Parent-reported feeding and feeding problems in a sample of Dutch toddlers

Little is known about the feeding behaviors and problems with feeding in toddlers. In the present questionnaire study, data were collected on the feeding behaviors and feeding problems in a relatively large (n = 422) sample of Dutch healthy toddlers (i.e. 18-36 months old) who lived at home with their parents. Results show that three meals a day was standard and the mean mealtime duration was 22 minutes. Most children eat independently and sit in a high chair. All of the generally recommended foods were consumed with a decreasing tendency across age groups. Of the total sample, 65% had at least one type of feeding problem. In seven percent of the cases feeding problems were moderate to severe and significantly related to parental concern. However, few had sought professional help. Two dimensions of feeding problems (i.e. pickiness and disturbing mealtime behavior) and three dimensions of parental management techniques could be identified. Several significant associations were found. For example, associations were found between pickiness and variables such as parental concerns, difficulties in learning to eat solid foods, and several food items. No associations were found between pickiness and mealtime duration. In conclusion, implications of the findings are discussed in relation to the treatment of severe feeding problems in toddlers with developmental disabilities