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3q29 缺失综合征个体的小儿喂养障碍症状:病例对照研究。

Symptoms of Pediatric Feeding Disorders Among Individuals with 3q29 Deletion Syndrome: A Case-Control Study.

机构信息

Department of Pediatrics, Emory University School of Medicine, Atlanta, GA.

Multidisciplinary Pediatric Feeding Disorders Program, Marcus Autism Center, Children's Healthcare of Atlanta and Emory University School of Medicine, Atlanta, GA.

出版信息

J Dev Behav Pediatr. 2022 Apr 1;43(3):e170-e178. doi: 10.1097/DBP.0000000000001009. Epub 2021 Oct 11.

Abstract

OBJECTIVE

The goal of this study was to evaluate symptoms of pediatric feeding disorder in a sample of individuals with 3q29 deletion syndrome (3q29Del). Previous research has found that individuals with 3q29Del may experience elevated feeding concerns in early childhood; however, the specificity of these feeding concerns is not well understood.

METHODS

We compared individuals with 3q29Del (N = 83) with controls (N = 59) using an 11-item survey that assessed commonly reported symptoms associated with pediatric feeding disorders. An exploratory analysis also examined individuals with 3q29Del with and without a comorbid global developmental delay (GDD) or an autism spectrum disorder diagnosis.

RESULTS

Caregivers of 3q29Del cases reported higher incidences of feeding concerns on 10 of the 11 items included in the survey. This included statistically significant differences in food refusal behaviors, rejection of 1 or more food groups, and a history of failure to thrive. Parents of children with comorbid GDD were more likely to report concerns regarding food selectivity and problem behaviors during mealtime.

CONCLUSION

The results suggest individuals with 3q29Del experience increased symptoms of pediatric feeding disorder that may require targeted evaluation and intervention for optimal outcomes. Future research should include a more thorough multidisciplinary evaluation to further elucidate symptom severity and optimal treatment strategies.

摘要

目的

本研究旨在评估 3q29 缺失综合征(3q29Del)患者样本中的小儿进食障碍症状。先前的研究发现,3q29Del 患者在幼儿期可能会出现更高的喂养问题;然而,这些喂养问题的特异性尚不清楚。

方法

我们使用 11 项调查评估了与小儿进食障碍相关的常见症状,将 3q29Del 患者(N=83)与对照组(N=59)进行了比较。一项探索性分析还检查了患有和不患有合并性全面发育迟缓(GDD)或自闭症谱系障碍诊断的 3q29Del 患者。

结果

3q29Del 病例的照顾者报告了 11 项调查中 10 项喂养问题的更高发生率。这包括在食物拒绝行为、拒绝 1 种或多种食物组和生长不良史方面存在统计学显著差异。患有合并性 GDD 的儿童的父母更有可能报告在进餐时对食物选择性和行为问题的担忧。

结论

结果表明,3q29Del 患者出现了更多的小儿进食障碍症状,可能需要进行针对性的评估和干预以获得最佳结果。未来的研究应包括更全面的多学科评估,以进一步阐明症状严重程度和最佳治疗策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96fe/8953387/9e4aeb9b3182/jdbp-43-e170-g001.jpg

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