Zohar Ada H, Pick Shahar, Lev-Ari Lilac, Bachner-Melman Rachel
Ruppin Academic Center, Emek Hefer, 40250, Israel; The Lior Tsfaty Center for Suicide and Mental Pain Studies, Israel.
Ruppin Academic Center, Emek Hefer, 40250, Israel.
Appetite. 2020 Nov 1;154:104804. doi: 10.1016/j.appet.2020.104804. Epub 2020 Jul 18.
This study aimed to estimate the rate of persistent picky eating (PE) in children 3-8 years of age, and to characterize children with PE and their mothers. From a base sample of 1055 mothers of children 3.4 ± 1.3 years old, we selected those who described their children as picky eaters (PEs; n = 185, 17.5%) for a longitudinal study. 109 PE dyads participated, as well as a matched comparison group of dyads without PE (n = 106). At T1 mothers self-reported on trait anxiety, perfectionism, attachment style; as well as on the child's behavioral problems, their temperament, and their executive function. The participants were re-evaluated twice, at two-year intervals (T2 and T3). At T2 the mothers self-reported on their personality, on their child feeding practices, and reported their child's eating behavior. At T3 the mothers self-reported on their feeding style and the children self-reported on a pictorial frequent food questionnaire. PE persisted throughout T2 and T3 in 22.5% of T1 PE children in the longitudinal study, or in 3.94% of the base sample. The child characteristics that distinguished the PE and non-PE groups at T1 predicted 9-10% of the variance of T3 PE. Maternal feeding practices at T2 contributed 1-2% to the explained variance. It can be concluded that for the overwhelming majority of children, PE is a passing phase. Maternal feeding practices have limited long-term influence on children's PE. Unless PE is persistent and severe, parents would best be advised to relax their feeding efforts.
本研究旨在估计3至8岁儿童中持续挑食的发生率,并对挑食儿童及其母亲的特征进行描述。在1055名3.4±1.3岁儿童的母亲这一基础样本中,我们挑选出那些将自己孩子描述为挑食者的母亲(n = 185,17.5%)进行纵向研究。109对挑食母子参与了研究,还有一组与之匹配的非挑食母子对照组(n = 106)。在T1阶段,母亲们自我报告了特质焦虑、完美主义、依恋风格;以及孩子的行为问题、气质和执行功能。参与者每两年接受一次重新评估(T2和T3)。在T2阶段,母亲们自我报告了自己的性格、孩子的喂养方式,并报告了孩子的饮食行为。在T3阶段,母亲们自我报告了她们的喂养方式,孩子们通过一份图片式常见食物问卷进行自我报告。在纵向研究中,22.5%的T1阶段挑食儿童在T2和T3阶段持续挑食,占基础样本的3.94%。在T1阶段区分挑食组和非挑食组的儿童特征预测了T3阶段挑食情况9 - 10%的方差。T2阶段母亲的喂养方式对方差解释的贡献为1 - 2%。可以得出结论,对于绝大多数儿童来说,挑食是一个过渡阶段。母亲的喂养方式对孩子挑食的长期影响有限。除非挑食持续且严重,否则最好建议家长放松喂养方面的努力。