  • Published : 2019.04.01

Abstract

BACKGROUND/OBJECTIVES: Excessive sugar intake is one of the causes associated with obesity and several chronic diseases prevalent in the modern society. This study was undertaken to investigate the effect of parenting variables based on the theory of planned behavior, on the sweetness preferences and sweets intake of children. SUBJECTS/METHODS: Parents and their children (n = 103, aged 5-7 years) were enrolled to participate in a survey for this study, after providing the required informed consent. Parents were asked to fill out a self-administered questionnaire at their residence. The sweetness preference test for children was conducted at a kindergarten (or daycare center) by applying the one-on-one interview method. RESULTS: The children were divided into two clusters categorized by the K-mean cluster analysis: Cluster 1 had higher sweetness preference (0.42 M sugar, 35%; 0.61 M sugar, 65%); Cluster 2 exhibited lower sweetness preference (0.14 M sugar, 9.5%; 0.20 M sugar, 9.5%; 0.29 M sugar, 81%). Cluster 1 had a higher frequency of sweets intake (P < 0.01), and lower sweets restriction (P < 0.05) and nutrition quotient score (P < 0.05). Sweets intake was negatively correlated with the nutritional quotient (r = -0.204, P < 0.05). The behavioral intention of parents was higher in cluster 2 (P < 0.05), while affective attitude, feeding practice, and reward were higher in cluster 1 (P < 0.001, P < 0.05, and P < 0.01, respectively). Furthermore, behavioral intention of parents showed a negative correlation with affective attitude (r = -0.282, P < 0.01) and feeding practice (r = -0.380, P < 0.01), and a positive correlation with subjective norm (r = 0.203, P < 0.05) and parenting attitude (r = 0.433, P < 0.01). CONCLUSIONS: This study indicates that the sweetness preferences and sweets intake of children is related to the parent's affective attitude, feeding practice and reward. We suggest that to reduce the sugar consumption of children, guidelines for access to sweets and pertinent parenting practices are required.

