Pugliese M T, Weyman-Daum M, Moses N, Lifshitz F
Pediatrics. 1987 Aug;80(2):175-82.
Parental misconceptions and health beliefs concerning what constitutes a normal diet for infants is reported as a cause for failure to thrive. There were seven patients (four boys, three girls), 7 to 22 months of age, who were evaluated for poor weight gain and linear growth. They were only consuming 60% to 94% of the recommended caloric intake for age and sex. The children's caloric intake had been restricted by their parents. They were concerned that the children would become obese, develop atherosclerosis, become junk food dependent, and/or develop eating habits that the parents believed were unhealthy. The parents instituted diets consistent with health beliefs currently in vogue and recommended by the medical community for adults who are at risk for cardiovascular disease. These diets caused the infants to experience inadequate weight gain and have a decreased linear growth rate. With nutritional counseling, all food restrictions were removed, the caloric intake was increased to 94% to 147% of the recommended intake for age. The weight gain rate increased significantly (P less than .05) from 0.1 +/- 0.1 kg/mo to 0.4 +/- 0.3 kg/mo, and the linear growth rate increased significantly (P less than .05) from 0.4 +/- 0.4 cm/mo to 1.0 +/- 0.6 cm/mo within 3 months of therapy. Exaggerated concerns about excessive food intake in childhood and/or concern about the sequelae of eating an improper diet has resulted in this entity of failure to thrive due to parental health beliefs.
据报道，父母对于婴儿正常饮食构成的误解和健康观念是导致发育不良的一个原因。有7名年龄在7至22个月的患者（4名男孩，3名女孩）因体重增加不佳和线性生长问题接受评估。他们的热量摄入仅为年龄和性别推荐热量摄入的60%至94%。这些孩子的热量摄入受到了父母的限制。父母担心孩子会肥胖、患动脉粥样硬化、依赖垃圾食品和/或养成他们认为不健康的饮食习惯。父母制定的饮食与当前流行且被医学界推荐给有心血管疾病风险的成年人的健康观念一致。这些饮食导致婴儿体重增加不足，线性生长速度下降。通过营养咨询，所有食物限制都被取消，热量摄入增加到年龄推荐摄入量的94%至147%。在治疗的3个月内，体重增加率从0.1±0.1千克/月显著增加（P小于0.05）至0.4±0.3千克/月，线性生长速度从0.4±0.4厘米/月显著增加（P小于0.05）至1.0±0.6厘米/月。由于父母的健康观念，对儿童过度食物摄入的过度担忧和/或对饮食不当后果的担忧导致了这种发育不良的情况。
