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Objective

Although healthy dietary habits established in early childhood are critical for lifelong health, most previous studies have relied predominantly on parental proxy reports rather than children’s self-perceptions. This study compared preschoolers’ self-perceived healthy dietary practices with their parents’ evaluations and examined discrepancies between them.
Methods
This study included 243 preschoolers aged 2 to 7 years and their parents, recruited from daycare centers in Cheonan, South Korea. Data were collected using the validated, structured, self-administered Healthy Eating Practice Questionnaire, which assessed nutrition and hygiene. Mean Healthy Eating Practice Scores were compared between preschoolers and their parents using paired t-tests, and stratified analyses were conducted by sex and age.
Results
Preschoolers rated their healthy dietary practices significantly higher than their parents did (P<0.001). The discrepancy was greater for nutrition than for hygiene, with hygiene ratings more consistent. This domain-specific pattern was consistent across sexes and age groups. When stratified by sex and age, preschooler-parent Healthy Eating Practice Score differences were significantly higher in boys than in girls (25.0±21.0 vs. 20.0±14.9, respectively; P=0.035).
Conclusion
Discrepancies between preschoolers’ self-perceptions and their parents’ evaluations suggest that incorporating both perspectives is essential for accurately assessing children’s dietary practices. These findings support the development of dual-perspective dietary assessment and education strategies in early childhood.
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One Menu Please: Parents Want Affordable, Right-sized Portions for Their Children in Restaurants
Seung Hee Lee-Kwan, Sohyun Park, Leah Maynard, Heidi M. Blanck
Clin Nutr Res 2018;7(4):241-247.   Published online October 17, 2018
DOI: https://doi.org/10.7762/cnr.2018.7.4.241

One contributing factor to the obesity epidemic is the large portion sizes served in restaurants. However, no study has looked at the parents' desire for smaller-portioned meals for their children at restaurants in the U.S. This study examined parents' preference for restaurants to offer smaller, lower-priced child portions for their children and reasons for the preference. Multivariable logistic regression was used to estimate adjusted odds ratios (ORs) for the association between preference for child portions and variables on parental sociodemographic characteristics and weight status. About 70% of parents said they would prefer that restaurants offer smaller, lower-priced child portions of all menu offerings. The adjusted odds of preferring child portions were significantly higher among Hispanic parents (OR, 1.95 vs. non-Hispanic whites) but significantly lower among parents with lower education (≤ high school, OR, 0.64; some college, OR, 0.69 vs. college graduate) and parents residing in the Midwest or West (Midwest, OR, 0.61; West, OR, 0.58 vs. South). The most common reason for preferring child portions of all meals was “wanting my child to eat healthier foods that are not offered on the children's menu” (72%). These findings can be used to encourage restaurants and other venues to consider offering child portions of healthier menu items.

Citations

Citations to this article as recorded by  
  • Progress Evaluation for Transnational Restaurant Chains to Reformulate Products and Standardize Portions to Meet Healthy Dietary Guidelines and Reduce Obesity and Non-Communicable Disease Risks, 2000–2018: A Scoping and Systematic Review to Inform Policy
    Vivica Kraak, Sofia Rincón-Gallardo Patiño, Deepthi Renukuntla, Eojina Kim
    International Journal of Environmental Research and Public Health.2019; 16(15): 2732.     CrossRef
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