Tharner Anne, Jansen Pauline W, Kiefte-de Jong Jessica C, Moll Henriette A, van der Ende Jan, Jaddoe Vincent W V, Hofman Albert, Tiemeier Henning, Franco Oscar H
Department of Epidemiology, Erasmus University Medical Center, Rotterdam, The Netherlands.
Int J Behav Nutr Phys Act. 2014 Feb 10;11:14. doi: 10.1186/1479-5868-11-14.
Definitions and assessment methods of fussy/picky eating are heterogeneous and remain unclear.We aimed to identify an eating behavior profile reflecting fussy/picky eating in children and to describe characteristics of fussy eaters.
Eating behavior was assessed with the Child Eating Behavior Questionnaire (CEBQ) in 4914 4-year olds in a population-based birth cohort study. Latent Profile Analysis (LPA) was used to identify eating behavior profiles based on CEBQ subscales.
We found a "fussy" eating behavior profile (5.6% of children) characterized by high food fussiness, slowness in eating, and satiety responsiveness in combination with low enjoyment of food and food responsiveness. Fussy eaters were more often from families with low household income than non-fussy eaters (42% vs. 31.8% respectively; Χ²(1) = 9.97, p < .01). When they were 14 months old, fussy eaters had a lower intake of vegetables (t [3008] = 2.42, p < .05) and fish (t [169.77] = 2.40, p < .05) but higher intake of savory snacks (t [153.69] = -2.03, p < .05) and sweets (t [3008] = -2.30, p < .05) compared to non-fussy eaters. Also, fussy eaters were more likely to be underweight at 4 years of age (19.3%) than non-fussy eaters (12.3%; Χ²(1) = 7.71, p < .01).
A distinct fussy eating behavior profile was identified by LPA, which was related to family and child characteristics, food intake, and BMI. This behavior profile might be used in future research and the development of interventions.
挑食/偏食的定义和评估方法存在异质性，仍不明确。我们旨在确定一种反映儿童挑食/偏食的饮食行为特征，并描述挑食儿童的特征。
在一项基于人群的出生队列研究中，使用儿童饮食行为问卷（CEBQ）对4914名4岁儿童的饮食行为进行评估。潜在剖面分析（LPA）用于根据CEBQ分量表确定饮食行为特征。
我们发现了一种“挑食”的饮食行为特征（占儿童的5.6%），其特点是食物挑剔程度高、进食速度慢、饱腹感反应性强，同时对食物的享受程度低和食物反应性低。挑食儿童来自低收入家庭的比例高于非挑食儿童（分别为42%和31.8%；Χ²(1)=9.97，p<.01）。在14个月大时，挑食儿童的蔬菜摄入量（t[3008]=2.42，p<.05）和鱼类摄入量（t[169.77]=2.40，p<.05）低于非挑食儿童，但咸味零食摄入量（t[153.69]=-2.03，p<.05）和甜食摄入量（t[3008]=-2.30，p<.05）高于非挑食儿童。此外，挑食儿童在4岁时体重过轻的可能性（19.3%）高于非挑食儿童（12.3%；Χ²(1)=7.71，p<.01）。
通过潜在剖面分析确定了一种独特的挑食饮食行为特征，该特征与家庭和儿童特征、食物摄入量和体重指数有关。这种行为特征可能会用于未来的研究和干预措施的开发。
