Fonseca Natasha K O, Curtarelli Vitória D, Bertoletti Juliana, Azevedo Karla, Cardinal Tiago M, Moreira Júlia D, Antunes Luciana C
Graduate Program in Psychiatry and Behavioral Sciences, Universidade Federal do Rio Grande do Sul (UFRGS), Ramiro Barcelos, 2400, Porto Alegre, RS, 90035-003, Brazil.
Universidade Federal de Santa Catarina (UFSC), Florianópolis, SC, Brazil.
J Eat Disord. 2024 Jun 7;12(1):74. doi: 10.1186/s40337-024-01021-z.
Avoidant restrictive food intake disorder (ARFID) is an eating disorder characterized by persistent insufficient nutritional and/or energy intake. ARFID, before referred to as "selective eating disorder", was introduced recently in the DSM-5 as a replacement for and expansion of the previous diagnosis. Individuals with ARFID may limit food variety and intake due to avoidance based on the sensory characteristics of the food or related to any adverse consequences of eating without the intention of losing weight and concerns of body image. The limited understanding of avoidant and restrictive eating poses challenges to effective treatment and management, impacting directly on the growth and development of children and adolescents. The ARFID neurobiological concept has not yet been clearly defined to clinical practice for nutritionists, thereby hindering screening and impeding the development of treatment recommendations. This narrative review provide useful practical information to consult the pathophysiology, the neurobiology, the clinical features, the assessment and the treatment for healthcare professionals seeking to enhance their clinical knowledge and management of this disorder.
回避性限制性食物摄入障碍（ARFID）是一种饮食失调症，其特征是持续存在营养和/或能量摄入不足。ARFID以前被称为“选择性饮食失调”，最近在《精神疾病诊断与统计手册》第5版中被引入，作为先前诊断的替代和扩展。患有ARFID的个体可能会因基于食物的感官特征的回避或与进食的任何不良后果相关而限制食物种类和摄入量，而无意减肥和关注身体形象。对回避性和限制性饮食的有限理解给有效治疗和管理带来了挑战，直接影响儿童和青少年的生长发育。ARFID的神经生物学概念尚未明确界定给营养学家的临床实践，从而阻碍了筛查并妨碍了治疗建议的制定。这篇叙述性综述为寻求增强对该疾病临床知识和管理能力的医疗保健专业人员提供了有关病理生理学、神经生物学、临床特征、评估和治疗的有用实用信息。
