Development of Child-Friendly Fish Dishes to Increase Young Children’s Acceptance and Consumption of Fish

Abstract

Background: The Dietary Guidelines for Americans 2010 recommend that Americans age two years and older consume seafood, especially fish high in omega-3 polyunsaturated fatty acids, at least twice a week. Although fish is of particular importance during childhood to support proper brain and eye development, it is under-consumed in the US pediatric population. This study examined if substituting salmon for chicken would increase preschooler’s fish consumption. Methods: Two-to-five years old children (n = 45) were served eight lunches (four pairs of comparable chicken versus salmon dishes) twice, totaling sixteen lunches over a period of three months to test the hypothesis that children will consume fish at least once a week, thus increasing docosahexaenoic acid (DHA) intake. The plate waste method was used to collect intake data and consumption of total energy and DHA intake in the chicken and the fish dishes were compared using contrasts within a mixed effect ANOVA (significance at P < 0.05). Results: Dietary intake estimates showed that there were no significant differences in energy intake when the chicken and fish dishes looked similar (macaroni-and-cheese and wraps), but when the fish dishes looked new (nuggets and dumplings), energy intake on fish days was lower than on the chicken day. DHA intake increased significantly on all days the fish was served. Conclusions: This pilot study indicates that fish intake can meet recommendations if salmon is incorporated into familiar dishes such as salad wraps or macaroni-and-cheese, in the childcare setting. Although fish is more expensive, childcare centers may serve this highly nutritious protein once a week without experiencing undue amounts of food wastes if incorporated into well-accepted main dishes. Further studies in larger and more diverse samples of children, different experimental dishes, and longer exposure periods may elucidate additional venues to increase children’s diet quality by increasing consumption of fatty fish.

Share and Cite:

