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[父母对其4至36个月大孩子挑食行为认知准确性的评估]

[Assessment of accuracy of parents' perception of their 4-36 months old children's picky eating behavior].

作者信息

Li Zi-yi, Wang Jin-zi, Zhang Ya-rong, Yu Kai, Si-Tu Wen-you, You Li-li, Chen Chen, Li Wen-jun, Wang Pei-yu, Zhang Yu-mei

机构信息

Department of Social Medicine and Health Education, Peking University School of Public Health, Beijing 100191, China.

Nestle Research Center Beijing, Beijing 100095, China.

出版信息

Beijing Da Xue Xue Bao Yi Xue Ban. 2014 Jun 18;46(3):383-8.

PMID:24943015
Abstract

OBJECTIVE

To evaluate the accuracy of parents' perception of whether their child is a picky eater and the specific food category the children avoideating according to the food frequency questionnaire.

METHODS

This research selected 1 663 infants aged 4-36 months receiving non-diary complimentary food from maternal, infants, nutrition and growth study (MING Study) in 8 Chinese cities in which a combination of systematic cluster random sampling and purposive sampling was used. The general information, dietary status and picky eating status were collected through a self-designed questionnaire from the caregiver of the children. According to the parents' perception, the children were classified into picky/non-picky groups or avoid/non-avoid to a specific food category groups. Mann-Whitney U test was used to compare between the groups.

RESULTS

The reported percentage of picky eaters increased from 7.37% in 4-6 months old infants to 36.20% in 25-36 months old infants. Most picky infants in 4-6 months and 7-12 months old infants avoided eating dairy food (25% and 24%); while most picky toddlers aged 13-24 months and 25-36 months avoided eating vegetables (26.92% and 47.46%). The infants aged 4-6 months and 7-12 months who were perceived as picky by their parents took more kinds of food (8 and 19.5 kinds) than those who were not (6 and 18 kinds), while the picky toddlers aged 13-24 months and 25-36 months took fewer kinds of food (28.5 and 34 kinds for picky eaters, 31 and 37 kinds for non-picky eaters). The parents of infants aged 4-6 months judged correctly in every category of food without any statistical significance; the parents of 7-12 months old infants judged correctly only in dairy food and eggs with statistical significance; those of 13-24 months old infants judged correctly in every food category except for vegetables with statistically significant difference in the category of eggs; those of 25-36 months old toddlers misjudged in dairy, beans and grains with no statistically significant difference in every category.

CONCLUSION

Parents tend to misjudge their children's picky eating behavior before the first 12 months of the child, and tend to make a more accurate perception after the 12th month.

摘要

目的

根据食物频率问卷评估父母对其孩子是否为挑食者认知的准确性,以及孩子避免食用的具体食物类别。

方法

本研究选取了来自中国8个城市母婴营养与生长研究(MING研究)中1663名4至36个月接受非乳制品辅食的婴儿,采用系统整群随机抽样和目的抽样相结合的方法。通过自行设计的问卷从儿童照料者处收集儿童的一般信息、饮食状况和挑食状况。根据父母的认知,将儿童分为挑食/非挑食组或对特定食物类别避免/不避免组。采用曼-惠特尼U检验进行组间比较。

结果

报告的挑食者比例从4至6个月龄婴儿的7.37%增加到25至36个月龄婴儿的36.20%。4至6个月和7至12个月龄的大多数挑食婴儿避免食用乳制品(分别为25%和24%);而13至24个月和25至36个月龄的大多数挑食幼儿避免食用蔬菜(分别为26.92%和47.46%)。父母认为挑食的4至6个月和7至12个月龄婴儿摄入的食物种类(分别为8种和19.5种)比不挑食的婴儿(分别为6种和18种)多,而13至24个月和25至36个月龄的挑食幼儿摄入的食物种类较少(挑食者分别为28.5种和34种,非挑食者分别为31种和37种)。4至6个月龄婴儿的父母在各类食物的判断上均正确,无统计学意义;7至12个月龄婴儿的父母仅在乳制品和蛋类的判断上正确,具有统计学意义;13至24个月龄婴儿的父母在除蔬菜外的各类食物判断上正确,蛋类类别存在统计学显著差异;25至36个月龄幼儿的父母在乳制品、豆类和谷物的判断上有误,各类别无统计学显著差异。

结论

在孩子12个月之前,父母往往会误判孩子的挑食行为,而在12个月之后往往能做出更准确的认知。

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