theeffectofpreparationmethod!on …...kamilla!hall!kragelund!! ! studienummer201503524!!! 3!...
TRANSCRIPT
THE EFFECT OF PREPARATION METHOD ON
PRESCHOOL CHILDREN’S LIKING OF A FAMILIAR AND AN UNFAMILIAR VEGETABLE OVER
MERE EXPOSURES
Master’s thesis in Molecular Nutrition and Food Technology Submitted 01.06.2017
Kamilla Hall Kragelund, student no. 201503524
Supervisors: Ulla Kidmose and Babara Vad Andersen Department of Food Science, AU Årslev
Institute of Science and Technology, Aarhus university
Kamilla Hall Kragelund Studienummer 201503524
2
Abstract Despite the health benefits, Danish children do not meet the national recommendations for
daily intake of fruits and vegetables. Studies show that the food preferences are formed in the
childhood based on internal and external factors, but can be influenced by learning strategies.
This study aims to investigate if three different preparation methods have an effect on the
children’s liking of a familiar vegetable (carrot) versus an unfamiliar vegetable (parsnip) over
mere exposure. The 263 participating children were divided into six exposure groups
according to what they were going to be exposed to e.g. carrot baked (CBA, n=42), carrot
boiled (CBO, n=45), carrot raw (CR, n=43), parsnip baked (PBA, n=45), parsnip boiled (PBO,
n=43) or parsnip raw (PR, n=45). At pre-‐‑test and post-‐‑test, all the children tasted all six
combinations in order to function as each other’s control group.
The results showed that there was no significant effect of mere exposure on liking within the
exposure groups, however there was significant effect of mere exposure on liking between the
exposed children and the non-‐‑exposed children from pre-‐‑test to post-‐‑test, except in the CR
and CBA groups. The children gave the familiar carrot a higher liking compared to the
unfamiliar parsnip and even though the liking of the unfamiliar parsnip showed an increasing
tendency, the familiar raw carrot remained the most liked from pre-‐‑test to post-‐‑test. The
study also found that the raw preparation method did not influence the liking of the familiar
carrot over mere exposures, as the liking remained the same, however the liking of the
unfamiliar parsnip increased slightly. Also, both the baked carrot and parsnip increased
slightly in liking as well as the boiled carrot and parsnip. The results showed that the liking of
preparation method in general was higher in the familiar carrot compared to the unfamiliar
parsnip. Furthermore, the gender of the children did not affect the liking of the vegetables
except the boys had a higher liking of PR at the pre-‐‑test. However, the children’s level of
neophobia had an effect on the liking as the most neophobic children had the lowest liking of
the vegetables and the children with the lowest level of neophobia had the highest liking of
vegetables. Hence, it can be concluded that different preparation methods and mere exposure
can improve the liking for vegetables. However, more research is needed in relation to the
different preparation methods, mere exposure and food neophobia in children.
Kamilla Hall Kragelund Studienummer 201503524
3
Resume (in Danish)
På trods af, at forskning viser, at grøntsager er sunde for os og indeholder vigtige vitaminer,
mineraler og fibre, så er indtaget af grøntsager blandt danske børn ikke højt nok. I Danmark
anbefales det, at børn i alderen 4-‐‑10 år indtager 300-‐‑500 gram grøntsager om dagen, men
ifølge en undersøgelse er det kun 21 % af de danske børn, der opfylder kravene (Fagt, 2015).
Dette betyder, at der stadig er et stort behov for at undersøge, hvad der kan få børnene til at
øge deres indtag af grøntsager. Undersøgelser viser, at et menneskes præferencer for
fødevarer primært dannes i barndommen og at barnet ofte tager sine kostvaner med ind i
voksenlivet (2017). Derudover spiser barnet, hvad det kan lide, hvilket i barndommen kan
være præget af fødevare neofobi, der blandt andet er beskrevet som en manglende lyst til at
smage på en ukendt fødevare (Birch & Fisher, 1998). Tidligere studier viser, at indlærings-‐‑
strategien gentagen eksponering af en fødevare kan forbedre børns accept af en i begyndelsen
ukendt/ikke vellidt grøntsag samt at måden, hvorpå grøntsagen er tilberedt også påvirker
børnenes accept. Derfor ønsker dette studie at undersøge, hvordan forskellige tilberednings-‐‑
metoder samt gentagen eksponering påvirker børnenes liking af to forskellige grøntsager,
hvoraf én er velkendt for dem og den anden er mindre velkendt.
De 263 deltagende børn blev inddelt i seks forskellige grupper, som var opkaldt efter den
grøntsag og tilberedningsmetode, som børnene i gruppen skulle eksponeres for otte gange i
perioden med gentagen eksponering; carrot baked (CBA), carrot boiled (CBO), carrot raw
(CR), parsnip baked (PBA), parsnip boiled (CBO) og parsnip raw (PR). Til prætesten og post-‐‑
testen smagte alle børnene på alle smagsprøver for på den måde at kunne være kontrol-‐‑
gruppe for hinanden. Resultaterne viste, at gentagen eksponering ikke havde nogen effekt på
børnenes liking indenfor eksponeringsgrupperne, men at der til gengæld var en signifikant
effekt af gentagen eksponering imellem de børn, der var blevet eksponeret sammenlignet med
de børn, der ikke var blevet eksponeret bortset fra grupperne CR og CBA. Børnene gav den
velkendte gulerod højere liking end den ukendte pastinak ved prætest og selvom liking for
den ukendte pastinak viste en stigende tendens gennem de gentagne eksponeringer, så
forblev liking for den velkendte gulerod højere end for pastinakken. Resultaterne viste også,
at den rå tilberedningsmethode ikke påvirkede liking af den velkendte gulerod, men gav en
lille stigning i liking ved pastinakken i løbet af de gentagne eksponeringer. Både den bagte og
den kogte tilberedningsmetode viste en stigende tendens i både gulerod og pastinak.
Kamilla Hall Kragelund Studienummer 201503524
4
Børnenes køn havde generelt ikke nogen effekt på liking bortset fra, at drengene havde højere
liking af PR ved prætest. Børnenes neofobiske status havde effekt på børnenes liking, idet de
børn, der var i gruppen ”Ikke neofobisk” havde højere liking af grøntsagerne end de børn, der
var i gruppen ”Neofobisk”. Baseret på disse resultater, konkluderes det, at gentagen
eksponering samt forskellige tilberedningsmetoder kan anvendes til at forbedre børns accept
af grøntsager, hvilket er i overensstemmelse med allerede eksisterende litteratur på området.
Kamilla Hall Kragelund Studienummer 201503524
5
Preface
This report was written for a 60 ECTS master project at the master’s programme Molecular
Nutrition and Food Technology at Institute of Science and Technology, Aarhus University. The
experimental work of the study was performed at four public schools in Odense in
collaboration with Department of Food Science, AU Årslev. Postdoc Barbara Vad Andersen
and associate professor Ulla Kidmose were supervisors.
The author of this study wish to give thanks to the children, parents and teachers from the
four schools for participating in the study. Also, a thank to Grete Nielsen and Brian Due for
their help in carrying out the study and to Ulla Kidmose and Barbara Vad Andersen for
supervision through the process.
This thesis has been prepared by
____________________________________________________ __________________
Signature of the author Date
Kamilla Hall Kragelund Studienummer 201503524
6
Table of contents
1. Introduction ............................................................................................................................................ 8 1.1 The objective and hypotheses of the study ........................................................................................... 9 1.2 Guidance for the Reader .............................................................................................................................. 9 1.3 Explanation of terms ................................................................................................................................. 10 1.4 Abbreviations and symbols ..................................................................................................................... 10
2. Theoretical Background .................................................................................................................. 11 2.1 Children’s intake of fruits and vegetables .......................................................................................... 11 2.2 Vegetables – carrots and parsnips ........................................................................................................ 12 2.3 Development of children’s food preferences .................................................................................... 13 2.4 Strategies to increase children’s acceptance of fruit and vegetables ....................................... 15 2.4.1 Mere exposure .......................................................................................................................................................... 15 2.4.2 Preparation methods ............................................................................................................................................ 16
2.5 Food Neophobia .......................................................................................................................................... 18 2.6 Measuring tools for children’s liking ................................................................................................... 19 2.7 Literature study .......................................................................................................................................... 20 2.7.1 Mere exposure .......................................................................................................................................................... 20 2.7.2 Food neophobia ....................................................................................................................................................... 21 2.7.3 Preparation methods ............................................................................................................................................ 22
2.8 Sub-‐‑conclusion ............................................................................................................................................. 23 3. Materials and methods ..................................................................................................................... 24 3.1 Overall study design .................................................................................................................................. 24 3.1.1 Structure of the study design ............................................................................................................................. 24 3.1.2 The phases of the study ........................................................................................................................................ 25 3.1.3 Scale for measurement of liking ....................................................................................................................... 26
3.2 Participants .................................................................................................................................................. 26 3.2.1 Recruitment of the test participants ............................................................................................................... 26 3.2.2 Test participants ..................................................................................................................................................... 27 3.2.3 Randomization of participants for mere exposure phase ..................................................................... 27 3.2.4 Randomization of participants for pre-‐‑test and post-‐‑test .................................................................... 28
3.3 Experimental procedure .......................................................................................................................... 29 3.3.1 Pre-‐‑test and post-‐‑test procedure ..................................................................................................................... 29 3.3.2 Mere exposure-‐‑test ................................................................................................................................................ 29 3.3.3 Deviations from test procedure ........................................................................................................................ 30
3.4 Experimental stimuli ................................................................................................................................. 30 3.4.1 Choice of vegetables and preparation methods ........................................................................................ 30
3.5 Statistical data processing ....................................................................................................................... 32 3.5.1 Pre-‐‑test liking ........................................................................................................................................................... 32 3.5.2 Test for the effect of mere exposure on liking within the groups ...................................................... 33 3.5.3 Test for the effect of gender on liking ............................................................................................................ 33 3.5.4 Test for the effect of level of neophobia on liking ..................................................................................... 33 3.5.5 Correlation tests ...................................................................................................................................................... 33
4. Results ................................................................................................................................................... 34 4.1 Participants .................................................................................................................................................. 34 4.2 Pre-‐‑test liking ............................................................................................................................................... 34 4.3 Mere exposure ............................................................................................................................................. 36 4.4 Effect of gender on liking ......................................................................................................................... 40 4.5 Effect of level of neophobia on liking ................................................................................................... 41
Kamilla Hall Kragelund Studienummer 201503524
7
4.6 The correlation tests ................................................................................................................................. 44 5. Discussion ............................................................................................................................................. 48 Strengths and limitations ................................................................................................................................ 54
6. Conclusion ............................................................................................................................................ 56 7. Perspectives ......................................................................................................................................... 57 8. References ............................................................................................................................................ 58 9. APPENDIX ............................................................................................................................................. 64 Appendix A ........................................................................................................................................................... 65 Appendix B ........................................................................................................................................................... 69 Appendix C ........................................................................................................................................................... 72 Appendix D ........................................................................................................................................................... 73 Appendix E ........................................................................................................................................................... 74 Appendix F ........................................................................................................................................................... 75 Appendix G ........................................................................................................................................................... 77 Appendix H ........................................................................................................................................................... 79 Appendix I ............................................................................................................................................................ 80 Appendix J ............................................................................................................................................................ 83 Appendix K ........................................................................................................................................................... 84
Kamilla Hall Kragelund Studienummer 201503524
8
1. Introduction Years of medical and nutritional research have shown several health benefits from high
consumption of fruits and vegetables including reduced risk of life-‐‑threatening diseases for
instance cardiovascular conditions, type II diabetes, obesity and certain types of cancers
(Reetica Rekhy, 2014). Fruits and vegetables are important for human health as they contain
important vitamins, minerals and fibers, which have a preventing effect on diseases (Astrup,
2005). The World Health Organization (WHO) has estimated that approximately 1.7 million
deaths yearly or 2.8 % of all deaths yearly are related to the current low intake of fruits and
vegetables (2013). Beyond that, a study from 2014 suggests that there is “an inverse dose
response relationship between fruit and vegetables consumption and all cause mortality” (Wang
X., 2014). Therefore, a high intake of fruits and vegetables is important in a healthy diet.
However, the global intake of fruits and vegetables does not yet meet the recommendations.
In Europe, the daily intake of fruits and vegetables for an adult is 220 g, which is only half of
the recommended intake (2011). In Denmark, the national recommendation is 600 g of fruits
and vegetables per day for adults and for children in the age group 4-‐‑10 years, which is the
relevant age for the present study, the recommendation is 300-‐‑500 g per day. Also in
Denmark, the daily recommendations are not met, as only 21% of the Danish children and
young people meet the daily intake (Fagt & Matthiessen, 2017).
Studies show that food preferences are formed in the childhood and that the food preferences
remain the same into adulthood (2017) (2004). However, children tend to eat what they like
and this can be influenced by food neophobia, which is described as a reluctance to eat or
taste novel foods (Birch & Fisher, 1998). But, previous studies have successfully shown that
the learning strategy mere exposure of a vegetable has had an effect and furthermore can
improve the children’s accept of an initially disliked vegetable to the same level as an initially
liked vegetable (2012) (2007). Other studies have similar found that the preparation method
of vegetable also influences the liking of it due to sensory attributes (Gertrude G. Zeinstra,
2010). Therefore, the present study aims to investigate how three different preparation
methods influence preschool children’s liking of a familiar and an unfamiliar vegetable over
mere exposure.
Kamilla Hall Kragelund Studienummer 201503524
9
1.1 The objective and hypotheses of the study
The overall objective of this study is to investigate how three different preparation methods
influence the liking of a familiar vegetable and an unfamiliar vegetable over the strategy mere
exposure.
Following are the hypotheses in relation to the overall objective of the study:
1. The type of vegetable (familiar versus unfamiliar) has an effect on liking
2. The type of preparation method has an effect on liking
3. The type of vegetable and preparation method has an effect on liking
4. The strategy mere exposure has an effect on liking
Additional to the hypotheses to overall objective of the study, there are also some hypotheses
related to the questionnaires, which can be seen below:
5. The type of gender has an effect on liking
6. The level of food neophobia has an effect on liking
7. There is a correlation between the liking and the intake of respectively carrots and
parsnips reported by the parents
8. There is a correlation between the liking of respectively carrots and parsnips reported
by the parents and the children’s liking of carrots and parsnips at the pre-‐‑test
1.2 Guidance for the reader
This thesis is written in English as most literature regarding the topic is in English and
therefore it is most natural to write the following in the same languish. The thesis starts with
a theoretical background in section 2 involving a description of the development of food
preferences in children, the learning strategy mere exposure and preparation methods. In
section 3, the materials and method of the study is described together with a description of
the different phases of the study, the recruitment of the participants and the statistical data
processing. The results are presented in section 4 and discussed in section 5. Afterwards,
there is a conclusion and a perspective of the study.
Kamilla Hall Kragelund Studienummer 201503524
10
1.3 Explanation of terms
In order to reduce confusion of the terms that are often used in the literature regarding the
topic of this study for instance food acceptance, food preferences and liking, an explanation of
the terms used in this study will be given here. However, when the literature is described, the
terms that they have been used will of course be used. According to Cardello et al. (2000),
there are two important variables in studies of consumer food behavior; behavioral and
attitudinal, of which the behavioral variables consists of measurements such as intake and the
attitudinal variable includes the affective responses to food such as liking/disliking. In
relation to this, the term food preference is used as a behavioral measure, when one prefer
something over another in contrast to the term food acceptance, which is used as an
attitudinal measure for prepared food that is actually tasted. This means, that in this study the
children’s liking of a familiar and an unfamiliar vegetable is used as an attitudinal
measurement for vegetable acceptance, which can give an idea about the children’s intake of
vegetables.
1.4 Abbreviations and symbols
CBA: baked carrot
CBO: boiled carrot
CR: raw carrot
PBA: baked parsnip
PBO: boiled parsnip
PR: raw parsnip
Kamilla Hall Kragelund Studienummer 201503524
11
2. Theoretical Background
2.1 Children’s intake of fruits and vegetables
In the following section, the current intake of fruits and vegetables among children will be
reviewed. As fruits and vegetables are usually being discussed as a united group of foods, they
will also be mentioned together as one group of foods here.
As mentioned in the introduction, a high intake of fruit and vegetables is important for the
individual human health and for the public health as fruit and vegetables contain important
vitamins, minerals and fibers. This means that they have a preventive impact on development
of different diseases such as cardiovascular diseases and some types of cancer (Astrup, 2005).
