Skip to main content

Advertisement

Log in

Understanding Food Fussiness and Its Implications for Food Choice, Health, Weight and Interventions in Young Children: The Impact of Professor Jane Wardle

  • Psychological Issues (M Hetherington and V Drapeau, Section Editors)
  • Published:
Current Obesity Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

This review examines the concepts of fussy eating and food neophobia in the context of key determinants of the development of children’s food preferences. We discuss the evidence for genetic versus parental and other environmental influences on the ontogeny of these behavioural traits and the implications of current knowledge for interventions that attempt to lessen the impact of these traits on children’s diets. Finally, we consider whether these traits increase the risk of a child becoming obese, or alternatively, underweight and malnourished.

Recent Findings

Fussy eating and neophobia are related concepts with both genetic and environmental aetiologies. Parent-child correlations and heritability estimates are moderate to high for both traits, but aspects of the family environment remain influential in young children, although no longer in young adults. Parental strategies based around repeat tasting opportunities can improve acceptance of disliked foods in even the fussiest children. Fussy eating and neophobia are not risk factors for obesity but could limit growth in severe cases.

Summary

Fussy eating and food neophobia are common concerns for parents, though health risks are low. Dissemination of evidence-based strategies to parents that can encourage a more varied diet in young children would be helpful.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

Papers of particular interest, published recently, have been highlighted as: • Of importance; •• Of major importance

  1. Mascola AJ, Bryson SW, Agras WS. Picky eating during childhood: a longitudinal study to age 11 years. Eat Behav. 2010;11(4):253–7. doi:10.1016/j.eatbeh.2010.05.006.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Dovey TM, Staples PA, Gibson EL, Halford JC. Food neophobia and ‘picky/fussy’ eating in children: a review. Appetite. 2008;50(2-3):181–93. doi:10.1016/j.appet.2007.09.009.

    Article  PubMed  Google Scholar 

  3. Galloway AT, Lee Y, Birch LL. Predictors and consequences of food neophobia and pickiness in young girls. J Am Diet Assoc. 2003;103(6):692–8. doi:10.1053/jada.2003.50134.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Gibson EL, Wardle J, Watts CJ. Fruit and vegetable consumption, nutritional knowledge and beliefs in mothers and children. Appetite. 1998;31(2):205–28. doi:10.1006/appe.1998.0180.

    Article  CAS  PubMed  Google Scholar 

  5. • Taylor CM, Wernimont SM, Northstone K, Emmett PM. Picky/fussy eating in children: Review of definitions, assessment, prevalence and dietary intakes. Appetite. 2015;95:349–59. doi:10.1016/j.appet.2015.07.026. Useful recent review of picky/fussy, particularly for methodological and nutritional issues.

    Article  PubMed  Google Scholar 

  6. Zhang YP, Zhang YY, Duan DD. From genome-wide association study to phenome-wide association study: new paradigms in obesity research. Prog Molec Biol Trans Sci. 2016;140:185–231. doi:10.1016/bs.pmbts.2016.02.003.

    Article  Google Scholar 

  7. Locke AE, Kahali B, Berndt SI, Justice AE, Pers TH, Day FR, et al. Genetic studies of body mass index yield new insights for obesity biology. Nature. 2015;518(7538):197–206. doi:10.1038/nature14177.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Haworth CM, Carnell S, Meaburn EL, Davis OS, Plomin R, Wardle J. Increasing heritability of BMI and stronger associations with the FTO gene over childhood. Obesity (Silver Spring). 2008;16(12):2663–8. doi:10.1038/oby.2008.434.

    Article  Google Scholar 

  9. Silventoinen K, Rokholm B, Kaprio J, Sorensen TA. The genetic and environmental influences on childhood obesity: a systematic review of twin and adoption studies. Int J Obes. 2010;34(1):29–40. doi:10.1038/ijo.2009.177.

    Article  CAS  Google Scholar 

  10. Wardle J, Carnell S, Haworth CMA, Plomin R. Evidence for a strong genetic influence on childhood adiposity despite the force of the obesogenic environment. Am J Clin Nutr. 2008;87(2):398–404.

    CAS  PubMed  Google Scholar 

  11. Breen FM, Plomin R, Wardle J. Heritability of food preferences in young children. Physiol Behav. 2006;88(4-5):443–7. doi:10.1016/j.physbeh.2006.04.016.

