Research Article
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Preschool Children’s Perceptions of Healthy and Unhealthy Foods

Year 2025, Volume: 12 Issue: 1, 33 - 42, 31.01.2025

Abstract

Perceptions of children about healthy foods in early childhood years have the potential to influence their food choices and preferences in their future lives. In this aspect, the purpose of the study was twofold: (i) to adapt and implement The Healthy Food Knowledge Activity in order to assess preschool children’s perceptions of healthy foods and (ii) to explore gender differences in their perceptions. A total of 104 five-year-old children participated in the study from three different public preschools in the capital city of Türkiye. The results revealed that these children could correctly identify the healthy foods regardless of gender whereas they had difficulty in identifying some foods (e.g., fried chicken, ice-cream, or cookies) as unhealthy. Therefore, this study gives clues about the types of foods that should be emphasized in terms of health during nutrition education for children.

Ethical Statement

Çalışma için etik izin Ondokuz Mayıs Üniversitesi Sosyal ve Beşeri Bilimler Araştırmaları Etik Kurulu'ndan alınmıştır. (Karar sayısı: 2023-87)

References

  • Akdoğan, R., & Balcı, S. (2022). The effect of nutritional habits of pre-school children on the growth and development. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 15(2),186-196. doi: 10.46483/deuhfed.955264
  • Arredondo, E.M., Elder, J.P., Ayala, G.X., Campbell, N., Baquero, B., & Duerksen, S. (2006). Is parenting style related to children’s healthy eating and physical activity in Latino families? Health Education Research Theory & Practice, 21(6), 862–871. doi:10.1093/her/cyl110
  • Atik, D., & Ertekin, Z.O. (2013). Children’s perception of food and healthy eating: Dynamics behind their food preferences. International Journal of Consumer Studies, 37, 59–65. doi: 10.1111/j.1470-6431.2011. 01049.x
  • Atli, S., & Osmanoğlu, N. (2021). Evaluation of menus served up at preschool institutions in terms of healthy nutrition. YYU Journal of Education Faculty, 18(2), 691-711. doi:10.33711/yyuefd.1029173
  • Bandura, A. (1994). Social cognitive theory of mass communication. In J. Bryant, & D. Zillman (Ed.), Media effects: Advances in theory and research (pp. 121–154). Lawrence Erlbaum Associates.
  • Bannon, K., & Schwartz, M. B. (2006). Impact of nutrition messages on children’s food choice. Pilot study. Appetite, 46, 124–129. doi: 10.1016/j.appet.2005.10.009
  • Bernath, P., & Masi, W. (2006). Smart school snacks: A comprehensive preschool nutrition education program. YC Young Children, 61(3), 20-24.
  • Bian, L., & Markman, E.M. (2020). What should we eat for breakfast? American and Chinese children’s prescriptive judgments about breakfast foods. Cognitive Development, 54, 1-8. https://doi.org/10.1016/j.cogdev.2020.100873
  • Birch L.L., & Fisher J.O. (1998). Development of eating behaviors among children and adolescents. Pediatrics, 101(2), 539-549.
  • Boddy, L.M., Knowles, Z.R., Davies, I.G., Warburton, G.L., Mackintosh, K.A., Houghton, L., & Fairclough, S.J. (2012). Using formative research to develop the healthy eating component of the change! School-based curriculum intervention. Public Health, 12, 1-10. http://www.biomedcentral.com/1471-2458/12/710
  • Brindal, E., Hendrie, G., Thompson, K., & Blunden, S. (2012). How do Australian junior primary school children perceive the concepts of “healthy” and “unhealthy”? Health Education, 112(5), 406-420. doi: 10.1108/09654281211253425
  • Bronfenbrenner, U. (1977). Toward an experimental ecology of human development. American Psychologist, 32, 513–531.
