The association of picky eating among preschoolers in Kuwait with mothers' negative attitudes and weight concerns.

Aims: To investigate the phenomenon of picky eating among children and its association with early feeding practices, including feeding patterns during infancy, introduction of solid food, and weaning age. We also examined the association of picky eating with negative parental attitudes toward eating behaviors and the weight status of children.

Methods: This cross-sectional study included 365 preschool children (ages 2-6)-mother dyads living in Kuwait. To identify picky eaters, trained dietitians administered a set of questionnaires to the mothers, including one that assessed parental attitudes toward their children's eating behaviors. The participating children's weights and heights were recorded, and their weight status was determined using the WHO growth charts.

Results: Of the children, 35.6% were identified as picky eaters. Picky eating was significantly associated with the mother's negative attitudes toward her child's eating behavior, reduced Height-for-age z-scores (HAZ), and reduced BMI-for-age z-scores (BAZ). No association was found between the type of feeding and age at which solid food was introduced.

Conclusion: Our findings highlight a significant association between maternal attitudes and picky eating. Mothers-especially those displaying consistent worry regarding their children's eating habits -were more prone to having picky eating children and therefore harbored greater concerns regarding their growth deficits. However, the cross-sectional design precludes determining causality. Future research is needed to explore potential bi-directional influences. Our findings can inform the development of effective strategies and interventions to address picky eating behaviors and promote healthier eating habits among Kuwaiti children, thereby enhancing their nutritional status and overall well-being.