儿童避免/限制性食物摄入障碍的危险因素:系统性审查
Relana Nowacki1,2,3,4, Lisanne Arayess1,2, Jos Kleijnen5
1MosaKids Children's Hospital, Maastricht University Medical Center (MUMC+), Maastricht University, Maastricht, The Netherlands.
Journal of pediatric gastroenterology and nutrition
|January 27, 2026
概括
这项研究确定了儿童避免/限制性食物摄入障碍 (ARFID) 的十个危险因素,包括身体,精神和母亲因素. 需要进一步的研究来了解早期干预的这些关联.
科学领域:
- 儿科心理学 儿科心理学
- 临床营养学 临床营养学
- 儿童精神病学 儿童精神病学
背景情况:
- 避免/限制性食物摄入障碍 (ARFID) 是DSM-5的诊断,其特点是由于缺乏兴趣,感官问题或对后果的恐惧而导致的饮食限制.
- 亚尔菲德与儿童的重大医疗和心理社会挑战有关.
- 对于ARFID的风险因素仍然在很大程度上未被探索.
研究的目的:
- 系统地审查和识别导致儿童易患ARFID的因素.
- 综合当前关于儿童群体ARFID风险因素的知识.
主要方法:
- 在CINAHL,Embase,PsycINFO,PubMed和Web of Science进行了全面的文献搜索.
- 到2024年8月27日发表的同行评审文章,重点关注患有ARFID的儿童,对照组和潜在的风险因素.
- 六项横截面研究被纳入分析,评估了18个报告的因素.
主要成果:
- 发现有10个因素与儿童ARFID显著相关.
- 确定的风险因素包括身体方面,精神病并发症和母亲的精神病理学.
- 尽管进行了广泛的搜索,但只有少数研究符合纳入标准.
结论:
- 本综述强调了与儿童ARFID相关的关键因素.
- 纵向和干预研究对于确定这些关联的方向性至关重要.
- 了解这些风险因素可以帮助早期识别和及时干预ARFID.
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