Healthy Snacks and Drinks for Toddlers: A Qualitative Study of Caregivers’ Understanding of Expert Recommendations and Perceived Barriers to Adherence

Background. Despite expert recommendations, most toddlers consume sugary drinks and more sweet and salty snack foods than fruits and vegetables as snacks. Studies have examined toddler caregivers’ reasons for providing sugary drinks, but few have examined the reasons for providing nutritionally poor...

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Main Authors: Jennifer L. Harris, Maria J. Romo-Palafox, Haley Gershman, Inna Kagan, Valerie Duffy
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/15/4/1006
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author Jennifer L. Harris
Maria J. Romo-Palafox
Haley Gershman
Inna Kagan
Valerie Duffy
author_facet Jennifer L. Harris
Maria J. Romo-Palafox
Haley Gershman
Inna Kagan
Valerie Duffy
author_sort Jennifer L. Harris
collection DOAJ
description Background. Despite expert recommendations, most toddlers consume sugary drinks and more sweet and salty snack foods than fruits and vegetables as snacks. Studies have examined toddler caregivers’ reasons for providing sugary drinks, but few have examined the reasons for providing nutritionally poor snack foods. Methods. Researchers conducted focus groups in one low-income community to assess caregivers’ familiarity, understanding and attitudes regarding healthy drink and snack recommendations for toddlers. A convenience sample of 24 caregivers of toddlers (12–36 months) participated. Researchers conducted a descriptive analysis of the participants’ familiarity with recommendations and a thematic analysis of the barriers to adherence. Results. Most participants were familiar with recommendations, but many were surprised that some drinks and snack foods are not recommended, and most believed recommendations were not realistic. Common barriers to adhering to recommendations included beliefs about their child’s innate preferences, family modeling and others’ provision of drinks and snacks in and outside the home. Practical barriers included the higher cost and inconvenience of serving fruits and vegetables on-the-go. Conclusion. Similar barriers limited caregivers’ adherence to expert recommendations about healthy snacks and drinks for toddlers. Nutrition education interventions should provide practical strategies for addressing these barriers and enlist childcare and health providers to reinforce recommendations.
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spelling doaj.art-e7edbdfc4e584f8788c82298929ab2092023-11-16T22:31:57ZengMDPI AGNutrients2072-66432023-02-01154100610.3390/nu15041006Healthy Snacks and Drinks for Toddlers: A Qualitative Study of Caregivers’ Understanding of Expert Recommendations and Perceived Barriers to AdherenceJennifer L. Harris0Maria J. Romo-Palafox1Haley Gershman2Inna Kagan3Valerie Duffy4Rudd Center for Food Policy & Health, University of Connecticut, Hartford, CT 06103, USANutrition and Dietetics, Doisy College of Health Sciences, Saint Louis University, St. Louis, MO 63104, USARudd Center for Food Policy & Health, University of Connecticut, Hartford, CT 06103, USADepartment of Allied Health Sciences, College of Agriculture, Health and Natural Resources, University of Connecticut, Storrs, CT 06269, USADepartment of Allied Health Sciences, College of Agriculture, Health and Natural Resources, University of Connecticut, Storrs, CT 06269, USABackground. Despite expert recommendations, most toddlers consume sugary drinks and more sweet and salty snack foods than fruits and vegetables as snacks. Studies have examined toddler caregivers’ reasons for providing sugary drinks, but few have examined the reasons for providing nutritionally poor snack foods. Methods. Researchers conducted focus groups in one low-income community to assess caregivers’ familiarity, understanding and attitudes regarding healthy drink and snack recommendations for toddlers. A convenience sample of 24 caregivers of toddlers (12–36 months) participated. Researchers conducted a descriptive analysis of the participants’ familiarity with recommendations and a thematic analysis of the barriers to adherence. Results. Most participants were familiar with recommendations, but many were surprised that some drinks and snack foods are not recommended, and most believed recommendations were not realistic. Common barriers to adhering to recommendations included beliefs about their child’s innate preferences, family modeling and others’ provision of drinks and snacks in and outside the home. Practical barriers included the higher cost and inconvenience of serving fruits and vegetables on-the-go. Conclusion. Similar barriers limited caregivers’ adherence to expert recommendations about healthy snacks and drinks for toddlers. Nutrition education interventions should provide practical strategies for addressing these barriers and enlist childcare and health providers to reinforce recommendations.https://www.mdpi.com/2072-6643/15/4/1006food parentingtoddlershealthy snackingsweet and salty snacksugar-sweetened beveragesnutrition education
spellingShingle Jennifer L. Harris
Maria J. Romo-Palafox
Haley Gershman
Inna Kagan
Valerie Duffy
Healthy Snacks and Drinks for Toddlers: A Qualitative Study of Caregivers’ Understanding of Expert Recommendations and Perceived Barriers to Adherence
Nutrients
food parenting
toddlers
healthy snacking
sweet and salty snack
sugar-sweetened beverages
nutrition education
title Healthy Snacks and Drinks for Toddlers: A Qualitative Study of Caregivers’ Understanding of Expert Recommendations and Perceived Barriers to Adherence
title_full Healthy Snacks and Drinks for Toddlers: A Qualitative Study of Caregivers’ Understanding of Expert Recommendations and Perceived Barriers to Adherence
title_fullStr Healthy Snacks and Drinks for Toddlers: A Qualitative Study of Caregivers’ Understanding of Expert Recommendations and Perceived Barriers to Adherence
title_full_unstemmed Healthy Snacks and Drinks for Toddlers: A Qualitative Study of Caregivers’ Understanding of Expert Recommendations and Perceived Barriers to Adherence
title_short Healthy Snacks and Drinks for Toddlers: A Qualitative Study of Caregivers’ Understanding of Expert Recommendations and Perceived Barriers to Adherence
title_sort healthy snacks and drinks for toddlers a qualitative study of caregivers understanding of expert recommendations and perceived barriers to adherence
topic food parenting
toddlers
healthy snacking
sweet and salty snack
sugar-sweetened beverages
nutrition education
url https://www.mdpi.com/2072-6643/15/4/1006
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