L. Huss, S. McCabe, J. Dobbs-Oates, J. Burgess, C. Behnke, C. Santerre and S. Kranz, "Development of Child-Friendly Fish Dishes to Increase Young Children’s Acceptance and Consumption of Fish," Food and Nutrition Sciences, Vol. 4 No. 10A, 2013, pp. 78-87. doi: 10.4236/fns.2013.410A012.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] D. Cao, K. Kevala, J. Kim, H.-S. Moon, S. B. Jun, D. Lovinger and H.-Y. Kim, “Docosahexaenoic Acid Promotes Hippocampal Neuronal Development and Synaptic Function,” Journal of Neurochemistry, Vol. 111, No. 2, 2009, pp. 510-521.
http://dx.doi.org/10.1111/j.1471-4159.2009.06335.x
[2] S. M. Innis, “Dietary Omega 3 Fatty Acids and the Developing Brain,” Brain Research, Vol. 1237, 2008, pp. 35-43. http://dx.doi.org/10.1016/j.brainres.2008.08.078
[3] R. J. Pawlosky, J. R. Hibblen, Y. Lin, et al., “Effects of Beefand Fish-Based Diet on the Kinets of n-3 Fatty Acid Metabolism in Human Subjects,” American Journal of Clinical Nutrition, Vol. 77, No. 3, 2003, pp. 565-572.
[4] P. L. Goyens, M. E. Spilker, P. L. Zock, M. B. Katan and R. P. Mensink, “Compartmental Modeling to Quantify Alpha-Linolenic Acid Conversion after Longer-Term Intake of Multiple Tracer Boluses,” Journal of Lipid Research, Vol. 46, 2005, pp. 1474-1483.
http://dx.doi.org/10.1194/jlr.M400514-JLR200
[5] G. C. Burdge, Y. E. Finnegan, A. M. Minihane, C. M. Williams and S. A. Wootton, “Effect of Altered Dietary n-3 Fatty Acid Intake upon Plasma Lipid Fatty Acid Composition, Converstion of [13C] Alpha-Linolenic Acid to Longer-Chain Fatty Acids and Partitioning towards BetaOxidation in Older Men,” British Journal of Nutrition, Vol. 90, No. 2, 2003, pp. 311-321.
http://dx.doi.org/10.1079/BJN2003901
[6] G. C. Burdge, A. E. Jones and S. A. Wootton, “Eicosapentaenoic and Docosapentaenoic Acids Are the Principal Products of Alpha-Linolenic Acid Metabolism in Young Men,” British Journal of Nutrition, Vol. 88, No. 4, 2002, pp. 355-364. http://dx.doi.org/10.1079/BJN2002662
[7] E. A. Emken, R. O. Adlof and R. M. Gulley, “Dietary Linoleic Acid Influences Desaturation and Acylation of Deuterium-Labeled Linoleic and Linolenic Acids in Young Adult Males,” Biochimica et Biophysica Acta, Vol. 1213, No. 3, 1994, pp. 277-288.
http://dx.doi.org/10.1016/0005-2760(94)00054-9
[8] N. Hussein, E. Ah-Sing, P. Wilkinson, C. Leach, B. A. Griffin and D. J. Millward, “Long-Chain Conversion of [13C] Linoleic Acid and Alpha-Linolenic Acid in Response to Marked Changes in Their Dietary Intake in Men,” Journal of Lipid Research, Vol. 46, 2005, pp. 269-280. http://dx.doi.org/10.1194/jlr.M400225-JLR200
[9] G. C. Burdge and S. A. Wootton, “Conversion of Alpha-Linolenic Acid to Eicosapentaenoic, Docosapentaenoic and Docosahexaenoic Acids in Young Women,” British Journal of Nutrition, Vol. 88, No. 4, 2002, pp. 411-421. http://dx.doi.org/10.1079/BJN2002689
[10] A. Dalton, P. Wolmarans, R. C. Witthuhn, M. E. van Stuijvenberg, S. A. Swanevelder and C. M. Smuts, “A Randomised Control Trial in Schoolchildren Showed Improvement in Cognitive Function after Consuming a Bread Spread, Containing Fish Flour from a Marine Source,” Prostaglandins Leukotrienes and Essential Fatty Acids, Vol. 80, No. 2-3, 2009, pp. 143-149.
http://dx.doi.org/10.1016/j.plefa.2008.12.006
[11] S. M. Innis, “Perinatal Biochemistry and Physiology of Long-Chain Polyunsaturated Fatty Acids,” Journal of Pediatrics, Vol. 143, No. 4, 2003, pp. S1-S8.
http://dx.doi.org/10.1067/S0022-3476(03)00396-2
[12] H. W. Sprecher, Q. Chen and F. Q. Yin, “Differences in the Regulation of Biosynthesis of 20versus 22-Carbon Polyunsaturated Fatty Acids,” Prostaglandins, Leukotrienes and Essentital Fatty Acids, Vol. 52, No. 2-3, 1995, pp. 99-101.
http://dx.doi.org/10.1016/0952-3278(95)90005-5
[13] J. M. Bourre, M. Piciotti, O. Dumont, G. Pascal and G. Durand, “Dietary Linoleic Acid and Polyunsaturated Fatty Acids in Rat Brain and Other Organs. Minimal Requirements of Linoleic Acid,” Lipids, Vol. 25, No. 8, 1990, pp. 465-472. http://dx.doi.org/10.1007/BF02538090
[14] W. E. Lands, A. Morris and B. Libelt, “Quantitative Effects of Dietary Polyunsaturated Fats on the Composition of Fatty Acids in Rat Tissues,” Lipids, Vol. 25, No. 9, 1990, pp. 505-516.
http://dx.doi.org/10.1007/BF02537156
[15] L. D. Arbuckle, M. J. MacKinnon and S. M. Innis, “Formula 18:2(n-6) and 18:3(n-3) Content and Ratio Influence Long-Chain Polyunsaturated Fatty Acids in the Developing Piglet Liver and Central Nervous System,” The Journal of Nutrition, Vol. 124, No. 2, 1994, pp. 289-298.
[16] R. R. Brenner and R. O. Peluffo, “Effect of Saturated and Unsaturated Fatty Acids on the Desaturation in Vitro of Palmitic, Stearic, Oleic, Linoleic, and Linolenic Acids,” Journal of Biological Chemistry, Vol. 241, No. 22, 1966, pp. 5213-5219.
[17] J. Rahm and R. T. Holman, “Effect of Linoleic Acid upon the Metabolism of Linolenic Acid,” The Journal of Nutrition, Vol. 84, 1964, pp. 15-19.
[18] P. S. Sastry, “Lipids of Nervous Tissue: Composition and Metabolism,” Progress in Lipid Research, Vol. 24, No. 2, 1985, pp. 69-176.
