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Picky Eating in Children: A Scoping Review to Examine Its Intrinsic and Extrinsic Features and How They Relate to Identification
Journal article   Open access   Peer reviewed

Picky Eating in Children: A Scoping Review to Examine Its Intrinsic and Extrinsic Features and How They Relate to Identification

Laine Chilman, Ann Kennedy-Behr, Thuy Frakking, Libby Swanepoel and Michele Verdonck
International Journal of Environmental Research and Public Health, Vol.18(17), pp.1-15
2021
DOI: https://doi.org/10.3390/ijerph18179067
PMCID: PMC8431657
PMID: 34501656
Appears in  UniSC Diversity and Inclusion Research Collection
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Picky eating in children a scoping review to examine its intrinsic and extrinsic features and how they relate to identification1.68 MBDownloadView
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Abstract

assessment environmental influences extrinsic features fussy eating intrinsic features picky eating UniSC Diversity Area - Life Stages
The health benefits and importance of family mealtimes have been extensively documented. Picky eating can impact this complex activity and has numerous extrinsic (or external) and intrinsic (or internal) features. Occupational therapists work with children and their families by looking at both intrinsic and extrinsic influences and are therefore well-placed to work within this context. This scoping review comprises a comprehensive search of key health industry databases using pre-determined search terms. A robust screening process took place using the authors pre-agreed inclusion and exclusion criteria. There were 80 studies that met the inclusion criteria, which were then mapped using content analysis. The most common assessments used to identify picky eating relied on parental reports and recall. Often additional assessments were included in studies to identify both the intrinsic and extrinsic features and presentation. The most common reported intrinsic features of the child who is a picky eater included increased sensitivity particularly to taste and smell and the child’s personality. Extrinsic features which appear to increase the likelihood of picky eating are authoritarian parenting, rewards for eating, and pressuring the child to eat. Most commonly reported extrinsic features that decrease the likelihood of picky eating are family meals, responsive parents, and involving the child in the preparation of food. In conclusion, there is a lack of published papers addressing the role of occupational therapists in the assessment and identification of picky eating in children. There appears to be a complex interplay between intrinsic and extrinsic features which impact caregiver responses and therefore on the picky eater.

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