Sensory education decreases food neophobia score and encourages trying unfamiliar foods in 8 12 year old children

background image

Sensory education decreases food neophobia score and encourages trying
unfamiliar foods in 8–12-year-old children

Sari Mustonen

*

, Hely Tuorila

Department of Food Technology, University of Helsinki, P.O. Box 66, FI-00014 Helsinki, Finland

a r t i c l e

i n f o

Article history:
Received 3 March 2009
Received in revised form 30 June 2009
Accepted 1 September 2009
Available online 4 September 2009

Keywords:
School children
Sensory education
Food neophobia
Unfamiliar food

a b s t r a c t

The effects of sensory education on food-related traits and responses to food were examined over a per-
iod of 1.5 years in school children. Children (N = 164, 8- and 11-year-old at baseline) from two schools in
Helsinki were divided in an education group (E; N = 92) receiving up to two waves of sensory lessons, and
a control group (C; N = 72) participating in baseline and follow-up measurements only. The 1st wave (10
lessons) followed the principles of the French program ‘‘Classes du goût” and the 2nd wave (5 extensive
lessons to 2/3 of the E group) concentrated on different food categories. A questionnaire assessing chil-
dren’s liking and familiarity of unfamiliar and familiar foods and food neophobia, was sent to parents at
the baseline and after each wave of sensory lessons. After education, the E group had tried a larger pro-
portion of unfamiliar foods than at the baseline. The number of tasted foods in the C group remained at
the baseline level. Food neophobia score decreased in the E group, while no change was seen in the C
group. The effects of education were stronger in the younger children. Thus, sensory education has poten-
tial to activate children to try new foods and thereby to increase variety in their diets.

Ó 2009 Elsevier Ltd. All rights reserved.

1. Introduction

Childhood eating habits play an important role in determining

individual diets in the adulthood (

Mikkilä, Räsänen, Raitakari, Pie-

tinen, & Viikari, 2004

), and children tend to base their food prefer-

ences and choices primarily on sensory qualities of food
(

Drewnowski, 2000; Nicklaus, Boggio, Chabanet, & Issanchou,

2004

). Children may build up an image of how an acceptable food

should look, and perhaps smell, and foods not sufficiently close to
this image will be rejected (

Dovey, Staples, Gibson, & Halford,

2008

). An unfamiliar food is a target of food neophobia, reluctance

to eat or the avoidance of new foods. Food neophobia appears in all
age groups, and its strength varies between individuals (

Pliner &

Salvy, 2006

). Using a multi-item verbal instrument for the mea-

surement of food neophobia (

Pliner & Hobden, 1992

), it has been

shown to be a heritable trait (

Knaapila et al., 2007

). Although a per-

sonality trait, food neophobia may also decrease during childhood
or adolescence, thus being an age-dependent state (

Rigal et al.,

2006

). Still, within ages the individual differences are fairly stable.

It has been shown that exposures to a large variety of unfamiliar
foods can reduce the neophobic reactions towards other novel, at
least similar, foods (

Birch, Gunder, Grimm-Thomas, & Laing,

1998

). As children age, their experiences of different foods accu-

mulate, helping them to become less neophobic because fewer
foods are novel to them (

Cooke & Wardle, 2005

).

Although food neophobia has evolutionarily been useful, reduc-

ing the possibility of poisoning from unfamiliar and potentially
harmful foods, it may have negative effects on dietary variety in
the modern environment with safe food. Especially in children,
food neophobia may adversely affect food choices by restricting in-
take of fruits and vegetables (

Cooke, Wardle, & Gibson, 2003

) and

limiting overall dietary variety (

Falciglia, Couch, Gribble, Pabst, &

Frank, 2000

). Food neophobia is not only related to willingness to

try novel foods, but also to the expected liking for novel foods (

Pli-

ner & Hobden, 1992; Tuorila, Meiselman, Bell, Cardello, & Johnson,
1994; Tuorila, Andersson, Martikainen, & Salovaara, 1998

).

Behavioral food neophobia may be reduced by exposures to

new foods (

Pliner, Pelchat, & Grabski, 1993; Birch et al., 1998

).

However,

Loewen and Pliner (1999)

found that exposure to

good-tasting novel foods is more efficient in reducing food neopho-
bia, while exposure to bad-tasting novel foods may have no effect
or even increases behavioral neophobia (

Loewen & Pliner, 1999

).

Thus, creating positive experiences with novel tastes seems to gen-
eralize to willingness to taste other novel foods (

Pliner & Salvy,

2006

). Therefore, parents could help their children to become

unprejudiced eaters by providing them a large variety of different
foods. However, the current lifestyle in industrialized countries
acts as a main barrier to providing regular and balanced meals at
home. Parents are busy and the need for convenience drives them
to feed their children with easy options like fast food or snacks

0950-3293/$ - see front matter Ó 2009 Elsevier Ltd. All rights reserved.
doi:

10.1016/j.foodqual.2009.09.001

*

Corresponding author. Present address: Valio Ltd., R&D, P.O. Box 30, FI-00039

Valio, Finland. Tel.: +358 10 381 3047; fax: +358 10 381 3372.

