Childhood nutrition is a cornerstone of long-term health, yet many children exhibit reluctance to consume healthy foods such as vegetables. This aversion can be influenced by various factors, including food neophobia and the sensory and visual appeal of the foods that are being presented. Hence, understanding how visual cues affect children’s willingness to eat can provide insights into effective strategies to enhance their dietary habits. This research explores the influence of visual cues on the dietary behaviors of children aged 9 to 12, their willingness to consume and request healthy foods such as vegetables, within the context of challenges such as food neophobia. This study examines how intrinsic cues (e.g., vegetable characteristics) and extrinsic cues (e.g., the plate’s color and shape) affect children’s liking and emotional responses, impacting their willingness to eat and request purchases from parents. Conducted using a sample of 420 children, this cross-sectional study reveals that attributes such as a plate’s color and shape significantly affect food-related behaviors and emotions. A validated and reliable self-administered questionnaire was employed. Independent t-tests and ANOVA were used to test the differences between gender and food neophobia, while Spearman correlations were used for correlation analysis. Visual cues served as the independent variables, liking and emotional responses as the mediating variables, and willingness behaviors as the dependent variable. Hierarchical regression analyses were conducted to explore the relationships among intrinsic cues, extrinsic cues, and the mediating effect of liking and emotional responses. Findings show that boys prefer blue and triangular plates, while girls prefer pink plates, generating more positive emotions. Children with food neophobia initially experience aversion, but this can be reduced by enhancing sensory appeal and emotional engagement. The findings underscore the importance of leveraging visual cues and fostering positive emotional experiences to encourage healthier eating habits and increase children’s acceptance and purchase of nutritious foods.

Childhood nutrition is a cornerstone of long-term health, yet many children exhibit reluctance to consume healthy foods such as vegetables. This aversion can be influenced by various factors, including food neophobia and the sensory and visual appeal of the foods presented. Understanding how visual cues affect children's willingness behaviors can provide insights into effective strategies to enhance their dietary habits. This study aims to investigate the liking and emotional responses on the relationships between intrinsic and extrinsic cues and children's willingness to eat and to ask parents to buy. To understand how these factors influence children with food neophobia food-related behaviors and to identify effective strategies to promote healthier eating habits. A sample size consisting of 420 children recruited was needed in this cross-sectional study. A validated and reliable self-administered questionnaire was employed. Independent t-test and ANOVA were used to test the differences between gender and food neophobia means. Spearman correlations were used for correlation analysis. Hierarchical regression analyses were conducted to explore the relationships among intrinsic cues, extrinsic cues, and the mediating effect of liking and emotional responses. Attributes such as plate color and shape significantly influence children's food-related behaviors and their emotions. Liking and emotional responses significantly mediates the relationship between intrinsic/extrinsic cues and willingness. Positive visual cues experiences are crucial for increasing children's inclination to purchase and consume. Positive emotional responses enhance acceptance and purchase. There are significant differences between boys and girls. Boys prefer blue and triangular plates, while girls prefer pink plates and generate more positive emotions. Children with food neophobia will initially experience a disorder, but its negative effects can be mitigated by increasing sensory appeal and emotional engagement. By employing strategies designed to enhance visual cues and liking and emotions, children’s willingness to choose healthy eating habits can be effectively increased.

Children’s well-being and health have received significant social attention. Given the increasing prevalence of food neophobia, obesity, and related health challenges in children, it is critical to understand the importance and urgency of raising children to choose healthy foods.This review explores the complex relationships among children's visual cues, emotion, liking and food choices, providing important insights into potential health interventions. A systematic search was conducted using three databases: PubMed, Scopus, and Web of Science. Studies published up to December 25, 2023 (from the start of each database) were included. To ensure that the studies were of good quality, the Mixed Methods Appraisal Tool (MMAT) was used for assessment. 17 eligible studies that used different research methods, six used a within-subject design, one used a discrete choice experiment, one used a pretest-post test design, four used mixed methods research, three used observational studies, and one used a longitudinal design. These studies examined topics ranging from visual perception to emotional response, with six studies examining all three aspects. This study investigated the complex effects of children's visual cues, emotions, and food choices, thereby providing important insights into potential health interventions. The shape of the food elicited a more positive emotional response than unvarying shapes. Several studies have also shown that children not only have preferences for the food itself but also consider factors such as the type, shape, and color of the food. Future research should draw new conclusions to guide relevant interventions aimed at promoting healthy food choices among children.