  • Chojnacka, A., Górnicka, M., & Szewczyk, K. (2021). Long-term effect of one-time nutritional education in school on nutritional knowledge of early school-aged children. Rocz Panstw Zakl Hig, 72(2):155-164. https://doi.org/10.32394/rpzh.2021.0158
  • Demiriz, S., & Dinçer, Ç. (2000). A study on the preschool children's self-help skills according to their mother's working status. Hacettepe Universitesi Eğitim Fakültesi Dergisi, 19, 58-65.
  • Dikmen D. & Pekcan, G. (2014). Evaluation of dietary intake data according to world health organization population intake goals. Bes Diy Derg, 42(3), 220-227.
  • Elliott, C.D. (2009) Healthy food looks serious: How children interpret packaged food products. Canadian Journal of Communication, 34, 359–380.
  • Esmaeilpour, F., Hanzaee, K.H., Mansourian, Y., & Khounsiavash, M. (2018). Children’s food choice: Advertised food type, health knowledge, and entertainment. Journal of Food Products Marketing, 24(4), 476–494. https://doi.org/10.1080/10454446.2017.1315843
  • Frerichs, L., Intolubbe-Chmil, L., Brittin, J., Teitelbaum, K., Trowbridge, M., & Huang, T. (2016). Children’s discourse of liked, healthy, and unhealthy foods. Journal of The Academy of Nutrition and Dietetics, 1323-1331. http://dx.doi.org/10.1016/j.jand.2016.01.014
  • Gibson, E.L., Wardle, J., & Watts, C.J. (1998). Fruit and vegetable consumption, nutritional knowledge and beliefs in mothers and children. Appetite. 31, 205–228.
  • Graziani, A.R., Guidetti, M., & Cavazza, N. (2021). Food for boys and food for girls: Do preschool children hold gender stereotypes about food? Sex Roles, 84, 491–502. https://doi.org/10.1007/s11199-020-01182-6
  • Harris, J.L., Haraghey, K.S., Lodolce, M., & Semenza, N.L. (2018). Teaching children about good health? Halo effects in child-directed advertisements for unhealthy food. Pediatric Obesity, 13, 256–264. doi:10.1111/ijpo.12257
  • Hart, K.H., Bishop, J.A., & Truby, H. (2002). An investigation into school children’s knowledge and awareness of food and nutrition. Hum Nutr Dietet, 15, 129–140. https://doi.org/10.1046/j.1365-277X.2002.00343.x
  • Hesketh, K., Waters, E., Green, J., Salmon, L., & Williams, J. (2005). Healthy eating, activity and obesity prevention: A qualitative study of parent and child perceptions in Australia. Health Promotion International, 20(1), 19-26. doi:10.1093/heapro/dah503
  • Holub, S.C., & Musher‐Eizenman, D.R. (2010). Examining preschoolers' nutrition knowledge using a meal creation and food group classification task: Age and gender differences. Early Child Development and Care, 180(6), 787-798. doi:10.1080/03004430802396027
  • Kerkez, F.İ. (2018). Investigation of healthy nutrition knowledge and preferences of 4-5-year-old children. E-Uluslararası Eğitim Araştırmaları Dergisi, 9(3), 47-59. doi: 10.19160/ijer.405535
  • Lanigan, J.D. (2011). The substance and sources of young children’s healthy eating and physical activity knowledge: Implications for obesity prevention efforts. Child: Care, Health and Development, 37(3), 368-376. doi:10.1111/j.1365-2214.2010. 01191.x
  • Lea, E., Worsley, A., & Crawford, D. (2005). Australian adult consumers’ beliefs about plant foods: A qualitative study. Health Education & Behavior, 795-808. doi: 10.1177/1090198105277323
  • Letona, P., Chacon, V., Roberto, C., & Barnoya, J. (2014). A qualitative study of children's snack food packaging perceptions and preferences. BMC Public Health, 14. doi:10.1186/1471-2458-14-1274
  • Lipowska, M., & Lipowski, M. (2018). Children’s awareness of healthy behaviors – validity of Beauty & Health and Dietary Knowledge & Habits Scales. Health Psychology Report, 6(4), 361–374. https://doi.org/10.5114/hpr.2018.74688
  • Nguyen, S. P., Gordon, C. L., & McCullough, M. B. (2011). Not as easy as pie. Disentangling the theoretical and applied components of children’s health knowledge. Appetite, 56, 265–268. doi: 10.1016/j.appet.2011.01.008
