Hosseini Amirhossein, Sistani Saeedeh, Sabooree Arsalan, Mollaei Maryam, Mofidi Seyed Ali, Dara Naghi, Sayyari Aliakbar, Hajipour Mahmoud
Pediatric Gastroenterology, Hepatology and Nutrition Research Center, Research Institute for Children's Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Suwanee, GA, USA.
Prz Gastroenterol. 2025;20(1):55-61. doi: 10.5114/pg.2025.148478. Epub 2025 Mar 16.
Pediatric feeding disorders (PFDs) refer to the impaired consumption of food that is inappropriate for a child's age group. Understanding the causes and influencing factors of PFDs is crucial for managing these disorders.
This study aimed to analyze the factors associated with PFDs using the path analysis method.
A cross-sectional study was conducted on 500 children aged 6 months to 18 years who visited gastroenterology and child nutrition clinics. Data were collected through interviews with mothers and physicians, and analyzed using the path analysis method. The model included latent variables such as feeding disorders and birth status, as well as observed variables such as socio-economic status, food group, feeding practices, destructive behaviors, sleep, and body mass index (BMI) score.
We conducted three path analyses. The socio-economic status (SES) directly and indirectly plays a role in feeding disorders in children; the total effect on feeding disorders was positive (β = 0.075). The direct effect of SES on the intake of food groups was positive (β = 0.190), on BMI score was positive (β = 0.100), and it was generally associated with a negative effect on feeding disorders (β = -0.05). The total effect of destructive behaviors on body mass was negative (β = 0.262) and on feeding disorders was positive (β = -0.041). Children who had regular sleep had significantly fewer feeding disorders (total effect: -0.369).
Socio-economic status, destructive behaviors, sleep, and BMI were found to be factors influencing eating disorders in children.
小儿喂养障碍（PFDs）是指儿童摄入与其年龄组不相适应食物的能力受损。了解小儿喂养障碍的病因和影响因素对于管理这些障碍至关重要。
本研究旨在采用路径分析方法分析与小儿喂养障碍相关的因素。
对500名年龄在6个月至18岁之间、前往胃肠病学和儿童营养诊所就诊的儿童进行了横断面研究。通过与母亲和医生访谈收集数据，并采用路径分析方法进行分析。该模型包括诸如喂养障碍和出生状况等潜在变量，以及诸如社会经济状况、食物种类、喂养方式、破坏性行为、睡眠和体重指数（BMI）得分等观察变量。
我们进行了三项路径分析。社会经济状况（SES）直接和间接地对儿童喂养障碍产生影响；对喂养障碍的总效应为正向（β = 0.075）。SES对食物种类摄入的直接效应为正向（β = 0.190），对BMI得分的直接效应为正向（β = 0.100），并且总体上与对喂养障碍的负向效应相关（β = -0.05）。破坏性行为对体重的总效应为负向（β = 0.262），对喂养障碍的总效应为正向（β = -0.041）。睡眠规律的儿童喂养障碍明显较少（总效应：-0.369）。
社会经济状况、破坏性行为、睡眠和BMI被发现是影响儿童饮食障碍的因素。