E-mail address:

sari.mustonen@valio.fi

(S. Mustonen).

Food Quality and Preference 21 (2010) 353–360

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(

Gillman et al., 2000; Haapalahti, Mykkänen, Tikkanen, & Kokko-

nen, 2003

). Such practices do not promote new food experiences

among children and adolescents (

Carruth et al., 1998; Neumark-

Sztainer, Hannan, Story, Croll, & Perry, 2003

), and new means

should be developed and tested. The French sensory education pro-
gram, Classes du goût (

Puisais & Pierre, 1987

), was recently re-

ported to temporarily reduce food neophobia in school children
and encourage children to try new, unfamiliar foods (

Reverdy,

Chesnel, Schlich, Köster, & Lange, 2008

). Overall, the ‘taste lessons’

aim to teach young children how to become well-informed con-
sumers who are aware of the quality and differences between
foods through their sensory impressions. Children’s awareness is
increased through exercises that focus on their senses and appeal
to their interest and curiosity. The program is intended to teach
children about the pleasures of food. As a result of the education,
children may become less neophobic. In Finland, we conducted a
follow-up study examining the possible effects of the Finnish ver-
sion of sensory education program on children’s food-related per-
ceptions and traits. The program was adapted from earlier versions
(

Puisais & Pierre, 1987; Hagman & Algotson, 2000

), and extended

to include five further lessons to deepen children’s knowledge of
main food categories (see

Mustonen, Rantanen, and Tuorila

(2009)

for detailed description of the lessons).

In the following, we report the impact of sensory education, as

reported by parents, on children’s food-related dispositions and
behavior, such as food neophobia, willingness to taste unfamiliar
foods, and pleasantness of foods in general. We predicted that sen-
sory education would increase willingness to taste unfamiliar
foods and enjoyment of food. The 2nd wave was expected to de-
crease neophobia further and increase enjoyment of the specific
food categories (dairy, cereal and meat) involved in the education
program.

2. Methods

2.1. Overview of the design

A questionnaire completed by parents and assessing children’s

liking and familiarity of foods from different categories and food-
related traits was used as the measuring instrument. One-half of
the children (education group ‘‘E”) received up to two waves of
taste lessons (1st, a Finnish application of Classes du goût program
and 2nd, activating lessons on main food categories to 2/3 of the E
group) and another half served as the control group ‘‘C”. The
questionnaire was sent to all parents at the baseline and after
both waves of sensory lessons. Two age groups were included to
study whether the possible effect of education is age-dependent
(

Mustonen et al., 2009

). The E group was further divided into

two subgroups receiving either one or two waves of education
(E1 and E2). The 2nd wave of education was included to examine
whether the impact of education could be strengthened by an
additional module. The education was expected to decrease food
neophobia and thus, increase the willingness to taste unfamiliar
foods, and affect positively children’s dietary variety.

The follow-up data were collected over three semesters, with

the following schedule for the completion of the questionnaire
(

Fig. 1

): January 2005 (baseline), May 2005 (1st follow-up), and

May 2006 (2nd follow-up). The entire follow-up study extended
over 2 years, with a final data point on chemosensory performance
in January 2007 (

Mustonen et al., 2009

).

2.2. Subjects

Initially 244 students (aged 8–11 years) from two primary

schools in Helsinki were recruited. The data were complete for
164 subjects that were used in analyses. In the beginning of the

study, the subjects were students at the 2nd (8 years) and 5th
(11 years) grades in the Viikki Teacher Training School at Univer-
sity of Helsinki (E group, N = 92) and Puistola Primary School (C
group, N = 72). The population characteristics, including the
anthropometric data (reported by parents) are shown in

Table 1

.

The students from the Viikki Teacher Training School at University
of Helsinki were chosen to be the E group, because sensory lessons
fitted into their curriculum.

Sensory lessons were provided to classes, not to individuals, for

which reason randomization of the students to the treatment and
control groups was not possible. However, the schools chosen were
approximately similar in size, and students had approximately
similar backgrounds. Parents’ education level, family size, and
the eating and cooking habits of the families were very similar in
both groups (

Table 2

).

The students participated in laboratory tests reported by

Mustonen et al. (2009)

in which one of the tasks was to evaluate

willingness to taste familiar and unfamiliar foods, presented as
photographs, by answering the question ‘‘Would you like to taste
this food?” either ‘‘yes” or ‘‘no”. At baseline, the mean sum of ‘‘yes”
answers for the five unfamiliar foods presented was 2.4 for educa-
tion group and 2.2 for control group. The difference between
groups was not significant (p = 0.43). For the seven familiar foods,
the figures were 5.5 and 5.9, respectively (p = 0.14). Thus, the
groups were similar at baseline in terms of behavioral neophobia.

