在患有囊性纤维化儿童的儿科食障碍的横截面研究
Anam Bashir1, Nicholas Antos2, Tami Miller3
1From the Division of Pediatric Gastroenterology, Hepatology and Nutrition, Medical College of Wisconsin, Milwaukee, WI.
Journal of pediatric gastroenterology and nutrition
|September 29, 2023
概括
儿童食障碍 (PFD) 影响超过60%的囊性纤维化 (CF) 儿童,通常涉及不良的饮食多样性和依赖营养支持. 在这个人群中,心理社会功能障碍不太常见.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 肺部病理学 肺部病理学
- 营养科学 营养科学
背景情况:
- 儿科食障碍 (PFD) 是一种复杂的疾病,影响口服和相关功能领域.
- 患有囊性纤维化 (CF) 的儿童中PFD的患病率和特征在很大程度上仍未被描述.
- 这项研究旨在调查儿童CF患者的发生和分类食功能障碍.
研究的目的:
- 确定患有囊性纤维化 (CF) 的儿童中儿科食障碍 (PFD) 的患病率.
- 在患有CF的儿童中,对食功能障碍的类型和领域进行分类,包括营养,食技能和心理社会方面.
主要方法:
- 进行了一项观察性,横截面研究,涉及103名被诊断患有CF的儿童.
- 数据收集包括人体测量,营养状况 (包括肠道营养和饮食多样性),养技能 (pEAT) 和心理社会功能 (AYCE/BPFAS).
- PFD的定义是基于口服摄入量较低,结合养技能,心理社会功能或营养功能障碍的标准.
主要成果:
- 儿童食障碍 (PFD) 在患有CF的儿童中有60.1% (62/103) 确诊.
- 营养方面的挑战普遍存在,41.5%的饮食多样性下降,9.7%的饮食多样性下降,9.1%的饮食多样性下降需要口服高能量饮料.
- 在一个儿童身上观察到养技能功能障碍,而10.8%的儿童符合心理社会功能障碍的标准.
结论:
- 儿童食障碍 (PFD) 非常普遍,影响了近三分之二的患有囊性纤维化 (CF) 的儿童.
- 缺乏饮食多样性和依赖营养支持 (EN,口服补充剂) 是这一群体的常见问题.
- 虽然营养和养方面的挑战很大,但在患有CF且患有PFD的儿童中,心理功能障碍似乎不那么普遍.
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