在儿童肥胖患者中避免/限制性食物摄入障碍
Paolo A Zegarra-Lizana1, Elizabeth J Ramos-Orosco2,3, Daniel Cisneros1
1School of Medicine, Universidad Peruana de Ciencias Aplicadas, Lima, PER.
Cureus
|January 27, 2025
概括
避免性/限制性食物摄入障碍 (ARFID) 涉及有限的食物摄入量和厌恶,通常从幼儿时期开始. 卫生专业人员的早期诊断对于预防ARFID儿童的负面结果至关重要.
科学领域:
- 儿科心理学 儿科心理学
- 营养精神病学 营养精神病学
- 儿童营养障碍 儿童营养障碍
背景情况:
- 避免性/限制性食物摄入障碍 (ARFID) 的特点是食物种类,摄入量或厌恶程度有限,在任何年龄表现出来,但通常是在幼儿时期.
- 诊断需要训练有素的卫生专业人员,以便早期检测和预防不良结果.
- 在不同的人群中,ARFID的患病率有所不同,这强调了需要广泛的认识和诊断专业知识的需要.
研究的目的:
- 为了说明ARFID在儿科病例中的复杂表现.
- 突出心理因素与养行为之间的相互作用.
- 强调在诊断和管理ARFID方面的专业培训的重要性.
主要方法:
- 一个四岁男孩在窒息事件后选择性饮食的案例研究.
- 在临床图片中包括先前存在的恐惧症和发育迟缓.
- 尽管BMI百分位高 (超过99位),但精神病医生的诊断转诊.
主要成果:
- 确诊了ARFID,表明它可以发生在高BMI的儿童中,并且与心理创伤有关.
- 该案例强调,ARFID患者的营养不足并不总是存在的,体重可能会出乎意料地高.
- 在ARFID患者中注意到意外的体重变化和精神伴随性疾病的存在,如焦虑和抑郁症.
结论:
- 诊断ARFID需要仔细评估,考虑心理因素和潜在的并发症,即使在儿童肥胖的情况下.
- 培训卫生专业人员来检测和管理ARFID对于预防不良结果和解决受影响儿童的心理健康需求至关重要.
- 了解ARFID的延续机制和整合心理健康支持对于有效的临床实践至关重要.
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