    Article  CAS  PubMed  Google Scholar 

  12. Fildes A, van Jaarsveld CH, Llewellyn CH, Fisher A, Cooke L, Wardle J. Nature and nurture in children's food preferences. Am J Clin Nutr. 2014;99(4):911–7. doi:10.3945/ajcn.113.077867.

    Article  CAS  PubMed  Google Scholar 

  13. Cooke L, Wardle J, Gibson EL. Relationship between parental report of food neophobia and everyday food consumption in 2-6-year-old children. Appetite. 2003;41(2):205–6.

    Article  CAS  PubMed  Google Scholar 

  14. Wardle J, Cooke L. Genetic and environmental determinants of children's food preferences. Br J Nutr. 2008;99 Suppl 1:S15–21. doi:10.1017/S000711450889246X.

    CAS  PubMed  Google Scholar 

  15. •• Smith AD, Herle M, Fildes A, Cooke L, Steinsbekk S, Llewellyn CH. Food fussiness and food neophobia share a common etiology in early childhood. J Child Psychol Psychiatry. 2016. doi:10.1111/jcpp.12647. Large twin cohort study providing clear evidence for both genes and shared environment in determining fussy eating and neophobia in young children.

  16. •• Fildes A, van Jaarsveld CH, Cooke L, Wardle J, Llewellyn CH. Common genetic architecture underlying young children's food fussiness and liking for vegetables and fruit. Am J Clin Nutr. 2016;103(4):1099–104. doi:10.3945/ajcn.115.122945. Large twin cohort study showing that common genes underlie much of the variance in both liking for fruits and vegetables and fussy eating in 3 year-olds.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  17. • Smith AD, Fildes A, Cooke L, Herle M, Shakeshaft N, Plomin R, et al. Genetic and environmental influences on food preferences in adolescence. Am J Clin Nutr. 2016;104(2):446–53. doi:10.3945/ajcn.116.133983. Large twin cohort study revealing genetic influence on preferences for different food groups in 18-19 year-olds, and that of non-shared but not shared environment.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  18. Bachmanov AA, Beauchamp GK. Taste receptor genes. Annu Rev Nutr. 2007;27:389–414. doi:10.1146/annurev.nutr.26.061505.111329.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. Mennella JA, Pepino MY, Reed DR. Genetic and environmental determinants of bitter perception and sweet preferences. Pediatr. 2005;115(2):e216–22. doi:10.1542/peds.2004-1582.

    Article  Google Scholar 

  20. Timpson NJ, Heron J, Day IN, Ring SM, Bartoshuk LM, Horwood J, et al. Refining associations between TAS2R38 diplotypes and the 6-n-propylthiouracil (PROP) taste test: findings from the Avon Longitudinal Study of Parents and Children. BMC Genet. 2007;8:51–9. doi:10.1186/1471-2156-8-51.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  21. • Pawellek I, Grote V, Rzehak P, Xhonneux A, Verduci E, Stolarczyk A, et al. Association of TAS2R38 variants with sweet food intake in children aged 1-6 years. Appetite. 2016;107:126–34. doi:10.1016/j.appet.2016.07.034. Large longitudinal study of preschool children showing a specific association between the bitter taste related genotype TAS2R38 and consumption of sweet foods.

    Article  PubMed  Google Scholar 

  22. Joseph PV, Reed DR, Mennella JA. Individual differences among children in sucrose detection thresholds: relationship with age, gender, and bitter taste genotype. Nurs Res. 2016;65(1):3–12. doi:10.1097/nnr.0000000000000138.

    PubMed  Google Scholar 

  23. Bell KI, Tepper BJ. Short-term vegetable intake by young children classified by 6-n-propylthoiuracil bitter-taste phenotype. Am J Clin Nutr. 2006;84(1):245-51. doi:84/1/245 [pii].

  24. Turnbull B, Matisoo-Smith E. Taste sensitivity to 6-n-propylthiouracil predicts acceptance of bitter-tasting spinach in 3-6-y-old children. Am J Clin Nutr. 2002;76(5):1101–5.

    CAS  PubMed  Google Scholar 

  25. Golding J, Steer C, Emmett P, Bartoshuk LM, Horwood J, Smith GD. Associations between the ability to detect a bitter taste, dietary behavior, and growth: a preliminary report. Ann N Y Acad Sci. 2009;1170:553–7. doi:10.1111/j.1749-6632.2009.04482.x.