In Denmark, the national board of health recommend that 4-‐‑10 years old children eat 300-‐‑
500 gram of fruits and vegetables each day. A report written by Fagt et al. (2017) from the
Technical University of Denmark (DTU) concerning the Danish people’s dietary habits shows
that Danish children and young people between 4-‐‑17 years in general eat inadequate amounts
of fruits and vegetables as only 21% of them meet the national recommendations.
Additionally, the data shows that the 4-‐‑10-‐‑year-‐‑old children, who are relevant for the present
study, have an intake of approximately 80 g more fruits and vegetables per day compared to
the older children in the report. In general, the intake of fruits and vegetables for children
between 4 and 17 years has been unchanged since 2005 as there has been an increase in the
intake of vegetables for the 4-‐‑10 years old and a decrease in the intake of fruits among the 11-‐‑
17 years. However, an increase in the intake of fruits and vegetables of 50 g per day among
the 4-‐‑6-‐‑years old means that the proportion that comply with the recommendations in the
age-‐‑group 4-‐‑6 years old increases from 25% to 40% in the period from 2005 to 2013 (Fagt &
Matthiessen, 2017). In further details, results from the Danish eating habits 2011-‐‑2013 shows
that boys between 4-‐‑9 years in average eats 158 g of vegetables per day and that girls in the
same age group eats in average 157 g of vegetables per day (Fagt, 2015).
All these results show that there has been an increase in the intake of vegetables for children
between 4-‐‑6 years, but there is still a requirement for a further improvement as around 60%
of them still do not have a high enough intake compared to the recommendations.
Kamilla Hall Kragelund Studienummer 201503524
12
2.2 Vegetables – carrots and parsnips
As mentioned in the previous section, vegetables are important for human health as they
contain essential vitamins, minerals and fibers as well as many other health-‐‑beneficial
compounds (Astrup, 2005). In the present study two vegetables a carrot and a parsnip is
chosen as the test vegetables because the carrot is a familiar vegetable and the parsnip is a
unfamiliar vegetable. Carrots are one of the most popular vegetables especially in Europe and
they are found in many different forms both fresh, frozen, “cut-‐‑and-‐‑peel” etc., which makes it
easy for the consumer to use them in their everyday life (Tanumihardjo, Suri, Simon, &
Goldman, 2016). This makes the carrot one of the most consumed coarse vegetable, which is
supported by a study from Beck (2014), which showed that 90 % of Danish adult consumers
had a high intake of carrots. In comparison, only 50-‐‑60 % of the adult consumers consumed
parsnips minimum once a month, which makes it a less eaten and less familiar vegetable
compared to the carrot. The consumer’s high intake and general liking for carrots are related
to a perceived sweetness of carrots (Varming, et al., 2004). However, vegetables in general are
often characterized as having a bitter taste, which is one of the primary causes of low intake
and low acceptance from especially children. Many different compounds have been related to
the bitter taste in carrots, but the polyacetylenes falcarionol (FaOH), falcarindiol (FaDOH) and
falcarindiol 3-‐‑acetate (FaDOAc) have been shown to have the major impact on the bitter taste
in carrots (Kreutzmann, Christensen, & Edelenbos, 2008). The polyacetylenes also occur
naturally in parsnips. Minimal processing results in a reduction of the compounds due to
peeling of the vegetable skin in which a high distribution of the compounds is placed and also
heat processing reduces the levels of polyacetylene (Koidis, Rawson, & Brunton, 2015).
Carrots and parsnips are root crops and they are related to each other despite they are
different vegetables. They both have a long history – the carrot was being used in Central Asia
and Afghanistan 1100 years ago and the parsnip was consumed in Roman times. The carrot
comes in a variety of different colors, but in this study the focus will be on the orange carrot.
Carrots are available in large parts of the world and function well in cooler climates and both
parsnips and carrots can be eaten during the winter, where many vegetables are not in
season. If they are stored in refrigerator, the shelf life can be up to a month (Tanumihardjo,
Suri, Simon, & Goldman, 2016).
Kamilla Hall Kragelund Studienummer 201503524
13
Carrots are a significant source of a-‐‑carotene and b-‐‑carotene, which can be cleaved into
respectively one or two molecules of vitamin A in the human body. This makes carrots an
important source of vitamin A, which is essential for reproduction, healthy eyes, cell growth
and strengthening of the immune system. Both carrots and parsnips contain fibers with 3 g
fiber per 100 g raw carrot and 5 g fiber per 100 g parsnip. Beyond all this, carrots have
antioxidant capacity as both a-‐‑carotene and b-‐‑carotene are antioxidant and therefore they
can capture free radicals (Tanumihardjo, Suri, Simon, & Goldman, 2016).
2.3 Development of children’s food preferences
In this section, the development of children’s food preferences and the factors that influence it
will be described. According to Helland et al. (2017) children’s food preferences are formed
when the child is approximately 2-‐‑3 years old and they tend to persist into adulthood. There
are several factors that affect the development of the children’s food preferences and they are
shown in figure 1 below, which is inspired by a review by Johnson et al. (2016).
Figure 1: The internal and external factors and the learning strategies that influence the development of children’s food preferences.
Vegetable consumption
Internal factors:Genetic predispositionAgeNeophobia
External factors:Early learning experiencesParent neophobiaHome environmentSocioeconomic statusVegetable availabilityPreparation method of vegetable
Learning strategies:Mere exposureFlavour-‐‑flavour learningFlavour-‐‑nutrient learningReward
Kamilla Hall Kragelund Studienummer 201503524
14
The internal factors are as followed genetic predispositions, age and level of neophobia. Some
children have a genetically predisposed response to bitter taste as they are sensitive to 6-‐‑n-‐‑
propylthiouracil (PROP) and therefore rate vegetables as more bitter. This might result in
negative experiences related to vegetables and a lower intake (Bell & Tepper, 2006). The age
of the children is also an important factor, as children have an innate taste preference for
sweet and salty in their early childhood and an inborn distaste for bitter. Though, this taste
preference declines with age (Mennella, 2014). The last internal factor the level of neophobia
is also related to age, as it often starts at the age of 2 years old and is at its height up to
preschool age, but in most cases it declines with age after this period. However, it can result in
a “rejection of foods that are novel or unknown to the child” (Doveya, Staples, Gibson, & Halfor,
2007). The external factors consist of early learning experiences, parent neophobia, home
environment, socioeconomic status, vegetable availability and preparation method of the
vegetables. In general, these external factors show that young children to a great extent are
influenced by their home environment and their parent’s intake of vegetables (Larson &
Story, 2009). Studies have also shown that the children’s intake of vegetables is influenced by
socioeconomic factors in the family as the availability and accessibility of vegetables in lower
socioeconomic families is associated with economic expenses (Cullen, et al., 2003). In recent
years, the preparation method of the vegetable has also been shown as a factor that influences
the consumption of vegetables, as some preparation methods e.g. boiled are more wanted by
children than other preparation methods (Zeinstra, 2010). However, this will be described
more in details later.
Even though the children’s food preferences are formed based on the above-‐‑mentioned
factors, studies have shown that there are some learning strategies that can be used to
increase the children’s familiarity of vegetables and thereby improve the acceptance and
consumption (Johnson, 2016). The most studied strategies are mere exposure, flavour-‐‑flavour
and flavour-‐‑nutrient learning and the use of rewards. Mere exposure is the strategy that has
shown the most consistent effects on children’s vegetable acceptance (Lakkakula A, 2010)
(Hausner, Olsen, & Møller, 2012).
Kamilla Hall Kragelund Studienummer 201503524
15
2.4 Strategies to increase children’s acceptance of fruit and vegetables
As just described, children’s food preferences are determined of both internal and external
factors. But even though the child’s food preferences are formed early in life, they can still be
modified by different strategies for instance mere exposure, flavour-‐‑flavour and flavour-‐‑
nutrient learning (Cardello A. , Schutz, Snow, & Lesher, 2000). These learning strategies can
be used to modify children’s acceptance for food and as relevant for this study they can be
used to increase the liking of a familiar and an unfamiliar vegetable among school children. In
the following section, the strategy mere exposure and the external factor the preparation
method will be described based on the objective to increase the liking of vegetables.
2.4.1 Mere exposure
Several studies (2010) (2012) (2012) have tested the effect of mere exposure on children’s
acceptance of different types of food including vegetables. The strategy mere exposure
function by frequently repeated exposures of the stimulus and thereby creating an increased
familiarity with the food. In order for mere exposure to be a success, it is important that the
experience with the tasting of the food does not produce any negative affect as this would
probably decrease the acceptance. The associations that the children have with the tasting of
the food products are therefore important for their liking (Zajonc, 1968).
The number of mere exposures that are needed to change the children’s acceptance for
vegetables varies slightly depending on the study. The number of mere exposures seems to
depend on different factors for instance the type of food, as only three exposures are sufficient
for acceptance of fruit, whereas vegetables require up to eight or nine exposures (Horne P. J.,
2004). For instance, Maier et al. (2007) compared an initially disliked and an initially liked
vegetable and showed that after seven to eight exposures most infants accepted the initially
disliked vegetable. Another study concluded that “there was a tendency for highly liked foods to
remain so and for least liked foods to become more liked over time” (Brandi Y. Rollins, 2010). A
study from 2011 showed that the children who were exposed to an initially disliked food
(snack bar) increased their acceptance of the food after nine exposures and the children that
were exposed to an initially liked food (also snack bar) showed a stable liking across the
Kamilla Hall Kragelund Studienummer 201503524
16
exposures (Hausner, Hartvig, Reinbach, Wendin, & Bredie, 2012). Based on the above-‐‑
mentioned results, approximately eight or nine mere exposures are required before there is
an effect in the acceptance of the initially disliked food.
2.4.1.2 The boredom effect
The boredom effect is typically seen in studies with 10-‐‑20 mere exposures and will result in
decreased acceptance of the food (R. Bornstein, 1990). The boredom effect can be seen in
children that have been exposed to a food repeatedly and this can be a limiting factor for the
effect of mere exposure due to the increased level of familiarity (Mojet, 2008). A study by
Olsen et al. (2012) showed that liking for most vegetables decreased during the exposure
period even though the opposite was expected. They discuss that a reason for this result could
be due to boredom as the daily exposures might have been too extensive, too monotonous and
the children got bored of the vegetables and the repetition. Results from a study by Hausner et
al. (2012) suggests that an exposure interval of 2-‐‑3 days may prevent the boredom effect as
the acceptance for the snack bar in their study was constant over exposures.
Due to the results mentioned above, it is important to be aware of the boredom effect in the
research primarily about mere exposure as there will be a risk of it affecting the results. The
results could also be transferred to the reality as the boredom effect could also occur here if
the same food is repeatedly being served for a child. However, the risk of boredom effect in
reality is smaller compared to the risk in mere exposure studies due to naturally more varied
food in reality.
2.4.2 Preparation methods
Today, there is limited research on how the different preparation methods influence the liking
of vegetables among children. A study by Zeinstra et al. (2010) showed that the preparation
method influenced the liking of for instance carrots and that the children preferred boiled and
steamed compared to mashed, grilled, stir-‐‑fried and deep-‐‑fried. This was explained by the fact
that boiling was the most familiar preparation method of carrots and because of sensory
attributes, as the boiling and steaming resulted in the most uniform surface of the carrots, the
typical carrot taste, colour and crunchiness. Beyond that, the absence of brown colouring was
also described as being an important factor. Therefore, the study concluded that the liking of
Kamilla Hall Kragelund Studienummer 201503524
17
vegetables was dependent of a mixture of familiarity of the taste, a uniform appearance and a
texture that the children can handle due to their physical development of teeth, muscles etc.
(Gertrude G. Zeinstra, 2010). These results regarding the sensory attributes are consistent
with the results found by Donadini et el. (2012) as they found that nearly half of the children
related their acceptance of the vegetable to the sensory characteristics. For instance, a sweet
taste and the original colour of the vegetable increased the acceptance, whereas brown
colouring and a tough texture had a negative impact on acceptance.
Results from another study by Poelman et al. (2013) also showed that children’s acceptance
for vegetables in this case Brassica vegetables was influenced by the preparation method, but
that it was the preparation time that had the greatest effect on acceptance. The study showed
that the children accepted boiling and steaming equally much, but that the medium
preparation time was preferred over the short and the long preparation time. The medium
preparation time in the study was 6 minutes and this resulted in a medium firm texture of the
samples. These findings are in accordance with Szczesniak et al. (1972) who found that
children prefer raw to cooked vegetables. Another study by Poelman et al. (2011) also found
that children liked the boiled vegetables most compared to baked/stir fried. The study found
that type of preparation method had a greater influence on the children who had a reported
lower liking of vegetables compared to the children that had a higher liking of vegetables.
These results were also supported by a study from 2015 by the same author Poelman et al.
(2015) who found that boiling and steaming were preferred over roasting and frying in
carrots.
All these above-‐‑mentioned results show that the preparation method is important for the
acceptance of vegetables among children and therefore it is one of the factors that can be used
to increase the intake of vegetables in children. However, it is important to remember that the
most liked preparation method is specific to the vegetable as raw for instance is preferred in
some vegetables, when boiling is preferred in others (Poelman, Delahunty, & Graaf, 2015).
However, more research on the preparation methods is needed as some of the existing
research are based on results from questionnaires instead of actual tasting.
Kamilla Hall Kragelund Studienummer 201503524
18
2.5 Food Neophobia
The acceptance of food products is highly influenced by the child’s level of food neophobia,
which is defined as “the rejection of foods that are novel or unknown to the child”. (Doveya,
Staples, Gibson, & Halfor, 2007) The term has been described by Rozin (1979) as a survival
mechanism that was evolutionary beneficial to help children avoid consumption of potentially
poisonous plants, toxic chemicals and others the environment without parents or other older.
Food neophobia is therefore a natural survival mechanism whereby the child rejects food
products that it has no experiences with. However, this survival-‐‑way of looking at food
neophobia is not as relevant today as it used to be, as todays food is generally safe to eat and
therefore there is no reason for this protective mechanism. Today this mechanism only
function as a reduction in the child’s dietary variety (Nicklaus S. , 2009). Therefore, the
challenge of food neophobia today is more related to the reduced intake of important macro-‐‑
or micronutrients. For instance, a study by Falciglia et al. (2000) showed that children with
high level of food neophobia had a lower intake of vitamin E compared to the less neophobic
children. Another study showed that neophobic individuals had deficiencies in magnesium,
monounsaturated fats and protein (Capiola & Raudenbush, 2012). As relevant for this study, a
study from 2013 showed that people with higher levels of food neophobia had a lower intake
of vegetables compared to persons with lower levels of food neophobia (Siegrist, Hartmann, &
Keller, 2013).
Food neophobia usually starts developing as the child is around two years old and it peaks
somewhere between 2 and 6 years and then it gradually decreases with age and obtains a
stable level in adulthood. Even though food neophobia tend to be strongly related to age,
other factors also influence the child’s level of food neophobia for instance the individual
child’s personality. The personality plays a role in the acceptance of new foods as children
with a more sensation seeking personality tend to have a lower level of food neophobia
because of a lower general neophobia. And opposite, children with different levels of anxiety
tend to be positively related to food neophobia (Doveya, Staples, Gibson, & Halfor, 2007).
As mentioned before, the children’s food preferences are established early in life and
therefore it is relevant if breastfeeding or formula feeding influences food neophobia. Studies
show that infants that have been breast-‐‑fed increased their intake of novel vegetables in their
Kamilla Hall Kragelund Studienummer 201503524
19
weaning period in a greater amount compared to formula fed infants. It functions as a
domino-‐‑effect as the infants who were introduced to a higher variety of vegetables early in
their weaning period, also tended to accept new food in general more rapidly (Maier,
Chabanet, Schaal, Issanchou, & Leathwood, 2007). Beyond that, children are also believed to
have an innate tendency to prefer sweet and fatty energy-‐‑dense food compared to the bitter
taste, which often characterizes the taste of vegetables. Therefore, children probably have a
genetic resistance against vegetables (Lehto, et al., 2015).
Through the years, there have been developed many different tools for measuring food
neophobia in children. According to a recent review by Damsbo-‐‑Svendsen et al. (2017), seven
instruments are available for measuring food neophobia in children depending on the child’s
age. The present study uses the Food Neophobia Scale for Children (FNSC) from 1994, which
is an adjusted version of the Food Neophobia Scale (FNS). It was developed for children in the
age group between 5 and 11 years and is a ten-‐‑item measure and can be seen in appendix A
(Pliner, 1994).
2.6 Measuring tools for children’s liking
In the previous sections, the strategy mere exposure and the factor of preparation methods
used in this study for increasing the liking of a familiar and an unfamiliar vegetable have been
described and in this section the measuring tools for the children’s liking will be described.