Table 3

shows the correlations between children’s willingness indi-

ces and parents’ ratings of FNS and behavioral neophobia of their
children. Although moderate, the correlations were of the same
range with correlations obtained from adults who report their

January 2005

BASELINE MEASUREMENT

Sensory instruments

Questionnaire to parents

October-December 2004

PILOT TESTING

RECRUITMENT

Informed consent (parents)

1

st

WAVE OF SENSORY EDUCATION

April-May 2005

1

st

FOLLOW-UP MEASUREMENT

Sensory instruments

Questionnaire to parents

January 2006

2

nd

FOLLOW-UP MEASUREMENT

Sensory instruments

2

nd

WAVE OF SENSORY EDUCATION

(for 2/3 of the education group)

May 2006

3

rd

FOLLOW-UP MEASUREMENT

Sensory instruments

Questionnaire to parents

January 2007

4

th

FOLLOW-UP MEASUREMENT

Sensory instruments

BASELINE

MEASUREMENT

1

st

FOLLOW-UP

MEASUREMENT

2

nd

FOLLOW-UP

MEASUREMENT

Fig. 1. Flow chart of the experimental procedure of the follow-up study. Data points
reported in this paper are marked with dashed line.

354

S. Mustonen, H. Tuorila / Food Quality and Preference 21 (2010) 353–360

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willingness and FNS items (

Tuorila, Lähteenmäki, Pohjalainen, &

Lotti, 2001; Pliner & Salvy, 2006

). Thus, parents’ ratings should reli-

ably reflect their children’s behavior.

The study protocol followed the ethical principles of sensory

testing in our laboratory, approved by the ethical committee of
the Faculty of Agriculture and Forestry. An additional approval
was applied as the subjects were minors (under 18 years of age).
The subjects’ parents signed an informed consent before the study
began. The subjects themselves gave a verbal assent to participate.

2.3. Overview of the study protocol

At the baseline (January 2005), a questionnaire was sent to par-

ents. The pleasantness and familiarity of 36 foods were queried and
Food Neophobia Scale (FNS); 10 items, modified from the original
(

Pliner & Hobden, 1992

) by couching the items in terms of the chil-

dren’s behavior was presented. After that the children were di-
vided into two groups: an E group (N = 92) receiving ten sensory
lessons following the principles of the French program ‘‘Classes
du goût”, revised and updated based on the current scientific
knowledge, and a C group (N = 72) receiving no lessons. After the
1st education wave (May 2005), a questionnaire on pleasantness

and familiarity of 48 foods (36 + 12 unfamiliar) and FNS was sent
to parents. The 2nd wave of sensory education (February–April
2006) was given to 2/3 of the original E group, and it consisted
of five extensive lessons concentrating on different food categories
(cereal, dairy and meat), one at a time. The two education groups
are called E1 (N = 32, receiving one wave of education) and E2
(N = 60, receiving two waves of education). The C group was the
same throughout the study. At the final follow-up (May 2006), a
questionnaire on children’s level of pleasantness and familiarity
of 60 foods (36 original + 12 unfamiliar + 12 unfamiliar), and FNS
was sent to parents (

Fig. 1

).

2.4. Questionnaire

The questionnaire started with questions on the child’s demo-

graphics, height and weight, and the attention the child normally
paid to the appearance, odor, taste and texture of foods (

Mustonen

et al., 2009

).

At baseline, a list of 36 foods, six (four familiar and two unfamil-

iar) in each of the following categories: (1) fruits and berries, (2)
vegetables and starches, (3) meat products, (4) cheeses, (5) sea-
food, and (6) cereal products was presented to the parents. For

Table 1
Population characteristics at baseline (N = 164). In the beginning of the study the children were 8-year-old (2nd graders) and 11-year-old (5th graders).

Group

Grade

N

N (gender)

Height (cm)

Weight (kg)

BMI

Total

Girls/boys

Mean (SD)

Mean (SD)

Mean (SD)

Control

a

(C)

2nd–3rd

36

23/13

134.4 (6.6)

31.2 (7.2)

17.1 (2.9)

5th–6th

36

16/20

149.3 (7.3)

41.2 (8.1)

17.8 (4.3)

Education1

b

(E1)

2nd–3rd

17

11/6

134.7 (4.4)

30.8 (4.8)

16.9 (2.3)

5th–6th

15

9/6

148.8 (9.7)

37.6 (7.7)

16.0 (5.0)

Education2

c

(E2)

2nd–3rd

25

9/16

131.4 (6.5)

28.3 (5.3)

16.4 (2.5)

5th–6th

35

14/21

151.5 (7.6)

43.9 (9.0)

18.4 (4.1)

a

No sensory education.

b

One wave of sensory education.

c

Two waves of sensory education.

Table 2
Modes

*

on parents’ education, on family sizes, and on eating and cooking habits of the families in control group and on education group (E1 and E2 combined) (N = 164).