    Article  PubMed  Google Scholar 

  26. Pasquet P, Oberti B, El AJ, Hladik CM. Relationships between threshold-based PROP sensitivity and food preferences of Tunisians. Appetite. 2002;39(2):167.

    Article  CAS  PubMed  Google Scholar 

  27. Werthmann J, Jansen A, Havermans R, Nederkoorn C, Kremers S, Roefs A. Bits and pieces. Food texture influences food acceptance in young children. Appetite. 2015;84:181–7. doi:10.1016/j.appet.2014.09.025.

    Article  PubMed  Google Scholar 

  28. Ross MG, Desai M. Developmental programming of offspring obesity, adipogenesis, and appetite. Clin Obstr Gynecol. 2013;56(3):529–36. doi:10.1097/GRF.0b013e318299c39d.

    Article  Google Scholar 

  29. Brion MJ, Ness AR, Rogers I, Emmett P, Cribb V, Davey Smith G, et al. Maternal macronutrient and energy intakes in pregnancy and offspring intake at 10 y: exploring parental comparisons and prenatal effects. Am J Clin Nutr. 2010;91(3):748–56.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  30. Leshem M. Salt preference in adolescence is predicted by common prenatal and infantile mineralofluid loss. Physiol Behav. 1998;63(4):699.

    Article  CAS  PubMed  Google Scholar 

  31. Mennella JA, Jagnow CP, Beauchamp GK. Prenatal and postnatal flavor learning by human infants. Pediatr. 2001;107(6):E88.

    Article  CAS  Google Scholar 

  32. Gibson EL, Kreichauf S, Wildgruber A, Vogele C, Summerbell CD, Nixon C, et al. A narrative review of psychological and educational strategies applied to young children's eating behaviours aimed at reducing obesity risk. Obes Rev. 2012;13 Suppl 1:85–95. doi:10.1111/j.1467-789X.2011.00939.x.

    Article  PubMed  Google Scholar 

  33. Hladik CM, Pasquet P, Simmen B. New perspectives on taste and primate evolution: the dichotomy in gustatory coding for perception of beneficent versus noxious substances as supported by correlations among human thresholds. Am J Phys Anthropol. 2002;117(4):342.

    Article  PubMed  Google Scholar 

  34. Mennella JA, Beauchamp GK. The effects of repeated exposure to garlic-flavored milk on the nursling's behavior. Pediatr Res. 1993;34(6):805–8.

    Article  CAS  PubMed  Google Scholar 

  35. Mennella JA, Beauchamp GK. Experience with a flavor in mother's milk modifies the infant's acceptance of flavored cereal. Dev Psychobiol. 1999;35(3):197–203. doi:10.1002/(SICI)1098-2302(199911)35:3<197::AID-DEV4>3.0.CO;2-J.

    Article  CAS  PubMed  Google Scholar 

  36. Forestell CA, Mennella JA. Early determinants of fruit and vegetable acceptance. Pediatr. 2007;120(6):1247–54. doi:10.1542/peds.2007-0858.

    Article  Google Scholar 

  37. Sullivan SA, Birch LL. Infant dietary experience and acceptance of solid foods. Pediatr. 1994;93(2):271–7.

    CAS  Google Scholar 

  38. Shim JE, Kim J, Mathai RA, Team SKR. Associations of infant feeding practices and picky eating behaviors of preschool children. J Am Diet Assoc. 2011;111(9):1363–8. doi:10.1016/j.jada.2011.06.410.

    Article  PubMed  Google Scholar 

  39. Finistrella V, Manco M, Ferrara A, Rustico C, Presaghi F, Morino G. Cross-sectional exploration of maternal reports of food neophobia and pickiness in preschooler-mother dyads. J Am Coll Nutr. 2012;31(3):152–9.

    Article  PubMed  Google Scholar 

  40. • Jones L, Moschonis G, Oliveira A, de Lauzon-Guillain B, Manios Y, Xepapadaki P, et al. The influence of early feeding practices on healthy diet variety score among pre-school children in four European birth cohorts. Public Health Nutr. 2015;18(10):1774–84. doi:10.1017/s1368980014002390. Very large sample from four cohorts showing the important influence of breastfeeding on the healthiness of young children’s diets.