Today, there is a variety of measuring tools for food acceptance testing as it is both possible to
measure a direct intake of the vegetable in the test and there are also several different scales,
of which some of the scales e.g. pictorial scales are invented specially for children. However,
by using these scales for children, it is important to use age-‐‑appropriate scales, so that the
children do not get distracted by the pictures and it is essential that the children have the
cognitive skills and thereby understand that the faces on the pictures are supposed to show
their response to the food (Lawless & Heymann). According to Chen et al. (1996) a 7-‐‑point
facial scale can be used with children from 5 years and older, which is why it was used in the
present study, 4-‐‑years-‐‑old can use a 5-‐‑point scale and 3-‐‑years old children have shown to able
to use a 3-‐‑point facial scale. By using these scales, the children express their liking for the
tasted vegetable or other food and this is a measurement for the children’s acceptance of the
Kamilla Hall Kragelund Studienummer 201503524
20
vegetable, which was also described in the explanation of terms in the introduction. Previous
studies have also used these scales as Maier et al. used the 9-‐‑point scale together with intake
(2007), Hausner et al. used a 7-‐‑point smiley scale (2012) and Lakkakula et al. used a 3-‐‑point
Likert scale (2010). However, in a greater perspective, the objective is to increase the intake
of vegetables in children and therefore the most accurate measurement is to measure the
intake directly. This was done by Maier et al. in infants (2007) and by Hausner et al. in 2-‐‑3
years old children (2012).
2.7 Literature study
As already mentioned in the introduction, children do not consume the recommended amount
of vegetables and children’s liking of vegetables is one of the key predictors for the children’s
consumption of vegetables (Gibson, Wardle, & Watts, 1998). Johnson et al. (2016) found that
children’s food preferences are formed in the childhood and that children tend to take their
eating habits with them into adulthood. This makes it important to study, which factors that
influence the children’s acceptance of vegetables and which strategies that have been
successfully used to increase the children’s acceptance of vegetables. Therefore, the following
section will describe some of the already existing literature related to the topic of this study.
2.7.1 Mere exposure
In the following section, the studies that have already investigated the relationship between
mere exposure of an initially disliked vegetable (or another food) and the acceptance of it
compared to an initially liked food will be described.
A study by Maier et al. (2007) investigated the effect of repeated exposures of vegetable purée
on acceptance in 7-‐‑month old infants. They compared an initially liked and an initially disliked
vegetable purée and the results showed that after eight exposures, the intake of the initially
disliked vegetable purée was similar to the initially liked purée. The acceptance was
maintained even after nine months, which shows that the effect was persistent. A study by
Hausner et al. (2012) investigated the effect of mere exposure of an initially disliked and
initially liked snack bar in 9-‐‑11-‐‑year-‐‑old children. The results showed that the children that
had been exposed to the initially disliked snack bar increased their acceptance for the disliked
snack bar after nine exposures to the same level as the acceptance of the initially liked snack
Kamilla Hall Kragelund Studienummer 201503524
21
bar. Lakkakula et al. (2010) tested repeated exposure in vegetables by low-‐‑income school
children and the results showed that the number of children who liked/or liked a lot for
previously disliked vegetables were at the most after eight or nine tasting of the vegetables.
These studies indicate that the number of mere exposures that are needed to increase the
acceptance of an initially disliked food are eight or nine exposures. Then Hausner et al. (2012)
compared the strategies mere exposure, flavour-‐‑flavour learning and flavour-‐‑nutrient
learning. The results showed that the intake of a novel vegetable purée increased most due to
the mere exposure and this was seen already after 5 exposures. The flavour-‐‑flavour learning
strategy needed 10 exposures to change the intake and flavour-‐‑nutrient strategy did not
succeed in changing the intake. Other studies have also tried to study the effect of several
strategies such as a study by Fildes et al. (2014), who tested if a daily intake at home of an
initially disliked vegetable for 14 days together with a reward could increase the children’s
acceptance. The results showed that the 14 exposures and a reward were effective in
increasing the children’s acceptance of an initially disliked vegetable. However, the study also
mention that maybe 14 exposures were not necessarily for all children, maybe fewer could
have been used.
These findings show that mere exposure can be used as a powerful mechanism to improve
and increase the acceptance of initially disliked foods in children -‐‑ also in a long-‐‑term
perspective. However, the number of exposures that are needed are still not consistent and
therefore more research is needed.
2.7.2 Food neophobia
One of the factors that highly influence the children’s food preferences and the acceptance of
foods is the child’s level of neophobia. Several studies have studied the effect of neophobia in
relation to food acceptance and some of them will be described here. Food neophobia is often
measured by the Food Neophobia Scale (FNS) developed by Pliner and Hobden in 1992 and
according to a study by Damsbo-‐‑Svendsen et al. (2017), the FNS continue to give reliable and
valid results, even though some of the questions are not relevant today due to a changed food
selection. Most studies today rely on parents reports about the children’s level of neophobia,
but a study by Laureati et al. (2015) tried to develop their own neophobia scale for the
children based on the Food Neophobia Scale (FNS). The results from this study showed that
Kamilla Hall Kragelund Studienummer 201503524
22
the new questionnaire could be used by children at the age of eight years and older, but not by
children at 6-‐‑years as they did not respond repeatable at the questionnaires.
Falciglia et al. (2000) divided the children of their study into three groups based on their
scores from the FNS and results from the study showed that the neophobic group had a higher
intake of saturated fat, a lower overall “Health Eating Index” score and less food variety
compared to children without food neophobia. This is consistent with the findings from a
study by Helland et al. (2017), who found that children with high levels of neophobia had less
frequent intake of vegetables. In relation to mere exposure, this could indicate that children
with a high level of neophobia need more exposures in order to improve their acceptance for
a novel food compared too children with lower levels of neophobia.
2.7.3 Preparation methods
One of the factors that can influence the children’s acceptance of vegetables is the preparation
method of the vegetable. Currently, there is not much scientific research available on the topic
and therefore it has only been possible to find a few articles. However, the existing studies
have in general found that the preparation method influences the acceptance of the
vegetables, which will be described here. In 2011 Poelman et al. (2011) investigated if the
children’s acceptance for vegetables was influenced by the preparation method. They found
that the preparation method did affect the acceptance for vegetables (cauliflower and beans)
as boiled vegetables were accepted more than baked/stir fried. The low acceptance for baked
samples was explained by a high odour intensity and the presence of browned flavour, which
was not present in the boiled samples. Again in 2013, Poelman et al. (2013) showed that the
children’s acceptance for broccoli and cauliflower was affected by the preparation method,
but that the preparation time had a greater effect on acceptance as the medium preparation
time of 6-‐‑8.5 minutes depending om vegetable and preparation method was most wanted for
both vegetables compared to the short and the long preparation times. Later, Poelman et al.
(2015) also studied children’s experiences, liking and intake of vegetables with reference to
preparation practices at home by using a questionnaire, which was answered by the parents.
The results showed that preparation method influenced vegetable acceptance and intake in
children and also that the effect of preparation methods was vegetable specific. Zeinstra et al.
(2010) investigated the effect of preparation method on sensory preferences for vegetables
Kamilla Hall Kragelund Studienummer 201503524
23
among 4-‐‑12 years old children and young adults up to the age of 25. They found that all age
groups preferred boiled and steamed vegetables over stir-‐‑fried, grilled, mashed and fried
vegetables. Beyond that, they found that liking of the vegetables was positively associated
with a uniform surface and a well-‐‑known taste of vegetables, moderately associated with a
granular texture and negatively associated with brown colouring.
2.8 Sub-‐‑conclusion
In the above-‐‑mentioned sections, it is described that the intake of fruits and vegetables among
children today do not meet the recommendations, even though they are important for human
health. The children’s food preferences are formed based on both internal factors including
neophobia and external factors including the preparation method of the vegetable. The food
preferences can be affected by different learnings strategies for instance mere exposure,
flavor-‐‑flavor learning and flavor-‐‑nutrient learning. Studies have shown that the strategy mere
exposure has succeeded in increasing the acceptance of initially disliked foods to the same
level as an initially liked foods and other studies shown that the preparation method of the
vegetable influences the acceptance for the vegetables among children due to sensory
attributes.
Kamilla Hall Kragelund Studienummer 201503524
24
3. Materials and methods In the following section, the method of the study will be described including a description of
the study design, the conduction of the study, the participants and the statistics used in the
handling of the data.
3.1 Overall study design
The study is a Mere Exposure study and the participants were randomized into one of the six
exposure groups, which include two vegetables (carrot and parsnip) and three preparation
methods (baked, boiled and raw). The samples were called carrot baked (CBA), carrot boiled
(CBO), carrot raw (CR), parsnip baked (PBA), parsnip boiled (PBO) and parsnip raw (PR). The
study design was classified into three phases:
1. Pre-‐‑test: all children tasted samples of both CBA, CBO, CR, PBA, PBO and PR and noted
their liking for each sample.
2. Mere exposure: each of the six groups of children was exposed to a sample of either
CBA, CBO, CR, PBA, PBO or PR depending on which group they were in. This was
repeated eight times during four weeks and the children noted their liking each time.
3. Post-‐‑test: all children tasted samples of both CBA, CBO, CR, PBA, PBO and PR again and
noted their liking for each sample.
3.1.1 Structure of the study design
In the table below, the overall structure of the study design is outlined. The table shows a list
of all the six exposure groups and shows what the participants in the different groups tasted
at the pre-‐‑test, the mere exposures and the post-‐‑test. This design, where all participants
tasted the same at the pre-‐‑test and at the post-‐‑test, was chosen so that the children all could
function as each other’s control group. This design enabled that the development in liking for
the exposed children in the six different exposure groups could be compared to the pre-‐‑ and
post-‐‑test liking of the non-‐‑exposed children/the control group. For instance, the liking of CR
at pre-‐‑ and post-‐‑test of the children who were exposed to CR was compared to the liking at
pre-‐‑ and post-‐‑test of the children, who were not exposed to CR in the mere exposure period.
Kamilla Hall Kragelund Studienummer 201503524
25
Table 1: Overview of the study design. The groups carrot baked (CBA), carrot boiled (CBO), carrot raw (CR), parsnip baked (PBA), parsnip boiled (PBO) and parsnip raw (PR) are listed in the first column. In the columns “Pre-‐‑test”, “Mere exposure” and “Post-‐‑test”, it is noted what the participants in the different groups tasted at the pre-‐‑test, mere exposures and post-‐‑test.
Group Pre-‐‑test Mere exposure Post-‐‑test
CBA CBA, CBO, CR, PBA, PBO, PR 8 ´ CBA CBA, CBO, CR, PBA, PBO, PR
CBO CBA, CBO, CR, PBA, PBO, PR 8 ´ CBO CBA, CBO, CR, PBA, PBO, PR
CR CBA, CBO, CR, PBA, PBO, PR 8 ´ CR CBA, CBO, CR, PBA, PBO, PR
PBA CBA, CBO, CR, PBA, PBO, PR 8 ´ PBA CBA, CBO, CR, PBA, PBO, PR
PBO CBA, CBO, CR, PBA, PBO, PR 8 ´ PBO CBA, CBO, CR, PBA, PBO, PR
PR CBA, CBO, CR, PBA, PBO, PR 8 ´ PR CBA, CBO, CR, PBA, PBO, PR
3.1.2 The phases of the study
In the following section, the three phases of the study will be described in detail.
3.1.2.1 Pre-‐‑test
The first phase of the study was the pre-‐‑test. All the children were exposed to an
approximately 7 g sample weigh as seen in figure 4 picture B of both CBA, CBO, CR, PBA, PBO
and PR served in transparent plastic jars with lids (Abena A/S, Aabenraa, Denmark), and
noted their liking on a 7-‐‑point facial scale, which will be described later in this section, after
each sample. The samples can be seen in figure 4 picture, C, D, E and F. The six samples of
vegetables were served in a randomised order between classes to eliminate a serving order
effect.
3.1.2.2 Mere exposure
The second phase of the study was the mere exposure phase, which took place two times per
week for four weeks. The children were exposed to an approximately 7 g sample of either
CBA, CBO, CR, PBA, PBO or PR depending on which group they were in. After the tasting, they
noted their liking on the 7-‐‑point facial scale. To simplicity, the randomization of the six
exposure groups was done in between the classes, so all the children in the same class were in
the same exposure group – except from one class in which the children were mixed between
the exposure groups.
Kamilla Hall Kragelund Studienummer 201503524
26
3.1.2.3 Post-‐‑test
The third phase of the study was the post-‐‑test, which was an exact repetition of the pre-‐‑test. It
took place at the four schools on their last day of the study. Again, the children were exposed
to an approximately 7 g sample of both CBA, CBO, CR, PBA, PBO and PR served in transparent
plastic jars with lids (Abena A/S, Aabenraa, Denmark), and noted their liking on the 7-‐‑point
facial scale. The six samples were served in the same randomised order as at the pre-‐‑test.
3.1.3 Scale for measurement of liking
As a measuring tool for liking, the 7-‐‑point facial scale was used based on a study by Chen et al.
(Chen, 1996), in which it is concluded that the 7-‐‑point facial hedonic scale is a reliably scale
for 5-‐‑year old children. The scale can be seen in the figure 2 below.
Figure 2: 7-‐‑point facial scale.
3.2 Participants
3.2.1 Recruitment of the test participants
The children were recruited from four public schools in Odense. They were all children in
preschool classes in the age group between five and seven years old. The schools that wanted
to participate were informed about the study at a personal meeting. The parents of the
participating children were asked for acceptance through a questionnaire (appendix A) about
Kamilla Hall Kragelund Studienummer 201503524
27
the children’s liking and intake of carrots and parsnips during a week. Data from 43 children
were excluded from the analysis due to missing acceptance from the parents and the final
number of participating children was 263. However, the teachers on all four schools were
contacted several times in an attempt to get more accepts from parents.
3.2.2 Test participants
The participants in the study were children, who were attending preschool classes in public
schools in Odense. The inclusion criteria were therefore as following:
1. Attending preschool class in public schools in Odense
2. Healthy and no food allergy for relevant vegetables
3. Acceptance from parents
3.2.3 Randomization of participants for mere exposure phase
The recruited children were randomized into six exposure groups for the mere exposure
phase. The randomization was based on the fact that all children in the same class should be
in the same exposure group for practical reasons – and only in one class, the children were
mixed. The randomization subdivision is seen in the table below and the randomization of the
mixed class can be seen in appendix C.
Table 2: Randomization of the classes for the mere exposure phase. CBA=carrot baked, CBO=carrot boiled, CR=carrot raw, PBA=parsnip baked, PBO=parsnip boiled and PR=parsnip raw.
School/class Mere exposure-‐‑group
Hunderupskolen 0.A CR
0.B CBO
0.C CBA
Rosengårdskolen 0.A CBO
0.B CR
0.C Mixed (appendix C)
Sct. Hans skolen 0.X PR
0.Y PBO
0.Z PBA
Kamilla Hall Kragelund Studienummer 201503524
28
Tingløkkeskolen 0.A PBA
0.B PBO
0.C PR
0.D CBA
3.2.4 Randomization of participants for pre-‐‑test and post-‐‑test
For the pre-‐‑test and the post-‐‑test, the samples from the six exposure groups were served in
the following randomized order as seen in the table 3 below. The same structure was used
both for the pre-‐‑test and the post-‐‑test.
Table 3: Randomization of serving order at the pre-‐‑ and the post-‐‑test. CBA=carrot baked, CBO=carrot boiled, CR=carrot raw, PBA=parsnip baked, PBO=parsnip boiled and PR=parsnip raw.
School/class Serving order at pre-‐‑test and post-‐‑test
Hunderupskolen 0.A PR, CBO, PBA, PBO, CR, CBA
0.B PBO, CR, CBO, PBA, CBA, PR
0.C CR, CBA, PBO, PR, PBA, CBO
Rosengårdskolen 0.A PBA, CR, CBA, CBO, PR, PBO
0.B CBO, CBA, CR, PBO, PR, PBA
0.C CBA, PBA, PR, CR, CBO, PBO
Sct. Hans skolen 0.X PR, CBA, CBO, PBA, CR, PBO
0.Y PBO, PBA, CR, CBA, PR, CBO
0.Z CR, PR, PBA, PBO, CBO, CBA
Tingløkkeskolen 0.A CR, CBO, CBA, PR, PBA, PBO
0.B PBA, PBO, PR, CBA, CBO, CR
0.C CBO, PR, PBA, CR, CBA, PBO
0.D CBA, PBO, CR, CBO, PBA, PR
Kamilla Hall Kragelund Studienummer 201503524
29
3.3 Experimental procedure
The general test procedure is described in the following section. Furthermore, the deviations
from the normal procedure are also described.