Variable

Control (N = 72)

Education (N = 92)

Number of adults in the family

2

2

Number of children in the family

2

2

Highest education level

University degree

University degree

Eating together

At least once a day

Almost daily

Eating self-prepared food

Almost daily

Almost daily

Eating frozen dishes

1–2 times a week

1–2 times a week

Eating in pizzerias

Less than once a month

Less than once a month

Eating in hamburger restaurants

Less than once a month

Less than once a month

*

Also the distributions and mean values of these variables were similar in both groups.

Table 3
Baseline correlations (Pearson’s r) between children’s ratings on willingness to try unfamiliar foods and parents’ ratings on their children’s food neophobia and behavioral
neophobia (number of tasted foods among the 10 most unfamiliar foods). Test–retest correlations (Pearson) for FNS at baseline vs. 1st follow-up vs. 2nd follow-up.

Group

Willingness to try
(children) vs. FNS (parents)

Willingness to try (children)
vs. number of tasted foods (parents)

FNS baseline vs.
FNS 1st follow-up (parents)

FNS 1st follow-up vs.
2nd follow-up (parents)

Control

.31

*

.48

*

.84

**

.86

**

Education 1

.31

*

.51

**

.72

**

.73

**

Education 2

.33

*

.45

*

.83

**

.75

*

*

All subjects

.32

**

.48

**

.82

**

.77

**

*

Correlation significant at the 0.05 level.

**

Correlation significant at the 0.01 level.

S. Mustonen, H. Tuorila / Food Quality and Preference 21 (2010) 353–360

355

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the estimation of behavioral neophobia, they were asked how
familiar their child was with these foods on a 5-point scale:
1 = ‘he/she does not recognize this product’, 2 = ‘he/she recognizes
the product, but has not tasted it’, 3 = ‘he/she has tasted this prod-
uct’, 4 = ‘he/she occasionally eats this product’, and 5 = ‘He/she reg-
ularly eats this product’ (

Tuorila et al., 2001

). The parents were also

asked how pleasant/unpleasant their child finds the same 36 foods
on a 7-point scale: 1 = ‘very unpleasant’, 2 = ‘moderately unpleas-
ant’, 3 = ‘slightly unpleasant’, 4 = ‘neither pleasant nor unpleasant’,
5 = ‘slightly pleasant’, 6 = ‘moderately pleasant’, 7 = ‘very pleasant’.
The option ‘has not tasted’ was also given. Same questions were in-
cluded in the next two extended questionnaires, but the number of
queried foods was increased. For the foods at the baseline and in
the 1st follow-up, see

Table 4

. In the 2nd (final) follow-up, the

questionnaire was extended with the following foods: blood grape-
fruit, fig, arugula, chard, noodles, tofu, cocoa milk, Manchego, ton-
gue, ostrich meat, blue mussel and oysters (results not reported).

Following was the Food Neophobia Scale (FNS) (

Pliner &

Hobden, 1992

), which is a validated 10-item questionnaire (five

positive and five negative items), which, when filled in by the
parents, has been proven to be a good measure of children’s food
neophobia (

Pliner, 1994

). In the questionnaire, the items were

couched in terms of the children’s behavior, for example ‘‘I do
not trust new foods” was changed to ‘‘My child does not trust
new foods”. The FNS was included in all three questionnaires. In
addition, questions on the families’ eating and cooking habits were
included in the baseline questionnaire.

2.5. Sensory education program

The 1st wave of sensory education program between the base-

line and the 1st follow-up measurement, held in February–April
2005, comprised of nine sensory lessons and a restaurant visit.
The lessons followed the principles of the program ‘‘Classes du
goût” (

Puisais & Pierre, 1987

), but the contents and reference mate-

rials were modified to suit in the Finnish environment and the cur-
rent scientific knowledge. Each lesson comprised of a short lecture
(adapted to be suitable for children) on the topic, discussion and
practical exercises. The lessons are described in detail in

Mustonen

et al. (2009)

.

The 2nd wave of sensory education took place in February–

April 2006, and consisted of five lessons related to specific food
categories: dairy, cereal and meat. We did not manage to con-

vince any fruit, vegetable, or fish supplier for collaboration on
the lessons. Two school classes out of three from the E group par-
ticipated in the 2nd wave, because we were interested in the
impact of each wave separately. The 2nd wave was performed
in collaboration with Finnish food industries. The lessons con-
tained a short introduction to the topic and practical exercises,
which are described in detail in

Mustonen et al. (2009)

. In both

education waves, the practical exercises and activation of senses
played the major role.

2.6. Statistical analysis

Repeated measures of ANOVA 3*2*3 (or 2) was used, with be-

tween-subjects variables education (E1, E2, and C) and age group
(8 and 11 years), and within-subject variable follow-up point
(baseline, follow-up 1, follow-up 2 or baseline/follow-up 1 and fol-
low-up 2), to examine the effect of education on food neophobia
score (range 10–70), on willingness to taste unfamiliar foods
(range 0–10) and pleasantness of different food categories (range
1–7). The effect of education was expected to appear as an interac-
tion of education x follow-up point. When a trend for age group
difference was observed (main effect of age group or interaction
of education x age group x follow-up point), the two age groups
were analyzed separately.