    Article  PubMed  Google Scholar 

  41. Birch LL, Gunder L, Grimm-Thomas K, Laing DG. Infants' consumption of a new food enhances acceptance of similar foods. Appetite. 1998;30(3):283–95.

    Article  CAS  PubMed  Google Scholar 

  42. Birch LL. The role of experience in children's food acceptance patterns. J Am Diet Assoc. 1987;87(9 Suppl):S36–40.

    CAS  PubMed  Google Scholar 

  43. Birch LL, Birch D, Marlin DW, Kramer L. Effects of instrumental consumption on children's food preference. Appetite. 1982;3(2):125–34.

    Article  CAS  PubMed  Google Scholar 

  44. Loewen R, Pliner P. Effects of prior exposure to palatable and unpalatable novel foods on children's willingness to taste other novel foods. Appetite. 1999;32(3):351–66. doi:10.1006/appe.1998.0216.

    Article  CAS  PubMed  Google Scholar 

  45. Wardle J, Cooke LJ, Gibson EL, Sapochnik M, Sheiham A, Lawson M. Increasing children's acceptance of vegetables; a randomized trial of parent-led exposure. Appetite. 2003;40(2):155–62.

    Article  PubMed  Google Scholar 

  46. Wardle J, Herrera ML, Cooke L, Gibson EL. Modifying children's food preferences: the effects of exposure and reward on acceptance of an unfamiliar vegetable. Eur J Clin Nutr. 2003;57(2):341–8.

    Article  CAS  PubMed  Google Scholar 

  47. Cooke LJ, Wardle J, Gibson EL, Sapochnik M, Sheiham A, Lawson M. Demographic, familial and trait predictors of fruit and vegetable consumption by pre-school children. Public Health Nutr. 2004;7(2):295–302. doi:10.1079/PHN2003527.

    Article  CAS  PubMed  Google Scholar 

  48. Gibson EL, Wardle J. Energy density predicts preferences for fruit and vegetables in 4-year-old children. Appetite. 2003;41(1):97–8.

    Article  CAS  PubMed  Google Scholar 

  49. Galloway AT, Fiorito L, Lee Y, Birch LL. Parental pressure, dietary patterns, and weight status among girls who are "picky eaters". J Am Diet Assoc. 2005;105(4):541–8. doi:10.1016/j.jada.2005.01.029.

    Article  PubMed  PubMed Central  Google Scholar 

  50. Gregory JE, Paxton SJ, Brozovic AM. Pressure to eat and restriction are associated with child eating behaviours and maternal concern about child weight, but not child body mass index, in 2-to 4-year-old children. Appetite. 2010;54(3):550–6. doi:10.1016/j.appet.2010.02.013.

    Article  PubMed  Google Scholar 

  51. Jansen PW, Tharner A, van der Ende J, Wake M, Raat H, Hofman A, et al. Feeding practices and child weight: is the association bidirectional in preschool children? Am J Clin Nutr. 2014;100(5):1329–36. doi:10.3945/ajcn.114.088922.

    Article  CAS  PubMed  Google Scholar 

  52. Wardle J, Carnell S, Cooke L. Parental control over feeding and children's fruit and vegetable intake: How are they related? J Am Diet Assoc. 2005;105(2):227–32. doi:10.1016/j.jada.2004.11.006.

    Article  PubMed  Google Scholar 

  53. Brown KA, Ogden J, Vogele C, Gibson EL. The role of parental control practices in explaining children's diet and BMI. Appetite. 2008;50(2-3):252–9. doi:10.1016/j.appet.2007.07.010.

    Article  PubMed  Google Scholar 

  54. Tharner A, Jansen PW, Kiefte-de Jong JC, Moll HA, van der Ende J, Jaddoe VW, et al. Toward an operative diagnosis of fussy/picky eating: a latent profile approach in a population-based cohort. Int J Behav Nutr Phys Act. 2014;11:14. doi:10.1186/1479-5868-11-14.

    Article  PubMed  PubMed Central  Google Scholar 

  55. Birch LL. Effects of peer models food choices and eating behaviors on preschoolers food preferences. Child Dev. 1980;51(2):489–96.

    Google Scholar 

  56. Brown R, Ogden J. Children's eating attitudes and behaviour: a study of the modelling and control theories of parental influence. Health Educ Res. 2004;19(3):261–71. doi:10.1093/her/cyg04019/3/261.

