患有乙性食道炎的儿童中避免和限制性食物摄入障碍
Laura Bennett Murphy1, Celestia Buckley1, Molly O'Gorman2
1Department of Pediatrics, Division of Ped. Behavioral Health University of Utah School of Medicine Salt Lake City Utah USA.
JPGN reports
|November 17, 2025
概括
患有乙性食道炎 (EoE) 的儿童患有避免/限制性食物摄入障碍 (ARFID) 的风险很高. 这项研究发现,37%的EoE患者符合ARFID标准,影响了他们的生活质量.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 儿科心理学 儿科心理学
- 临床营养学 临床营养学
背景情况:
- 性食道炎 (EoE) 是一种免疫媒介的食道疾病.
- 患有EoE的儿童可能患有避免/限制性食物摄入障碍 (ARFID) 的风险增加.
- 有限的研究存在于ARFID在儿科EOE人群中的流行,诊断不一致性使研究复杂化.
研究的目的:
- 为了调查ARFID在被诊断为EoE的儿童中的患病率.
- 为了在这个儿科群体中确定ARFID的相关物质.
- 描述共发性ARFID对患有EoE的儿童生活质量的影响.
主要方法:
- 进行了一项观察试点研究,对115名被诊断患有EoE的儿童 (1-18岁) 进行了观察.
- 参与者被转介到一个多学科的EoE诊所.
- 数据收集包括在诊所访问时使用问卷和临床采访.
主要成果:
- 37%的儿科患者符合ARFID的标准.
- 消除食物饮食的儿童 (70%) 与单独服用药物 (36%) 或联合治疗 (37%) 的儿童相比,更有可能满足ARFID标准.
- 食物敏感性,增加IgE介导的食物过敏和低食物享受与伴随性ARFID有关;这些孩子报告生活质量较差.
结论:
- 很大一部分患有EOE的儿童患有并发性ARFID.
- 建议在儿科EOE诊所进行ARFID的常规查,以便及时识别和干预.
- 解决ARFID对于改善EOE儿童的整体福祉至关重要.
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