The individual FNS score was a sum of scores for each item

(those negative to food neophobia reversed), ranging from 10 to
70. The internal reliability of the scale, Cronbach’s alpha, was
0.91 in all three measurements. The test–retest correlations are
shown in

Table 3

.

For analyzing willingness to taste the unfamiliar foods, a new

variable was created. A food was regarded as unfamiliar, if its mean
familiarity in the whole study population was lower than 3 (=a
child has tasted the food). Based on this principle, 10 foods at the
baseline were included to the group of unfamiliar foods. Familiar-
ity ratings were then recoded into two categories: 1–2 = 0 (not
tasted) and 3–5 = 1 (tasted). After that, a sum of the 10 most unfa-
miliar foods (mean rating of familiarity at baseline <3) tasted was
calculated for each subject and each measurement. Thus, the range
of ‘tasting score’ was 0–10.

For analyzing the overall pleasantness of the foods in different

categories, again new variables were created. A mean pleasantness
score (range 1–7) for eight foods (four familiar and four unfamiliar)
in each of the six food categories (fruit and berry, vegetables and

Table 4
Correlations (Pearson’s r) between familiarity and pleasantness of the queried foods at the baseline and in the 1st and 2nd follow-up (48, six food categories). Foods in each
category (columns) are arranged in descending order of familiarity. The 10 most unfamiliar foods are marked in bold italics. The cells including foods added in the 1st and 2nd
follow-up are marked with grey background.

356

S. Mustonen, H. Tuorila / Food Quality and Preference 21 (2010) 353–360

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starches, cereal, dairy, meat, and seafood) was calculated for ques-
tionnaire results after the 1st and 2nd education wave. The overall
pleasantness was calculated and analyzed also separately for unfa-
miliar and familiar foods in each food category.

Pearson’s correlation coefficients (r) between familiarity and

pleasantness of the 36 queried foods at the baseline were calcu-
lated. To assess the reliability of the parents’ estimate on their chil-
dren’s neophobia and number of tasted foods, a correlation
between baseline FNS score, number of tasted unfamiliar foods
and the number of unfamiliar foods children themselves reported
to be willing to taste in the baseline laboratory task (

Mustonen

et al., 2009

), was calculated using Pearson’s r (

Table 3

). All analyses

were conducted with SPSS

Ò

, version 15, and p 6 0.05 was taken as

the level of significance throughout the analyses.

3. Results

3.1. Correlation between familiarity and pleasantness of the foods at
the baseline

The less familiar a food was, the higher was the correlation be-

tween familiarity and pleasantness (

Table 4

). For fruits and berries,

Pearson’s r varied from 0.55 (apple) to 0.74 (guava), and for vege-
tables and starches, from 0.19 (rice) to 0.86 (shiitake). For cereals, r
ranged from 0.51 (rye bread) to 0.91 (couscous); for cheeses from
0.74 (processed cheese) to 0.84 (Mozzarella), for meat products
from 0.42 (meat balls) to 0.88 (bratwurst), and for seafood, from
0.44 (fish sticks) to 0.79 (mustard herring and sushi).

3.2. Number of tasted unfamiliar foods (behavioral neophobia)

The two E groups (E1 and E2) and the C group were compared

for the number of ten most unfamiliar foods (

Table 4

) tasted in

each of the three measurement points. The three groups did not
differ from each other in terms of the number of tasted unfamiliar
foods [main effect of education F(2,88) = 1.00, p = 0.37]. The older
children tended to have tasted a greater number of unfamiliar
foods compared to the younger group [main effect of age group F
(1,88) = 3.76, p = 0.056]. The number of tasted unfamiliar foods
was at its highest in the final follow-up point [main effect of fol-
low-up point F(2,87) = 19.7, p < 0.001].

The main effects of follow-up points were qualified by the sig-

nificant interaction between follow-up point and education group.
After the sensory education waves, both education groups had
tasted a larger number of the queried ten foods than at the base-
line. In the control group, the number of tasted foods remained

at the baseline level throughout the study period [interaction of
education x follow-up point F(4,176) = 3.22, p = 0.014]. The effect
was significant for the younger children [interaction of education
x follow-up point F(4, 86) = 4.18, p = 0.004]. For the older group
the education effect was not significant (p = 0.44), but the direction
was similar as for the younger group (

Fig. 2

). E2 group differed

from the E1 group significantly in the younger age group, while
in the older age group no difference was found (Tukey).

3.3. Food neophobia score

At baseline, the three groups did not differ from each other in

terms of food neophobia score [main effect of education
F(2,98) = 0.51, p = 0.6], nor did the age groups [main effect of age
group F(1,98) = 0.25, p = 0.62]. The baseline FNS score reported by
the parents and number of unfamiliar foods the children reported
to be willing to taste in the laboratory were negatively correlated
(r =

.32) (p < 0.01) (

Table 3

).