    Article  PubMed  Google Scholar 

  57. Moore SN, Tapper K, Murphy S. Feeding strategies used by mothers of 3-5-year-old children. Appetite. 2007;49(3):704–7. doi:10.1016/j.appet.2007.07.009.

    Article  PubMed  Google Scholar 

  58. Lowe CF, Horne PJ, Hardman CA, Tapper K. A peer-modeling and rewards-based intervention is effective in increasing fruit and vegetable consumption in children. Prev Med. 2006;43(4):351. doi:10.1016/j.ypmed.2006.04.013.

    Article  PubMed  Google Scholar 

  59. van Sluijs EM, McMinn AM, Inskip HM, Ekelund U, Godfrey KM, Harvey NC, et al. Correlates of light and moderate-to-vigorous objectively measured physical activity in four-year-old children. PLoS One. 2013;8(9):e74934. doi:10.1371/journal.pone.0074934.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  60. Wang H, Sekine M, Chen X, Kanayama H, Yamagami T, Kagamimori S. Sib-size, birth order and risk of overweight in junior high school students in Japan: results of the Toyama Birth Cohort Study. Prev Med. 2007;44(1):45–51. doi:10.1016/j.ypmed.2006.07.015.

    Article  PubMed  Google Scholar 

  61. Mazur A, Klimek K, Telega G, Hejda G, Wdowiak L, Malecka-Tendera E. Risk factors for obesity development in school children from south-eastern Poland. Ann Agric Environ Med. 2008;15(2):281–5.

    PubMed  Google Scholar 

  62. Gibson EL, Coxon C, Crossman M, Norbury R, Bakic D, Elias-Stagg F, et al. Family influence on portion size? Sibling number and birth position are inversely related to maximum portions chosen across a range of foods. Appetite. 2016;107:681.

    Article  Google Scholar 

  63. Tharner A, Jansen PW, Kiefte-de Jong JC, Moll HA, Hofman A, Jaddoe VW, et al. Bidirectional associations between fussy eating and functional constipation in preschool children. J Pediatr. 2015;166(1):91–6. doi:10.1016/j.jpeds.2014.09.028.

    Article  PubMed  Google Scholar 

  64. Jacobi C, Agras WS, Bryson S, Hammer LD. Behavioral validation, precursors, and concomitants of picky eating in childhood. J Am Acad Child Adolesc Psychiatry. 2003;42(1):76–84. doi:10.1097/00004583-200301000-00013.

    Article  PubMed  Google Scholar 

  65. • Xue Y, Lee E, Ning K, Zheng Y, Ma D, Gao H, et al. Prevalence of picky eating behaviour in Chinese school-age children and associations with anthropometric parameters and intelligence quotient. A cross-sectional study. Appetite. 2015;91:248–55. doi:10.1016/j.appet.2015.04.065. Evidence for lower micronutrient levels in blood of 7-10 year-old picky eaters, as well as lower weight, but also of higher IQ.

    Article  PubMed  Google Scholar 

  66. Carruth BR, Ziegler PJ, Gordon A, Barr SI. Prevalence of picky eaters among infants and toddlers and their caregivers' decisions about offering a new food. J Am Diet Assoc. 2004;104(1 Suppl 1):s57–64. doi:10.1016/j.jada.2003.10.024.

    Article  PubMed  Google Scholar 

  67. Cardona Cano S, Hoek HW, van Hoeken D, de Barse LM, Jaddoe VW, Verhulst FC, et al. Behavioral outcomes of picky eating in childhood: a prospective study in the general population. J Child Psychol Psychiatry. 2016;57(11):1239–46. doi:10.1111/jcpp.12530.

    Article  PubMed  Google Scholar 

  68. Goh DY, Jacob A. Perception of picky eating among children in Singapore and its impact on caregivers: a questionnaire survey. Asia Pacific Fam Med. 2012;11(1):5. doi:10.1186/1447-056X-11-5.

    Article  Google Scholar 

  69. Wardle J, Guthrie CA, Sanderson S, Rapoport L. Development of the Children's Eating Behaviour Questionnaire. J Child Psychol Psychiatry. 2001;42(7):963–70.

    Article  CAS  PubMed  Google Scholar 

  70. Wardle J, Sanderson S, Gibson E, Rapoport L. Factor-analytic structure of food preferences in four-year-old children in the UK. Appetite. 2001;37(3):217–23.

