Selective eating behaviors in children An observational validation of parental report measures_2018.pdf

<div>A B S T R A C T</div><div>Selective eating in children is commonly measured by parental report questionnaires, yet it is unknown if parents</div><div>accurately estimate their child's selective eating behavior. The objectives of this study were to test the validity</div><div>and stability of two measures of selective eating using observed child behavior. Low-income mother-child dyads</div><div>participated in a videotaped laboratory eating protocol at two time points (baseline: mean child age=5.9 years;</div><div>follow-up: mean child age=8.6 years), during which they were presented with a familiar and an unfamiliar</div><div>vegetable. Videos were reliably coded for child selective eating behaviors: amount consumed, child hedonic</div><div>rating of vegetables, child compliance with maternal prompts to eat, latency to first bite, number of bites, and</div><div>negative utterances. Mothers completed the Child Eating Behavior Questionnaire Food Fussiness (CEBQ FF) scale</div><div>and the Food Neophobia Scale (FNS) at both time points. Questionnaire validity, stability of measured behaviors,</div><div>and discriminant validity of questionnaires were examined in the full sample. CEBQ FF scores and FNS scores</div><div>were both inversely correlated with the quantity consumed, child hedonic rating, and compliance with prompts</div><div>to eat for both familiar and unfamiliar vegetables at baseline and at follow up. CEBQ FF and FNS scores were</div><div>inversely correlated with number of bites (for both foods), positively correlated with latency to first bite (for</div><div>both foods), and inversely correlated with child negative utterances (for the familiar food only). Notably, FNS</div><div>scores correlated with observed behavior for both familiar and unfamiliar foods, rather than demonstrating a</div><div>specific association with unfamiliar foods only. This study supports the validity of the CEBQ FF and FNS in lowincome</div><div>early school-aged children.</div>