University of Groningen, University Medical Center Groningen, Nursing Research, Department of Health Sciences, Groningen, the Netherlands; Princess Máxima Center for Pediatric Oncology, Utrecht, the Netherlands.
University of Groningen, University Medical Center Groningen, Nursing Research, Department of Health Sciences, Groningen, the Netherlands.
Clin Nutr. 2020 Oct;39(10):3072-3079. doi: 10.1016/j.clnu.2020.01.012. Epub 2020 Jan 31.
BACKGROUND & AIMS: During treatment for cancer, children experience many side effects such as lack of appetite, nausea, and vomiting. As a result, ensuring adequate intake puts pressure on both the child and the parent. This study aims to determine the prevalence, causes and consequences of eating and feeding problems in children treated for cancer.
Parents of 85 children with cancer completed the Behavioral Pediatrics Feeding Assessment Scale (BPFAS) and symptoms, BMI, energy intake, feeding style, and parental distress were measured at 0, 3, 6 and 12 months after diagnosis.
Parent-reports revealed that almost a quarter of the children experienced eating disorder: 15.7% experienced problems related to diminished intake and 8.6% related to excessive intake. Prevalence of feeding disorders related to parents' behavior was 21.1%. In children <8 years prevalence of eating and feeding disorders was significantly higher: 31% and 36% for child and parent behavior respectively. Younger age, poor pre-illness eating behavior, increase in symptoms and a demanding feeding style were associated with more eating problems. Excessive eating resulted in higher energy intake, however, no association was found between eating problems and nutritional status. Food refusal resulted in more parental distress.
Especially younger children with cancer are at risk for eating and feeding problems. In addition, poor pre-illness eating behavior, symptoms and a demanding feeding style aggravate eating problems. Therefore, interventions should focus at diminishing side effects of treatment and instructing parents to be less demanding regarding their child's eating behavior.
在癌症治疗期间，儿童会经历许多副作用，如食欲不振、恶心和呕吐。因此，确保充足的摄入量给孩子和家长都带来了压力。本研究旨在确定接受癌症治疗的儿童饮食和喂养问题的发生率、原因和后果。
85 名癌症患儿的家长完成了行为儿科学喂养评估量表（BPFAS），并在诊断后 0、3、6 和 12 个月测量了症状、BMI、能量摄入、喂养方式和父母的困扰程度。
家长报告显示，近四分之一的儿童存在饮食障碍：15.7%的儿童存在摄入减少相关问题，8.6%的儿童存在摄入过多相关问题。与父母行为相关的喂养障碍的患病率为 21.1%。<8 岁的儿童中，饮食和喂养障碍的发生率显著更高：儿童和父母行为分别为 31%和 36%。年龄较小、患病前饮食行为较差、症状增加和要求较高的喂养方式与更多的饮食问题相关。过度进食导致能量摄入增加，但饮食问题与营养状况之间没有关联。拒食导致父母的困扰更多。
特别是年龄较小的癌症患儿存在饮食和喂养问题的风险。此外，患病前不良的饮食行为、症状和要求较高的喂养方式会加重饮食问题。因此，干预措施应重点减少治疗的副作用，并指导父母对孩子的饮食行为要求不要过高。
