Nutr Res Pract.  2019 Apr;13(2):169-177. 10.4162/nrp.2019.13.2.169.

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

• Woo T
• Lee KH

• KMID: 2442374
• DOI: http://doi.org/10.4162/nrp.2019.13.2.169

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.

Keyword

Child; food preferences; parenting; theory of planned behavior

MeSH Terms

Child*
Chronic Disease
Food Preferences
Humans
Informed Consent
Intention
Methods
Obesity
Parenting*
Parents*
Reward

Reference

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; 43:235–245.

2. Contento IR. Nutrition Education: Linking Research, Theory, and Practice. 3rd ed. Burlington (MA): Jones & Bartlett Learning;2016. p. 31–37. p. 75p. 108p. 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.

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, Piché 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.

7. Scaglioni S, Arrizza C, Vecchi F, Tedeschi S. Determinants of children's eating behavior. Am J Clin Nutr. 2011; 94:2006S–2011S.

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; 21:102–111.

9. Dennis EJ, Kang MJ, Han SN. Relation between beverage consumption pattern and metabolic syndrome among healthy Korean adults. Korean J Community Nutr. 2017; 22:441–455.

10. De Cosmi V, Scaglioni S, Agostoni C. Early taste experiences and later food choices. Nutrients. 2017; 9:E107.

11. Reed DR, McDaniel AH. The human sweet tooth. BMC Oral Health. 2006; 6:Suppl 1. 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; 44:172–177.

13. Bazillier C, Verlhiac JF, Mallet P, Rouëssé J. Predictors of intentions to eat healthily in 8-9-year-old children. J Cancer Educ. 2011; 26:572–576.

14. Musher-Eizenman D, Holub S. Comprehensive feeding practices questionnaire: validation of a new measure of parental feeding practices. J Pediatr Psychol. 2007; 32:960–972.

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; 45:372–389.

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; 45:390–399.

18. Bae JM, Kang MH. Age difference in association between obesity and Nutrition Quotient scores of preschoolers and school children. J Nutr Health. 2016; 49:447–458.

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.

20. Takemi Y, Woo T. Comparison of sweetness preference and motivational factors between Korean and Japanese children. J Nutr Health. 2017; 50:53–63.

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.

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.

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; 71:232–241.

25. Savage JS, Fisher JO, Birch LL. Parental influence on eating behavior: conception to adolescence. J Law Med Ethics. 2007; 35:22–34.

26. Cooke LJ, Chambers LC, Añez EV, Wardle J. Facilitating or undermining? The effect of reward on food acceptance. A narrative review. Appetite. 2011; 57:493–497.