System concept: How to prevent choosy eating (picky eating) in early childhood children


  • Atchariya Wonginchan Faculty of Nursing, Khon Kaen University, Thailand
  • Juraporn Tangpukdee Faculty of Nursing, Khon Kaen University, Thailand
  • Prakai Phongam Faculty of Nursing, Khon Kaen University, Thailand
  • Suthida Suwannarach Faculty of Nursing, Khon Kaen University, Thailand
  • Natthanan Sawatdikun Faculty of Nursing, Khon Kaen University, Thailand


early childhood children, picky eating, system concept


Choosy eating or picky eating in early childhood children is characterized by rejection to try new or some foods, choosing to eat only certain cooking preference, taking long time for eating, or refusing to eat. Picky eating creates problems and lead to unwanted behaviors. It results in body structure disproportion and lack of opportunity to build good relationships with other people. Picky eating is caused by many factors, including physical disorders, caregiver behaviors, and non-supportive parenting environment. The objective of this article is to explain the relationship between elements, causes and impacts of picky eating in early childhood children. Severity of causes and consequences are also described to guide application for prevention and resolution of picky eating. System concept is used for this explanation. The concept contains input, process, output, and feedback. The results obtained can be systematically applied to prevent and solve other problems for individualized early childhood children.  


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How to Cite

Wonginchan A, Tangpukdee J, Phongam P, Suwannarach S, Sawatdikun N. System concept: How to prevent choosy eating (picky eating) in early childhood children . JNSH [Internet]. 2021 Sep. 30 [cited 2022 Dec. 3];44(3):84-97. Available from:



Academic Article