3.3.1 Pre-‐‑test and post-‐‑test procedure
All tests took place in the preschool classrooms at the four participating schools. The tests
were carried out in the late mornings between 9 am and 12 am depending on the class and
school. All tests were carried out before the children had lunch. The children were placed in
their normal seats to make the situation most natural for them. First, the children were
introduced to the 7-‐‑point facial scale where the head of the study went through all the seven
faces on the scale and the children were giving examples of food they associated with the
specific face. Then the teacher handed out the facial scales, which had the specific child’s name
and the exposure group e.g. CR on it, while two assistants handed out the samples and the
dividers, which can be seen in figure 3. The dividers were placed between the children, so that
they could not see each other’s facial features and evaluation, when they tasted the samples to
avoid interaction. The children were told to sit quiet, taste their sample and note their liking.
Afterwards, when they were finished, they put up their hand and the facial scales were
collected. This procedure was repeated six times at both the pre-‐‑test and the post-‐‑test. After
the post-‐‑test, each class were giving a box of local apple juice as thanks.
3.3.2 Mere exposure-‐‑test
The mere exposure tests also took place in the preschool classrooms between 9 am and 12 am
depending on the class and school. The children were placed in their normal seats, and they
had a short introduction each time to the facial scale and to what was going to happen. Then
the dividers were placed between the children and the teacher handed out the facial scales to
each child. The samples of vegetables were handed out and the children were told to taste the
sample quiet and note with ticking which smiley they associated with the sample. Then the
scales were collected and all the plastic jars were thrown out or handed to the teacher.
Kamilla Hall Kragelund Studienummer 201503524
30
Figure 3: The pictures show the test setup in one class with the dividers between the children.
3.3.3 Deviations from test procedure
The following observations have been done during the test carrying-‐‑out in general for all the
participating classes. First, many of the children were not present at all the mere exposures or
at the pre-‐‑test and post-‐‑test and therefore they did not taste the samples the amount of times
that was planned for the study. Next, some of the classes often had young substitute teachers
who did not know the children and had problems to calm the children down. This resulted in
noise and classroom disruptions during the tasting. Furthermore, in some few instances, the
children just had had fruit before the tasting, which could affect the liking of the vegetable
sample tasting compared to when they did not just have had fruit before the tasting.
3.4 Experimental stimuli
3.4.1 Choice of vegetables and preparation methods
The present study aims to compare the development in a familiar and in an unfamiliar
vegetable. The vegetables were chosen based on a study by Beck (2014), which showed that
90 % of adult Danish consumers had a high intake of carrots and 50-‐‑60 % of the consumers
consumed parsnips minimum once a month – therefore the carrot was categorized as a
familiar vegetable and the parsnip was categorized as an unfamiliar vegetable. This was
supported by the questionnaires in the present study. Three different preparation methods
were chosen: baked, boiled and raw. They were chosen based on the assumption that both
Kamilla Hall Kragelund Studienummer 201503524
31
vegetables are normally prepared in these ways. A group of four adults staff members related
to the study tasted and tested the baked, boiled and raw carrots and parsnips before the study
start to find the optimal size, weight and preparation time of the baked, boiled and raw
vegetables. The protocol for the preparation of the vegetables can be seen in appendix B. The
vegetables were delivered by AU Årslev. The used carrot cultivar was New Hall and the
parsnips were a mixture of the cultivars Picador and Aromata. All the vegetables were stored
in a cold room at 1°C in AU Årslev during the study.
Kamilla Hall Kragelund Studienummer 201503524
32
Figure 4: A: The cutting of the vegetables. B: weighing 7 g of a vegetable. C: The carrots in transparent plastic jars, D: The parsnips in transparent plastic jars, E: carrots ready for serving and F: parsnips ready for serving.
3.5 Statistical data processing
All the data from the questionnaires and the children’s liking replies from both pre-‐‑test, the
mere exposure phase and post-‐‑test were entered in Excel and descriptive statistics including
mean, standard deviation and standard error of mean (SEM) were made. The statistical data
processing was done in XLSTAT 19.01 (Addinsoft, New York, United States), which bases its
calculations on least squares mean.
3.5.1 Pre-‐‑test liking
The effect of type of vegetable (familiar versus unfamiliar) was tested by a one-‐‑way ANOVA,
as there is only one factor – the type of vegetable. The null hypothesis (H0) was that the type
of vegetable did not have an effect on the liking. Afterwards, a one-‐‑way ANOVA was done to
see if the preparation method had an effect on the liking with the H0 that the type of
preparation method did not have an effect on the liking. Both tests were based on the liking
scores from the pre-‐‑test. In case of a p-‐‑value <0.05, the supplemental post hoc test Tukey HSD
was run to see between which groups the differences occurred.
A two-‐‑way ANOVA was done to test if the effect of the type of vegetable (familiar versus
unfamiliar) and type of preparation method had an effect on the liking with the H0 that there
was no effect of the type of vegetable and type of preparation method on liking. The test was
also based on the liking scores from the pre-‐‑test. Also here, a supplemental post hoc test
Kamilla Hall Kragelund Studienummer 201503524
33
Tukey HSD was run.
3.5.2 Test for the effect of mere exposure on liking within the groups
A two-‐‑way ANOVA test was done to test if the mere exposure within the six different exposure
groups had an effect on the liking scores from pre-‐‑test through all exposure tests to post-‐‑test
with the H0 that mere exposure did not have an effect on liking.
3.5.3 Test for the effect of gender on liking
The effect of gender on liking was tested by a one-‐‑way ANOVA based on the liking scores from
the pre-‐‑test and post-‐‑test with the H0 that gender did not have an effect on the liking.
3.5.4 Test for the effect of level of neophobia on liking
The children were divided into three groups based on their scores from the FNSC based on
literature (Falciglia, Couch, Gribble, Pabst, & Frank, 2000). The groups were as followed: Not
neophobic (scores from 0-‐‑30), Neither neophobic or not neophobic (scores from 31-‐‑40) and
Neophobic (scores from 41-‐‑70). The effect of the level of neophobia on liking was tested by a
one-‐‑way ANOVA based on the liking scores from the pre-‐‑test and the post-‐‑test with the H0
that the level of neophobia did not have an effect on the liking score. Beyond this, a two-‐‑way
ANOVA was done to see if the level of neophobia and the type of vegetable (familiar versus
unfamiliar) had an effect on the liking score.
3.5.5 Correlation tests
Pearson’s correlation test was used to test the correlation between the children’s liking of
carrots and parsnips in relation to the children’s intake of carrots and parsnips reported by
parents. Finally, the correlation between the children’s liking of carrots and parsnips reported
by parents in relation to the children’s liking score of the carrots and parsnips at the pre-‐‑test
was also tested by the Pearson’s correlation test.
Kamilla Hall Kragelund Studienummer 201503524
34
4. Results In the following section, the key results of the study will be presented starting with the basic
data on the participants, followed by the results concerning the type of vegetable, type of
preparation method and mere exposure. And at last, the results based on the questionnaires
completed by the parents are presented. In case of significant differences between groups,
they will be marked with an A, B, C etc. depending on their grouping from the Tukey HSD test.
4.1 Participants
The distribution of the participants is shown in table 4. The table shows that the total number
of participants were 263 children, of which 148 were boys and 115 were girls. This results in
a percentage of boys of 56.3% and a percentage of girls of 43.7%.
Table 4: Distribution of participants in the six exposure groups: baked carrot (CBA), boiled carrot (CBO), raw carrot (CR), baked parsnip (PBA), boiled parsnip (PBO) and raw parsnip (PR).
CBA CBO CR PBA PBO PR Total %
Girls 19 19 20 18 17 22 115 43.7
Boys 23 26 23 27 26 23 148 56.3
Total 42 45 43 45 43 45 263 100
4.2 Pre-‐‑test liking
First, the effect of the type of vegetable (familiar versus less unfamiliar) on liking was tested
based on data from the pre-‐‑test. The results showed that there was a significant effect of the
type of vegetable on the liking score with a p-‐‑value=<0.0001 (appendix D) as the familiar
carrots had a significantly higher liking score with a LS mean of 4.6 compared to the
unfamiliar parsnips, which had a LS mean liking score of 3.6. This is illustrated in figure 5
below.
Kamilla Hall Kragelund Studienummer 201503524
35
Figure 5: Pre-‐‑test mean liking for carrots and parsnips. X-‐‑axis shows the type of vegetable and the y-‐‑axis shows the liking scale from 1-‐‑7.
The effect of the preparation method on liking at pre-‐‑test was also tested. The results showed
that the type of preparation method had a significant effect on the liking scores at the pre-‐‑test
with a p-‐‑value=<0.0001 (appendix E). The raw preparation method had the significantly
highest liking, the baked preparation method had the significantly second highest liking and
the boiled preparation method had the significantly lowest liking score (appendix E), which is
illustrated in figure 6 below.
Figure 6: Pre-‐‑test liking for preparation methods. The x-‐‑axis shows the type of preparation method and the y-‐‑axis shows the liking scale from 1-‐‑7.
1
2
3
4
5
6
7
Carrot Parsnip
Liking score
Vegetable
Type of vegetable (familiar versus unfamiliar) and liking at pre-‐‑test
AB
1
2
3
4
5
6
7
Baked Boiled Raw
Liking score
Preparation method
Type of preparation method and liking at pre-‐‑test
A
BC
Kamilla Hall Kragelund Studienummer 201503524
36
The results from the test of the effect of the type of vegetable (familiar versus unfamiliar) and
the type of preparation method showed that there was a significant interaction effect of the
type of vegetable and the type of preparation method on liking with a p-‐‑value=0.0001
(appendix F). As seen in figure 7 below, the raw carrot (CR) had a significantly higher liking
compared to the other five groups and the boiled parsnip (PBO) had the significantly lowest
liking. The remaining four groups (CBA, CBO, PBA and PR) did not differ significantly from
each other.
Figure 7: Interaction effect of the type of vegetable and the type of preparation method on pre-‐‑test liking between all six exposure groups: baked carrots (CBA), boiled carrots (CBO), raw carrots (CR), baked parsnips (PBA), boiled parsnips (PBO) and raw parsnips (PR). The x-‐‑axis shows the type of vegetable and preparation method and the y-‐‑axis shows the liking score from 1-‐‑7.
4.3 Mere exposure
The effect of mere exposure on liking within the six exposure groups was tested and the result
showed that there were no significant differences in liking within the groups from pre-‐‑test to
post-‐‑test. However, as it can be seen in figure 8 the liking was in general increasing and the
highest liking score was obtained at exposure number 8 in the groups CBA, PBA, PBO and PR.
In the CBO group the highest liking was obtained at the post-‐‑test, while the liking in the CR
group was almost unchanged from pre-‐‑test to post-‐‑test. Figure 8 also shows that CR had the
highest liking through pre-‐‑test to post-‐‑test and that PBO had the lowest liking almost from
pre-‐‑test to post-‐‑test. In relation to the effect of preparation method on liking, figure 8 shows
1
2
3
4
5
6
7
CBA CBO CR PBA PBO PR
Liking score
Preparation method and vegetable
Type of vegetable and type of prepraration method -‐‑ liking at pre-‐‑test
B B
A
B
CB
Kamilla Hall Kragelund Studienummer 201503524
37
that the raw preparation method did not influence the liking of the familiar carrot over mere
exposures, as the liking remained the same, however the liking of the unfamiliar parsnip
increased slightly. Also, both the baked carrot and parsnip increased slightly in liking as well
as the boiled carrot and parsnip. Figure 8 shows that the liking of preparation method in
general was higher in the familiar carrot compared to the unfamiliar parsnip. It was also seen
that the liking of PR, CBA, PBA and PBO decreased from exposure no. 8 to post-‐‑test.
Figure 8: Liking from pre-‐‑test to post-‐‑test among the exposed children. X-‐‑axis shows the exposure number and the y-‐‑axis shows the liking score from 1-‐‑7.
It was also tested, if there were any differences in liking between the exposure groups at the
different exposure numbers. The results showed that there was a significant difference
(p=<0.0001) in the liking between the groups at the pre-‐‑test. CR had significantly higher liking
compared to PBO, PBA, CBA, CBO and PR. PR and CBO had significantly higher liking than
PBO. At the first exposure, there was a significant difference in liking between the groups as
CR had significantly higher liking compared to PBO and PBA (p=0.003). At the second mere
1
2
3
4
5
6
7
Pretest 1 2 3 4 5 6 7 8 Posttest
Liking score
Liking in the mere exposure period
CBA CBO CR PBA PBO PR
Kamilla Hall Kragelund Studienummer 201503524
38
exposure, CR had significantly higher liking compared to PBO and CBA (p=0.002). At the third
mere exposure, CR, CBO and PR had the significantly highest liking compared to PBO. At the
fourth mere exposure, CR had a significantly higher liking compared to PBO and PBA, whereas
PR and CBO had a significantly higher liking compared to PBO (p=0.0001). At the fifth
exposure, CR had a significantly higher liking compared to PBO and PBA, whereas CBO had a
significantly higher liking compared to PBO (p=0.001). At the sixth mere exposure, there was
also a significant difference (p=0.003) in the liking between the exposure groups as CR and
CBO had the significantly highest liking compared to PBO. At the second last mere exposure,
CR had a significantly higher liking than PBA (p=0.05). There was no significant difference
between the groups at mere exposure eight, but in the post-‐‑test CR had significantly higher
liking compared to PBA, PBO and CBA. CBO had significantly higher liking than PBA and PBO
(p=<0.0001) (appendix G).
The effect of mere exposure on liking was also tested between the exposed children and the
non-‐‑exposed children at pre-‐‑test, the 4. exposure (only exposed children) and post-‐‑test. The
results (appendix G) are illustrated in figure 9 below. The results show that there were no
differences in liking between exposed and non-‐‑exposed children at pre-‐‑test or post-‐‑test
within the CBA (figure 9, A) and the CR (figure 9, E) group. In the CBO (figure 9, C) group,
results showed that the non-‐‑exposed children had a significantly lower liking at the pre-‐‑test
and post-‐‑test compared to the exposed children’s liking at the 4. exposure and post-‐‑test. In the
PBA-‐‑group (figure 9, B), the exposed children had a significantly higher liking at the 4.
exposure compared to the non-‐‑exposed children’s liking at the post-‐‑test. In the PBO-‐‑group
(figure 9, D), the exposed children had a significantly higher liking at the post-‐‑test compared
to the non-‐‑exposed children’s liking at post-‐‑test. In the PR group (figure 9, F), the exposed
children had a significantly higher liking at pre-‐‑test, 4. exposure and post-‐‑test compared to
the non-‐‑exposed children’s liking at post-‐‑test. These results show that the mere exposure has
had an effect compared to the non-‐‑exposed children within all exposure groups except CBA
and CR.
Kamilla Hall Kragelund Studienummer 201503524
39
Figure 9: A: Mean liking for exposed and non-‐‑exposed children at pre-‐‑test, 4. exposure (only exposed children) and post-‐‑test. A: carrot baked (CBA), B: parsnip baked (PBA), C: carrot boiled (CBO), D: parsnip boiled (PBO), E: carrot raw (CR) and F: parsnip raw (PR).
1234567
Liking score
CBA A
1234567
Liking score
PBAB
A
ABBAAB
1234567
Liking score
CBOC
ABB
AA
B
1234567
Liking score
PBOD
AB AB ABA
B
1234567
Liking score
CRE
1234567
Liking score
PRF
ABAA A
B
Kamilla Hall Kragelund Studienummer 201503524
40
4.4 Effect of gender on liking
The effect of gender on liking was tested at the pre-‐‑test and the results (appendix H) showed
that there were no significant differences in liking between the gender in the different groups
except in the PR group (p-‐‑value=0.026), where the boys had a significantly higher liking
compared to the girls (appendix H), which is illustrated in figure 10.
Figure 10: Pre-‐‑test: liking distributed in gender in the six exposure groups baked carrot (CBA), boiled carrot (CBO), raw carrot (CR), baked parsnip (PBA), boiled parsnip (PBO) and raw parsnip (PR). The y-‐‑axis shows the liking scale from 1-‐‑7.
There were also no significant differences (appendix H) in the liking between gender at the
post-‐‑test, which is illustrated in figure 11 below.
Figure 11: Post-‐‑test: liking distributed in gender in the six exposure groups baked carrot (CBA), boiled carrot (CBO), raw carrot (CR), baked parsnip (PBA), boiled parsnip (PBO) and raw parsnip (PR). The y-‐‑axis shows the liking scale from 1-‐‑7.
1234567
CBA CBO CR PBA PBO PR
Mean liking
Pre-‐‑test liking and gender
Boy Girl
A B
1234567
CBA CBO CR PBA PBO PR
Mean liking
Post-‐‑test liking and gender
Boy Girl
Kamilla Hall Kragelund Studienummer 201503524
41
4.5 Effect of level of neophobia on liking
The children were divided into three neophobia groups based on their score from the FNSC
and table 5 shows the distribution in numbers, whereas figure 12 shows the distribution in %.
