Matthews Simon
Avondale College, Lake Macquarie Campus, Cooranbong, New South Wales, Australia.
Am J Lifestyle Med. 2020 Jul 29;14(6):606-611. doi: 10.1177/1559827620943821. eCollection 2020 Nov-Dec.
Although childhood "picky eating" or "fussy eating" or "food neophobia" is well established as a subject of research, commentary, and treatment guidelines, there is very little published research exploring the origins and basis of adult food neophobia, much less its treatment. Existing treatment guidelines for picky eating tend to focus on cognitive behavioral interventions. The consequences of picky eating, although not extensively researched, include inadequate nutrition and weight management difficulties-both significant contributors to the worldwide disease burden. Health coaching has a focus on personal choice, reflection on previous successes and current strengths, as well as identification of a personal health vision and achievable goals. As such, it may play a useful role in supporting behavioral change in adult picky eaters. A structured intervention, rooted in health coaching skills and culinary medicine aimed at supporting such change, is proposed.
尽管儿童期的“挑食”“偏食”或“食物恐新症”已成为研究、评论及治疗指南的热门主题，但针对成人食物恐新症的起源、根源及治疗方法的已发表研究却少之又少。现有的挑食治疗指南往往侧重于认知行为干预。挑食的后果虽未得到广泛研究，但包括营养不足和体重管理困难，这两者都是全球疾病负担的重要因素。健康指导注重个人选择、对以往成功经历和当前优势的反思，以及个人健康愿景和可实现目标的确定。因此，它可能在支持成年挑食者的行为改变方面发挥有益作用。本文提出了一种基于健康指导技能和烹饪医学的结构化干预措施，旨在支持这种改变。
