Published January 2, 2018
Varied diets and persistence in exposing infants and children to healthy foods, even when they don’t like them at first, are key to promoting healthy eating behaviors, a new review paper has concluded.
Published on Dec. 20, in Obesity Reviews, the lead author is Stephanie Anzman-Frasca, assistant professor in the Department of Pediatrics, Jacobs School of Medicine and Biomedical Sciences. Anzman-Frasca is a researcher in the Department of Pediatrics’ Behavioral medicine division.
“The goal was to review the literature in order to make recommendations to parents and caregivers on how they can best encourage children’s healthy eating, starting as early as possible,” Anzman-Frasca says.
The researchers based their recommendations on data gathered from more than 40 peer-reviewed studies on how infants and young children develop preferences for healthy foods, especially vegetables and fruits.
Healthy eating starts during pregnancy, the authors point out. “Flavors of Mom’s diet reach the child in utero,” says Anzman-Frasca, “so if she’s eating a healthy diet, the fetus does get exposed to those flavors, getting the child used to them.”
After birth, if the mother breastfeeds, the baby also benefits from exposure to flavors from her healthy diet through the breastmilk.
These early exposures familiarize the baby with specific flavors, as well as the experience of variety, and set the stage for later acceptance of healthy flavors in solid foods.
Even after infancy, repeatedly exposing children to foods they previously rejected can help them accept and like the food.
“This method of simply repeating the child’s exposure to healthy foods has a robust evidence base behind it,” Anzman-Frasca says. “There are many studies with preschoolers who start out not liking red peppers or squash, for example, but after five to six sessions where these foods are repeatedly offered, they end up liking them.”
However, the review point out, one study has found that in low-income homes, parents do not serve previously rejected foods because of the desire not to waste food. The authors call for interventions to promote repeated exposure to healthy foods in these environments, while addressing challenges parents face.
“Overall, based on all the studies we reviewed, our strongest recommendation to parents and caregivers is ‘don’t give up!’” Anzman-Frasca stresses.
This study was funded by the Robert Wood Johnson Foundation through its Healthy Eating Research program.
Other authors on the study are Alison K. Ventura California Polytechnic State University, Kevin P. Myers of Bucknell University and Sarah Ehrenberg, a UB undergraduate Honors College student majoring in biomedical sciences.