What influences Indian primary school children’s food behaviors? - Perceptions of children, mothers and teachers

Abstract Background Development of healthy food behaviors in childhood is significant for optimum growth and development of children as well as future health. However, many Indian children display unhealthy dietary habits including poor intakes of fruits and vegetables and excessive consumption of c...

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Main Authors: Neha Rathi, Prarthana Tiwari, Manisha Kanwar, Anjali Patel, Mukta Singh, Kalpna Gupta, Anthony Worsley
Format: Article
Language:English
Published: BMC 2025-04-01
Series:BMC Public Health
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Online Access:https://doi.org/10.1186/s12889-025-22660-0
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author Neha Rathi
Prarthana Tiwari
Manisha Kanwar
Anjali Patel
Mukta Singh
Kalpna Gupta
Anthony Worsley
author_facet Neha Rathi
Prarthana Tiwari
Manisha Kanwar
Anjali Patel
Mukta Singh
Kalpna Gupta
Anthony Worsley
author_sort Neha Rathi
collection DOAJ
description Abstract Background Development of healthy food behaviors in childhood is significant for optimum growth and development of children as well as future health. However, many Indian children display unhealthy dietary habits including poor intakes of fruits and vegetables and excessive consumption of calorie-dense, nutrient-poor foods and sugar-sweetened beverages. Therefore, the factors that influence their daily diet need to be explored for developing future interventions and policies. In this light, the present inquiry was designed to examine the various influences on the food behaviors of Indian primary school children. Methods Informed by the socio-ecological framework, this study used an exploratory qualitative research approach to conduct semi-structured interviews with 22 primary school children, 19 mothers, and 18 teachers residing in Varanasi, India. For children, the interviews were preceded by a drawing session where the interviewees were asked to draw their preferred and non-preferred food and beverage items. Interviews were carried out in English or Hindi and digitally recorded. Interviews were conducted until data saturation was achieved. Digital recordings were transcribed verbatim and translated to English (where necessary) for the purpose of thematic analysis. The transcripts were coded both deductively and inductively using the NVivo software program. Results Individual level influences included taste and nutritional knowledge. At the interpersonal level, the family food environment and peers emerged as key determinants. The physical environment also played a pivotal role in determining food behaviors, with the school food environment and food availability in the marketplace being significant. Lastly, at the societal level, television and internet advertisements were frequently cited as important determinants of children’s food behavior. Conclusions The collective insights from the three stakeholder groups have the potential to inform public health nutrition policies and interventions targeting the different socio-ecological factors to encourage healthy eating in Indian primary school children.
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spelling doaj-art-5f2852bc572b4ff5a7e301041004f31e2025-08-20T03:52:20ZengBMCBMC Public Health1471-24582025-04-0125111510.1186/s12889-025-22660-0What influences Indian primary school children’s food behaviors? - Perceptions of children, mothers and teachersNeha Rathi0Prarthana Tiwari1Manisha Kanwar2Anjali Patel3Mukta Singh4Kalpna Gupta5Anthony Worsley6Department of Beauty and Wellness, Symbiosis Skills and Professional UniversityDepartment of Home Science, Banaras Hindu UniversityDepartment of Home Science, Banaras Hindu UniversityDepartment of Home Science, Banaras Hindu UniversityDepartment of Home Science, Banaras Hindu UniversityDepartment of Home Science, Banaras Hindu UniversitySchool of Exercise & Nutrition Sciences, Deakin UniversityAbstract Background Development of healthy food behaviors in childhood is significant for optimum growth and development of children as well as future health. However, many Indian children display unhealthy dietary habits including poor intakes of fruits and vegetables and excessive consumption of calorie-dense, nutrient-poor foods and sugar-sweetened beverages. Therefore, the factors that influence their daily diet need to be explored for developing future interventions and policies. In this light, the present inquiry was designed to examine the various influences on the food behaviors of Indian primary school children. Methods Informed by the socio-ecological framework, this study used an exploratory qualitative research approach to conduct semi-structured interviews with 22 primary school children, 19 mothers, and 18 teachers residing in Varanasi, India. For children, the interviews were preceded by a drawing session where the interviewees were asked to draw their preferred and non-preferred food and beverage items. Interviews were carried out in English or Hindi and digitally recorded. Interviews were conducted until data saturation was achieved. Digital recordings were transcribed verbatim and translated to English (where necessary) for the purpose of thematic analysis. The transcripts were coded both deductively and inductively using the NVivo software program. Results Individual level influences included taste and nutritional knowledge. At the interpersonal level, the family food environment and peers emerged as key determinants. The physical environment also played a pivotal role in determining food behaviors, with the school food environment and food availability in the marketplace being significant. Lastly, at the societal level, television and internet advertisements were frequently cited as important determinants of children’s food behavior. Conclusions The collective insights from the three stakeholder groups have the potential to inform public health nutrition policies and interventions targeting the different socio-ecological factors to encourage healthy eating in Indian primary school children.https://doi.org/10.1186/s12889-025-22660-0IndiaPrimary school childrenFood BehaviorsQualitative
spellingShingle Neha Rathi
Prarthana Tiwari
Manisha Kanwar
Anjali Patel
Mukta Singh
Kalpna Gupta
Anthony Worsley
What influences Indian primary school children’s food behaviors? - Perceptions of children, mothers and teachers
BMC Public Health
India
Primary school children
Food Behaviors
Qualitative
title What influences Indian primary school children’s food behaviors? - Perceptions of children, mothers and teachers
title_full What influences Indian primary school children’s food behaviors? - Perceptions of children, mothers and teachers
title_fullStr What influences Indian primary school children’s food behaviors? - Perceptions of children, mothers and teachers
title_full_unstemmed What influences Indian primary school children’s food behaviors? - Perceptions of children, mothers and teachers
title_short What influences Indian primary school children’s food behaviors? - Perceptions of children, mothers and teachers
title_sort what influences indian primary school children s food behaviors perceptions of children mothers and teachers
topic India
Primary school children
Food Behaviors
Qualitative
url https://doi.org/10.1186/s12889-025-22660-0
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