  • O’Dea, J. (2003). Why do kids eat healthful food? Perceived benefits of and barriers to healthful eating and physical activity among children and adolescents. Journal of the American Dietetic Association, 103(4),497.
  • Oğuz, Ş., & Derin, D.Ö. (2013). An investigation of some nutrition habits of 60–72-month-old children. Elementary Education Online, 12(2), 498‐511.
  • Özgen, L., & Demiriz, S. (2022). Investigation of preschool children's eating behaviors and eating environments. Journal of Research in Education and Society, 9(2), 229-242. https://doi.org/10.51725/etad.1003605
  • Pallant, J. (2007). SPSS Survival manual. A step-by-step guide to data analysis using SPSS for Windows third edition. Open University Press.
  • Protudjer, J.L.P., Marchessault, G., Kozyrskyj, A.L., & Becker, A.B. (2010). Children’s perceptions of healthful eating and physical activity. Canadian Journal of Dietetic Practice and Research, 71(1),19-23.
  • Reeve, S., & Bell, P. (2009). Children’s self‐documentation and understanding of the concepts ‘healthy’ and ‘unhealthy’. International Journal of Science Education, 31(14), 1953-1974. doi: 10.1080/09500690802311146
  • Sigman-Grant, M., Byington, T.A., Lindsay, A.R., Lu, M., Mobley, A.R., Fitzgerald, N., & Hildebrand, D. (2014). Preschoolers can distinguish between healthy and unhealthy foods: The all 4 kids study. Journal of Nutrition Education and Behavior,46(2),121-127. http://dx.doi.org/10.1016/j.jneb.2013.09.012
  • Skouteris, H. (2012). Parental influences of childhood obesity. Early Child Development and Care, 182(8), 941. https://doi.org/10.1080/03004430.2012.678589
  • Slaughter, V., & Ting, C. (2010). Development of ideas about food and nutrition from preschool to university. Appetite, 55(3), 556–564. https://doi.org/10.1016/j.appet.2010.09.004
  • Strachan, J., & Pavie-Latour, V. (2008). Forum - Food for thought: Shouldn’t we actually target food advertising more towards kids and not less? International Journal of Market Research, 50(1), 13–27.
  • Şahin, M.K., Çoban, A.E., & Karaman, N.G. (2018). Early childhood teachers' perspectives about the effect of media on children’s eating habits and nutritional disorders. Elementary Education Online, 17(1), 125-142. doi 10.17051/ilkonline.2018.413749
  • Tabachnick, B.G., & Fidell, L.S. (2019). Using multivariate statistics (7th edition). Pearson.
  • Tarabashkina, L., Quester, P., & Crouch, R. (2016). Exploring the moderating effect of children's nutritional knowledge on the relationship between product evaluations and food choice. Social Science & Medicine, 145-152. http://dx.doi.org/10.1016/j.socscimed.2015.11.046
  • Tatlow-Golden, M., Hennessy, E., Dean, M., & Hollywood, L. (2013). ‘Big, strong and healthy’. Young children’s identification of food and drink that contribute to healthy growth. Appetite, 71, 163–170. http://dx.doi.org/10.1016/j.appet.2013.08.007
  • Taylor, J. P., Evers, S., & McKenna, M. (2005). Determinants of healthy eating in children and youth. Canadian Journal of Public Health, 96(3), 20–26.
  • Ünver, Y., & Ünüsan, N. (2005). A research study on nutrition education in preschool (Okul öncesinde beslenme eğitimi üzerine bir araştırma). Selçuk Üniversitesi Sosyal Bilimler Enstitüsü Dergisi, 14, 529 – 551.
  • Wardle, J., Parmenter, K., & Waller, J. (2000). Nutrition knowledge and food intake. Appetite, 34, 269–275. doi:10.1006/appe.2000.0314.
  • Worsley, A. (2002). Nutrition knowledge and food consumption: Can nutrition knowledge change food behavior? Asia Pacific Journal of Clinical Nutrition, 11(3), 579–585. https://doi.org/10.1046/j.1440-6047.11.supp3.7.x
  • Zarnowiecki, D., Dollman, J., & Sinn, N. (2011). A tool for assessing healthy food knowledge in 5–6-year-old Australian children. Public Health Nutrition, 14(7), 1177–1183. doi:10.1017/S1368980010003721
Year 2025, Volume: 12 Issue: 1, 33 - 42, 31.01.2025

