INSERM, UMR-S 1018, Epidemiology of Diabetes, Obesity and Chronic Kidney Disease over the Life Course, CESP Centre for Research in Epidemiology and Population Health, Villejuif, France.
J Acad Nutr Diet. 2012 Oct;112(10):1578-602, 1602.e1-8. doi: 10.1016/j.jand.2012.06.356.
We reviewed tools developed to measure parental feeding practices and eating behavior and food intake or preferences of children aged 0 to 5 years. Two electronic literature databases (Medline and Psycinfo) were used to search for both observational and experimental studies in human beings. The articles selected for review were those presenting tools with data on internal consistency and/or test-retest reliability and/or construct validity. A total of 3,445 articles were retrieved, and further searching of reference lists and contact with experts produced an additional 18 articles. We identified three tools on the qualitative dimension of children's eating behavior, two tools on food intake or preferences, and one tool on parental feeding practices with rigorous testing of internal consistency, construct validity, and test-retest reliability. All other tools presented in this review need further evaluation of their validity or reliability. Because major gaps exist, we highlight the need for more tools on parental attention to children's hunger and satiety cues, and the need to evaluate the degree of control allowed to children younger than age 2 years in feeding events. Food avoidance (ie, behaviors or strategies to take away and to reject food) and food approach (ie, attractiveness for food stimuli) have not been assessed in children aged 12 to 24 months. Food preference tests based on sensory aspects rather than nutritional quality may be worth investigating. We identified a need for further evaluation of quality, especially test-retest reliability and construct validity, for most tools developed for use in studying children aged 0 to 5 years.
我们回顾了用于测量 0 至 5 岁儿童父母喂养行为、饮食行为以及食物摄入或偏好的工具。使用了两个电子文献数据库（Medline 和 Psycinfo）来搜索人类的观察性和实验性研究。选择进行综述的文章必须提供关于内部一致性和/或重测信度和/或构念效度的数据的工具。共检索到 3445 篇文章，进一步搜索参考文献和与专家联系又产生了 18 篇文章。我们确定了三种用于儿童饮食行为定性维度的工具、两种用于食物摄入或偏好的工具，以及一种用于父母喂养行为的工具，这些工具都经过了严格的内部一致性、构念效度和重测信度测试。本综述中介绍的所有其他工具都需要进一步评估其有效性或可靠性。由于存在重大差距，我们强调需要更多用于评估父母对儿童饥饿和饱腹感提示的关注度的工具，以及需要评估在喂养事件中允许 2 岁以下儿童的控制程度。12 至 24 个月大的儿童的食物回避（即，避免食物的行为或策略）和食物接近（即，对食物刺激的吸引力）尚未得到评估。基于感官方面而不是营养质量的食物偏好测试可能值得研究。我们确定需要进一步评估大多数为研究 0 至 5 岁儿童开发的工具的质量，特别是重测信度和构念效度。
