# Food preparation skills and obesity risk in European children aged 6–9 years: a cross-sectional study using WHO COSI 2022–2024’

## TL;DR

Children who practice food preparation skills, especially peeling, may have slightly healthier diets and lower obesity risk, with notable differences between boys and girls.

## Contribution

This study explores the link between food preparation skills and obesity risk in European children using WHO COSI data.

## Key findings

- Food preparation skills at home were linked to a small increase in daily fruit and vegetable intake.
- Peeling skills were associated with a 15% reduced obesity risk.
- Girls were more likely to engage in certain food preparation tasks compared to boys.

## Abstract

Preparing meals from raw ingredients has been linked to healthier diets, while developing cooking skills in childhood may foster lifelong healthy eating habits. In its 6th round (2021–2023), the World Health Organization (WHO) European Childhood Obesity Surveillance Initiative (COSI) added questions regarding food preparation skills.

Data from 19,736 participants across eight countries were analysed. Multilevel linear regression models examined the relationship between food preparation skills practiced at home and school and daily vegetable intake, accounting for individuals nested within schools. Logistic regression was used to assess associations between experience of these skills and obesity risk. Minimally adjusted models included random intercepts for schools, while fully adjusted models also controlled for child sex and mother’s education level.

Increased experience of food preparation skills at home was associated with a small increase in daily fruit and vegetable intake; each one-point increment on the skills scale corresponded to a 0.09-point rise on a 5-point ordinal measure. Overall, food preparation experience at home was associated with a marginally higher odds of having obesity (OR = 1.02, 95% CI: 1.01, 1.03). Notably, experience of peeling skills was associated with lower odds of having obesity (OR = 0.84, 95% CI: 0.82, 0.86). Additionally, significant sex differences were observed: girls were more likely than boys to engage in tasks such as washing, mashing, peeling, and chopping, whereas boys more frequently reported involvement in weighing and measuring.

Experience of food preparation skills, especially those practiced at home, is modestly associated with increased dietary intake of fruit and vegetables. Although most food preparation skills were associated with a slight increase in obesity risk, experience of peeling was linked to a 15% reduced risk. The observed sex differences in food preparation skills underline the need for targeted educational strategies. Further prospective research is needed to determine whether promoting specific food preparation skills could support healthy dietary behaviours and weight in children.

Open Science Framework https://osf.io/nfd6m/ prospective registration on 12th December 2024.

The online version contains supplementary material available at 10.1007/s00394-026-03928-6.