Abstract

References

  • Akdoğan, R., & Balcı, S. (2022). The effect of nutritional habits of pre-school children on the growth and development. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 15(2),186-196. doi: 10.46483/deuhfed.955264
  • Arredondo, E.M., Elder, J.P., Ayala, G.X., Campbell, N., Baquero, B., & Duerksen, S. (2006). Is parenting style related to children’s healthy eating and physical activity in Latino families? Health Education Research Theory & Practice, 21(6), 862–871. doi:10.1093/her/cyl110
  • Atik, D., & Ertekin, Z.O. (2013). Children’s perception of food and healthy eating: Dynamics behind their food preferences. International Journal of Consumer Studies, 37, 59–65. doi: 10.1111/j.1470-6431.2011. 01049.x
  • Atli, S., & Osmanoğlu, N. (2021). Evaluation of menus served up at preschool institutions in terms of healthy nutrition. YYU Journal of Education Faculty, 18(2), 691-711. doi:10.33711/yyuefd.1029173
  • Bandura, A. (1994). Social cognitive theory of mass communication. In J. Bryant, & D. Zillman (Ed.), Media effects: Advances in theory and research (pp. 121–154). Lawrence Erlbaum Associates.
  • Bannon, K., & Schwartz, M. B. (2006). Impact of nutrition messages on children’s food choice. Pilot study. Appetite, 46, 124–129. doi: 10.1016/j.appet.2005.10.009
  • Bernath, P., & Masi, W. (2006). Smart school snacks: A comprehensive preschool nutrition education program. YC Young Children, 61(3), 20-24.
  • Bian, L., & Markman, E.M. (2020). What should we eat for breakfast? American and Chinese children’s prescriptive judgments about breakfast foods. Cognitive Development, 54, 1-8. https://doi.org/10.1016/j.cogdev.2020.100873
  • Birch L.L., & Fisher J.O. (1998). Development of eating behaviors among children and adolescents. Pediatrics, 101(2), 539-549.
  • Boddy, L.M., Knowles, Z.R., Davies, I.G., Warburton, G.L., Mackintosh, K.A., Houghton, L., & Fairclough, S.J. (2012). Using formative research to develop the healthy eating component of the change! School-based curriculum intervention. Public Health, 12, 1-10. http://www.biomedcentral.com/1471-2458/12/710
  • Brindal, E., Hendrie, G., Thompson, K., & Blunden, S. (2012). How do Australian junior primary school children perceive the concepts of “healthy” and “unhealthy”? Health Education, 112(5), 406-420. doi: 10.1108/09654281211253425
  • Bronfenbrenner, U. (1977). Toward an experimental ecology of human development. American Psychologist, 32, 513–531.
  • Chojnacka, A., Górnicka, M., & Szewczyk, K. (2021). Long-term effect of one-time nutritional education in school on nutritional knowledge of early school-aged children. Rocz Panstw Zakl Hig, 72(2):155-164. https://doi.org/10.32394/rpzh.2021.0158
  • Demiriz, S., & Dinçer, Ç. (2000). A study on the preschool children's self-help skills according to their mother's working status. Hacettepe Universitesi Eğitim Fakültesi Dergisi, 19, 58-65.
  • Dikmen D. & Pekcan, G. (2014). Evaluation of dietary intake data according to world health organization population intake goals. Bes Diy Derg, 42(3), 220-227.
  • Elliott, C.D. (2009) Healthy food looks serious: How children interpret packaged food products. Canadian Journal of Communication, 34, 359–380.
  • Esmaeilpour, F., Hanzaee, K.H., Mansourian, Y., & Khounsiavash, M. (2018). Children’s food choice: Advertised food type, health knowledge, and entertainment. Journal of Food Products Marketing, 24(4), 476–494. https://doi.org/10.1080/10454446.2017.1315843
  • Frerichs, L., Intolubbe-Chmil, L., Brittin, J., Teitelbaum, K., Trowbridge, M., & Huang, T. (2016). Children’s discourse of liked, healthy, and unhealthy foods. Journal of The Academy of Nutrition and Dietetics, 1323-1331. http://dx.doi.org/10.1016/j.jand.2016.01.014
