在自我养过渡阶段的儿童中,食困难的患病率和预测因素
Meng Yan Tang1,2,3, Xiao Mei Liu1,2,3, Fan Yang1,3
1Department of Child Health Care, West China Women's and Children's Hospital: Sichuan University West China Second University Hospital, Chengdu, China.
Frontiers in pediatrics
|July 26, 2023
概括
养困难 (FD) 影响31.4%的幼儿在自我养过渡期间. 关键的危险因素包括便秘,家长的焦虑和特定的食习惯,而积极的食物准备和注意的食时间互动是保护性的.
科学领域:
- 儿童营养学 儿童营养学
- 儿童发展 儿童发展
- 公共卫生 公共卫生
背景情况:
- 在幼儿中,食困难 (FD) 很常见,特别是在过渡到自我食 (6-24个月) 期间.
- 了解FD的患病率和预测因素对于早期干预和支持至关重要.
研究的目的:
- 为了确定6-24个月龄的过渡到自我养的儿童中食困难的患病率.
- 确定与此年龄组的食困难相关的风险和保护因素.
主要方法:
- 一项涉及1211名6至24个月龄的儿童及其父母在中国成都5家医院的横截面研究.
- 蒙特利尔儿童医院食量表被用来评估食困难.
- 多变量逻辑回归分析确定了FD的独立预测因素.
主要成果:
- 营养困难的患病率为31.4% (在1,211名儿童中,有380名儿童).
- 确定的风险预测因素包括经常性便秘,家长的焦虑,放纵的育儿,诱惑/强迫吃饭,以及允许在餐时玩.
- 保护性预测因素包括食物的准备,观察饥饿/腹的线索,饭时的互动,以及提供独家餐具.
结论:
- 食困难的流行趋势越来越大.
- 医疗保健提供者应优先考虑FD评估,并教育家长有效的预防策略.
- 调查结果强调了解决与儿童有关的,与父母有关的和养实践因素的重要性,以减轻FD.
相关概念视频
01:16Psychosexual Stages of Personality: Oral
897
The oral stage is the initial phase of Sigmund Freud's theory of psychosexual development, occurring from birth to approximately 12 to 18 months. During this period, the infant's mouth serves as the primary source of pleasure, with actions such as sucking, chewing, biting, and drinking playing a crucial role in reducing tension. These activities are essential not only for nourishment but also for the infant's psychological and emotional satisfaction.
Weaning, typically occurring...
Weaning, typically occurring...
897
01:26Psychosexual Stages of Personality: Anal
1.2K
Sigmund Freud's theory of psychosexual development describes the anal stage as occurring between 18 months and three years of age. During this period, children derive pleasure from controlling and releasing their bowel movements. However, they quickly learn that societal expectations impose restrictions on when and where this can happen. This stage marks a critical point where children begin to develop a sense of control and mastery over their bodily functions, as well as their broader...
1.2K
01:14Piaget's Stage 1 of Cognitive Development
664
The sensorimotor stage, the initial phase of Jean Piaget's theory of cognitive development, spans the first two years of a child's life. During this period, infants actively engage with their surroundings, building cognitive awareness through direct interaction with the world. This interaction is primarily based on sensory perception and motor actions, allowing infants to gradually understand basic physical properties and predict how objects interact within their environment.
664
01:30Socioemotional Development during Infancy
84
Socio-emotional development in infancy is primarily shaped by early emotional responses and social connections, with temperament playing a central role. Temperament refers to the consistent patterns in an individual's emotional and behavioral responses, observable even in infancy. By examining temperament, researchers can better understand an infant's unique ways of interacting with the world, influencing subsequent personality and socio-emotional growth.
Primary Temperament Types
Primary Temperament Types
84
01:29Assessment of the Gastrointestinal System II: Health Perception Pattern
143
Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
143
01:15Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
200
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
200