What Facets of Picky Eating Relate To Eating Concerns in Undergraduate Students?: The Moderating Effects of Inflexible Eating and Mental Health Concerns

Purpose: Picky eating (PE) can occur in adulthood and is associated with mental health concerns. PE is often conceptualized as distinct from disordered eating, but recent research maps positive relationships between these maladaptive eating phenotypes. Relatedly, recent research suggests PE is more strongly related to eating concerns, a facet of disordered eating, via inflexible eating and mental health concerns, but precisely what PE facets explain these relations remain unknown.Methods: A large, undergraduate sample (N=509) completed an online survey assessing PE facets (Adult Picky Eating Questionnaire; meal presentation, food variety, meal disengagement, and taste aversion), disordered eating (Eating Disorder Examination Questionnaire), specifically eating concerns, mental health concerns (Depression, Anxiety and Stress Scale - 21 Items), and inflexible eating (Inflexible Eating Questionnaire).Results: Positive relationships emerged between PE facets, eating concerns, inflexible eating, and mental health concerns. Meal disengagement was more strongly associated with eating concerns when inflexible eating was higher, whereas food variety and meal presentation were more strongly associated with eating concerns when mental health concerns was higher. Inflexible eating and mental health concerns did not significantly interact with taste aversion to explain variance in eating concerns.Conclusions: Considering PE multidimensionally may yield important insights beyond the broader construct. Mental health concerns and inflexible eating may be treatment and research targets in addressing the overlap between PE facets such as meal presentation, meal disengagement, and food variety and eating concerns. Level of Evidence: Level V, cross-sectional descriptive study.

RELATIONSHIP BETWEEN PICKY EATING AND NUTRITIONAL STATUS IN PRESCHOOL CHILDREN

Background : Picky eating is a condition when children refuse to eat certain foods. Picky eating usually stops within 2 years as part of the growth process, those who stop picky eating after more than 2 years tend to be more difficult to accept new types of food. This may be unfavorable for a child's growth and nutritional status. The study was conducted to analyze the relationship between picky eating with nutritional status in preschool children. Method : This research method was observational analytic quantitative with cross sectional research design. Sampling used a total sampling technique. Data was collected in 3 preschool in October 2019 using primary and secondary data. Primary data was collected using a questionnaire given to parents to measure picky eating used Child Eating Behavior Questionnaire (CEBQ). Nutritional status was measured bytaking anthropometric measurements of children. Data analysis used fisher exact correlation tests. Results : The results obtained a sample of 78 respondents from 3 preschool. The average age of children was 48,37 months with a median was 49,00. The result showed 62,8% of children were female, 55,1% were second or more children, 88,5% had routine growth monitoring, 53,8% were in extended families, and 73,1% of children were taken care by their parents. The prevalence of children with picky eating was 70,5%. Nutritional status measurements found 1.3% of children included in underweight category and 83,3% normal. Results of the analysis of the relationship between picky eating and nutritional status showed p value = 0,819. Conclusion : There was no relationship between picky eating with nutritional status in preschool children.

RESEARCH ON STRATEGIES OF HOME CARE AND INTERVENTION FOR STROKE BASED ON KNOWLEDGE RULES

For patients with stroke at home, strategies have been formulated for emotional nursing, sports rehabilitation nursing, and interventions for poor lifestyle habits such as smoking, drinking, and picky eating. Data were obtained through tracking investigation, effect evaluation indexes were developed according to Hamilton depression scale (HAMD), activities of daily living (ADL) and other rating scale; C4.5 decision tree algorithm was used to analyze the effect of nursing intervention strategy, then we derived the corresponding knowledge rules. We come to conclusions: ① Effective emotional care and bad living habits interventions are contributed to reduce the risk of stroke. ② Smoking, drinking, picky eating, exercising and other factors are associated, so we should combine and intervene them as to better perfect the risk of stroke to provide decision-making reference for home nursing and rehabilitation intervention of stroke patients.

Oral Nutritional Supplementation Improves Growth in Children at Malnutrition Risk and with Picky Eating Behaviors

The problem of poor nutrition with impaired growth persists in young children worldwide, including in India, where wasting occurs in 20% of urban children (<5 years). Exacerbating this problem, some children are described by their parent as a picky eater with behaviors such as eating limited food and unwillingness to try new foods. Timely intervention can help prevent nutritional decline and promote growth recovery; oral nutritional supplements (ONS) and dietary counseling (DC) are commonly used. The present study aimed to determine the effects of ONS along with DC on growth in comparison with the effects of DC only. Enrolled children (N = 321) were >24 to ≤48 months old, at malnutrition risk (weight-for-height percentile 3rd to 15th), and described as a picky eater by their parent. Enrollees were randomized to one of the three groups (N = 107 per group): ONS1 + DC; ONS2 + DC; and DC only. From day 1 to day 90, study findings showed significant increases in weight-for-height percentile for ONS1 + DC and for ONS2 + DC interventions, as compared to DC only (p = 0.0086 for both). There was no significant difference between the two ONS groups. Anthropometric measurements (weight and body mass index) also increased significantly over time for the two ONS groups (versus DC only, p < 0.05), while ONS1 + DC significantly improved mid-upper-arm circumference (p < 0.05 versus DC only), as well. ONS groups showed a trend toward greater height gain when compared to DC only group, but the differences were not significant within the study interval. For young Indian children with nutritional risk and picky eating behaviors, our findings showed that a 90-day nutritional intervention with either ONS1 or ONS2, along with DC, promoted catch-up growth more effectively than did DC alone.