在ARFID症状和挑食开始和持续时间之间的关系
Courtney E Breiner1, Megan M Knedgen2, Kaitlin B Proctor3
1Department of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA; Department of Psychiatry, Columbia University Irving Medical Center, New York, NY, USA.
Eating behaviors
|June 28, 2024
概括
儿童持续挑食 (PE) 与更高的避免/限制性食物摄入障碍 (ARFID) 症状有关. 早期发现持续性PE对于干预和减轻健康风险至关重要.
科学领域:
- 儿科心理学 儿科心理学
- 儿童营养 儿童营养 儿童营养
- 饮食障碍 饮食障碍 饮食障碍 饮食障碍
背景情况:
- 挑食 (PE) 在儿童早期很常见,但可能会持续,导致健康和心理社会问题.
- 避免/限制性食物摄入障碍 (ARFID) 涉及限制性饮食与显著损害.
- 这项研究调查了幼儿PE和ARFID症状之间的联系.
研究的目的:
- 检查幼儿时期挑食 (PE) 的开始和持续时间与避免/限制性食物摄入障碍 (ARFID) 之间的关系.
- 为了确定是否持续的PE超出规范期与ARFID标准相关.
主要方法:
- 这是一项回顾性研究,涉及437名6至17岁的儿童.
- 父母完成了关于孩子饮食行为的调查,包括九项ARFID屏幕 (NIAS).
- 根据PE发病 (在5岁之前/之后) 和持续时间分组儿童:从来没有,规范性,持久性和晚发性挑.
主要成果:
- 在NIAS分级和总分数 (p < .05) 中,各组的差异显著.
- 持续挑食者 (PE) 的NIAS-PE,NIAS-A和NIAS-T得分高于从未或规范PE (p < .05).
- 与其他组相比,持久性PE更有可能满足ARFID标准.
结论:
- 选择性饮食持续超过规范期,与ARFID症状的升高有关.
- 持久性PE增加了因饮食限制而导致损伤的风险.
- 由于ARFID相关的健康和心理社会风险,对患有持续性PE的儿童进行早期诊断和干预是有必要的.
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