Green Robin John, Samy Gamal, Miqdady Mohamad Saleh, Salah Mohamed, Sleiman Rola, Abdelrahman Hatim Mohamed Ahmed, Al Haddad Fatima, Reda Mona M, Lewis Humphrey, Ekanem Emmanuel E, Vandenplas Yvan
Department of Paediatrics and Child Health, University of Pretoria, Pretoria, South Africa.
Department of Child Health and Nutrition, Institute of Postgraduate Childhood Studies, Ain Shams University, Cairo, Egypt.
Pediatr Gastroenterol Hepatol Nutr. 2015 Mar;18(1):1-9. doi: 10.5223/pghn.2015.18.1.1. Epub 2015 Mar 30.
Eating behaviour disorder during early childhood is a common pediatric problem. Many terminologies have been used interchangeably to describe this condition, hindering implementation of therapy and confusing a common problem. The definition suggests an eating behaviour which has consequences for family harmony and growth. The recent Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition does not cover the entire spectrum seen by pediatricians. Publications are substantive but level of evidence is most of the time low. This purpose of this review is to clarify terminology of eating behaviour problems during early childhood; including benign picky eating, limited diets, sensory food aversion, selective eating, food avoidance emotional disorder, pervasive refusal syndrome, tactile defensiveness, functional dysphagia, neophobia and toddler anorexia. This tool is proposed only to ease the clinical management for child care providers. Diagnostic criteria are set and management tools are suggested. The role of dietary counselling and, where necessary, behavioural therapy is clarified. It is hoped that the condition will make its way into mainstream pediatrics to allow these children, and their families, to receive the help they deserve.
幼儿期饮食行为障碍是常见的儿科问题。许多术语被交替使用来描述这种情况，这阻碍了治疗的实施，并使一个常见问题变得模糊不清。该定义表明一种对家庭和谐与成长有影响的饮食行为。最新的《精神疾病诊断与统计手册（第五版）》并未涵盖儿科医生所见到的全部情况。相关出版物内容丰富，但大多数时候证据水平较低。本综述的目的是澄清幼儿期饮食行为问题的术语；包括良性挑食、饮食受限、感觉性食物厌恶、选择性进食、食物回避情绪障碍、广泛性拒绝综合征、触觉防御、功能性吞咽困难、新食物恐惧症和幼儿厌食症。此工具仅为方便儿童护理人员的临床管理而提出。设定了诊断标准并提出了管理工具。明确了饮食咨询以及必要时行为疗法的作用。希望这种情况能进入主流儿科学领域，以便这些儿童及其家庭能够得到他们应得的帮助。
