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葡萄牙2-10岁儿童中回避性/限制性食物摄入障碍的患病率:一个横截面研究
Rita Novo1, Leonel Vieito2, Sara Simões Dias2,3
1ciTechCare - Centre for Innovative Care and Health Technology, Polytechnic University of Leiria, Leiria, Portugal. rita.n.novo@ipleiria.pt.
Journal of eating disorders
|November 27, 2025
概括
这项研究估计了葡萄牙儿童中回避性/限制性食物摄入障碍 (ARFID) 的患病率,发现它影响了3.1%的评估儿童. 早期识别ARFID对于更好的支持和结果至关重要.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 儿童心理学 儿童心理学
- 临床营养学 临床营养学
背景情况:
- 避免性/限制性食物摄入障碍 (ARFID) 是一种饮食障碍,其特点是限制食物摄入,通常与感官问题或对后果的恐惧有关.
- ARFID可能导致显著的营养缺陷,生长障碍和心理社会挑战.
- 葡萄牙ARFID的流行数据有限,需要进一步调查.
研究的目的:
- 在葡萄牙的一家门诊机构中,确定2-10岁儿童中ARFID的患病率.
- 在这个人群中描述与ARFID相关的饮食行为和家长的养做法.
- 强调需要提高对ARFID的认识和早期诊断.
主要方法:
- 一项横截面的,描述性的观察性研究,涉及163名2-10岁的儿童参加私人门诊诊所.
- 儿科医生在例行咨询期间使用DSM-5-TR标准进行ARFID诊断.
- 父母填写了在线问卷,包括儿童饮食行为问卷 (CEBQ) 和儿童养问卷 (CFQ).
主要成果:
- 在被评估的儿童中,ARFID被诊断为3.1% (共163名儿童中5名).
- 大多数确诊病例 (80%) 是男性,平均年龄为5.8岁.
- 患有ARFID的儿童在CEBQ上表现出高分的食物焦虑和腹反应,在CFQ上表现出高的感知责任和监控.
结论:
- 这项研究提供了葡萄牙临床实践中ARFID的第一个流行率估计.
- 这些发现强调了提高临床医生和家长对ARFID早期认可的认识的重要性.
- 更好的认可和支持可以减轻ARFID对儿童和家庭的长期影响.
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