综述:什么是挑食?应该干预吗?
创作:Asueyi 审核:JIAN 剑 2018年03月09日
  • 对挑食的定义和评估没有固定标准,导致现有研究出入很大。
  • 挑食应解释为缺乏饮食多样性、恐新和持续不愿意吃熟悉的食物更确切;虽然有科学量表用来评估,但目前受父母定义影响较大。
  • 采用亲子纵向队列收集数据研究患病率,排除父母对挑食的判断,发现挑食患病率在3岁左右为高峰期,并且有持续存在的可能性;但早期出现恢复速度更快。
  • 应适当加以饮食干预,改进膳食结构、避免过量饮料摄入;从而减弱挑食行为,并保证营养素摄取。
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Appetite [IF:3.501]

Picky/fussy eating in children: Review of definitions, assessment, prevalence and dietary intakes

儿童挑食:对定义、评估、患病率和膳食摄入量的综述

10.1016/j.appet.2015.07.026

2015-12-01, Review

Abstract & Authors:展开

Abstract:收起
Picky eating (also known as fussy, faddy or choosy eating) is usually classified as part of a spectrum of feeding difficulties. It is characterised by an unwillingness to eat familiar foods or to try new foods, as well as strong food preferences. The consequences may include poor dietary variety during early childhood. This, in turn, can lead to concern about the nutrient composition of the diet and thus possible adverse health-related outcomes. There is no single widely accepted definition of picky eating, and therefore there is little consensus on an appropriate assessment measure and a wide range of estimates of prevalence. In this review we first examine common definitions of picky eating used in research studies, and identify the methods that have been used to assess picky eating. These methods include the use of subscales in validated questionnaires, such as the Children's Eating Behaviour Questionnaire and the Child Feeding Questionnaire as well as study-specific question(s). Second, we review data on the prevalence of picky eating in published studies. For comparison we present prevalence data from the UK Avon Longitudinal Study of Parents and Children (ALSPAC) in children at four time points (24, 38, 54 and 65 months of age) using a study-specific question. Finally, published data on the effects of picky eating on dietary intakes (both variety and nutrient composition) are reviewed, and the need for more health-related data and longitudinal data is discussed.

First Authors:
Caroline M Taylor

Correspondence Authors:
Caroline M Taylor

All Authors:
Caroline M Taylor,Susan M Wernimont,Kate Northstone,Pauline M Emmett

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