  • Gibson, E.L., Wardle, J., & Watts, C.J. (1998). Fruit and vegetable consumption, nutritional knowledge and beliefs in mothers and children. Appetite. 31, 205–228.
  • Graziani, A.R., Guidetti, M., & Cavazza, N. (2021). Food for boys and food for girls: Do preschool children hold gender stereotypes about food? Sex Roles, 84, 491–502. https://doi.org/10.1007/s11199-020-01182-6
  • Harris, J.L., Haraghey, K.S., Lodolce, M., & Semenza, N.L. (2018). Teaching children about good health? Halo effects in child-directed advertisements for unhealthy food. Pediatric Obesity, 13, 256–264. doi:10.1111/ijpo.12257
  • Hart, K.H., Bishop, J.A., & Truby, H. (2002). An investigation into school children’s knowledge and awareness of food and nutrition. Hum Nutr Dietet, 15, 129–140. https://doi.org/10.1046/j.1365-277X.2002.00343.x
  • Hesketh, K., Waters, E., Green, J., Salmon, L., & Williams, J. (2005). Healthy eating, activity and obesity prevention: A qualitative study of parent and child perceptions in Australia. Health Promotion International, 20(1), 19-26. doi:10.1093/heapro/dah503
  • Holub, S.C., & Musher‐Eizenman, D.R. (2010). Examining preschoolers' nutrition knowledge using a meal creation and food group classification task: Age and gender differences. Early Child Development and Care, 180(6), 787-798. doi:10.1080/03004430802396027
  • Kerkez, F.İ. (2018). Investigation of healthy nutrition knowledge and preferences of 4-5-year-old children. E-Uluslararası Eğitim Araştırmaları Dergisi, 9(3), 47-59. doi: 10.19160/ijer.405535
  • Lanigan, J.D. (2011). The substance and sources of young children’s healthy eating and physical activity knowledge: Implications for obesity prevention efforts. Child: Care, Health and Development, 37(3), 368-376. doi:10.1111/j.1365-2214.2010. 01191.x
  • Lea, E., Worsley, A., & Crawford, D. (2005). Australian adult consumers’ beliefs about plant foods: A qualitative study. Health Education & Behavior, 795-808. doi: 10.1177/1090198105277323
  • Letona, P., Chacon, V., Roberto, C., & Barnoya, J. (2014). A qualitative study of children's snack food packaging perceptions and preferences. BMC Public Health, 14. doi:10.1186/1471-2458-14-1274
  • Lipowska, M., & Lipowski, M. (2018). Children’s awareness of healthy behaviors – validity of Beauty & Health and Dietary Knowledge & Habits Scales. Health Psychology Report, 6(4), 361–374. https://doi.org/10.5114/hpr.2018.74688
  • Nguyen, S. P., Gordon, C. L., & McCullough, M. B. (2011). Not as easy as pie. Disentangling the theoretical and applied components of children’s health knowledge. Appetite, 56, 265–268. doi: 10.1016/j.appet.2011.01.008
  • O’Dea, J. (2003). Why do kids eat healthful food? Perceived benefits of and barriers to healthful eating and physical activity among children and adolescents. Journal of the American Dietetic Association, 103(4),497.
  • Oğuz, Ş., & Derin, D.Ö. (2013). An investigation of some nutrition habits of 60–72-month-old children. Elementary Education Online, 12(2), 498‐511.
  • Özgen, L., & Demiriz, S. (2022). Investigation of preschool children's eating behaviors and eating environments. Journal of Research in Education and Society, 9(2), 229-242. https://doi.org/10.51725/etad.1003605
  • Pallant, J. (2007). SPSS Survival manual. A step-by-step guide to data analysis using SPSS for Windows third edition. Open University Press.
  • Protudjer, J.L.P., Marchessault, G., Kozyrskyj, A.L., & Becker, A.B. (2010). Children’s perceptions of healthful eating and physical activity. Canadian Journal of Dietetic Practice and Research, 71(1),19-23.
