Centre for Child and Adolescent Health, Bristol Medical School, University of Bristol, Bristol BS8 2BN, UK.
Nestlé Product Technology Center-Nutrition, 1814 La Tour-de-Peilz, Switzerland.
Int J Environ Res Public Health. 2018 Jun 12;15(6):1236. doi: 10.3390/ijerph15061236.
Choosiness in young children is a normal behaviour that sometimes worries parents. The study aimed to investigate factors that are associated with a mother being worried about her child’s choosy feeding behaviour. Parents of singleton children from the Avon Longitudinal Study of Parents and Children ( = 5710) completed a questionnaire assessing perception of their child’s choosy feeding behaviour at 15 months of age and whether this choosiness worried them. Feeding behaviours and practices throughout the first 15 months were captured. Multinomial logistic regression models with three levels of worry (, and ) as the dependent variables tested associations with variables from pregnancy and infancy. Half of the children (56%) were described as choosy at 15 months; of these 27% had mothers who were worried and 5% worried. Mothers showed greater odds of being worried if the child was first born, difficult to feed or refused solids by 6 months of age. Worried mothers had shown greater odds of introducing lumpy foods late (after 9 months). Feeding vegetables regularly by 6 months was associated with lower odds of worry at 15 months. Support and advice to parents at the start of complementary feeding could help to alleviate worry. Parents should be reassured that choosiness is a normal part of child development.
幼儿挑食是一种正常行为,有时会令家长担忧。本研究旨在调查与母亲担心孩子挑食行为相关的因素。在阿冯纵向研究父母和儿童(=5710)中,单胎儿童的父母完成了一份问卷,评估他们在 15 个月大时对孩子挑食行为的看法,以及这种挑食行为是否令他们担忧。在此期间,还记录了孩子在 15 个月内的喂养行为和习惯。使用多项逻辑回归模型,以担忧程度(无、轻度和重度)为因变量,检验了与妊娠和婴儿期相关变量的关联。有一半的孩子(56%)在 15 个月时被描述为挑食;其中 27%的孩子的母亲有轻度担忧,5%的母亲有重度担忧。如果孩子是第一胎、难以喂养或 6 个月大时拒绝固体食物,母亲更有可能感到担忧。担忧的母亲更有可能晚些时候(9 个月后)引入块状食物。6 个月时定期给孩子吃蔬菜与 15 个月时担忧程度较低有关。在开始添加辅食时为父母提供支持和建议,有助于减轻担忧。父母应该放心,挑食是孩子成长过程中的正常现象。