The main effects of follow-up points were qualified by the sig-

nificant interaction between follow-up point and education group.
Sensory education decreased the food neophobia score, while no
change was seen in the C group during the study period [interac-
tion of education x follow-up point F(4,196) = 2.77, p = 0.029]
(

Fig. 3

a and b). The effect was significant for the younger children

[interaction of education x follow-up point F(4,102) = 2.59,
p = 0.041] (

Fig. 3

a), while it did not reach significance in the older

group despite of a similar trend (p = 0.14) (

Fig. 3

b). In the end of the

study, the neophobia was at its lowest in the group receiving both
waves of sensory education (E2) for both age groups. E2 group dif-
fered from the E1 group significantly in the younger age group,
while in the older age group no difference was found (Tukey).

0

1

2

3

4

5

6

C (N=36)

E1 (N=17)

E2 (N=25)

C (N=36)

E1 (N=15)

E2 (N=35)

2.-3. graders

5.-6. graders

N tasted unfamiliar foods

Baseline

After 1st wave

After 2nd wave

Fig. 2. Mean number (+SEM) of tasted foods among the10 most unfamiliar foods (at
baseline, after 1st education wave and in the end) of the C group (N = 72, no sensory
education), E1 group (N = 32, one wave of sensory education) and E2 group (N = 60,
two waves of sensory education).

30

35

40

45

Baseline

After 1st wave

After 2nd wave

FNS score

C (N=36)

E1 (N=17)

E2 (N=25)

a

30

35

40

45

Baseline

After 1st wave

After 2nd wave

FNS score

C (N=36)

E1 (N=15)

E2 (N=35)

b

Fig. 3. Mean score (+SEM) of Food Neophobia Scale (FNS) of (a) the younger
children (2–3 grades) and (b) the older children (5–6 grades) of the C group (N = 72),
E1 group (N = 32), and E2 group (N = 60) measured at the baseline, after the 1st
education wave and in the end (after the 2nd education wave).

S. Mustonen, H. Tuorila / Food Quality and Preference 21 (2010) 353–360

357

background image

3.4. Pleasantness of the food categories

The mean ratings of pleasantness were higher in the 2nd than in

the 1st follow-up for cheeses [main effect of follow-up point
F(1,99) = 20.84, p < 0.001], and for vegetables and starches
[F(1,96) = 12.93, p < 0.001], and tended to be higher for seafood
[F(1,95) = 3.52, p = 0.064]. For other food groups, the ratings of
pleasantness did not differ. The pleasantness ratings of meat prod-
ucts tended to be higher in the older than in the younger children
[main effect of age group F(1,88) = 3.47, p = 0.066],while no other
age group effects existed. For cereal products, the C group tended
to rate the pleasantness lower than did the two E groups [main ef-
fect of education F(2,92) = 3.09, p = 0.05]. According to Tukey’s test,
the two E groups did not differ from each other (p = 0.83). Other-
wise, the three groups did not differ in terms of pleasantness rat-
ings of food groups.

The mean ratings of pleasantness for the cereal products in-

creased in the E2 group during the 2nd education wave, while
the ratings remained stable in the C group and in the E1 group
[interaction of education x follow-up point F(2,92) = 5.55, p =
0.005] (

Fig. 4

a). In the E groups, the ratings were higher than in

the C group in both measurements (

Fig. 4

a). The interaction effect

was significant for the older group [F(2,48) = 4.5, p = 0.016], but not
for the younger group [F(2,44) = 2.08, p = 0.14]. For cheeses, the
ratings of pleasantness tended to increase in both E groups, while
they remained at the same level in the C group [interaction of edu-

cation x follow-up point F(2,99) = 2.30, p = 0.105] (

Fig. 4

b). The

interaction effect was stronger for the older group [F(2,52) = 2.63,
p = 0.08] than for the younger group [F(2,47) = 1.31, p = 0.28]. The
pleasantness ratings of meat products remained at the same level
in all three groups [interaction of education x follow-up point
F(2,88) = 0.001, p = 0.999] (

Fig. 4

c). Vegetables and starches tended

to be rated more pleasant by both E groups in the end compared to
the 1st follow-up, while no change in ratings was seen in the C
group [interaction of education x follow-up point F(2,96) = 2.58,
p = 0.081] (

Fig. 4

d). The interaction effect was stronger for the

younger group [F(2,45) = 2.63, p = 0.083], while for the older group
it was far from significance [F(2,51) = 0.10, p = 0.90]. For seafood
[interaction

of

education

x

follow-up

point

F(2,95) = 0.72,

p = 0.49] (

Fig. 4

e) and for fruits and berries [interaction of educa-

tion x follow-up point F(2,85) = 1.73, p = 0.18] (

Fig. 4

f) no signifi-

cant effects were found.

For familiar foods, the mean ratings of pleasantness in each

food category were approximately at the level 6 (max = 7), while
for unfamiliar foods this value was approximately 2. In the
analyses of mean pleasantness ratings of unfamiliar foods only,
significant effects were found for seafood [interaction of educa-
tion x follow-up point F(2,97) = 3.64, p = 0.03], and for cereal
[interaction

of

education

x

follow-up

point

F(2,97) = 4.20,

p = 0.018]: the ratings of pleasantness of the E2 group increased
after the 2nd education wave, while for the C and E1 group the
ratings remained the same.

