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Updated: Sep 10, 2025

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幼少期の栄養障害に対する現在の治療と教育の介入:体系的なレビュー
Gokcen Akyurek1, Rukiye Begum Koca Senturk2
1Hacettepe University, Faculty of Health Sciences, Department of Occupational Therapy, Ankara, Turkey.
Appetite
|August 24, 2025
まとめ
行動的アプローチや親の訓練のような 治療的介入は 子どもの感覚行動的な 栄養失調症の治療に 有望な結果を示しています しかし,有効性を確認するために,より大きく,より長い研究が必要です.
科学分野:
- 小児科
- 発達心理学
- 臨床栄養について
背景:
- 栄養不良は幼少期に蔓延し,家族に大きな苦痛をもたらします.
- 感覚行動的栄養の問題が増加し 効果的な介入が必要になっています
研究 の 目的:
- 子どもの感覚行動的栄養障害に対する治療と教育の介入を特定し,体系的に評価する.
- 食事の行動,食物の消費,感覚運動の障害,親の満足度に関する介入の根拠を評価する.
主な方法:
- 2015年1月から2025年1月までの間に発表されたランダム化対照試験 (RCT) の体系的レビュー.
- PRISMAのガイドラインに従って,PubMed,Web of Science,Cochrane Library,およびCINAHLで実施された検索結果
- ジョアンナ・ブリッグス研究所のチェックリストを用いた品質評価による2653件の記録をスクリーニングした後の11件の研究を含む.
主要な成果:
- 行動的アプローチ,体系的な無感化,感覚ゲーム,繰り返し暴露,親の訓練は有望な結果を示しました.
- 子どもの食事の習慣,食物の消費,親の態度に ポジティブな影響が見られた.
- 小規模なサンプルと短いフォローアップ期間を含む方法論的な制限が指摘された.
結論:
- 現在の証拠によると 行動と感覚に基づく介入は 感覚行動的栄養の問題に有益です
- 汎用性を高めるために,より大規模で多様な集団と延長されたフォローアップによるさらなる研究が推奨されます.
- 異なる栄養介入の比較研究が必要である.
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