  • Reeve, S., & Bell, P. (2009). Children’s self‐documentation and understanding of the concepts ‘healthy’ and ‘unhealthy’. International Journal of Science Education, 31(14), 1953-1974. doi: 10.1080/09500690802311146
  • Sigman-Grant, M., Byington, T.A., Lindsay, A.R., Lu, M., Mobley, A.R., Fitzgerald, N., & Hildebrand, D. (2014). Preschoolers can distinguish between healthy and unhealthy foods: The all 4 kids study. Journal of Nutrition Education and Behavior,46(2),121-127. http://dx.doi.org/10.1016/j.jneb.2013.09.012
  • Skouteris, H. (2012). Parental influences of childhood obesity. Early Child Development and Care, 182(8), 941. https://doi.org/10.1080/03004430.2012.678589
  • Slaughter, V., & Ting, C. (2010). Development of ideas about food and nutrition from preschool to university. Appetite, 55(3), 556–564. https://doi.org/10.1016/j.appet.2010.09.004
  • Strachan, J., & Pavie-Latour, V. (2008). Forum - Food for thought: Shouldn’t we actually target food advertising more towards kids and not less? International Journal of Market Research, 50(1), 13–27.
  • Şahin, M.K., Çoban, A.E., & Karaman, N.G. (2018). Early childhood teachers' perspectives about the effect of media on children’s eating habits and nutritional disorders. Elementary Education Online, 17(1), 125-142. doi 10.17051/ilkonline.2018.413749
  • Tabachnick, B.G., & Fidell, L.S. (2019). Using multivariate statistics (7th edition). Pearson.
  • Tarabashkina, L., Quester, P., & Crouch, R. (2016). Exploring the moderating effect of children's nutritional knowledge on the relationship between product evaluations and food choice. Social Science & Medicine, 145-152. http://dx.doi.org/10.1016/j.socscimed.2015.11.046
  • Tatlow-Golden, M., Hennessy, E., Dean, M., & Hollywood, L. (2013). ‘Big, strong and healthy’. Young children’s identification of food and drink that contribute to healthy growth. Appetite, 71, 163–170. http://dx.doi.org/10.1016/j.appet.2013.08.007
  • Taylor, J. P., Evers, S., & McKenna, M. (2005). Determinants of healthy eating in children and youth. Canadian Journal of Public Health, 96(3), 20–26.
  • Ünver, Y., & Ünüsan, N. (2005). A research study on nutrition education in preschool (Okul öncesinde beslenme eğitimi üzerine bir araştırma). Selçuk Üniversitesi Sosyal Bilimler Enstitüsü Dergisi, 14, 529 – 551.
  • Wardle, J., Parmenter, K., & Waller, J. (2000). Nutrition knowledge and food intake. Appetite, 34, 269–275. doi:10.1006/appe.2000.0314.
  • Worsley, A. (2002). Nutrition knowledge and food consumption: Can nutrition knowledge change food behavior? Asia Pacific Journal of Clinical Nutrition, 11(3), 579–585. https://doi.org/10.1046/j.1440-6047.11.supp3.7.x
  • Zarnowiecki, D., Dollman, J., & Sinn, N. (2011). A tool for assessing healthy food knowledge in 5–6-year-old Australian children. Public Health Nutrition, 14(7), 1177–1183. doi:10.1017/S1368980010003721
There are 49 citations in total.

Details

Primary Language English
Subjects Early Childhood Education
Journal Section Research Article
Authors

Nur Alacam 0000-0003-4477-5476

Elvan Sahın 0000-0003-1881-7150

Publication Date January 31, 2025
Submission Date July 1, 2024
Acceptance Date December 12, 2024
Published in Issue Year 2025 Volume: 12 Issue: 1

Cite

APA Alacam, N., & Sahın, E. (2025). Preschool Children’s Perceptions of Healthy and Unhealthy Foods. Baskent University Journal of Education, 12(1), 33-42.

Başkent Univesity Journal of Education has been published in Dergipark (https://dergipark.org.tr/en/pub/bujoe) since volume 10 and issue 2, 2023. 

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