Children overcoming picky eating (COPE) - A cluster randomised controlled trial.
Study Goal
The researchers aimed to explore the effectiveness of two mindfulness exercises (mindful breathing and mindful raisin-eating) on novel food acceptance in children.
Results Summary
Children in the mindful raisin-eating group reported greater anticipated liking of a novel fruit, and both mindfulness groups consumed more of the novel fruit compared to the control group. Mindfulness, food neophobia, and anxiety levels did not change over time in any group.
Population
Children aged 10-12 years.
Effective Dosage
Not specified (tasks performed over five days).
Duration
Five days.
Interactions
None mentioned.
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
mindful raisin-eating exercise | increase | anticipated liking of a novel fruit | children aged 10-12 years | - | reported greater anticipated liking | #1 |
mindful breathing exercise | increase | intake of a novel fruit | children aged 10-12 years | - | consumed greater amounts | #2 |
mindful raisin-eating exercise | increase | intake of a novel fruit | children aged 10-12 years | - | consumed greater amounts | #3 |
mindfulness exercises (mindful breathing and mindful raisin-eating) | no change | mindfulness | children aged 10-12 years | - | did not change over time | #4 |
mindfulness exercises (mindful breathing and mindful raisin-eating) | no change | food neophobia | children aged 10-12 years | - | did not change over time | #5 |
mindfulness exercises (mindful breathing and mindful raisin-eating) | no change | anxiety | children aged 10-12 years | - | did not change over time | #6 |
OBJECTIVES: Food neophobia limits dietary variety in children and adults. Interventions to alleviate the impact of neophobia on children's dietary variety have had varying success. The potential effectiveness of mindfulness, a process of bringing awareness to the present moment, has received little attention. This trial aimed to explore the effectiveness of two mindfulness exercises on novel food acceptance for children. METHODS: A cluster-randomised controlled trial with three trial arms compared the impact of two mindfulness exercises (mindful breathing and mindful raisin-eating) and a non-mindful control task on anticipated liking and intake of a novel fruit. Seventy-one children aged 10-12 years engaged in one of the three tasks at school over five days and were offered a novel fruit at the end of the intervention. Children self-reported mindfulness, food neophobia and anxiety at baseline and follow-up. RESULTS: Two mixed-effects models showed that, controlling for school effects and covariates (including mindfulness, food neophobia and anxiety), children in the mindful raisin-eating arm reported greater anticipated liking of a novel fruit and children in both mindfulness arms consumed greater amounts of a novel fruit than children in the control arm. Mixed-design ANOVAs indicated that mindfulness, food neophobia and anxiety did not change over time in each trial arm. CONCLUSIONS: The results provide promising evidence for the potential effectiveness of mindfulness interventions in encouraging children to try new foods. The mechanisms underlying effectiveness remain unclear and further research, exploring long-term effects and the possibility to generalise these findings to other food groups such as vegetables, is needed.