Trajectories of picky eating during childhood: A general population study
Trajectories of picky eating during childhood: A general population study
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DOI：
10.1002/eat.22384
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发表时间：
2015-09-01
影响因子：
5.5
通讯作者：
Hoek, Hans W.
中科院分区：
文献类型：
--
作者：
Cano, Sebastian Cardona;Tiemeier, Henning;Hoek, Hans W.
目的本队列研究描述了挑食的患病率，并探讨了儿童挑食轨迹的预后因素。方法纳入4,018名以人群为基础的队列，从怀孕开始进行测量。在儿童1.5岁、3岁和6岁时通过母亲报告对挑食进行评估。采用logistic回归分析了儿童和家庭特征与挑食轨迹的关系。从不挑食的人作为参照组。结果1.5岁时挑食率为26.5%，3岁时为27.6%，6岁时为13.2%。定义了四种主要的挑食轨迹：(1)在所有三个评估中从不挑食（55%的儿童），(2)缓解（0-4岁，32%），(3)晚发性（仅6岁，4%）和(4)持续性（所有年龄段，4%）。这意味着近三分之二的早期挑食者在三年内得到了缓解。男性、低出生体重、非西方母亲种族和低父母收入预示着持续的挑食。低收入和非西方族裔家庭的孩子往往是晚发挑食者。我们发现近一半（46%）的孩子在童年早期的某个时候挑食。汇款非常高。这表明挑食通常是一种短暂的行为，是学龄前儿童正常发展的一部分。然而，有相当数量的顽固挑食者，通常来自社会弱势背景，在学龄前之后仍然存在问题。(c) 2015 Wiley期刊，Inc.（国际饮食杂志2015；48:50 0-579）
ObjectiveThis cohort study describes the prevalence of picky eating and examines prognostic factors for picky eating trajectories during childhood.Methods4,018 participants of a population-based cohort with measurements from pregnancy onwards were included. Picky eating was assessed by maternal report when children were 1.5, 3, and 6 years old. The associations of child and family characteristics with trajectories of picky eating were examined using logistic regression. Never picky eaters were used as the reference group.ResultsPrevalence of picky eating was 26.5% at 1.5 years of age, 27.6% at the age of 3 and declined to 13.2% at 6 years. Four main picky eating trajectories were defined: (1) never picky eating at all three assessments (55% of children), (2) remitting (0-4 years, 32%), (3) late-onset (6 years only, 4%), and (4) persistent (all ages, 4%). This implies that almost two thirds of the early picky eaters remitted within 3 years. Male sex, lower birth weight, non-Western maternal ethnicity, and low parental income predicted persistent picky eating. More often late-onset picky eaters were children of parents with low income and non-Western ethnicity.DiscussionWe found that nearly half (46%) of children were picky eaters at some point during early childhood. Remittance was very high. This suggests that picky eating is usually a transient behavior and part of normal development in preschool children. However, a substantial group of persistent picky eaters, often from a socially disadvantaged background, continues to have problems beyond the preschool age. (c) 2015 Wiley Periodicals, Inc. (Int J Eat Disord 2015; 48:570-579)