Division of Pediatric Gastroenterology, Hepatology and Nutrition, Monroe Carell Jr. Children's Hospital at Vanderbilt University Medical Center, Doctors Office Tower, Suite 10226, 2200, Children's Way, Nashville, TN, 37232, USA.
Division of Pediatric Allergy, Immunology and Pulmonary Medicine, Monroe Carell Jr. Children's Hospital at Vanderbilt University Medical Center, Nashville, TN, 37232, USA.
Dysphagia. 2019 Aug;34(4):567-574. doi: 10.1007/s00455-019-09984-x. Epub 2019 Feb 2.
Eosinophilic esophagitis (EoE) can affect eating behavior in infants and children and this may lead to stressful interactions with their caregivers and potentially impact their caregivers' quality of life. Clinical evaluation of eating behaviors can be time consuming and burdensome. Caregivers can provide a comprehensive assessment of their child's eating behavior; however, this has not been well studied in children with EoE. In a case-control study, we used Child Eating Behavior Questionnaire (CEBQ) to compare caregivers' perception of eating behaviors in children (ages 11 ± 4 years; Mean ± SD) with EoE (cEoE; N = 42) to that of non-EoE controls (cControls; N = 38), and Feeding/Swallowing Impact on Children's Caregivers Questionnaire (FS-IS) to examine the impact of EoE-related eating problems on their caregivers' quality of life. There were no differences between the cEoE and cControls perceptions of eating behaviors as assessed by CEBQ. In FS-IS, the cEoE indicated that they were worried about the way their child would breathe or if the child would choke while feeding (2.28 ± 0.16 vs. 1.25 ± 0.13; p < 0.001), and also indicated that it was hard for them to feed their child as it took a long time to prepare liquids and foods the "right" way (2.1 ± 0.20 vs. 1.17 ± 0.09; p < 0.001) when compared to cControls. Our results suggest that caregivers' perception of the eating behavior of school-aged children with and without EoE do not differ significantly, yet the perception of feeding/swallowing issues in children with EoE can negatively impact their caregivers' quality of life. Further research is needed to discern the eating behavior in children with EoE and its relationship with their caregivers' quality of life.
嗜酸细胞性食管炎（EoE）可影响婴幼儿的进食行为，这可能导致他们与照顾者之间产生紧张的互动，并可能影响照顾者的生活质量。进食行为的临床评估可能既耗时又繁琐。照顾者可以全面评估孩子的进食行为；然而，这在 EoE 患儿中尚未得到充分研究。在一项病例对照研究中，我们使用儿童饮食行为问卷（CEBQ）比较了患有 EoE（cEoE；N=42）和非 EoE 对照组（cControls；N=38）患儿的照顾者对其进食行为的感知，并使用喂养/吞咽对儿童照顾者的影响问卷（FS-IS）来评估 EoE 相关进食问题对照顾者生活质量的影响。cEoE 和 cControls 对进食行为的感知在 CEBQ 评估中没有差异。在 FS-IS 中，cEoE 组表示他们担心孩子进食时呼吸或呛噎（2.28±0.16 与 1.25±0.13；p<0.001），也表示给孩子喂食很困难，因为需要很长时间才能以正确的方式准备液体和食物（2.1±0.20 与 1.17±0.09；p<0.001），与 cControls 相比。我们的研究结果表明，患有和不患有 EoE 的学龄儿童的照顾者对其进食行为的感知没有显著差异，但患有 EoE 的儿童对喂养/吞咽问题的感知会对其照顾者的生活质量产生负面影响。需要进一步研究以确定 EoE 患儿的进食行为及其与照顾者生活质量的关系。
