Bristol Medical School, University of Bristol, Bristol, UK.
Centre for Academic Child Health, Bristol Medical School, University of Bristol, Bristol, UK.
Appetite. 2023 Apr 1;183:106483. doi: 10.1016/j.appet.2023.106483. Epub 2023 Feb 3.
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.
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。
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