3

4

5

6

After 1st wave

After 2nd wave

Follow-up

Mean pleasantness

C (N=72)

E1 (N=32)

E2 (N=60)

3

4

5

6

After 1st wave

After 2nd wave

Follow-up

Mean pleasantness

C (N=72)

E1 (N=32)

E2 (N=60)

a

b

3

4

5

6

After 1st wave

After 2nd wave

Follow-up

Mean pleasantness

C (N=72)

E1 (N=32)

E2 (N=60)

3

4

5

6

After 2nd wave

After 1st wave

Follow-up

Mean pleasantness

C (N=72)

E1 (N=32)

E2 (N=60)

c

d

3

4

5

6

After 1st wave

After 2nd wave

Follow-up

Mean pleasantness

3

4

5

6

Follow-up

Mean pleasantness

e f

After 2nd wave

After 1nd wave

C (N=72)

E1 (N=32)

E2 (N=60)

C (N=72)

E1 (N=32)

E2 (N=60)

Fig. 4. Mean pleasantness (+SEM) of (a) cereal products, (b) cheeses, (c) meat products, (d) vegetables and starches, (e) seafood, and (f) fruits and berries of the C group
(N = 72), E1 group (N = 32), and E2 group (N = 60) measured after the 1st and after the 2nd education wave.

358

S. Mustonen, H. Tuorila / Food Quality and Preference 21 (2010) 353–360

background image

4. Discussion

4.1. Trying unfamiliar foods

The sensory education program aimed to encourage variety in

eating, by exposing children to diverse foods during the lessons.
This aim was accomplished, as in the end of the study, children
in the education groups had tasted a larger number of unfamiliar
foods than at the baseline, while no change was seen in the control
group. The greatest increase was in the younger children of the
group receiving two waves of sensory education. The sensory edu-
cation provides children encouragement to taste unfamiliar foods
via increased awareness of and curiosity towards foods and via
peer interaction. The increase in tasting of new, unfamiliar foods
is probably due to both social influence by peers (

Birch, 1980

)

and enthusiastic teacher modelling (

Hendy & Raudenbush, 2000

),

both elements being present in this setting (

Salo, 2007

).

Sensory education decreased food neophobia scores. The effect

was strongest in the group receiving both waves of education. In
the younger group of children receiving only one education wave,
food neophobia scores decreased and remained at the same level
until the end of the study. In the older children, food neophobia
tended to decrease after the 1st education wave, but in the final
measurement nine months after the education their food neophobia
tended to rise again. This is line with the results by

Reverdy et al.

(2008)

, who found that food neophobia decreased due to the sen-

sory education only temporarily. The 2nd education wave, in turn,
seemed to further decrease food neophobia from the level it was
after the 1st education wave, especially in the younger children.
As the final measurement was conducted right after the 2nd educa-
tion wave, the stability of the effect remains unknown. Yet, the
rather large changes in the food neophobia level support the view
that food neophobia may not fully be a stable personality trait but
rather a state prone to changes, especially in children (

Rigal et al.,

2006

). In the older group of the present study, similarly to the

French study (

Reverdy et al., 2008

), the effects of sensory education

on the decrease in food neophobia seemed to be only temporary. On
the contrary, the younger children maintained the increase in num-
ber of tasted foods and the decrease in FNS scores over the 1-year
period even when they did not receive further lessons.

Overall, the effect of sensory education was stronger in the

younger children. Similar results were achieved in France (

Reverdy

et al., 2008

). This suggests that a suitable age to start the sensory

education program could be 8 years (or even earlier). At that age,
flavor preferences and eating habits are still formatting (

Nicklaus

et al., 2004

). One of the reported reasons to dislike a certain food

in children under 9 years of age is commonly ‘‘do not know the
food” (

Koivisto & Sjödén, 1996

). The sensory and cognitive infor-

mation given in the sensory lessons can thus effectively intervene
in the development of food preferences.

Capretta, Petersik, and

Stewart (1975)

showed that an exposure-to-novel-foods manipu-

lation had an effect on younger but not on older rats (although
the older group were adult rats).

4.2. Relationship between familiarity and pleasantness of the foods at
baseline

At the baseline, the relationship between familiarity and pleas-

antness was dependent on the overall familiarity of the food. The
highest correlations between familiarity and pleasantness were
observed for the most unfamiliar foods. The lowest correlations be-
tween familiarity and pleasantness were for familiar staple foods
rice and potato. This is not surprising, as more or less all children
know potato and rice very well and consume them regularly, with-
out paying attention to their liking. On the contrary, if a child is
familiar with and a regular user of an unfamiliar food, he or she

most likely also finds that food pleasant. It has also been shown
that especially children base their food preferences and choices
primarily on sensory qualities of food (

Drewnowski, 2000; Nickl-

aus et al., 2004

). The strong correlations may partly be due to the

higher variation in pleasantness scores of the unfamiliar foods
compared to the scores of familiar foods, thus ratings within the
middle range (and the lack of extreme ratings) lead to low
correlations.