Table 5: The number of children in the three Neophobia-‐‑groups.
Groups Number of children Not neophobic 84 Neither neophobic or not neophobic 73 Neophobic 105 Total 262
Figure 12: The %-‐‑distribution of the neophobia groups.
The effect of the level of neophobia on liking both at pre-‐‑test and post-‐‑test was tested and the
results showed that there was a significant effect of the level of neophobia on liking at both
pre-‐‑test (p-‐‑value=0.000) and post-‐‑test (p-‐‑value=<0.0001) (appendix I). At the pre-‐‑test, the
group “Not neophobic” had a significantly higher liking compared to the “Neophobic”, which
can be seen in figure 13.
Not neophobic32%
Neither neophobic or not
neophobic28%
Neophobic40%
%-‐‑Distribution of neophobia
Kamilla Hall Kragelund Studienummer 201503524
42
Figure 13: Pre-‐‑test liking and level of neophobia. The x-‐‑axis shows the three neophobia-‐‑groups and the y-‐‑axis shows the liking scale from 1-‐‑7.
At the post-‐‑test, the group “Not neophobic” had the significantly highest liking score, the
“Neither neophobic or not” group had the second highest liking and the group “Neophobic”
had the significantly lowest liking (appendix I). This is illustrated in figure 14 below.
Figure 14: Post-‐‑test liking and level of neophobia. The x-‐‑axis shows the three neophobia-‐‑groups and the y-‐‑axis shows the liking scale from 1-‐‑7.
1
2
3
4
5
6
7
Not neophobic Neither neophobic or not Neophobic
Mean liking
Level of neophobia
Pre-‐‑test liking and level of neophobia
A BAB
1
2
3
4
5
6
7
Not neophobic Neither neophobic or not Neophobic
Mean liking
Level of neophobia
Post-‐‑test liking and level of neophobia
A B C
Kamilla Hall Kragelund Studienummer 201503524
43
Furthermore, it was also tested at both pre-‐‑test and post-‐‑test if there was an interaction effect
of the type of vegetable (familiar versus less unfamiliar) and the level of neophobia on the
liking. At the pre-‐‑test, the results showed that there was a significant difference (p-‐‑value=
0.0001) in liking, which is illustrated in figure 15. The “carrot not neophobic” group had
significantly higher liking than “parsnip neophobic”, “parsnip neither neophobic or not”,
“parsnip not neophobic” and “carrot neophobic”. “Carrot neither neophobic or not” had
significantly higher liking than “parsnip neophobic”, “parsnip neither neophobic or not” and
“parsnip not neophobic”. “Carrot neophobic” had significantly higher liking compared to
“parsnip neophobic” and “parsnip neither neophobic or not”. All p-‐‑values can be seen in
appendix I. As seen in figure 15, the familiar carrot had the highest liking regardless of the
level of neophobia and the unfamiliar parsnip has the lowest liking regardless of the level of
neophobia.
Figure 15: Pre-‐‑test: liking, level of neophobia and type of vegetable. The x-‐‑axis shows the interaction between type of vegetable and neophobia-‐‑group and the y-‐‑axis shows the liking scale from 1-‐‑7.
At the post-‐‑test, the results also showed a significant difference (p-‐‑value = <0.0001) in the
liking, which can be seen in the figure 16 below. Again, it is seen that the familiar carrot had
the highest liking compared to the unfamiliar parsnip regardless of level of neophobia. The
results showed that the two groups “carrot not neophobic” and “carrot neither neophobic or
1
2
3
4
5
6
7
Carrot -‐‑ Not neophobic
Carrot -‐‑ Neither neophobic or not
Carrot -‐‑Neophobic
Parsnip -‐‑ Not neophobic
Parsnip -‐‑ Neither neophobic or not
Parsnip -‐‑Neophobic
Mean liking
Pre-‐‑test liking, level of neophobia and type of vegetable
A
DDCDBC
AB
Kamilla Hall Kragelund Studienummer 201503524
44
not” had significantly higher liking than “parsnip neophobic”, “parsnip neither neophobic or
not”, “parsnip not neophobic” and “carrot neophobic”. Furthermore, the “carrot neophobic”
group had significantly higher liking compared to “parsnip neophobic” and “parsnips neither
neophobic or not” and that “parsnip not neophobic” had significantly higher liking than
“parsnip neophobic”. All p-‐‑values can be seen in appendix I.
Figure 16: Post-‐‑test: liking, level of neophobia and type of vegetable. The x-‐‑axis shows the interaction between type of vegetable and neophobia-‐‑group and the y-‐‑axis shows the liking scale from 1-‐‑7.
4.6 The correlation tests
The correlation between the children’s intake and the children’s liking of both carrots and
parsnips reported by parents was tested. The results showed a significant (p-‐‑value= 0.000)
positive, medium-‐‑strong correlation between the children’s liking and the children’s intake of
carrots reported by parents with a Pearson’s coefficient = 0.6 (appendix J). The liking and the
intake of carrots in percentage can be seen figure 17 and 18 below. The results also showed a
significant (p-‐‑value=0.000) positive, medium-‐‑strong relation between the children’s liking
and the children’s intake of parsnips reported by parents with a Pearson’s coefficient = 0.520
(appendix J). The liking and the intake of parsnips in percentage can be seen in figure 19 and
20 below.
1
2
3
4
5
6
7
Carrot -‐‑ Not neophobic
Carrot -‐‑ Neither neophobic or not
Carrot -‐‑Neophobic
Parsnip -‐‑ Not neophobic
Parsnip -‐‑ Neither neophobic or not
Parsnip -‐‑Neophobic
Mean liking
Post-‐‑test liking, level of neophobia and type of vegetable
AA
B BC CD D
Kamilla Hall Kragelund Studienummer 201503524
45
Figure 17: A: Liking of carrots in % reported by parents.
Figure 18: Intake of carrots in % reported by parents.
2% 1% 2%
7%
22%
42%
24%
Liking of carrots in % reported by parents
Not like at all
Not like
Not like a little
Neither like or not like
Like a little
Like
Like a lot
23%
53%
13%
9%
2%
Intake of carrots in % reported by parents
Daily
2-‐‑6 times per week
1 time per week
< 1 time per week
Never
Kamilla Hall Kragelund Studienummer 201503524
46
Figure 19: A: Liking of parsnips in % reported by parents.
Figure 20: Intake of parsnips in % reported by parents
The correlation of the children’s liking of carrots and parsnips reported by parents and the
children’s liking of carrots (CBA, CBO and CR) and parsnips (PBA, PBO and PR) at pre-‐‑test was
also tested. In the CBA group, the results showed a significant (p=0.005) Pearson’s coefficient
of 0.178 and there was therefore a weak positive relationship between the parents reported
liking and the children’s liking for CBA at the pre-‐‑test. In the CR group, there was a significant
(p-‐‑value=0.000) positive Pearson coefficient of 0.368, which means that also here there was a
32%
15%13%
29%
9%
1% 1%
Liking of parsnips in % reported by parents
Not like at all
Not like
Not like a little
Neither like or not like
Like a little
Like
Like a lot
0%0%3%
39%
58%
Intake of parsnips in % reported by parents
Daily
2-‐‑6 times per week
1 time per week
< 1 time per week
Never
Kamilla Hall Kragelund Studienummer 201503524
47
correlation between the parents reported liking and the children’s liking of CR. In the PBO,
there was a significant (p-‐‑value=0.004) positive correlation with a Pearson coefficient of
0.200. In the groups CBO, PBA and PR the results showed no significant correlation between
the liking reported by parents and the children’s liking at pre-‐‑test. The results are shown in
figure 21, where a star marks the significant correlations.
Figure 21: Correlation between parents reported liking and children's pre-‐‑test liking. The x-‐‑axis shows the correlation between the children’s liking reported by parents and the six exposure groups baked carrot (CBA), boiled carrot (CBO), raw carrot (CR), baked parsnip (PBA), boiled parsnip (PBO) and raw parsnip (PR). The y-‐‑axis shows the liking scale from 1-‐‑7.
1
2
3
4
5
6
7
CBA CBO CR PBA PBO PR
Mean liking
Correlation between liking reported by parents and children's pre-‐‑test liking
Parent Child
*
*
*
Kamilla Hall Kragelund Studienummer 201503524
48
5. Discussion In the following section, the presented results from the study will be discussed in reference to
what was expected based on literature.
The results showed that the children gave the familiar carrot a significantly higher liking
compared to the unfamiliar parsnip at the pre-‐‑test. This was expected based on a previous
mentioned study by Beck (2014) who documented that 90% of the Danish consumers have a
high intake of carrots. This was also supported by the results from the questionnaires, as the
parents reported that 66% of the children liked a lot/liked carrots (figure 17) and 76% of the
children consumed carrots daily or 2-‐‑6 times per week and 89% consumed carrots in an
interval of once a week to daily (figure 18). Beck (2014) also found that only 50-‐‑60 of the
Danish consumers had parsnips minimum once a month. This was also supported by the
results from the questionnaires, where the parents reported that 47% of the children did not
like parsnips (figure 19), 58 % of the children never consumed parsnips and 97 % of the
children had an intake of parsnips in an interval from less than once a week to never (figure
20). These results where a familiar vegetable has higher liking compared to an unfamiliar
vegetable is consistent with the results of a study by Dinnella et al. (Dinnella, et al., 2016) who
found a close positive relationship between familiarity and the stated liking.
The results from the effect of preparation methods showed that the highest ratings of liking
for carrots and parsnips were given, when the children ate the two vegetables “raw”. The
preparation method baking had the significantly second highest liking and the boiling had the
significantly lowest liking. Based on the answers from the questionnaires, it was also expected
that the raw preparation method would have the highest liking as many children often eat
raw carrots (appendix K). Raw vegetables are in other words familiar to the children and two
studies also point out that it seems as if children like crunchiness in vegetables (1998) (1995),
even though raw vegetables can be difficult for some children to manage, as they can be hard
to chew. However, this liking of a crunchy texture could be the reason why raw parsnips were
also liked. Other studies by Poelman et al. (2011) and Zeinstra et al. (2010) found that boiled
vegetables had the highest acceptance compared to the other tested preparation methods e.g.
baked, grilled, mashed, stir-‐‑fried and deep fried. However, none of the studies used raw as a
Kamilla Hall Kragelund Studienummer 201503524
49
preparation method. According to Zeinstra et al. (2010), the high acceptance of boiled
vegetables in their study was related to the familiar vegetable colour and taste, a uniform
surface without brown colouring and the relatively crunchy texture. They also found that one
important explanation for the high acceptance of boiled vegetables was that the children were
most familiar with this preparation method. In general, the liking of vegetables was strongly
influenced by the appearance of the vegetable and a uniform surface with no brown colouring
was related to a high liking. However, the boiled vegetables were the least liked in the present
study and this could be due to the fact that the vegetables were served cold and this is not
how the children are familiar with boiled vegetables e.g. from dinner at home.
The interaction effect between type of vegetable (familiar versus unfamiliar) and preparation
method showed that the raw carrot had the significantly highest liking and the boiled parsnip
had the significantly lowest liking. This was also expected, as the children are most familiar
with the raw carrots and probably not familiar with the boiled parsnips based on the
questionnaires (appendix K).
As mentioned in the introduction, the carrot and parsnip were chosen in the present study to
investigate the development in liking over mere exposures of a familiar versus an unfamiliar
vegetable. This is in the present study related to previous studies that have tested an initially
liked and disliked food. For instance, Maier et al. (2007) showed that after eight exposures,
the intake of the initially liked and disliked vegetables had reached the same level for most of
the participants. Additionally, Rollins et al. (2010) also found that highly liked food remains
liked and the disliked foods become more liked after a while. The same was seen in a study by
Hausner et al. (2012), where most of the participants who had been exposed to an initially
disliked food increased their acceptance for the food after nine exposures to the same level as
the initially liked food. Based on these studies, it was expected in our study that the familiar
carrot would have a higher liking at the pre-‐‑test compared to unfamiliar parsnip, but that the
liking of the parsnip would increase during the mere exposures as the children got more
familiar with it. This means that after the period of mere exposure, the liking of the two
vegetables would be more similar, as the liking of the familiar carrot would remain the same
or maybe increase slightly. However, this was not the case in the present study as the
unfamiliar parsnip did not reach the same level of liking as the familiar carrot. As seen in
Kamilla Hall Kragelund Studienummer 201503524
50
figure 8, the vegetables and preparation methods that had the highest liking at pre-‐‑test were
CR, then PR and then CBO, which means that CBA had the third lowest liking, PBA had the
second lowest liking and PBO had the lowest liking. At the post-‐‑test, CR, CBO and PR had the
highest liking and CBA, PBA and PBO had the lowest liking. This means that CR remained the
most liked vegetable, which was expected, and then PBO also remained the least liked
vegetable and did not reach the same liking as the familiar carrot. This could be explained by
the limitations of the study, which are described in detail in the end of the discussion.
The results from the effect of mere exposure (figure 8) showed that there was no significant
effect of mere exposure on liking within the exposure groups from pre-‐‑test to post-‐‑test or
between some of the exposures among the exposed children. But even though there was no
significant difference in liking, the results showed a tendency as the mean liking increased
and had the highest liking at exposure no. 8 in the groups CBA, PBA, PBO and PR and the
highest liking at post-‐‑test in the CBO group. The liking in the CR group was unchanged, which
is consistent with literature (Caton, et al., 2013). The results showed that the raw preparation
method did not influence the liking of the familiar carrot over mere exposures, as the liking
remained the same, however the liking of the unfamiliar parsnip increased slightly. Also, both
the baked carrot and parsnip increased slightly in liking as well as the boiled carrot and
parsnip. The results showed that the liking of preparation method in general was higher in the
familiar carrot compared to the unfamiliar parsnip. These results indicate that mere exposure
and preparation methods did have some effect on liking of the vegetables, however it was not
enough to make the unfamiliar parsnip as liked as the familiar carrot. This can be explained by
the fact that there are several factors in the study, which can have influenced the results of the
effect of mere exposure. First, a higher number of repeated exposures could be necessarily to
obtain a significant effect of mere exposure on liking. The literature that are concerned with
this topic is not consistent with the number of exposures needed to see an increase in liking,
acceptance or intake. One study found an increase in intake after five exposures (2012), two
other studies have found an effect after eight to nine exposures (Lakkakula A, 2010) (2007),
while another study needed up to 15 exposures to enhance the preference (Horne P. J., 2004).
These inconsistent numbers of mere exposures are probably due to different types of foods,
age groups and study designs in the literature. For instance, vegetables need a higher number
of exposures compared to fruits, the age groups are differing from infants to school children
Kamilla Hall Kragelund Studienummer 201503524
51
or even older and the design of the study are often designed with a pre-‐‑test, a post-‐‑test, a pre-‐‑
determined number of mere exposures, which can give some limitations. An important factor
that might have influenced the results of no significant effect of mere exposure on liking in our
study is the children’s level of neophobia. Almost 40% of the children were categorized as
“Neophobic”, which means that they might require more support and adaption compared to
the other children, and the mere exposure might not be successful by itself in increasing these
children’s liking (Wild, Graaf, & Jager, 2017). This will be discussed later. Other factors that
can have influenced the results could be the effect of group dynamics in the class room, noises
and not sedentary children that have influenced the other children as they were tasting the
samples. Also, the temperature of the vegetables can have influenced the final result as it is
not common to eat boiled and baked carrot and parsnip cold. As mentioned shortly in the
results associated figure 8, it is also relevant to mention that the liking of PR, CBA, PBA and
PBO decreased from exposure no. 8 to post-‐‑test. This can possibly be explained by the
boredom effect – not due to the number of exposures, but due to the high number of tastings
at the post-‐‑test.
