Chao Hsun-Chin, Chang Hsueh-Ling
Division of Gastroenterology, Department of Pediatrics, Chang Gung Children's Medical Center, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan, Taiwan.
Division of Pediatric Psychiatry, Department of Psychiatry, Chang Gung Children's Hospital, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan, Taiwan.
Pediatr Neonatol. 2017 Feb;58(1):22-28. doi: 10.1016/j.pedneo.2015.11.008. Epub 2016 Apr 26.
To investigate the differences in eating behaviors between picky and nonpicky eaters, and to correlate parental management of children's eating problems with qualities of general development in children.
This was a cross-sectional analysis of parental observations on their children's eating behavior, sampled from three major cities in Taiwan. We used a structured questionnaire during face-to-face interviews to collect information on each child's picky eating habits and behaviors, caregiver-child interaction and intervention during feeding, and the child's qualities of general development. Analysis of variance was used to determine significant differences between picky and nonpicky eaters.
Sixty-two percent of the children were considered to be picky eaters. Lack of appropriate caregiver-child interactions (e.g., repeated food attempt, persuasion, and encouragement) and the presence of inappropriate parental interactions (e.g., threatening, snacking, and nutrient supplementation) were significantly more common in picky eaters. Picky eaters also tended to exhibit low development quality in the domains of learning ability, interpersonal relationships, and physical performance, particularly in their attention span and uncooperativeness.
There is a relationship between inappropriate parental interaction and interventions in children's eating problems and the low quality of general development in picky eaters.
探讨挑食儿童与非挑食儿童在饮食行为上的差异，并将父母对儿童饮食问题的管理方式与儿童的总体发育质量相关联。
这是一项对台湾三个主要城市的父母对其子女饮食行为观察的横断面分析。我们在面对面访谈期间使用结构化问卷来收集有关每个孩子挑食习惯和行为、喂养期间照顾者与孩子的互动及干预，以及孩子总体发育质量的信息。方差分析用于确定挑食者与非挑食者之间的显著差异。
62% 的儿童被认为是挑食者。缺乏适当的照顾者与孩子的互动（例如，反复尝试喂食、劝说和鼓励）以及存在不适当的父母互动（例如，威胁、吃零食和补充营养）在挑食者中明显更为常见。挑食者在学习能力、人际关系和身体表现等方面也往往表现出较低的发育质量，尤其是在注意力持续时间和不合作方面。
父母在儿童饮食问题上的不适当互动和干预与挑食者总体发育质量较低之间存在关联。
