Parenting Clinical Trial
Official title:
The Good Tastes Study: Young Children's Response to Vegetables and Caregiver Perceptions Regarding Their Children's Food Acceptance Patterns
Children begin developing food acceptance and preferences during the first years of life,
especially through repeated exposure and increased familiarity. Caregivers pay attention to
the amounts of food that their children consume, and they also are sensitive to when their
refuses to eat what is offered. This study will examine the interactions between caregivers
and their infants when bitter vegetables are introduced to infants and toddlers. The goals
for this study are to:
1. understand if masking bitterness with very low levels of sugar or salt may facilitate
whether infants accept new vegetables;
2. understand if masking bitterness impacts caregivers' perceptions of infants' acceptance
of new vegetables; and
3. understand the stress levels experienced by infants and caregivers throughout this
process.
During a single visit, four versions of a kale puree will be made with 1) no added sugar or
sodium; 2) 1.2% added sugar; 3) 1.8% added sugar; and 4) 0.2% added sodium to mask
bitterness. First, a familiar food will be offered to provide baseline data. Then each of the
four versions of the novel kale puree will be offered to the infant by their caregiver, and
the order the kale versions are presented will be randomized. The salt version will always be
offered last to control for the effects of a very different taste exposure (salt vs. sweet)
and to try to avoid any significant carryover effects of salt taste on sweet perception.
Feeding interactions will be video recorded for behavioral coding of infant responses to each
bite. Additionally, infant and caregiver heart rate and skin conductance will be monitored to
assess physiological responses in each participant throughout the feeding interaction.
Several measures will be observed in order to test predictors of infant food acceptance,
caregiver perceptions of infants' responses, and physiological responses in infants and
caregivers. These include:
- Demographic measures
- Observed caregiver height and weight
- Observed infant length and weight
- Child developmental stage using Ages and Stages screening tool
- Caregiver neophobia
- Caregiver preferences for and intake of fruits and vegetables
- Infant feeding history and food experience
- Eating behaviors using the Child Eating Behavior Questionnaire for Toddlers
- Infant behavior using the Infant Behavior Questionnaire-Revised (Garstein & Rothbart
2003 Infant Behav Dev)
- Caregiver feeding persistence
;
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