As mentioned in the section Materials and methods, the study was designed so that it was
possible to compare the non-‐‑exposed children’s liking with the exposed children’s liking at
pre-‐‑test and post-‐‑test and in that way see if there was an effect of being exposed to an
vegetable/preparation method compared to not being exposed. Therefore, it was tested if
there was a difference in the liking between the exposed children and the non-‐‑exposed
children within all six exposure groups at pre-‐‑test and post-‐‑test. Here, the results showed that
there was no significant difference in liking between the exposed children and the non-‐‑
exposed children in the CR and CBA group. In relation to the CR, this result was expected, as
the raw carrot was the initially most liked and most frequently consumed (appendix K). In the
CBO group, results showed that the non-‐‑exposed children had a significantly lower liking at
the pre-‐‑test and post-‐‑test compared to the exposed children’s liking at the 4. exposure and
post-‐‑test. In the PBA-‐‑group, the exposed children had a significantly higher liking at the 4.
exposure compared to the non-‐‑exposed children’s liking at the post-‐‑test. In the PBO-‐‑group,
the exposed children had a significantly higher liking at the post-‐‑test compared to the non-‐‑
exposed children’s liking at post-‐‑test. In the PR group, the exposed children had a significantly
higher liking at pre-‐‑test, 4. exposure and post-‐‑test compared to the non-‐‑exposed children’s
Kamilla Hall Kragelund Studienummer 201503524
52
liking at post-‐‑test. These results show that the mere exposure has had an effect on liking in
this study when the liking from mere exposure is compared to the liking from the non-‐‑
exposed children/control group. Therefore, this study support the already existing studies,
who have also found an effect of mere exposure (2007) (2012) (2012).
In relation to the effect of gender on liking, it was expected that there was no difference
between the gender based on a study by Fagt et al. (2015) about the Danish people’s dietary
habits from 2011 to 2013. This study showed that there was almost no difference in the
average daily intake of vegetables between boys and girls in the age group 4-‐‑9 years old. The
boys had an average daily intake of 158 grams and the girls had an average daily intake of 157
grams. The results from this study shows that the boys have a significantly higher liking of the
raw parsnip (PR) at the pre-‐‑test compared to the girls. But otherwise, there are no significant
differences between the genders at the pre-‐‑test or at the post-‐‑test. The significant difference
in the PR-‐‑group at the pre-‐‑test could be due to randomness, as there is no explained cause of
this. While our results showed no significant difference in liking of vegetables between
gender, a review of Rasmussen et al. (2006) found that “girls tend to have a higher or more
frequent intake of most of fruit and/or vegetables than boys” in twenty-‐‑seven out of 49 papers.
Beyond that, in eighteen out 49 papers they found no difference in the intake. This shows that
there is some inconsistence regarding the difference in intake or liking between gender.
One of the factors that have already been mentioned to influence the acceptance of vegetables
is the children’s level of neophobia and therefore it was relevant to classify the children of the
study in different groups based on their level of neophobia to see the effect of the level of
neophobia on liking. The level and grouping of neophobia was calculated based on the
parent’s answers at the Food Neophobia Scale for Children (FNSC), which showed that almost
40% of the children were categorized as “Neophobic”. The results of the effect of level of
neophobia on liking showed that the “Not neophobic” group had the significantly highest
liking compared to the “Neophobic” group at the pre-‐‑test. At the post-‐‑test, the group “Not
neophobic” had the significantly highest liking again, and the group “Neophobic” had the
significantly lowest liking. These results were expected as it was anticipated that the children
with a general low level of neophobia would also have a higher liking of both the familiar
carrot and the unfamiliar parsnip compared to the children with a general high level of
Kamilla Hall Kragelund Studienummer 201503524
53
neophobia as they do not like new foods. This also means that these results are consistent
with already existing literature as Howard et al. (2012) found that food neophobia was
associated with liking and trying fewer vegetables. The level of neophobia was also tested to
see the response to a familiar vegetable compared to an unfamiliar vegetable. It was expected
that the familiar carrot in general would have a higher liking compared to the unfamiliar
parsnip regardless of level of neophobia. Again, the results showed (figure 15+16) what was
expected, as the children in all three groups of levels of neophobia gave the carrot a higher
liking compared to the parsnip. The “Not neophobic” group with carrot had the highest liking
and the “Neophobic” group with the parsnip had the lowest liking at both pre-‐‑test and post-‐‑
test. Again, this is consistent with the questionnaires, in which the parents reported that the
children in general often had carrots and almost never had parsnips (appendix K).
Furthermore, our results also indicate that the answers to FNSC from the parents had a high
validity as their answers matches the children’s liking. As the results from the FNSC are
consistent with the results from the children’s liking at both pre-‐‑test and post-‐‑test, this shows
that the FNSC can still be used today even though it was developed in 1994. Recent studies by
Damsbo-‐‑Svendsen et al. (2017)(2017) have questioned the applicability of the FNSC today, as
the accessibility of foods from ethnic countries, which are the content of some of the
questions in the FNSC, has increased since then and therefore some of the questions are not
relevant anymore.
The final results about the correlation between the children’s liking and the children’s intake
of both carrots and parsnips reported by the parents showed a significant, positive, medium-‐‑
strong correlations coefficient of 0,6 between the children’s liking and the children’s intake of
carrots reported by the parents. The same was the case with the children’s liking and the
children’s intake of parsnips reported by parents, which gave a result of a significant, positive
and medium strong correlation coefficient of 0,52. These results showed that there was a
stronger correlation between the liking and intake of carrots compared to parsnips. As the
Pearson’s coefficient is not close to 1 in any of the cases, it showed that there was not a strong
relationship between the children’s liking and intake reported by the parents, which could
indicate that even though the children have a high liking as for the carrot, it does not
necessarily mean that they have a similar high intake and reverse with the parsnip. Otherwise
the results show that the validity of the questionnaires are not 100 %, but this has not been
Kamilla Hall Kragelund Studienummer 201503524
54
the case in the other cases where results from the questionnaires have been used. Therefore,
this could indicate that it is not necessarily possible to equate liking of a food 100 % with the
intake of a food based on questionnaires – but it still gives an indication of the relationship
between liking and intake. In this case, the indication of the relationship between children’s
liking and intake reported by parents is that when the children have a high liking, they also
have a high intake and reverse with the parsnip – a low liking and a low intake.
In extension of the previous section, the relationship between the children’s liking reported
by the parents and the children’s liking at pre-‐‑test was also tested. It showed no significant
correlation between liking of carrots reported by parents and children’s liking of CBO and also
no significant correlation between children’s liking of parsnips reported by parents and
children’s liking of PBA and PR. However, in the carrots-‐‑group there was a significant
correlation between the children’s liking of carrots reported by parents and the children’s
liking of CBA and CR at pre-‐‑test with the strongest relation to the CR. This could indicate that
the parents particularly have thought of raw carrots, when they reported the children’s liking
of carrots together with the fact that the CR had the highest liking of the different preparation
methods in the carrot-‐‑group at pre-‐‑test. This is supported by the fact that the parents also
reported that the carrots often were eaten raw (appendix K). In the parsnip-‐‑group, there was
only a significant correlation between the children’s liking of parsnips reported by parents
and PBO at pre-‐‑test. This could be due to the fact that the parents reported that the children
did not like parsnips and PBO had the lowest liking at pre-‐‑test of all the parsnips preparation
methods.
Strengths and limitations
The present study has both strengths and limitations. The major strength of the present study
is that the results are based on actual tasting and not only data from questionnaires. Beyond
that, the tasting sessions took place in a familiar and trusted environment for the children
compared to tastings in laboratories. This means that the setting does not influence the
results negatively as related to an unnatural and forced situation in a laboratory. However,
the chosen setting might cause some other problems, which will be discussed further down in
this section.
Kamilla Hall Kragelund Studienummer 201503524
55
The present study also has some limitations. First, there is a limitation in study-‐‑design as the
study only is looking at the short-‐‑term outcomes of mere exposure of the three different
preparation methods of the two different vegetables. So, the lack of follow-‐‑up measurements
is a limitation as some other studies have prioritised both 3-‐‑ and 6-‐‑months follow-‐‑up to see
the long-‐‑term effect of the mere exposures as this is very relevant to see if the effects persists
(2007). In relation to this, a second limitation to the study design is that there were only
scheduled eight mere exposures, which were enough to see a result according to some
literature, but this was not realistic as many of the children had several sick days and
therefore were not exposed to a vegetable eight times before the post-‐‑test.
In some of the classes, the test setup functioned as expected, but in some of the other classes
there were several problems, which could have an influence on the results from the children
in the respective classes, which is a limitation. For instance, there were many different
teachers or substitutes during the tastings and this resulted in some cases in turbulence in the
classroom and this caused increased talking between the children while they were tasting the
vegetables. This could therefore also have influenced the results. The 7-‐‑point facial scale,
which was used as a measuring tool for the children’s liking of the two vegetables, can have
been a limitation as it has might been too detailed or complicated with the seven different
faces for some of the children who are slower in their cognitive development (Chen, 1996).
A last limitation of the study design is that the samples with the vegetables were served cold,
which is not how boiled and baked carrots and parsnips usually are eaten, but it was the only
way that was logistical and practical possible and in that way all the samples were also
comparable, as they all had the same temperature, shape and weight. But because of this
limitation, there can be some challenges in transmitting the results from the boiled and baked
vegetables directly into the homes, where the food will be eaten warm and also together with
other foods. Whereas, especially the samples with the raw carrots were served in the way the
children would usually eat them.
Kamilla Hall Kragelund Studienummer 201503524
56
6. Conclusion The overall objective of the present study was to investigate how three different preparation
methods influenced the liking of a familiar carrot and an unfamiliar parsnip over mere
exposures. The study showed that the children liked the familiar carrot better than the
unfamiliar parsnip and that the children preferred both vegetables raw compared to baked
and boiled. The study found that the learning strategy mere exposure did not have any effect
on liking within the six exposure groups, but that the children who were exposed to a
vegetable increased their liking significantly compared to the children who were not exposed,
except in the CR and CBA group. Hence, it can be concluded based on the results of this study
that mere exposure has an effect on liking of both a familiar and an unfamiliar vegetable,
which is consistent with the literature. The study found that the raw preparation method did
not influence the liking of the familiar carrot over mere exposures, as the liking remained the
same, however the liking of the unfamiliar parsnip increased slightly. Also, both the baked
carrot and parsnip increased slightly in liking as well as the boiled carrot and parsnip. The
results showed that the liking of preparation method in general was higher for the familiar
carrot compared to the unfamiliar parsnip. Based on these results, it can be concluded that
there is a tendency of an increase in liking in all preparation methods over mere exposure and
therefore that preparation methods and mere exposure cane be used to improve the liking of
vegetables.
The liking of both the familiar carrot and the unfamiliar parsnip was not influenced by the
gender of the children -‐‑ except that the boys had a higher liking of PR in the pre-‐‑test.
However, the study found that food neophobia had an effect on liking as the children with low
neophobic status had the highest liking and the children with high neophobic status had the
lowest liking at both pre-‐‑test and post-‐‑test. This could indicate that that neophobic children
need more exposures and/or other learning strategies in order to increase their liking of
familiar and unfamiliar vegetables. The results also showed that the familiar carrot had a
higher liking compared to the unfamiliar parsnip regardless of neophobic status. Based on the
results from the neophobic status, it can be concluded that food neophobia is an important
factor that influences the children’s liking of vegetables. However, more research is needed
both in relation to preparation methods, mere exposure and food neophobia.
Kamilla Hall Kragelund Studienummer 201503524
57
7. Perspectives As the current intake of vegetables among children still do not meet the recommendations, it
remains important to investigate which factors and learning strategies that can improve the
acceptance and intake. The overall objective of the present study was to investigate how three
preparation methods influenced the liking of a familiar carrot and an unfamiliar parsnip over
mere exposures. The study concluded that the different preparation methods and mere
exposure can improve the liking for vegetables. This means that the learning strategy mere
exposure and different preparation methods can be used both at homes by parents and in
institutions in order to increase the liking and improve the acceptance of both familiar and
unfamiliar vegetables in children. This is important in order to improve the human health in a
bigger perspective. However, more research is needed on the implement of using the strategy
mere exposure at home by the parents, in institutions, schools etc.
In future research, it could be interessting also to involve the parents at home in the period of
mere exposure of the different preparation methods as this is more natural at home. It would
also be interesting to have a higher number of exposures and some follow-‐‑up measurements
to see if the possible effect is maintained after months. In general, more research about the
effect of the preparation method and mere exposure strategy is needed to fully understand
the effect of it.
Kamilla Hall Kragelund Studienummer 201503524
58
8. References Astrup, A. (2005). Kostradene 2005. Danmarks Fødevareforskning.
Baxter, Jack, & Schröder. (1998). The use of repertory grid method to elicit perceptual data
from primary school children. Food Quality and Preference(9), p. 73.80.
Beck, T. K. (2014). Impact of consumers' bitter taste phenotype, familiarity, liking,
demography and food life style on intake of bitter tasting coarse vegetables. PhD
Thesis, Science and Technology.
Bell, K., & Tepper, B. (2006). Short-‐‑term vegetable intake by young children classified by 6-‐‑n-‐‑
propylthoiuracil bitter-‐‑taste phenotype. American Journal of Clinical Nutrition(84), pp.
245–251.
Betty Ruth Carruth, P. Z. (2004). Prevalence of Picky Eaters among Infants and Toddlers and
Their Caregivers’ Decisions about Offering a New Food.
Birch, L. L., & Fisher, J. O. (1998). Development of eating behaviours among children &
adolescents. Pediatrics(101), pp. 539–549.
Brandi Y. Rollins, E. L. (2010). Stability and change in snack food likes and dislikes from 5 to
11 years. Appetite(55), pp. 371–373.
Capiola, A., & Raudenbush, B. (2012). The Effects of Food Neophobia and Food Neophilia on
Diet and Metabolic Processing. Food and Nutrition Sciences(3), pp. 1397-‐‑1403.
Cardello, A., Schutz, H., Snow, C., & Lesher, L. (2000). Predictors of food acceptance,
consumption and satisfaction in specific eating situations. Food Quality and
Preference(11), pp. 201-‐‑216.
Caton, S. J., Ahern, S. M., Remy, E., Nicklaus, S., Pam, B., & Hetherington, M. M. (2013).
Repetition counts: repeated exposure increases intake of a novel vegetable in UK pre-‐‑
school children compared to flavour–flavour and flavour–nutrient learning. British
Journal of Nutrition(109), pp. 2089–2097.
Chen. (1996). Age Appropriate Hedonic Scales to measure Food Preferrences of Young Children.
Journal of Sensory Studies.
Coulthard, H., Harris, G., & Emmett, P. (2010). Long-‐‑term consequences of early fruit and
vegetable feeding practices in the United Kingdom. Public Health Nutrition(13), pp.
2044-‐‑2051.
Kamilla Hall Kragelund Studienummer 201503524
59
Cullen, K., Baranowski, T., Owens, E., Marsh, T., Rittenberry, L., & de Moor, C. (2003).
Availability, accessibility, and preferences for fruit, 100% fruit juice, and vegetables
influence children’s dietary behavior. Health Educ Behav(30), pp. 615–26.
Damsbo-‐‑Svendsen M., F. M. (2017). Development of novel tools to measure food neophobia in
children. Appetite.
Damsbo-‐‑Svendsen, M., Bom Frøst, M., & Olsen, A. (2017). A review of instruments developed
to measure food neophobia. Appetite.
Dinnella, C., Morizet, D., Masi, C., Cliceri, D., Depezay, L., Appleton, K. M., . . . Monteleone, E.
(2016). Sensory determinants of stated liking for vegetable names and actual liking for
canned vegetables: A cross-‐‑country study among European adolescents. Appetite(107),
pp. 339-‐‑347.
Donadini, G., Fumi, M., & Porretta, S. (2012). Influence of preparation method on the hedonic
response of preschoolers to raw, boiled or oven-‐‑baked vegetables. LWT -‐‑ Food Science
and Technology(49), pp. 282-‐‑292.
Doveya, T. M., Staples, P. A., Gibson, E. L., & Halfor, J. C. (2007). Food neophobia and
‘picky/fussy’ eating in children: A review.
Fagt, S. (2015). Danskernes kostvaner 2011-‐‑2013, Hovedresultater. DTU Fødevareinstituttet,
Afdeling for Ernæring.
Fagt, S., & Matthiessen, J. (2017). Kostens betydning for børn og unges sundhed og overvægt:
2000-‐‑2013. Afdeling for Risikovurdering og Ernæring. DTU Fødevaresinstituttet.
Falciglia, G., Couch, S., Gribble, L., Pabst, S., & Frank, R. (2000). Food neophobia in childhoold
affects dietary variety. Journal of the American Dietetic association(12), pp. 1474-‐‑1478.
Fildes, A., Jaarsveld, C. H., Wardle, J., & Cooke, L. (2014). Parent-‐‑Administered Exposure to
Increase Children’s Vegetable Acceptance: A Randomized Controlled Trial. Academy of
Nutrition and Dietetics.(6), pp. 881-‐‑888.
Foundation, T. L. (2011). How can the consumption of vegetables in Europe be increased?
France.
Gertrude G. Zeinstra, M. K. (2010). The influence of preparation method on children’s liking
for vegetables. Food Quality and Preference(21), pp. 906–914.
Gibson, E. L., Wardle, J., & Watts, C. J. (1998). Fruit and vegetable consumption, nutritional
knowledge and beliefs in mothers and children. Appetite(31), pp. 205–228.