    Article  CAS  PubMed  Google Scholar 

  71. Pliner P. Development of measures of food neophobia in children. Appetite. 1994;23(2):147–63. doi:10.1006/appe.1994.1043.

    Article  CAS  PubMed  Google Scholar 

  72. Cashdan E. Adaptiveness of food learning and food aversions in children. Soc Sci Inform. 1998;37(4):613–32.

    Article  Google Scholar 

  73. Birch LL. Development of food preferences. Annual Rev Nutr. 1999;19:41–62.

    Article  CAS  Google Scholar 

  74. Addessi E, Galloway AT, Visalberghi E, Birch LL. Specific social influences on the acceptance of novel foods in 2-5-year-old children. Appetite. 2005;45(3):264–71. doi:10.1016/j.appet.2005.07.007.

    Article  PubMed  Google Scholar 

  75. Koivisto UK, Sjoden PO. Food and general neophobia in Swedish families: parent-child comparisons and relationships with serving specific foods. Appetite. 1996;26(2):107–18. doi:10.1006/appe.1996.0009.

    Article  CAS  PubMed  Google Scholar 

  76. Moding KJ, Stifter CA. Stability of food neophobia from infancy through early childhood. Appetite. 2016;97:72–8. doi:10.1016/j.appet.2015.11.016.

    Article  PubMed  Google Scholar 

  77. •• de Barse LM, Cardona Cano S, Jansen PW, Jaddoe VV, Verhulst FC, Franco OH, et al. Are parents' anxiety and depression related to child fussy eating? Arch Dis Child. 2016;101(6):533–8. doi:10.1136/archdischild-2015-309101. Important recent evidence that parental anxiety and depression tendencies were prospectively associated with fussy eating in their children.

    Article  PubMed  Google Scholar 

  78. Pliner P, Loewen ER. Temperament and food neophobia in children and their mothers. Appetite. 1997;28(3):239–54. doi:10.1006/appe.1996.0078.

    Article  CAS  PubMed  Google Scholar 

  79. Pliner P, Hobden K. Development of a scale to measure the trait of food neophobia in humans. Appetite. 1992;19(2):105–20.

    Article  CAS  PubMed  Google Scholar 

  80. Koivisto UK, Sjoden PO. Reasons for rejection of food items in Swedish families with children aged 2-17. Appetite. 1996;26(1):89–103. doi:10.1006/appe.1996.0007.

    Article  CAS  PubMed  Google Scholar 

  81. Coulthard H, Sahota S. Food neophobia and enjoyment of tactile play: Associations between preschool children and their parents. Appetite. 2016;97:155–9. doi:10.1016/j.appet.2015.11.028.

    Article  PubMed  Google Scholar 

  82. Plomin R, Rowe DC. A twin study of temperament in young children. J Psychol. 1977;97(1st Half):107–13.

    Article  CAS  PubMed  Google Scholar 

  83. Faith MS, Heo M, Keller KL, Pietrobelli A. Child food neophobia is heritable, associated with less compliant eating, and moderates familial resemblance for BMI. Obesity. 2013;21(8):1650–5. doi:10.1002/oby.20369.

    Article  PubMed  Google Scholar 

  84. Cooke LJ, Haworth CM, Wardle J. Genetic and environmental influences on children's food neophobia. Am J Clin Nutr. 2007;86(2):428-33. doi:86/2/428 [pii].

  85. Knaapila A, Tuorila H, Silventoinen K, Keskitalo K, Kallela M, Wessman M, et al. Food neophobia shows heritable variation in humans. Physiol Behav. 2007;91(5):573–8. doi:10.1016/j.physbeh.2007.03.019.

    Article  CAS  PubMed  Google Scholar 

  86. Knaapila A, Silventoinen K, Broms U, Rose RJ, Perola M, Kaprio J, et al. Food neophobia in young adults: genetic architecture and relation to personality, pleasantness and use frequency of foods, and body mass index--a twin study. Behav Genet. 2011;41(4):512–21. doi:10.1007/s10519-010-9403-8.

    Article  PubMed  Google Scholar 

  87. Birch LL. Dimensions of preschool children's food preferences. J Nutr Educ. 1979;11(2):77–80.

    Article  Google Scholar 

  88. Birch LL, Marlin DW. I don't like it; I never tried it: effects of exposure on two-year-old children's food preferences. Appetite. 1982;3(4):353–60.

