Evidence map›Paper›PMID 40563218›Full record

ArticleJournal of human nutrition and dietetics : the official journal of the British Dietetic Association2025

Barriers to Healthy Eating and Influences on the Dietary Patterns and Eating Behaviours of 18-36-Month-Old Children in Ireland.

Ben Leen Smith, Mairead E Kiely, Elaine K McCarthy

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Article in Journal of human nutrition and dietetics : the official journal of the British Dietetic Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Ben Leen SmithCork Centre for Vitamin D and Nutrition Research, School of Food and Nutritional Sciences, University College Cork, Cork, Ireland.ORCID https://orcid.org/0009-0001-3120-3367
Mairead E KielyCork Centre for Vitamin D and Nutrition Research, School of Food and Nutritional Sciences, University College Cork, Cork, Ireland.
Elaine K McCarthyCork Centre for Vitamin D and Nutrition Research, School of Food and Nutritional Sciences, University College Cork, Cork, Ireland.ORCID https://orcid.org/0000-0002-9809-1769

Funding

This study was supported by funding through the MTI Technology Centre. MTI is funded by Enterprise Ireland under the Technology Centre programme in collaboration with beef processors Ashbourne Meat Processors, Liffey Meats, Dawn Meats, ABP Food Group and Kepak.
6 · The paper itself

Abstract

backgroundYoung children have high nutritional requirements relative to their size and energy intakes, yet inadequate nutrient intakes are widespread. Factors impacting the ability of caregivers to provide nutritionally adequate diets to young children are understudied.

objectiveTo evaluate key influences on the dietary patterns and eating behaviours of young children in Ireland.

methodsParents and guardians with a child aged 18-36 months were invited to complete a self-administered online survey. The 103-question survey was delivered across 5 subsections (Socio-Demographics, Parental Nutrition Knowledge, Parental Feeding Practice, Child Food Fussiness, Barriers to Healthy Eating and Dietary Patterns). Adherence (%) to current Dietary Guidelines for 1-5-year-olds and the Children's Food Pyramid were assessed using a food frequency approach to create an adherence score based on 7 components, including consumption of red and processed meat, fish, dairy, fruit and vegetables, confectionary and beverages.

resultsWe received 1158 responses, mostly from mothers (96.3%) born in Ireland (85.5%), of whom 80.1% had at least a primary degree. The mean (±SD) age of children was 26.2 ± 5.8 months and 54.6% were enrolled in an early years service, of which 74.3% provided food. The mean (±SD) dietary guideline adherence score among children was 55.5% ± 19.7%. The Children's Food Pyramid was recognised by 76.3% of parents and mean (±SD) nutrition knowledge score was 57.9% ± 14.6%, which was associated with dietary guideline adherence (r = 0.122, p < 0.001). Reported barriers to healthy eating were "food fussiness" (49%), "time to prepare healthy foods" (47%) and "provision of unhealthy foods by caregivers outside the home" (47%). Moderate to severe fussy eating was noted in 36% of children and food fussiness was associated with lower dietary guideline adherence (r = -0.172, p < 0.001). The children of respondents (13.1%) following restrictive diets (e.g., vegetarian, gluten-free) had a lower than average dietary guideline adherence score (50.2% ± 18.3% p < 0.001).

conclusionsMany associated factors influence the dietary patterns of young children. Improved understanding of these influences may help to guide the design of targeted nutrition supports and education programmes for this age group.

Indexed as

Diet, HealthyFeeding BehaviorHealth Knowledge, Attitudes, PracticeAdultChild, PreschoolDietFemaleFood FussinessHumansInfantIrelandMaleNutrition PolicyParentsSurveys and Questionnairesbarriers to healthy eatingdietary patternseating behavioursnutrition knowledgepicky eatingyoung children

Identifiers

PMID40563218
PMCPMC12198483

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.