Kamilla Hall Kragelund Studienummer 201503524
60
Hausner, H., Hartvig, D. L., Reinbach, H. C., Wendin, K., & Bredie, W. L. (2012). Effects of
repeated exposure on acceptance of initially disliked and liked Nordic snack bars in 9-‐‑
11 year-‐‑old children. Clinical Nutrition(31), pp. 137-‐‑143.
Hausner, H., Olsen, A., & Møller, P. (2012). Mere exposure and flavour–flavour learning
increase 2–3 year-‐‑old children’s acceptance of a novel vegetable. Appetite(58), pp.
1152–1159.
Helland, S. H., Bere, E., Bjørnara, H. B., & Øverby, N. C. (2017). Food neophobia and its
association with intake of fish and other selected foods in a Norwegian sample of
toddlers: A cross-‐‑sectional study. Appetite(114), pp. 110-‐‑117.
Horne, P. J. (2004). Increasing children’s fruit and vegetable consumption. A peer-‐‑modelling
and rewards-‐‑based intervention. European Journal of Clinical Nutrition(58), pp. 1649-‐‑
1660.
Howard, A. J., Mallan, K. M., Byrne, R., Magarey, A., & Daniels, L. A. (2012). Toddlers’ food
preferences. The impact of novel food exposure, maternal preferences and food
neophobia. Appetite (59), pp. 818-‐‑825.
Jennifer M. Schindler, D. C. (2012). Assessing the effect of food exposure on children's
identification and acceptance of fruit and vegetables. Eating Behaviors.
Johnson, S. L. (2016). Developmental and Environmental Influences on Young Children’s
Vegetable Preferences and Consumption. Advanced Nutrition (Suppl)(7), pp. 2200S-‐‑
31S.
Kirby S, B. T. (1995). Children’s fruit and vegetable intake: Socioeconomic, adult child,
regional, and urban-‐‑rural influences. Journal of Nutrition Education(27), pp. 261-‐‑271.
Koidis, A., Rawson, A., & Brunton, N. (2015). Effect of Different Types of Processing and
Storage on the Polyacetylene Profile of Carrots and Parsnips. In V. Preedy, Processing
and Impact on Active Components in Food (pp. 45–53). Academic Press.
Kreutzmann, S., Christensen, L. P., & Edelenbos, M. (2008). Investigation of bitterness in
carrots (Daucus carota L.) based on quantitative chemical and sensory analyses.
LWT(41), pp. 193-‐‑205.
Lakkakula A, G. J. (2010). Repeated taste exposure increases liking for vegetables by low-‐‑
income elementary school children. Appetite(55), pp. 226-‐‑231.
Larson, N., & Story, M. (2009). A review of environmental influences on food choices. Ann
Behav Med (Suppl)(38), pp. S56-‐‑S73.
Kamilla Hall Kragelund Studienummer 201503524
61
Laureati, M., Bergamaschi, V., & Pagliarini, E. (2015). Assessing childhood food neophobia:
Validation of a scale in Italian primary school children. Food Quality and
Preference(40), pp. 8-‐‑15.
Lawless, H., & Heymann, H. (n.d.). Sensory Evaluation of Food, Principles and Practices (Second
Edition ed.). Springer.
Lehto, E., Ray, C., Haukkala, A., Yngve, A., Thorsdottir, I., & Roos, E. (2015). Predicting gender
differences in liking for vegetables and preference for a variety of vegetables among
11-‐‑year-‐‑old children. Appetite.
Maier, A., Chabanet, C., Schaal, B., Issanchou, S., & Leathwood, P. (2007). Effects of repeated
exposure on acceptance of initially disliked vegetables in 7-‐‑month old infants. Food
Quality and Preference(18), pp. 1023–1032.
Mennella, J. (2014). Ontogeny of taste preferences: basic biology and impli-‐‑ cations for health.
American Journal of Clinical Nutrition (Suppl)(99), pp. 704S–7011S.
Mojet, E. P. (2008). Boredom and the reasons why some new food products fail.
Nicklaus. (2004). A prospective study of food preferences in childhood. Food Quality and
Preference(15), pp. 805-‐‑818.
Nicklaus, S. (2009). Development of food variety in children. Appetite(52), pp. 253-‐‑255.
Olsen, A., Ritz, C., Kraaij, L., & Møller, P. (2012). Children’s liking and intake of vegetables: A
school-‐‑based intervention study. Food Quality and Preference(23), pp. 90-‐‑98.
Pliner, P. (1994). Development of measures of food neophobia in children. Appetite, pp. 147-‐‑
163.
Poelman, A. A., Delahunty, C. M., & Graaf, C. d. (2015). Vegetable preparation practices for 5–6
years old Australian children as reported by their parents; relationships with liking
and consumption. Food Quality and Preference(42), pp. 20–26.
Poelman, A., & Delahunty, C. (2011). The effect of preparation method and typicality of colour
on children’s acceptance for vegetables. Food Quality and Preference(22), pp. 355–364.
Poelman, A., Delahunty, C., & de Graaf, C. (2015). Vegetable preparation practices for 5–6
years old Australian children as reported by their parents; relationships with liking
and consumption. (42), pp. 20–26.
Poelman, A., Delahunty, C., & Graaf, C. d. (2013). Cooking time but not cooking method affects
children’s acceptance of Brassica vegetables. Food Quality and Preference(28), pp. 441–
448.
Kamilla Hall Kragelund Studienummer 201503524
62
Rasmussen, M. (2006). Determinants of fruit and vegetable consumption among children and
adolescents: a review of the literature. Part I: quantitative studies. International
Journal of Behavioral Nutrition and Physical Activity.
R. Bornstein, A. K. (1990). Boredom as a Limiting Condition on the Mere Exposure Effect.
Journal of Personality and Social Psychology(5), pp. 791-‐‑800.
Reetica Rekhy, R. M. (2014). Promoting consumption of fruit and vegetables for better health.
Have campaigns delivered on the goals? Appetite(79), pp. 113-‐‑123.
Rollins B, L. E. (2010). Stability and change in snack food likes and dislikes from 5 to 11 years.
Appetite(55), pp. 371-‐‑373.
Rozin, P. (1979). Preference and affect in food selection. Preference Behavior and
Chemoreception, pp. 289-‐‑302.
Sara M. Ahern, S. J. (2013). Eating a Rainbow. Introducing vegetables in the first years of life in
3 European countries.
S. Ahern, S. C. (2014). The root of the problem: increasing root vegetable intake in preschool
children by repeated exposure and flavour flavour learning. Appetite(80), pp. 154-‐‑160.
Siegrist, M., Hartmann, C., & Keller, C. (2013). Antecedents of food neophobia and its
association with eating behavior and food choices. Food Quality and Preference(30), pp.
293-‐‑298.
Sullivan, S. A. (1994, 2). Infant dietary experience and acceptance of solid foods.
Pediatrics(93), pp. 271–277.
Szczesniak, A. (1972). Consumer awareness of and attitudes for food texture: II. Children and
teenagers. Journal of Texture Studies(3), pp. 206-‐‑217.
Tanumihardjo, S., Suri, D., Simon, P., & Goldman, I. (2016). Vegetables of Temperate Climates:
Carrot, Parsnip, and Beetroot. The Encyclopedia of Food and Health(5), pp. 387-‐‑392.
Varming, C., Jensen, K., Møller, S., Brockhoff, P. B., Christiansen, T., Edelenbos, M., . . . Poll, L.
(2004). Eating quality of raw carrots––correlations between flavour compounds,
sensory profiling analysis and consumer liking test. Food Quality and PReference(15),
pp. 531-‐‑540.
Wang X., Q. Y. (2014). Fruit and vegetable consumption and mortality from all causes,
cardiovascular disease, and cancer: systematic review and dose-‐‑response meta-‐‑
analysis of prospective cohort studies.
Kamilla Hall Kragelund Studienummer 201503524
63
WHO. (2013). Promoting fruit and vegetable consumption around the world. Information
sheet. World Health Organization.
Wild, V. W., Graaf, C. d., & Jager, G. (2017). Use of Different Vegetable Products to Increase
Preschool-‐‑Aged Children’s Preference for and Intake of a Target Vegetable: A
Randomized Controlled Trial. JOURNAL OF THE ACADEMY OF NUTRITION AND
DIETETICS(6), pp. 859-‐‑866.
Zajonc, R. B. (1968). Attitutidinal effects of mere exposure. Journal of Personality and Social
Psychology(9).
Zeinstra. (2010). The influence of preparation method on children’ s liking for vegetables.
Food Quality and Preference(21), pp. 906-‐‑914.
Kamilla Hall Kragelund Studienummer 201503524
64
9. APPENDIX
Kamilla Hall Kragelund Studienummer 201503524
65
Appendix A
Spørgeskema til forældre Kære forældre, Dit barns klasse indgår i en undersøgelse, som udføres af en specialestuderende ved Århus Universitet. Formålet er at undersøge, hvordan tilberedningsmetode påvirker, hvor godt børn kan lide grøntsager. I aftale med dit barns skole serverer vi i løbet af november og december måned smagsprøver af gulerødder og pastinak, som dit barn angiver, hvor godt han/hun kan lide. For at få et indblik i børnenes spisevaner bedes du venligst udfylde spørgeskemaet herunder. Besvar venligst spørgsmålene med ét svar, medmindre andet er angivet. Bemærk, hvis du har flere børn i samme klasse, udfyld venligst et spørgeskema for hvert barn. Ved at underskrive på sidste side angiver du, at Århus Universitet må bruge besvarelserne inden for denne undersøgelses formål. Besvarelserne behandles fortroligt og anonymt. Aflever venligst spørgeskemaet til klasselæren senest d. 14/11. Ved spørgsmål, kontakt venligst: [email protected] Dit barns navn
Dit barns køn
q Dreng q Pige
Dit barns fødselsdato og år Dit barns højde Dit barns vægt Lider dit barn af fødevareallergi eller intolerance?
q Nej q Ja, beskriv
hvilke__________________________________________________________________________________
Hvor ofte spiser dit barn gulerødder? q Dagligt q 2-‐‑6 gange om ugen q En gang om ugen
Kamilla Hall Kragelund Studienummer 201503524
66
q Sjældnere end en gang om ugen q Aldrig
Hvordan spiser dit barn oftest gulerødder? (Angiv venligst 1, 2 og 3 ud for de mest anvendte tilberedningsmetoder, hvor 1 = den hyppigste tilberedningsmetode)
q Kogt q Grillet q Stegt q Bagt q Dampet q Rå q Andet – angiv tilberedningsmetode
____________________________________________________________ Hvor godt kan dit barn lide gulerødder? (Sæt 1 kryds) ☐ ☐ ☐ ☐ ☐ ☐ ☐
Kan over-‐‑ hovedet ikke lide
Kan hverken lide eller ikke lide
Kan ekstremt godt lide
Hvor ofte spiser dit barn pastinak?
q Dagligt q 2-‐‑6 gange om ugen q En gang om ugen q Sjældnere end en gang om ugen q Aldrig
Hvordan spiser dit barn oftest pastinak? (Angiv venligst 1, 2 og 3 ud for de mest anvendte tilberedningsmetoder, hvor 1 = den hyppigste tilberedningsmetode)
q Kogt q Grillet q Stegt q Bagt q Dampet q Rå q Andet – angiv tilberedningsmetode
____________________________________________________________ Hvor godt kan dit barn lide pastinak? (Sæt 1 kryds) ☐ ☐ ☐ ☐ ☐ ☐ ☐
Kan over-‐‑ hovedet ikke lide
Kan hverken lide eller ikke lide
Kan ekstremt godt lide
Kamilla Hall Kragelund Studienummer 201503524
67
Angiv med 1 kryds, hvor enig du er i følgende udsagn:
Mit barn smager konstant på ny og anderledes mad
☐ ☐ ☐ ☐ ☐ ☐ ☐
Meget uenig
Uenig Lidt uenig Neutral Lidt enig Enig Meget enig
Mit barn stoler ikke på ny mad
☐ ☐ ☐ ☐ ☐ ☐ ☐
Meget uenig
Uenig Lidt uenig Neutral Lidt enig Enig Meget enig
Hvis mit barn ikke ved, hvad der er i maden, vil han/hun ikke spise det
☐ ☐ ☐ ☐ ☐ ☐ ☐
Meget uenig
Uenig Lidt uenig Neutral Lidt enig Enig Meget enig
Mit barn kan godt lide mad fra andre lande
☐ ☐ ☐ ☐ ☐ ☐ ☐
Meget uenig
Uenig Lidt uenig Neutral Lidt enig Enig Meget enig
Mit barn synes, at etnisk mad ser for underligt ud til at spise
☐ ☐ ☐ ☐ ☐ ☐ ☐
Meget uenig
Uenig Lidt uenig Neutral Lidt enig Enig Meget enig
Når vi er ude og spise, vil mit barn gerne prøve ny mad
☐ ☐ ☐ ☐ ☐ ☐ ☐
Meget uenig
Uenig Lidt uenig Neutral Lidt enig Enig Meget enig
Kamilla Hall Kragelund Studienummer 201503524
68
Mit barn er bange for spise noget, som han/hun ikke har fået før
☐ ☐ ☐ ☐ ☐ ☐ ☐
Meget uenig
Uenig Lidt uenig Neutral Lidt enig Enig Meget enig
Mit barn stiller store krav til maden, som han/hun spiser
☐ ☐ ☐ ☐ ☐ ☐ ☐
Meget uenig
Uenig Lidt uenig Neutral Lidt enig Enig Meget enig
Mit barn spiser næsten hvad som helst
☐ ☐ ☐ ☐ ☐ ☐ ☐
Meget uenig
Uenig Lidt uenig Neutral Lidt enig Enig Meget enig
Mit barn kan lide at prøve nye etniske restauranter
☐ ☐ ☐ ☐ ☐ ☐ ☐
Meget uenig
Uenig Lidt uenig Neutral Lidt enig Enig Meget enig
Forældreunderskrift for accept af deltagelse ____________________________________________________________ Tak for deltagelsen!
Kamilla Hall Kragelund Studienummer 201503524
69
Appendix B
Protocol: preparation method of CBA, CBO, PBA og PBO
Materialer:
-‐‑ Friske gulerødder + pastinakker (står i kølerummet)
-‐‑ Snittemaskine med E/S 5mm klinge
-‐‑ Bakke/pose
-‐‑ Vægt
-‐‑ Små plastik smørbægre + låg
-‐‑ Tusch
-‐‑ Gryde + låg
-‐‑ Bageplade, bagepapir og stanniol
Kort oversigt:
Gulerødder Pastinakker
Rå 5 mm tykkelse
7 g +/-‐‑ 1 g
5 mm tykkelse
7 g +/-‐‑ 1 g
Kogt 5 mm tykkelse
Kogetid: 6 min.
7 g +/-‐‑ 1g
5 mm tykkelse
Kogetid: 6 min.
