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持续挑食对学龄儿童进食困难的影响。

Effect of being a persistent picky eater on feeding difficulties in school-aged children.

机构信息

Bristol Medical School, University of Bristol, Bristol, UK.

Centre for Academic Child Health, Bristol Medical School, University of Bristol, Bristol, UK.

出版信息

Appetite. 2023 Apr 1;183:106483. doi: 10.1016/j.appet.2023.106483. Epub 2023 Feb 3.


DOI:10.1016/j.appet.2023.106483
PMID:36740020
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7616308/
Abstract

Children who are picky eaters often develop feeding difficulties during preschool years. These difficulties may persist into adolescence in some children. The study aim was to examine feeding difficulties and maternal feeding strategies longitudinally from age 5.5-8.5 years in relation to persistent picky eating. Picky eating behaviour in children enrolled in the Avon Longitudinal Study of Parents and Children was assessed using questionnaires between 2 and 5.5 years of age. Feeding behaviours were evaluated using questionnaires between 5.5 and 8.5 years. Data were analysed using adjusted logistic regression models. Of the 7405 children with data on picky eating 1926 (26%) were classified as never picky eaters, 385 (5%) were non-persistent picky eaters and 564 (8%) were persistent picky eaters. At 5.5, 7 and 8.5 years both persistent picky eaters and non-persistent picky eaters were more likely than never picky eaters to indicate difficulties in eating what the mother wanted, deliberately eat insufficiently, refuse to eat what was on offer, be choosy, not over-eat, and be difficult to get into routine, but with the likelihood decreasing with age (e.g. in persistent picky eaters vs non-picky eaters: refused to eat offered food OR 44.2 (95% CI 29.1, 67.0) at 5.5 years, 15.5 (11.5, 20.8) at 7 years and 14.1 (10.7, 18.6) at 8.5 years). The families of children who are picky eaters at the time of entering the school system should be offered reassurance that the feeding difficulties are likely to slowly resolve over time.

摘要

儿童在幼儿期经常会出现挑食的情况,这可能导致一些儿童在青少年时期也存在喂养困难。本研究旨在从 5.5-8.5 岁的时间跨度上,纵向研究喂养困难和母亲喂养策略与持续性挑食的关系。通过在 2 至 5.5 岁期间使用问卷调查评估儿童的挑食行为;在 5.5 至 8.5 岁期间使用问卷调查评估喂养行为。采用调整后的逻辑回归模型进行数据分析。在 7405 名有挑食数据的儿童中,1926 名(26%)被归类为从不挑食者,385 名(5%)是非持续性挑食者,564 名(8%)是持续性挑食者。在 5.5 岁、7 岁和 8.5 岁时,持续性挑食者和非持续性挑食者比从不挑食者更有可能表示在吃母亲想要的食物、故意吃得不够、拒绝吃提供的食物、挑食、不暴饮暴食以及难以养成规律等方面存在困难,但这种可能性随着年龄的增长而降低(例如,在持续性挑食者与非挑食者相比:拒绝吃提供的食物 OR 44.2(95%CI 29.1,67.0)在 5.5 岁时,15.5(11.5,20.8)在 7 岁时,14.1(10.7,18.6)在 8.5 岁时)。在进入学校系统时存在挑食问题的儿童的家庭应该得到安抚,即喂养困难可能会随着时间的推移慢慢解决。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6b5/7616308/c35972b944e0/EMS197622-f001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6b5/7616308/c35972b944e0/EMS197622-f001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6b5/7616308/c35972b944e0/EMS197622-f001.jpg

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[1]
Effect of being a persistent picky eater on feeding difficulties in school-aged children.

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引用本文的文献

[1]
Risk Factors and Consequences of Food Neophobia and Pickiness in Children and Adolescents: A Systematic Review.

Foods. 2024-12-30

[2]
Relation between ARFID symptomatology and picky eating onset and duration.

Eat Behav. 2024-8

[3]
Assessing the Correlation between Blood Trace Element Concentrations, Picky Eating Habits, and Intelligence Quotient in School-Aged Children.

Children (Basel). 2023-7-20

本文引用的文献

[1]
Childhood fussy/picky eating behaviours: a systematic review and synthesis of qualitative studies.

Int J Behav Nutr Phys Act. 2020-1-3

[2]
Diet at Age 10 and 13 Years in Children Identified as Picky Eaters at Age 3 Years and in Children Who Are Persistent Picky Eaters in A Longitudinal Birth Cohort Study.

Nutrients. 2019-4-10

[3]
Picky eating in children: causes and consequences.

Proc Nutr Soc. 2018-11-5

[4]
Antecedents of picky eating behaviour in young children.

Appetite. 2018-8-10

[5]
Growth and body composition in children who are picky eaters: a longitudinal view.

Eur J Clin Nutr. 2018-7-11

[6]
Momentary Parental Stress and Food-Related Parenting Practices.

Pediatrics. 2017-12

[7]
Fifteen-minute consultation: The healthy child: "My child is a fussy eater!".

Arch Dis Child Educ Pract Ed. 2018-4

[8]
Bi-directional associations between child fussy eating and parents' pressure to eat: Who influences whom?

Physiol Behav. 2017-7-1

[9]
Nutrient intake and dietary patterns in children 2.5-5 years of age with picky eating behaviours and low weight-for-height.

Asia Pac J Clin Nutr. 2017-1

[10]
Measuring adult picky eating: The development of a multidimensional self-report instrument.

Psychol Assess. 2017-8

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