ASSOCIATION BETWEEN PARENTAL PSYCHOLOGICAL FACTORS AND VEGETABLE INTAKE IN CHILDREN WITH INTELLECTUAL DISABILITIES IN JAPAN: A CROSS-SECTIONAL STUDY

AKEMI NISHIDE

doi:10.17501/24246735.2023.8204

Authors

AKEMI NISHIDE Ibaraki Christian University

DOI:

https://doi.org/10.17501/24246735.2023.8204%20%20

Keywords:

Vegetable intake, Children with intellectual disabilities, Cross sectional study, outcome expectancy, self-efficacy

Abstract

An adequate vegetable intake provides essential nutrients, and the importance of vegetable intake has been emphasized. Picky eating behaviour, which is a problem in children with intellectual disability (ID), may result in a lack of vegetable intake. The aim of this research was to investigate how parental psychological factors, e.g. self-efficacy, outcome expectancy, is associated with vegetable intake in children with ID. This cross-sectional study was conducted on school children from sixteen special needs schools in the Ibaraki prefecture and the two in other areas. A questionnaire on parental outcome expectancy, self-efficacy and a brief self-administered diet history questionnaire (BDHQ) was distributed to parents of all school children in the first to sixth grade of elementary school on 2nd September 2022. Parental outcome expectancy and self-efficacy were assessed using a five-ordinal scale. A lack of vegetable intake is defined as less than 130g of vegetable intake, which for children, is considered to be two portions. Logistic regression analysis was used to estimate the odds ratio (O.R.) with a 95% confidence interval for analysis of the effects of parental factors on the children’s vegetable intake. The data is based on a total of 447 participants (27.6% participation rate). It was observed that the parents of children who consume less than 130g of vegetables a day have a lower outcome expectancy of adequate vegetable consumption (adjusted O.R.=0.877,p=0.017); a higher tendency to stop too much snacking (adjusted O.R.=1.562,p=0.065); a lower self-efficacy regarding adequate vegetable intake (adjusted O.R.=0.508, p<0.01) and a higher tendency to stop too much snacking (adjusted O.R.=1.261, p=0.057) than the parents of children who consume more than 130g of vegetables a day. The parents of children who consume fewer vegetables tend to have lower self-efficacy regarding adequate vegetable intake, which may lead to a lower outcome expectancy. It is necessary to encourage these parents to become aware of the benefits of vegetable intake and it is important that they believe in their children’s ability to eat a wide variety of food, including vegetables.

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References

Bandini, L. G., Curtin, C., Eliasziw, M., Phillips, S., Jay, L., Maslin, M., & Must, A. (2019). Food selectivity in a diverse sample of young children with and without intellectual disabilities. Appetite, 133, 433-440.

Belogianni, K., Benetou, V. & Linos, A. (2019). National Dietary Guidelines of Greece for children and adolescents: A tool for promoting healthy eating habits. Public Health Nutrition, 22(14), 2688-2699. doi:10.1017/S136898001900103

Bere, E., & Klepp, K. I. (2004). Correlates of fruit and vegetable intake among Norwegian schoolchildren: parental and self-reports. Public health nutrition, 7(8), 991–998.

Cullen, K. W., Baranowski, T., Rittenberry, L., Cosart, C., Hebert, D., & de Moor, C. (2001). Child-reported family and peer influences on fruit, juice and vegetable consumption: reliability and validity of measures. Health education research, 16(2), 187–200.

De Bourdeaudhuij, I., te Velde, S., Brug, J., Due, P., Wind, M., Sandvik, C., Maes, L., Wolf, A., Perez Rodrigo, C., Yngve, A., Thorsdottir, I., Rasmussen, M., Elmadfa, I., Franchini, B., & Klepp, K. I. (2008). Personal, social and environmental predictors of daily fruit and vegetable intake in 11-year-old children in nine European countries. European journal of clinical nutrition, 62(7), 834–841.

De Bourdeaudhuij, I., Yngve, A., te Velde, S. J., Klepp, K. I., Rasmussen, M., Thorsdottir, I., Wolf, A., & Brug, J. (2006). Personal, social and environmental correlates of vegetable intake in normal weight and overweight 9 to 13-year old boys. The international journal of behavioral nutrition and physical activity, 3, 37.

Derrien, M., Alvarez, A. S., & de Vos, W. M. (2019). The Gut Microbiota in the First Decade of Life. Trends in microbiology, 27(12), 997–1010.https://doi.org/10.1016/j.tim. 2019.08.001

Granner, M. L., Sargent, R. G., Calderon, K. S., Hussey, J. R., Evans, A. E., & Watkins, K. W. (2004). Factors of fruit and vegetable intake by race, gender, and age among young adolescents. Journal of nutrition education and behavior, 36(4), 173–180.

Kastorini, C., Critselis, E., Zota, D., Coritsidis, A., Nagarajan, M., Papadimitriou, E., Kobayashi, S., Murakami, K., Sasaki, S., Okubo, H., Hirota, N., Notsu, A., Fukui, M., & Date, C. (2011). Comparison of relative validity of food group intakes estimated by comprehensive and brief-type self-administered diet history questionnaires against 16 d dietary records in Japanese adults. Public health nutrition, 14(7), 1200–1211.

Koh, G. A., Scott, J. A., Woodman, R. J., Kim, S. W., Daniels, L. A., & Magarey, A. M. (2014). Maternal feeding self-efficacy and fruit and vegetable intakes in infants. Results from the SAIDI study. Appetite, 81, 44–51. https://doi.org/10.1016/j.appet.2014.06.008

Kristjansdottir, A. G., Thorsdottir, I., De Bourdeaudhuij, I., Due, P., Wind, M., & Klepp, K. I. (2006). Determinants of fruit and vegetable intake among 11-year-old schoolchildren in a country of traditionally low fruit and vegetable consumption. The international journal of behavioral nutrition and physical activity, 3, 41. https://doi.org/10.1186/1479-5868-3-41

Le Zhang, M., Boyd, A., Cheung, S. Y., Sharland, E.,Scourfield, J. (2020). Social work contact in a UK cohort study: Under-reporting, predictors of contact and the emotional and behavioural problems of children. Children and Youth Services Review, 115, 105071.

Mechanic D. (1980). The experience and reporting of common physical complaints. Journal of health and social behavior, 21(2), 146–155.

Ministry of Health, Labour and Welfare (2020) The report of National Health and Nutrition Survey 2019 https://www.nibiohn.go.jp/eiken/kenkounippon21/ download_files/eiyouchousa/2019.pdf

Ocké, M. C., Van Rossum, C. T. M., Fransen, H. P., Buurma, E. M., De Boer, E. J., Brants, H. A. M., Niekerk, E.M., Van der Laan, J.D., Drijvers, J.J.M.M. & Ghameshlou, Z. (2008). Dutch national food consumption survey young children 2005/2006. RIVM report 350070001.

Reinaerts, E., de Nooijer, J., Candel, M., & de Vries, N. (2007). Explaining school children's fruit and vegetable consumption: the contributions of availability, accessibility, exposure, parental consumption and habit in addition to psychosocial factors. Appetite, 48(2), 248–258.

Te Velde S. J., Twisk J. W., Brug J.(2007)Tracking of fruit and vegetable consumption from adolescence into adulthood and its longitudinal association with overweight. British Journal of Nutrition, 98(2), 431-438.