7 g +/-‐‑ 1g
Bagt 5 mm tykkelse
240°C i 12 min. med bagepapir under
og med stanniol henover
7 g +/-‐‑ 1g
5 mm tykkelse
200°C i 12 min. med bagepapir under og
stanniol henover
7 g +/-‐‑ 1g
Rå gulerødder + pastinakker:
-‐‑ Tag det antal plastik smørbægre + låg, som svarer til elevantal til rå gulerødder
-‐‑ Noter CR eller PR på låget af dem alle
-‐‑ Gulerødder afvejes
-‐‑ Pastinakker afvejes
-‐‑ Tag en skræller og skræl det hele
Kamilla Hall Kragelund Studienummer 201503524
70
-‐‑ Skær enderne af, kun lige det nødvendige
-‐‑ Ved pastinakkerne skæres den bredeste del af, som ikke kan komme ned i maskinen
-‐‑ Sæt snittemaskinen til og sæt en pose på der, hvor stykkerne kommer ud
-‐‑ Gulerødder køres gennem snittemaskinen med klingen E/S 5mm
-‐‑ Pastinakker køres gennem snittemaskinen med klingen E/S 5mm
-‐‑ Placer et plastik smørbæger på vægten og afvej 7 g (+/-‐‑ 1) gulerod
-‐‑ Dette gentages indtil der er lavet smagsprøver til alle dem, der skal have rå gulerod
-‐‑ Placer et plastik smørbæger på vægten og afvej 7 g (+/-‐‑ 1g) pastinak
-‐‑ Dette gentages indtil der er lavet smagsprøver til alle dem, der skal have rå gulerod
-‐‑ Stil alle prøverne i en kasse på køl natten over
Bagte pastinakker:
-‐‑ Tænd ovnen på 200°C og læg bageplader med bagepapir klar ved siden af
-‐‑ Tag det antal plastik smørbægre + låg, som svarer til elevantal til bagte pastinakker
-‐‑ Noter PBA på låget
-‐‑ Pastinakkerne afvejes
-‐‑ Pastinakkerne skrælles og enderne skæres af
-‐‑ Den bredeste del, som ikke kan komme ned i maskinen skæres af
-‐‑ Sæt snittemaskinen til og sæt en pose på der, hvor stykkerne kommer ud
-‐‑ Brug klingen med 5 mm og kør alle pastinakkerne igennem maskinen
-‐‑ Alle stykkerne fordeles jævnt ud på bagepapiret
-‐‑ Når ovnen er 200°C, sættes pladen ind og et stopur sættes på 12 minutter
-‐‑ Når stopuret ringer, tages pladen ud og pastinakkerne afkøles
-‐‑ Placer et plastik smørbæger på vægten og afvej 7 g (+/-‐‑ 1g) bagt pastinak
-‐‑ Stil alle prøverne i en kasse på køl
Bagte gulerødder:
-‐‑ Tænd ovnen på 240°C og læg bageplader med bagepapir klar ved siden af
-‐‑ Tag det antal plastik smørbægre + låg, som svarer til elevantal til bagte gulerødder
-‐‑ Noter CBA på låget
-‐‑ Gulerødderne afvejes
Kamilla Hall Kragelund Studienummer 201503524
71
-‐‑ Gulerødderne skrælles og enderne skæres af
-‐‑ Sæt snittemaskinen til og sæt en pose på der, hvor stykkerne kommer ud
-‐‑ Brug klingen med 5 mm og kør alle gulerødderne igennem maskinen
-‐‑ Alle stykkerne fordeles jævnt ud på bagepapiret med stanniol over, som skal sættes
godt fast
-‐‑ Når ovnen er 240°C, sættes pladen ind og et stopur sættes på 12 minutter
-‐‑ Når stopuret ringer, tages pladen ud og pastinakkerne afkøles
-‐‑ Placer et plastik smørbæger på vægten og afvej 7 g (+/-‐‑ 1g) bagt gulerod
-‐‑ Stil alle prøverne i en kasse på køl
Kogte gulerødder + pastinakker:
-‐‑ Hæld 3 liter vand i minimum to gryder og stil dem på komfuret, som tændes på 6
-‐‑ Tag det antal plastik smørbægre + låg, som svarer til elevantal til rå gulerødder
-‐‑ Noter CBO eller PBO på låget af dem alle
-‐‑ Gulerødder afvejes
-‐‑ Pastinakker afvejes
-‐‑ Tag en skræller og skræl det hele
-‐‑ Skær enderne af, kun lige det nødvendige
-‐‑ Ved pastinakkerne skæres den bredeste del af, som ikke kan komme ned i maskinen
-‐‑ Sæt snittemaskinen til og sæt en pose på der, hvor stykkerne kommer ud
-‐‑ Gulerødder køres gennem snittemaskinen med klingen E/S 5mm
-‐‑ Pastinakker køres gennem snittemaskinen med klingen E/S 5mm
-‐‑ Når vandet koger, fordeles pastinakstykkerne og gulerod stykkerne i hver deres gryde
-‐‑ Sæt låget på og sæt stopuret på 6 minutter, når vandet koger voldsomt skrues der ned
på 3
-‐‑ Når stopuret ringer, hældes vandet fra og stykkerne afkøles
-‐‑ Placer et plastik smørbæger på vægten og afvej 7 g (+/-‐‑ 1) gulerod
-‐‑ Dette gentages indtil der er lavet smagsprøver til alle dem, der skal have kogt gulerod
-‐‑ Placer et plastik smørbæger på vægten og afvej 7 g (+/-‐‑ 1g) pastinak
-‐‑ Dette gentages indtil der er lavet smagsprøver til alle dem, der skal have kogt gulerod
-‐‑ Stil alle prøverne i en kasse på køl natten over
Kamilla Hall Kragelund Studienummer 201503524
72
Appendix C
Randomization for mere exposre of Rosengårdskolen, O.C PLAN FOR ROSENGÅRDEN 0.C Exposure 1-8
Rosengården, 0.CAri Gawad CRBertha Hjuler Petersen CRHicham Abou Lebde CRJasmin Sharilou Hossein CBOJohan Lisberg Højgaard CBOJustin Nicky Westphal CBOMaj Trieu Hansen CBOMartha Arum Bentzen CBAMathilde Fuglsang Nielsen CBAMohammad Fadi Saleh CBAMuhammed Ibrahim Ali CBANellie Christiane Binar PRTimur Efe Kursyk Edeer PRTristian Jørgensen Mikkelsen PRWilliam Hovman Elley PBOFrederikke Barslund Madsen PBOIsmo Ali Hassan Abdallah PBOMathias Borup Nedergaard PBOMona Bassam PBASebastian Borup Christensen PBASophia Nørmand Johansen PBAUmaiza Ali PBA
Kamilla Hall Kragelund Studienummer 201503524
73
Appendix D
Hypothesis: The type of vegetable (familiar versus unfamiliar) has an effect on liking
Tested
groups
Observations Mean liking Std.
deviation
ANOVA p-‐‑
value
Conclusion
All groups
at pre-‐‑test
1478 4.1 2.4 <0.0001 H0 is rejected
Tukey HSD test – analysis of the differences between the categories:
Comparisons groups Difference Pr > Diff Significant
Carrot vs parsnip 1.0 < 0.0001 Yes
Vegetable category LS means liking Grouping
Carrot 4.6 A
Parsnip 3.6 B
Kamilla Hall Kragelund Studienummer 201503524
74
Appendix E
Hypothesis: The type of preparation method has an effect on liking
Tested
groups
Observations Mean liking Std.
deviation
ANOVA p-‐‑
value
Conclusion
All groups
at pre-‐‑test
1478 4.1 2.4 <0.0001 H0 is
rejected
Tukey HSD test – analysis of the differences between the categories:
Comparisons groups Difference Pr > Diff Significant
Raw vs boiled 1.6 <0.0001 Yes
Raw vs baked 1.1 <0.0001 Yes
Baked vs raw 0.5 0.002 Yes
Preparation method category LS means liking Grouping
Baked 5.0 A
Boiled 3.9 B
Raw 3.4 C
Kamilla Hall Kragelund Studienummer 201503524
75
Appendix F
Hypothesis: The type of vegetable and the type of preparation method has an effect on
liking
Tested
groups
Observations Mean liking Std.
deviation
ANOVA p-‐‑
value
Conclusion
All groups
at pre-‐‑test
1478 4.1 2.4 <0.0001 H0 is rejected
Tukey HSD test – analysis of the differences between the categories:
Comparisons groups Difference Pr > Diff Significance
Carrot raw vs Parsnip boiled 3.0 < 0.0001 Yes
Carrot raw vs parsnip baked 2.1 < 0.0001 Yes
Carrot raw vs carrot boiled 2.1 < 0.0001 Yes
Carrot raw vs carrot baked 2.0 < 0.0001 Yes
Carrot raw vs parsnip raw 1.9 < 0.0001 Yes
Parsnip raw vs parsnip boiled 1.1 < 0.0001 Yes
Parsnip raw vs parsnip baked 0.3 0.779 No
Parsnip raw vs carrot boiled 0.2 0.894 No
Parsnip raw vs carrot baked 0.1 0.998 No
Carrot baked vs parsnip boiled 1.0 < 0.0001 Yes
Carrot baked vs parsnip baked 0.2 0.952 No
Carrot baked vs carrot boiled 0.1 0.988 No
Carrot boiled vs parsnip boiled 0.9 < 0.0001 Yes
Carrot boiled vs parsnip baked 0.1 1.000 No
Parsnip baked vs parsnip boiled 0.9 0.000 Yes
Kamilla Hall Kragelund Studienummer 201503524
76
Category LS means liking Grouping
Carrot raw (CR) 5.9 A
Parsnip raw (PR) 4.1 B
Carrot baked (CBA) 4.0 B
Carrot boiled (CBO) 3.8 B
Parsnip baked (PBA) 3.8 B
Parsnip boiled (PBO) 2.9 C
Kamilla Hall Kragelund Studienummer 201503524
77
Appendix G
Hypothesis: The strategy mere exposure has an effect on liking
Effect of mere exposure within the six exposure groups – exposed children:
Tested groups Observations Mean
liking
Std.
deviation
ANOVA
p-‐‑value
Conclusion
Carrot baked 397 4.4 2.2 0.247 H0 is accepted
Carrot boiled 422 4.9 2.0 0.059 H0 is accepted
Carrot raw 390 5.6 2.0 0.579 H0 is accepted
Parsnip baked 419 4.1 2.3 0.506 H0 is accepted
Parsnip boiled 392 3.6 2.5 0.377 H0 is accepted
Parsnip raw 422 4.7 2.4 0.931 H0 is accepted
Differences in liking between the exposure groups at the exposure numbers:
Tested
groups
Observations Mean liking Std.
deviation
ANOVA p-‐‑
value
Conclusion
Pre-‐‑test 251 4.1 2.3 < 0.001 H0 is rejected
Exposure 1 263 4.3 2.2 0.003 H0 is rejected
Exposure 2 262 4.4 2.3 0.002 H0 is rejected
Exposure 3 262 4.5 2.3 0.040 H0 is rejected
Exposure 4 261 4.6 2.3 0.0001 H0 is rejected
Exposure 5 260 4.5 2.3 0.001 H0 is rejected
Exposure 6 257 4.7 2.2 0.003 H0 is rejected
Exposure 7 235 4.7 2.3 0.050 H0 is rejected
Exposure 8 144 5.0 2.2 0.365 H0 is accepted
Post-‐‑test 249 4.7 2.4 < 0.0001 H0 is rejected
Kamilla Hall Kragelund Studienummer 201503524
78
LS means for exposure number:
Exposure no. CBA CBO CR PBA PBO PR Pretest 3.8 4.3 6.0 3.4 2.9 4.4 1 4.2 4.5 5.4 3.9 3.5 4.3 2 4.1 4.6 5.6 4.2 3.7 4.4 3 4.3 5.0 5.0 4.3 3.7 4.9 4 4.5 4.9 5.8 4.4 3.1 4.9 5 4.4 5.1 5.5 4.0 3.6 4.7 6 5.0 5.3 5.4 4.3 3.7 4.8 7 4.7 4.7 5.6 4.0 4.2 4.8 8 5.2 5.4 5.6 4.6 4.3 5.0 Posttest 4.4 5.6 5.9 3.7 3.8 4.8
Test between exposed and non-‐‑exposed children:
Observations Mean liking Std. deviation P-‐‑value Significant
CBA 533 4.0 2.4 0.412 No
CBO 540 3.9 2.4 <0.0001 Yes
CR 539 5.9 1.8 0.982 No
PBA 540 3.6 2.4 0.002 Yes
PBO 525 2.8 2.3 0.009 Yes
PR 535 3.9 2.3 <0.0001 Yes
Kamilla Hall Kragelund Studienummer 201503524
79
Appendix H
Hypothesis: The type of gender has an effect on liking
Tested groups Observations Mean
liking
Std.
deviation
ANOVA
p-‐‑value
Conclusion
CBA pre-‐‑test 246 4.0 2.3 0.324 H0 is accepted
CBA post-‐‑test 245 4.0 2.5 0.248 H0 is accepted
CBO pre-‐‑test 247 3.8 2.4 0.923 H0 is accepted
CBO post-‐‑test 248 3.7 2.5 0.643 H0 is accepted
CR pre-‐‑test 248 5.9 1.7 0.761 H0 is accepted
CR post-‐‑test 249 5.9 1.9 0.696 H0 is accepted
PBA pre-‐‑test 248 3.8 2.3 0.548 H0 is accepted
PBA post-‐‑test 247 3.2 2.4 0.420 H0 is accepted
PBO pre-‐‑test 242 2.9 2.2 0.271 H0 is accepted
PBO post-‐‑test 241 2.7 2.4 0.083 H0 is accepted
PR pre-‐‑test 247 4.1 2.2 0.026 H0 is rejected
PR post-‐‑test 243 3.6 2.4 0.351 H0 is accepted
Tukey HSD test:
Comparisons groups Difference Pr > Diff Significant
Boy PR pre-‐‑test vs girl PR pre-‐‑test 0.6 0.026 Yes
Category LS means liking Groups
Boy 4.3 A
Girl 3.7 B
Kamilla Hall Kragelund Studienummer 201503524
80
Appendix I
Hypothesis: The level of neophobic status has an effect on liking
Pre-‐‑test: level of neophobic status and liking
Tested groups Observations Mean
liking
Std.
deviation
ANOVA
p-‐‑value
Conclusion
Pre-‐‑test all 1472 4.1 2.4 0.000 H0 is rejected
Tukey HSD test: Pre-‐‑test level of neophobic status and liking
Comparisons groups Difference Pr > Diff Significant
Not neophobic vs Neophobic 0.6 < 0.0001 Yes
Not neophobic vs Neither neophobic or not
neophobic
0.4 0.071 No
Neither neophobic or not neophobic vs
Neophobic
0.3 0.208 No
Pre-‐‑test: neophobia, liking and familiar vs. unfamiliar vegetable
Tested groups Observations Mean
liking
Std.
deviation
ANOVA
p-‐‑value
Conclusion
Pre-‐‑test all 1472 4.1 2.4 < 0.0001 H0 is rejected
Category LS means liking Groups
Not neophobic 4.4 A
Neither neophobic or not neophobic 4.1 A-‐‑B
Neophobic 3.8 B
Kamilla Hall Kragelund Studienummer 201503524
81
Post-‐‑test: neophobia and liking
Tested groups Observations Mean
liking
Std.
deviation
ANOVA
p-‐‑value
Conclusion
Pre-‐‑test all 1467 3.9 2.5 < 0.0001 H0 is rejected
Comparisons groups Difference Pr > Diff Significant
Not neophobic vs Neophobic 1.1 < 0.0001 Yes
Not neophobic vs Neither neophobic or not
neophobic
0.5 0.008 Yes
Neither neophobic or not neophobic vs
Neophobic
0.6 0.002 Yes
Category LS means liking Groups
Carrot + Not neophobic 5.0 A
Carrot + Neither neophobic or not neophobic 4.6 A-‐‑B
Carrot + Neophobic 4.2 B-‐‑C
Parsnip + Not neophobic 3.9 C-‐‑D
Parsnip + Neither neophobic or not
neophobic
3.5 D
Parsnip + Neophobic 3.4 D
Category LS means liking Groups
Not neophobic 4.4 A
Neither neophobic or not neophobic 3.9 B
Neophobic 3.4 C
Kamilla Hall Kragelund Studienummer 201503524
82
Post-‐‑test: neophobia, liking and familiar/unfamiliar vegetable
Tested groups Observations Mean
liking
Std.
deviation
ANOVA
p-‐‑value
Conclusion
Pre-‐‑test all 1467 3.9 2.5 < 0.0001 H0 is rejected
Category LS means liking Groups
Carrot + Not neophobic 5.3 A
Carrot + Neither neophobic or not neophobic 4.7 A
Carrot + Neophobic 3.9 B
Parsnip + Not neophobic 3.6 B-‐‑C
Parsnip + Neither neophobic or not
neophobic
3.2 C-‐‑D
Parsnip + Neophobic 2.8 D
Kamilla Hall Kragelund Studienummer 201503524
83
Appendix J
Hypothesis: there is a correlation between the children’s liking of carrots and parsnips
and the children’s intake of carrots and vegetables reported by parents
Carrots Parsnips Pearson’s coefficient: parents reported liking and intake
0.606 0.520
P-‐‑values 0.000 0.000 Hypothesis: there is a correlation between the children’s liking of carrots and parsnips
reporten by parents and the children’s liking at pre-‐‑test
CBA CBO CR PBA PBO PR Pearson’s coefficient Parents liking -‐‑ liking
0.178 0.065 0.368 0.123 0.200 0.074
p-‐‑value 0.005 0.315 0.000 0.073 0.004 0.284
Kamilla Hall Kragelund Studienummer 201503524
84
Appendix K
Figur 22: Preparation methods of carrots and parsnips reported by parents. The y-‐‑axis shows the number of children
Figur 23: The intake of carrots and parsnips reported by parents. The y-‐‑axis shows the number of children
0
50
100
150
200
250
300
Boiled Grilled Fried Baked Steamed Raw Andet
Num
ber of children
Preparation methods of carrots and parsnips reported by parents
Carrot Parsnip
020406080100120140160
Daily 2-‐‑6 times per week
1 time per week < 1 time per week
Never
Num
ber of children
Intake of carrots and parsnips reported by parents
Carrot Parsnip