    Article  CAS  PubMed  Google Scholar 

  89. Mikula G. Influencing food preferences of children by if-then type instructions. Eur J Soc Psychol. 1989;19(3):225–41.

    Article  Google Scholar 

  90. Newman J, Taylor A. Effect of a means-end contingency on young children's food preferences. J Exp Child Psychol. 1992;53(2):200–16.

    Article  CAS  PubMed  Google Scholar 

  91. Greene D, Lepper MR. Effects of extrinsic rewards on children's subsequent intrinsic interest. Child Dev. 1974;45(4):1141–5.

    Article  CAS  PubMed  Google Scholar 

  92. Hendy HM, Williams KE, Camise TS. "Kids Choice" school lunch program increases children's fruit and vegetable acceptance. Appetite. 2005;45(3):250–63. doi:10.1016/j.appet.2005.07.006.

    Article  PubMed  Google Scholar 

  93. Horne PJ, Hardman CA, Lowe CF, Tapper K, Le Noury J, Madden P, et al. Increasing parental provision and children's consumption of lunchbox fruit and vegetables in Ireland: the Food Dudes intervention. Eur J Clin Nutr. 2009;63(5):613–8. doi:10.1038/ejcn.2008.34.

    Article  CAS  PubMed  Google Scholar 

  94. Cooke LJ, Chambers LC, Añez EV, Wardle J. Facilitating or undermining? The effect of reward on food acceptance. A narrative review. Appetite. 2011;57(2):493–7. doi:10.1016/j.appet.2011.06.016.

    Article  PubMed  Google Scholar 

  95. Campbell KJ, Crawford DA, Hesketh KD. Australian parents' views on their 5-6-year-old children's food choices. Health Promot Int. 2007;22(1):11–8. doi:10.1093/heapro/dal035.

    Article  PubMed  Google Scholar 

  96. Cooke LJ, Chambers LC, Añez EV, Croker HA, Boniface D, Yeomans MR, et al. Eating for pleasure or profit: the effect of incentives on children's enjoyment of vegetables. Psychol Sci. 2011;22(2):190–6. doi:10.1177/0956797610394662.

    Article  PubMed  Google Scholar 

  97. Remington A, Añez E, Croker H, Wardle J, Cooke L. Increasing food acceptance in the home setting: a randomized controlled trial of parent-administered taste exposure with incentives. Am J Clin Nutr. 2012;95(1):72–7. doi:10.3945/ajcn.111.024596.

    Article  CAS  PubMed  Google Scholar 

  98. • Fildes A, van Jaarsveld CH, Wardle J, Cooke L. Parent-administered exposure to increase children's vegetable acceptance: a randomized controlled trial. J Acad Nutr Diet. 2014;114(6):881–8. doi:10.1016/j.jand.2013.07.040. Useful at-home intervention system for parents to apply ‘exposure plus reward’ that successfully increased vegetable consumption.

    Article  PubMed  PubMed Central  Google Scholar 

  99. • Skouteris H, Hill B, McCabe M, Swinburn B, Busija L. A parent-based intervention to promote healthy eating and active behaviours in pre-school children: evaluation of the MEND 2-4 randomized controlled trial. Pediatr Obes. 2016;11(1):4–10. doi:10.1111/ijpo.12011. Intensive 10-week intervention to reduce obesity risk in young children resulted in reduced food neophobia at 12 months follow-up, though not at 6 months post-intervention. Thus, parents may have continued the taste exposure intervention, suggesting that 10 weeks was too short to affect neophobia.

    Article  CAS  PubMed  Google Scholar 

  100. Ensaff H, Crawford R, Russell JM, Barker ME. Preparing and sharing food: a quantitative analysis of a primary school-based food intervention. J Public Health (Oxf). 2016. doi:10.1093/pubmed/fdw086.

  101. • Battjes-Fries MC, Haveman-Nies A, Zeinstra GG, van Dongen EJ, Meester HJ, van den Top-Pullen R et al. Effectiveness of Taste Lessons with and without additional experiential learning activities on children's willingness to taste vegetables. Appetite. 2016. doi:10.1016/j.appet.2016.05.020. Large-scale intervention in 10-year-olds from 33 primary schools: lack of intervention effects suggests more intense interventions needed and/or at an earlier age.

