Picky Eating in Children: A Scoping Review to Examine Its Intrinsic and Extrinsic Features and How They Relate to Identification.

Picky Eating in Children: A Scoping Review to Examine Its Intrinsic and Extrinsic Features and How They Relate to Identification.
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DOI:
10.3390/ijerph18179067
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发表时间:
2021-08-27
影响因子:
--
通讯作者:
Verdonck M
Verdonck M
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Chilman L;Kennedy-Behr A;Frakking T;Swanepoel L;Verdonck M

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家庭用餐时间对健康的益处及其重要性已有大量文献记载。挑食会影响这一复杂的活动,并且具有许多外在(或外部)和内在(或内部)特征。作业治疗师通过研究内在和外在影响与儿童及其家庭合作,因此在这种情况下能够很好地开展工作。这项范围综述包括使用预先确定的检索词对关键的卫生行业数据库进行全面检索。使用作者预先商定的纳入和排除标准进行了严格的筛选过程。有80项研究符合纳入标准,然后使用内容分析对其进行了梳理。用于识别挑食最常见的评估依赖于家长的报告和回忆。研究中通常还包括其他评估,以识别内在和外在特征及表现。挑食儿童最常见的内在特征报告包括对味道和气味的敏感性增加以及儿童的个性。似乎会增加挑食可能性的外在特征有专制型的养育方式、对进食的奖励以及强迫孩子进食。最常报告的会降低挑食可能性的外在特征是家庭聚餐、有回应的父母以及让孩子参与食物准备。总之,缺乏关于作业治疗师在儿童挑食评估和识别中作用的已发表论文。内在和外在特征之间似乎存在复杂的相互作用,这些特征影响照顾者的反应,进而影响挑食者。
The health benefits and importance of family mealtimes have been extensively documented. Picky eating can impact this complex activity and has numerous extrinsic (or external) and intrinsic (or internal) features. Occupational therapists work with children and their families by looking at both intrinsic and extrinsic influences and are therefore well-placed to work within this context. This scoping review comprises a comprehensive search of key health industry databases using pre-determined search terms. A robust screening process took place using the authors pre-agreed inclusion and exclusion criteria. There were 80 studies that met the inclusion criteria, which were then mapped using content analysis. The most common assessments used to identify picky eating relied on parental reports and recall. Often additional assessments were included in studies to identify both the intrinsic and extrinsic features and presentation. The most common reported intrinsic features of the child who is a picky eater included increased sensitivity particularly to taste and smell and the child’s personality. Extrinsic features which appear to increase the likelihood of picky eating are authoritarian parenting, rewards for eating, and pressuring the child to eat. Most commonly reported extrinsic features that decrease the likelihood of picky eating are family meals, responsive parents, and involving the child in the preparation of food. In conclusion, there is a lack of published papers addressing the role of occupational therapists in the assessment and identification of picky eating in children. There appears to be a complex interplay between intrinsic and extrinsic features which impact caregiver responses and therefore on the picky eater.
DOI: 10.1177/1941406412466673
发表时间: 2013-01-01
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