"Dr. Victor Gomoiu" Clinical Children Hospital, 022102 Bucharest, Romania.
Faculty of Medicine, "Carol Davila" University of Medicine and Pharmacy, 050474 Bucharest, Romania.
Nutrients. 2023 Jun 21;15(13):2831. doi: 10.3390/nu15132831.
(1) Background: The complex known as avoidant/restrictive food intake disorder (ARFID) is one of the eating disorders that cannot be explained by chronic disease. The aim of this study was to determine the characteristics of patients who were identified as being at risk of developing ARFID and referred to paediatricians, according to their age and duration of symptoms. (2) Methods: Children aged 2-10 years (Group 1) presenting with eating disorders were initially recruited in the "Dr. Victor Gomoiu" Clinical Children Hospital in Bucharest. Group 2 included patients presenting for routine paediatric visits as controls. The study population was given the PARDI questionnaire as well as questions related to demographics, screening growth and development, physical and mental background, and current feeding and eating patterns. Items were scored on a 7-point scale ranging from 0 to 6. (3) Results: A total of 98 individuals were divided equally into the two study groups. There was no difference in terms of sex, living area, mothers' education level or living standards between the two groups. ARFID children were more likely to be underweight, were unsuccessful at weaning or have irregular feeding habits and a history of allergies. The mean age of onset for chronic symptoms was significantly lower than the onset of acute food refusal-4.24 ± 2.29 vs. 6.25 ± 3.65, = 0.005. (4) Conclusions: feeding disorders are an important issue among paediatricians, and a proper awareness of them when treating these patients should be included in daily practice.
(1) 背景：回避/限制型食物摄入障碍（ARFID）是无法用慢性疾病解释的进食障碍之一。本研究旨在根据年龄和症状持续时间，确定被认为有发展为 ARFID 风险并转介给儿科医生的患者的特征。(2) 方法：最初招募了布加勒斯特“Victor Gomoiu 博士”临床儿童医院年龄在 2-10 岁（第 1 组）的患有进食障碍的儿童。第 2 组包括作为对照进行常规儿科就诊的患者。研究人群接受了 PARDI 问卷以及与人口统计学、筛查生长发育、身体和精神背景以及当前喂养和进食模式相关的问题。项目按 0-6 分的 7 分制评分。(3) 结果：共有 98 人平均分为两组。两组之间在性别、居住区域、母亲的教育水平或生活水平方面没有差异。ARFID 儿童更可能体重不足，断奶不成功或有不规则的喂养习惯和过敏史。慢性症状的发病年龄明显低于急性拒食的发病年龄-4.24 ± 2.29 岁比 6.25 ± 3.65 岁，= 0.005。(4) 结论：喂养障碍是儿科医生面临的一个重要问题，在治疗这些患者时，应将对这些障碍的适当认识纳入日常实践。