  102. • Laureati M, Bergamaschi V, Pagliarini E. School-based intervention with children. Peer-modeling, reward and repeated exposure reduce food neophobia and increase liking of fruits and vegetables. Appetite. 2014;83:26–32. doi:10.1016/j.appet.2014.07.031. Replication of ‘Food Dudes’ modelling intervention, with reduced neophobia as an outcome.

    Article  PubMed  Google Scholar 

  103. Cooke L, Carnell S, Wardle J. Food neophobia and mealtime food consumption in 4-5 year old children. Int J Behav Nutr Phys Act. 2006;3:14. doi:10.1186/1479-5868-3-14.

    Article  PubMed  PubMed Central  Google Scholar 

  104. Dubois L, Farmer AP, Girard M, Peterson K. Preschool children's eating behaviours are related to dietary adequacy and body weight. Eur J Clin Nutr. 2007;61(7):846–55. doi:10.1038/sj.ejcn.1602586.

    Article  CAS  PubMed  Google Scholar 

  105. Dubois L, Farmer A, Girard M, Peterson K, Tatone-Tokuda F. Problem eating behaviors related to social factors and body weight in preschool children: A longitudinal study. Int J Behav Nutr Phys Act. 2007;4:9. doi:10.1186/1479-5868-4-9.

    Article  PubMed  PubMed Central  Google Scholar 

  106. • Antoniou EE, Roefs A, Kremers SP, Jansen A, Gubbels JS, Sleddens EF, et al. Picky eating and child weight status development: a longitudinal study. J Hum Nutr Diet. 2016;29(3):298–307. doi:10.1111/jhn.12322. Dutch picky eaters followed from age 5 to 9 tended to be shorter and were more likely to be underweight than non-picky eaters.

    Article  CAS  PubMed  Google Scholar 

  107. Ekstein S, Laniado D, Glick B. Does picky eating affect weight-for-length measurements in young children? Clin Pediatr. 2010;49(3):217–20. doi:10.1177/0009922809337331.

    Article  Google Scholar 

  108. • de Barse LM, Tiemeier H, Leermakers ET, Voortman T, Jaddoe VW, Edelson LR, et al. Longitudinal association between preschool fussy eating and body composition at 6 years of age: The Generation R Study. Int J Behav Nutr Phys Act. 2015;12:153. doi:10.1186/s12966-015-0313-2. Longitudinal study (2 years) reporting lower fat-free mass in fussy eaters vs. non-fussy eaters at 6 years old.

    Article  PubMed  PubMed Central  Google Scholar 

  109. • Mallan KM, Fildes A, Magarey AM, Daniels LA. The relationship between number of fruits, vegetables, and noncore foods tried at age 14 months and food preferences, dietary intake patterns, fussy eating behavior, and weight status at age 3.7 years. J Acad Nutr Diet. 2016;116(4):630–7. doi:10.1016/j.jand.2015.06.006. No evidence for differences in BMI by fussy eating status in children under 4 years old.

    Article  PubMed  Google Scholar 

  110. Carruth BR, Skinner JD. Revisiting the picky eater phenomenon: neophobic behaviors of young children. J Am Coll Nutr. 2000;19(6):771–80.

    Article  CAS  PubMed  Google Scholar 

  111. Wright CM, Parkinson KN, Drewett RF. How does maternal and child feeding behavior relate to weight gain and failure to thrive? Data from a prospective birth cohort. Pediatr. 2006;117(4):1262–9. doi:10.1542/peds.2005-1215.

    Article  Google Scholar 

  112. • Berger PK, Hohman EE, Marini ME, Savage JS, Birch LL. Girls' picky eating in childhood is associated with normal weight status from ages 5 to 15 y. Am J Clin Nutr. 2016. doi:10.3945/ajcn.116.142430. The longest longitudinal study following effects of picky eating on weight change after 10 years in girls only: picky eaters had lower but healthy weight.

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to E. Leigh Gibson.

Ethics declarations

Conflict of Interest

E. Leigh Gibson and Lucy Cooke declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

Additional information

This article is part of the Topical Collection on Psychological Issues

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Gibson, E.L., Cooke, L. Understanding Food Fussiness and Its Implications for Food Choice, Health, Weight and Interventions in Young Children: The Impact of Professor Jane Wardle. Curr Obes Rep 6, 46–56 (2017). https://doi.org/10.1007/s13679-017-0248-9

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13679-017-0248-9

Keywords

Navigation