Nestle Institute of Health Science, Nestle Research, Route du Jorat 57, Vers-chez-les-Blanc, 1000 Lausanne, Switzerland.
Intertek Health Sciences Inc., Food and Nutrition Group, 2233 Argentia Road, Suite 201, Mississauga, ON L5N 2X7, Canada.
Nutrients. 2018 Dec 15;10(12):1992. doi: 10.3390/nu10121992.
A main characteristic of children perceived as picky eaters is their tendency to avoid certain foods or food groups. The goal of this narrative review is to provide an overview of published studies that have examined whether picky eating in childhood is in fact associated with measurable differences in food and/or nutrient intakes and growth. While picky eaters appear to consume less vegetables compared to non-picky eaters, no consistent differences were observed for the intakes of other food groups or the intakes of energy, macronutrients and dietary fiber. Although, in some studies, picky eaters had lower intakes of certain vitamins and minerals, the levels consumed generally exceeded the recommended values, suggesting nutritional requirements are being met. No consistent relationship between childhood picky eating and growth status was observed, although significant differences in body weight/growth between picky and non-picky eaters were most discernible in studies where multiple defining criteria were used to identify picky eating. The research area would benefit from the adoption of a uniform definition of picky eating. More longitudinal assessments are also required to understand the long-term impact of picky eating on nutritional status and growth.
被视为挑食的儿童的一个主要特征是他们倾向于避免某些食物或食物组。本综述的目的是提供已发表的研究的概述，这些研究检查了儿童时期的挑食是否实际上与可衡量的食物和/或营养素摄入量和生长差异有关。虽然与非挑食者相比，挑食者似乎摄入的蔬菜较少，但其他食物组或能量、宏量营养素和膳食纤维的摄入量没有观察到一致的差异。尽管在某些研究中，挑食者某些维生素和矿物质的摄入量较低，但所消耗的水平通常超过了推荐值，表明营养需求得到了满足。虽然在一些研究中观察到儿童时期的挑食与生长状况之间没有一致的关系，但在使用多种定义标准来确定挑食的研究中，挑食者和非挑食者之间的体重/生长差异最为明显。该研究领域将受益于采用统一的挑食定义。还需要进行更多的纵向评估，以了解挑食对营养状况和生长的长期影响。