4.3. The pleasantness of the food categories

The 2nd wave of sensory education had slight effects on the

overall pleasantness of different food categories. Of the main food
categories included in the education program, the largest increase
in pleasantness was seen for cereal products. The pleasantness of
cheeses also increased in both education groups compared with
the control group. For meat products, no change in pleasantness
ratings was seen at any stage of the study. Vegetables and starches
were not included in the 2nd education wave, but their pleasant-
ness increased in both education groups, while it remained at the
same level in the control group throughout the study. The increase
in pleasantness ratings may be seen as a delayed effect due to the
tasks related to vegetables in the 1st education wave, as familiarity
has been proven to increase preference for various foods (

Birch &

Marlin, 1982

), especially for vegetables (

Wardle, Herrera, Cooke,

& Gibson, 2003

). Yet, the lack of increase in pleasantness scores

of seafood and fruits and berries underlines the importance of
exposures to different and specific food categories, when the aim
is to encourage varied consumption.

4.4. Methodological issues

One may question the reliability of parents’ ratings on behalf of

their children. However, children’s levels of behavioral neophobia
have been shown to be significantly related to their levels of trait
neophobia and to their parents’ predictions of their willingness
to eat the foods (

Pliner, 1994

). In this study, these two measure-

ments were also significantly correlated. In addition, parents have
shown high accuracy in predicting their children’s food preferences
(

Mata, Scheibehenne, & Todd, 2008

). Parents appear to make their

predictions by using specific knowledge about their child’s likes
and dislikes and by projecting their own preferences. Thus, par-
ents’ contribution in studies on children’s food-related behavior
has been widely used in previous studies, e.g.

Cooke, Haworth,

and Wardle (2007)

on genetic and environmental influences on

food neophobia of 8–11-year-old; and

Falciglia et al. (2000)

on col-

lection of dietary data from 10-year-old.

In recruiting, the parents were told that the study is about

tastes, smells and food. The phrase ‘sensory education’ was not
brought up in any phase of the study. Despite the effort to mini-
mise the information given on the study, parents filling in the
questionnaires were probably more or less vaguely aware of their
children participating in the sensory education program. Thus a
risk exists for demand bias, an experimental effect produced by
the respondent’s motivation to please the experimenter and to
confirm what they believe is the experimental hypothesis (

Cardel-

lo, 2007

) although the individual interviews (

Salo, 2007

) showed

that the parents did not know much of the contents of the pro-
gram. Yet, given the age of the study population and the vast num-
ber of laboratory tests, it would have been impossible to collect the
data without the contribution from the parents. Furthermore, the
questions presented to parents were such that they were expected
to be appropriate informants, as parents mainly buy and serve the
foods for children at the age of our study population. In several
cases the parents reported having filled in the questionnaires to-
gether with their child.

S. Mustonen, H. Tuorila / Food Quality and Preference 21 (2010) 353–360

359

background image

Food neophobia is considered to be a personal trait that should

not be prone to changes. The present as well as another study (

Ri-

gal et al., 2006

) indicate a range in food neophobia score. We can

assume that the individual disposition to relate to unfamiliar or
new foods is a persistent and heritable trait (

Knaapila et al.,

2007

), but it is possible that the instruments developed to quantify

this disposition evince behavioral changes that may take place
even when the underlying disposition remains unchanged.

5. Conclusions

The sensory education encouraged children to taste foods they

had not tasted before. The unprejudiced disposition to new food
experiences was seen also in the decreasing food neophobia score.
Eventually, the increased willingness to taste unfamiliar foods may
lead to a healthier diet, as people eating a variety of foods often
also eat healthier (

Jonsson, Ekström, & Gustafsson, 2005

). The im-

proved skills and interest in food and eating can broaden the per-
spectives to foods and eating and provide tools to cope with food
choices. Positive attitude towards food together with preparedness
to taste unfamiliar foods should serve as an incentive to set up sen-
sory education lessons as part of school program of young children.

Acknowledgements

This study was funded by the research program of Ministry of

Agriculture and Forestry, by Finnish Innovation Fund (Sitra) and
by Emil Aaltonen Foundation, Finland. The authors thank Dr. Anna
Bäckström for conducting the lessons in the 1st education wave,
research technician Kaisu Taskila for her skillful help during the
lessons, and Heli Esselström for contributions to early phases of
implementation. The representatives of the Finnish companies Va-
lio Ltd., Raisio Ltd., Fazer Bakeries and Biofincon Ltd., and Mr. Olavi
Törmä, MSc, from the meat pilot plant of the Department of Food
Technology are thanked for contributions to 2nd education wave.
We are grateful to the children and their parents for active partic-
ipation and for all efforts. The interest and encouragement of the
SAPERE group (

http://www.sapere-asso.eu

), headed by Mr. Roelof

Huurneman, is acknowledged.

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