http://dx.doi.org/10.1016/0163-7827(85)90011-6
[19] N. M. Giusto, G. A. Salvador, P. I. Castagnet, S. J. Pasquare and M. G. Ilincheta de Boschero, “Age-Associated Changes in Central Nervous System Glycerolipid Composition and Metabolism,” Neurochemical Research, Vol. 27, No. 11, 2002, pp. 1513-1523.
http://dx.doi.org/10.1023/A:1021604623208
[20] J. M. Bourre, M. Francois, A. Youyou, O. Dumont, M. Piciotti, G. Pascal and G. Durand, “The Effects of Dietary Alpha-Linolenic Acid on the Composition of Nerve Membranes, Enzymatic Activity, Amplitude of Electrophysiological Parameters, Resistance to Poisons and Performance of Learning Tasks in Rats,” The Journal of Nutrition, Vol. 119, No. 12, 1989, pp. 1880-1892.
[21] C. Galli, H. I. Trzeciak and R. Paoletti, “Differential Effects of Dietary Fatty Acids on the Accumulation of Arachidonic Acid and Its Metabolic Conversion through the Cyclooxygenase and Lipoxygenase in Platelets and Vascular Tissue,” Lipids, Vol. 16, No. 3, 1981, pp. 165-172.
http://dx.doi.org/10.1007/BF02535434
[22] N. Hrboticky, M. J. MacKinnon and S. M. Innis, “Effect of a Vegetable Oil Formula Rich in Linoleic Acid on Tissue Fatty Acid Accretion in the Brain, Liver, Plasma, and Erythrocytes of Infant Piglets,” American Journal of Clinical Nutrition, Vol. 5, No. 2, 1990, pp. 173-182.
[23] N. Hrboticky, M. J. MacKinnon and S. M. Innis, “Retina Fatty Acid Composition of Piglets Fed from Birth with a Linoleic Acid-Rich Vegetable-Oil Formula for Infants,” American Journal of Clinical Nutrition, Vol. 53, No. 2, 1991, pp. 483-490.
[24] S. M. Innis, “Essential Fatty Acids in Growth and Development,” Progress in Lipid Research, Vol. 30, No. 1, 1991, pp. 39-103.
http://dx.doi.org/10.1016/0163-7827(91)90006-Q
[25] E. C. Bakker, G. Hornstra, C. E. Blanco and J. S. H. Vles, “Relationship between Long-Chain Polyunsaturated Fatty Acids at Birth and Motor Function at 7 Years of Age,” European Journal of Clinical Nutrition, Vol. 63, No. 4, 2009, pp. 499-504.
http://dx.doi.org/10.1038/sj.ejcn.1602971
[26] E. E. Birch and D. R. Stager Sr., “Long-Term Motor and Sensory Outcomes after Early Surgery for Infantile Esotropia,” Journal of the American Association for Pediatric Ophthalmology and Strabismus, Vol. 10, No. 5, 2006, pp. 409-413. http://dx.doi.org/10.1016/j.jaapos.2006.06.010
[27] Institute of Medicine, “Seafood Choices: Balancing Benefits and Risks,” 2006.
http://www.iom.edu/Reports/2006/Seafood-Choices-Balancing-Benefits-and-Risks.aspx
[28] L. R. Huss, S. Laurentz, J. O. Fisher, G. P. McCabe and S. Kranz, “Timing of Serving Dessert but Not Portion Size Affects Young Children’s Intake at Lunchtime,” Appetite, Vol. 68, 2013, pp. 158-163.
http://dx.doi.org/10.1016/j.appet.2013.04.013
[29] S. Y. Park, H.-Y. Paik, J. D. Skinner, A. A. Spindler and H.-R. Park, “Nutrient Intake of Korean-American, Korean, and American Adolescents,” Journal of the American Dietetic Association, Vol. 104, No. 2, 2004, pp. 242-245.
http://dx.doi.org/10.1016/j.jada.2003.11.015
[30] Food and Nutrition Board, Institute of Medicine, “Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids (Macronutrients),” A Report of the Panel on Macronutrients, Subcommittees on Upper Reference Levels of Nutrients and Interpretation and Uses of Dietary Reference Intakes, and the Standing Committee on the Scientific Evaluation of Dietary Reference Intakes, National Academy Press, Washington DC, 2002.
[31] FAO/WHO, “Interim Summary of Conclusions and Dietary Recommendations on Total Fat & Fatty Acids,” Joint FAO/WHO Expert Consultation on Fats and Fatty Acids in Human Nutrition, Geneva, 2008.
[32] B. Koletzko, R. Uauy, A. Palou, et al., “Dietary Intake of Eicosapentaenoic Acid (EPA) and Docosahexaenoic Acid (DHA) in Children—A Workshop Report,” British Journal of Nutrition, Vol. 103, No. 6, 2010, pp. 923-928.
http://dx.doi.org/10.1017/S0007114509991851
[33] J. Whelan, L. Jahns and K. Kavanagh, “Docosahexaenoic Acid: Measurements in Food and Dietary Exposure,” Prostaglandins, Leukotrienes and Essential Fatty Acids, Vol. 8, No. 2-3, 2009, pp. 133-136.
http://dx.doi.org/10.1016/j.plefa.2009.05.008
[34] E. Foland, L. Graves and C. Markle, “CACFP—What’s in a Meal?—Healthy Hoosier Edition,” 2008.
http://www.doe.in.gov/student-services/nutrition/cacfp-whats-meal-healthy-hoosier-edition
[35] S. M. Shim, L. E. Dorworth, J. A. Lasrado and C. R. Santerre, “Mercury and Fatty Acids in Canned Tuna, Salmon, and Mackerel,” Journal of Food Science, Vol. 69, 2004, pp. 681-684.
http://dx.doi.org/10.1111/j.1365-2621.2004.tb09915.x
[36] J. Folch, M. Lees and G. H. Sloane-Stanley, “A Simple Method for the Isolation and Purification of Total Lipids from Animal Tissues,” Canadian Journal of Biochemistry and Physiology, Vol. 226, 1956, pp. 497-509.
[37] A. Drewnowski, “Taste Preferences and Food Intake,” Annual Review of Nutrition, Vol. 17, 1997, pp. 237-253.

Copyright © 2023 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.