Leung A K, Robson W L
University of Calgary, Calgary, Alberta.
Am Fam Physician. 1994 Jun;49(8):1789-92, 1799-800.
The majority of children between two and five years of age who are brought in by their parents for refusing to eat are healthy and have an appetite that is appropriate for their age and growth rate. Unrealistic parental expectations may result in unnecessary concern, and inappropriate threats or punishments may aggravate the refusal to eat. A detailed history and general physical examination are necessary to rule out acute and chronic illnesses. A food diary and assessment of parental expectations of eating behavior should be completed. When the child's "refusal to eat" is found to be related to unrealistic parental expectations, the parents should be reassured and counseled about the normal growth and development of children at this age.
大多数两到五岁因拒绝进食而被父母带来的孩子是健康的，其食欲与其年龄和生长速度相适应。不切实际的父母期望可能导致不必要的担忧，不恰当的威胁或惩罚可能会加剧孩子拒绝进食的情况。详细的病史和全面的体格检查对于排除急慢性疾病是必要的。应完成一份饮食日记并评估父母对饮食行为的期望。当发现孩子的“拒绝进食”与不切实际的父母期望有关时，应向父母保证并就这个年龄段孩子的正常生长发育提供咨询。
