Leung Alexander Kc, Marchand Valérie, Sauve Reginald S
Paediatr Child Health. 2012 Oct;17(8):455-60. doi: 10.1093/pch/17.8.455.
The majority of children between one and five years of age who are brought in by their parents for refusing to eat are healthy and have an appetite that is appropriate for their age and growth rate. Unrealistic parental expectations may result in unnecessary concern, and inappropriate threats or punishments may aggravate a child's refusal to eat. A detailed history and general physical examination are necessary to rule out acute and chronic illnesses. A food diary and assessment of parental expectations about eating behaviour should be completed. Where the child's 'refusal' to eat is found to be related to unrealistic expectations, parents should be reassured and counselled about the normal growth and development of children at this age.
大多数被父母带来就诊的1至5岁儿童，是因为拒绝进食，但实际上他们很健康，其食欲与其年龄和生长速度相符。不切实际的父母期望可能导致不必要的担忧，而不恰当的威胁或惩罚可能会加剧孩子拒绝进食的情况。详细的病史和全面的体格检查对于排除急慢性疾病是必要的。应完成一份饮食日记，并评估父母对饮食行为的期望。如果发现孩子“拒绝”进食与不切实际的期望有关，就应该让父母放心，并为他们提供关于这个年龄段儿童正常生长发育的咨询。
