Smith Bobbie L, Ludlow Amanda K
Department of Psychology, Sports Science and Geography, School of Life and Medical Sciences, University of Hertfordshire, Hatfield, United Kingdom.
Front Pediatr. 2022 Sep 7;10:933154. doi: 10.3389/fped.2022.933154. eCollection 2022.
Food avoidant behaviours are common concerns amongst individuals with Tourette syndrome, with high levels of food selectivity reported in children and food neophobia and avoidant restrictive eating behaviours in adults. However, less is known about food approach behaviours. The current study aimed to explore differences in food approach and food avoidant eating behaviours in children with Tourette syndrome (TS) and their relationship to caregiver mealtime actions. Thirty-seven caregivers of children with Tourette syndrome were compared with children with Autism Spectrum Disorders, children with Attention-Deficit/Hyperactivity Disorder and a control group. Caregivers completed the Child Eating Behaviour Questionnaire and Parent Mealtime Action Scale-Revised. Caregiver-reported findings revealed that children with Tourette syndrome exhibited more food approach behaviours, specifically greater food responsiveness, emotional overeating and desire to drink, compared to controls. Children from the three neurodiverse groups had similar levels of emotional overeating and food selectivity, which were all significantly higher than the control group. Positive persuasion was uniquely identified as a mealtime strategy adopted by caregivers of children with Tourette syndrome. The results suggest that children with Tourette syndrome are at more risk of showing a broader array of food difficulties than previously reported, including food avoidant and approach behaviours. It is encouraged that clinicians monitor eating behaviour in appointments with children with Tourette syndrome.
食物回避行为是妥瑞氏综合征患者普遍关注的问题，据报道儿童有高度的食物选择性，而成人则有食物恐新症和回避性限制性饮食行为。然而，对于食物趋近行为的了解较少。当前的研究旨在探讨患有妥瑞氏综合征（TS）的儿童在食物趋近和食物回避饮食行为上的差异，以及它们与照料者用餐时行为的关系。将37名妥瑞氏综合征患儿的照料者与患有自闭症谱系障碍的儿童、注意力缺陷多动障碍儿童及一个对照组进行比较。照料者完成了儿童饮食行为问卷和修订后的家长用餐时行为量表。照料者报告的结果显示，与对照组相比，患有妥瑞氏综合征的儿童表现出更多的食物趋近行为，特别是更高的食物反应性、情绪化暴饮暴食和饮水欲望。来自这三个神经发育障碍组的儿童在情绪化暴饮暴食和食物选择性方面水平相似，且均显著高于对照组。积极劝说被确定为是妥瑞氏综合征患儿照料者采用的一种独特用餐策略。结果表明，患有妥瑞氏综合征的儿童出现比先前报道更多种类食物问题的风险更高，包括食物回避和趋近行为。鼓励临床医生在为患有妥瑞氏综合征的儿童看病时监测其饮食行为。