Keywords

References

  1. Liem DG, Mars M, De Graaf C. Sweet preferences and sugar consumption of 4- and 5-year-old children: role of parents. Appetite 2004;43:235-45. https://doi.org/10.1016/j.appet.2004.05.005
  2. Contento IR. Nutrition Education: Linking Research, Theory, and Practice. 3rd ed. Burlington (MA): Jones & Bartlett Learning; 2016. p.31-37, 75, 108, 111.
  3. Ministry of Health and Welfare of Korea, Korea Centers for Disease Control and Prevention. Korea Health Statistics 2016: Korea National Health and Nutrition Examination Survey (KNHANES VII-1). Cheongju: Korea Centers for Disease Control and Prevention; 2017.
  4. Te Morenga LA, Howatson AJ, Jones RM, Mann J. Dietary sugars and cardiometabolic risk: systematic review and meta-analyses of randomized controlled trials of the effects on blood pressure and lipids. Am J Clin Nutr 2014;100:65-79. https://doi.org/10.3945/ajcn.113.081521
  5. Ministry of Health and Welfare of Korea; The Korean Nutrition Society. Dietary References Intakes for Korean 2015. Seoul: The Korean Nutrition Society; 2015.
  6. Battram DS, Piche L, Beynon C, Kurtz J, He M. Sugar-sweetened beverages children's perceptions, factors of influence, and suggestions for reducing intake. J Nutr Educ Behav 2016;48:27-34.e1. https://doi.org/10.1016/j.jneb.2015.08.015
  7. Scaglioni S, Arrizza C, Vecchi F, Tedeschi S. Determinants of children's eating behavior. Am J Clin Nutr 2011;94:2006S-2011S. https://doi.org/10.3945/ajcn.110.001685
  8. Park MY, Park PS. Factors related to eating habits and nutrition status of mother affecting on body mass index of children aged 15 years: data from the fifth Korea National Health and Nutrition Examination Survey, 20102011. Korean J Community Nutr 2016;21:102-11. https://doi.org/10.5720/kjcn.2016.21.1.102
  9. Dennis EJ, Kang MJ, Han SN. Relation between beverage consumption pattern and metabolic syndrome among healthy Korean adults. Korean J Community Nutr 2017;22:441-55. https://doi.org/10.5720/kjcn.2017.22.5.441
  10. De Cosmi V, Scaglioni S, Agostoni C. Early taste experiences and later food choices. Nutrients 2017;9:1-9. https://doi.org/10.3390/nu9010001
  11. Reed DR, McDaniel AH. The human sweet tooth. BMC Oral Health 2006;6 Suppl 1:S17. https://doi.org/10.1186/1472-6831-6-S1-S17
  12. Zoellner J, Estabrooks PA, Davy BM, Chen YC, You W. Exploring the theory of planned behavior to explain sugar-sweetened beverage consumption. J Nutr Educ Behav 2012;44:172-7. https://doi.org/10.1016/j.jneb.2011.06.010
  13. Bazillier C, Verlhiac JF, Mallet P, Rouesse J. Predictors of intentions to eat healthily in 8-9-year-old children. J Cancer Educ 2011;26:572-6. https://doi.org/10.1007/s13187-011-0218-y
  14. Musher-Eizenman D, Holub S. Comprehensive feeding practices questionnaire: validation of a new measure of parental feeding practices. J Pediatr Psychol 2007;32:960-72. https://doi.org/10.1093/jpepsy/jsm037
  15. Ministry of Food and Drug Safety. Public announcement No. 2009-25 [Internet]. Cheongju: Ministry of Food and Drug Safety; 2009 [cited 2016 January 10]. Available from: http://www.mfds.go.kr/brd/.
  16. Kang MH, Lee JS, Kim HY, Kwon S, Choi YS, Chung HR, Kwak TK, Cho YH. Selecting items of a food behavior checklist for the development of Nutrition Quotient (NQ) for children. Korean J Nutr 2012;45:372-89. https://doi.org/10.4163/kjn.2012.45.4.372
  17. Kim HY, Kwon S, Lee JS, Choi YS, Chung HR, Kwak TK, Park J, Kang MH. Development of a nutrition quotient equation modeling for children and the evaluation of its construct validity. Korean J Nutr 2012;45:390-9. https://doi.org/10.4163/kjn.2012.45.4.390
  18. Bae JM, Kang MH. Age difference in association between obesity and Nutrition Quotient scores of preschoolers and school children. J Nutr Health 2016;49:447-58. https://doi.org/10.4163/jnh.2016.49.6.447
  19. Kim JH, Jung YH. Evaluation of food behavior and nutritional status of preschool children in Nowon-gu of Seoul by using Nutrition Quotient (NQ). Korean J Community Nutr 2014;19:1-11. https://doi.org/10.5720/kjcn.2014.19.1.1
  20. Takemi Y, Woo T. Comparison of sweetness preference and motivational factors between Korean and Japanese children. J Nutr Health 2017;50:53-63. https://doi.org/10.4163/jnh.2017.50.1.53
  21. Frary CD, Johnson RK, Wang MQ. Children and adolescents' choices of foods and beverages high in added sugars are associated with intakes of key nutrients and food groups. J Adolesc Health 2004;34:56-63. https://doi.org/10.1016/S1054-139X(03)00248-9
  22. Patrick H, Nicklas TA. A review of family and social determinants of children's eating patterns and diet quality. J Am Coll Nutr 2005;24:83-92. https://doi.org/10.1080/07315724.2005.10719448
  23. Pilska M, Nesterowicz J. Emotional determinants of sweets consumption. J Nutr Health Sci 2016;3:405.
  24. Vollmer RL, Mobley AR. Parenting styles, feeding styles, and their influence on child obesogenic behaviors and body weight. A review. Appetite 2013;71:232-41. https://doi.org/10.1016/j.appet.2013.08.015
  25. Savage JS, Fisher JO, Birch LL. Parental influence on eating behavior: conception to adolescence. J Law Med Ethics 2007;35:22-34. https://doi.org/10.1111/j.1748-720X.2007.00111.x
  26. Cooke LJ, Chambers LC, Anez EV, Wardle J. Facilitating or undermining? The effect of reward on food acceptance. A narrative review. Appetite 2011;57:493-7. https://doi.org/10.1016/j.appet.2011.06.016

Cited by

  1. Association between Dietary Habits and Parental Health with Obesity among Children with Precocious Puberty vol.7, pp.11, 2019, https://doi.org/10.3390/children7110220
  2. 미취학 아동 대상 영양지수 (nutrition quotient for preschoolers, NQ-P)를 이용한 부산·경남지역 미취학 아동의 식행동 평가 및 영향요인 규명 vol.53, pp.6, 2020, https://doi.org/10.4163/jnh.2020.53.6.596
  3. Evaluation of dietary behaviors of preschool children in Seoul and Gyeonggi-do associated with the level of parents' health consciousness: using nutrition quotient for preschoolers (NQ-P) vol.15, pp.2, 2019, https://doi.org/10.4162/nrp.2021.15.2.248
  4. Early childhood factors associated with obesity at age 8 in Vietnamese children: The Young Lives Cohort Study vol.21, pp.1, 2019, https://doi.org/10.1186/s12889-021-10292-z