对食物质地进行系统评估，以减少儿科喂养障碍儿童的食物打包情况并增加其经口摄入量。
A systematic evaluation of food textures to decrease packing and increase oral intake in children with pediatric feeding disorders.
作者信息
Patel Meeta R, Piazza Cathleen C, Layer Stacy A, Coleman Russell, Swartzwelder Dana M
机构信息
Marcus and Kennedy Krieger Institute, Atlanta, Georgia 30329, USA.
出版信息
J Appl Behav Anal. 2005 Spring;38(1):89-100. doi: 10.1901/jaba.2005.161-02.
This study examined packing (pocketing or holding accepted food in the mouth) in 3 children who were failing to thrive or had inadequate weight gain due to insufficient caloric intake. The results of an analysis of texture indicated that total grams consumed were higher when lower textured foods were presented than when higher textured foods were presented. The gram intake was related directly to levels of packing. That is, high levels of packing were associated with higher textured foods and low gram intake, and low levels of packing were associated with lower textured foods and high gram intake. All participants gained weight when texture of foods was decreased. Packing remained low during follow-up for 2 participants even when the texture of food was increased gradually over time. These data are discussed in relation to avoidance, response effort, and skill deficit.
本研究对3名因热量摄入不足而发育不良或体重增加不足的儿童的进食行为（口中兜住或保留可接受的食物）进行了检查。质地分析结果表明，提供质地较软的食物时，摄入的食物总量高于提供质地较硬的食物时。食物摄入量与进食行为水平直接相关。也就是说，高进食行为水平与质地较硬的食物和低食物摄入量相关，而低进食行为水平与质地较软的食物和高食物摄入量相关。当食物质地变小时，所有参与者的体重都有所增加。即使随着时间推移食物质地逐渐增加，2名参与者在随访期间的进食行为水平仍保持较低。本文结合回避、反应努力和技能缺陷对这些数据进行了讨论。
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