Impact of COVID-19 Pandemic on Young Children With Feeding and Eating Problems and Disorders and Their Families.
Impact of COVID-19 Pandemic on Young Children With Feeding and Eating Problems and Disorders and Their Families.
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DOI：
10.1097/mpg.0000000000003563
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发表时间：
2022-10-01
影响因子：
2.9
通讯作者：
Kindermann, Angelika
中科院分区：
文献类型：
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作者：
Krom, Hilde;van Mameren, Joost;Remijn, Lianne;de Nennie, Katinka;Dumont, Eric;van der Gaag, Ellen;van Leeuwen, Marianne C. C.;Mulkens, Sandra;Schakelaar, Chantal;Kindermann, Angelika
在2019冠状病毒病（COVID-19）大流行期间，儿童喂养和进食问题及障碍（FEPD）的发生率增加。本研究旨在评估COVID-19大流行对患有FEPD的幼儿及其父母的影响。横断面调查：荷兰FEPD儿童（0-11岁）的父母完成了在线问卷（2021年1月至4月）。该问卷包括4个人口统计学问题（包括儿科喂养障碍[PFD]和/或回避/限制性食物摄入障碍[ARFID]的标准）和11个与COVID-19大流行影响相关的问题。父母对FEPD（包括PFD和ARFID）儿童的反应与健康对照组（HC）进行了比较。共纳入240名儿童（中位年龄5.5岁;四分位距[IQR] 3.5-7.9岁; 53.3%为女性）; 129名FEPD儿童和111名HC儿童。大多数FEPD儿童符合PFD（n = 119; 92.2%）和/或ARFID（n = 117; 90.7%）的标准。与COVID-19大流行期间HC的父母相比，患有FEPD的儿童的父母报告了更大的压力（他们的孩子[P = 0.014]和父母压力[P = 0.014]），孩子的饮食更差（P <0.001），家庭内的负面关系更多（P = 0.006），来自环境的支持更少（P = 0.001）。COVID-19大流行似乎对患有FEPD的幼儿及其父母产生了重大影响，因为与HC相比，患有FEPD的儿童的父母报告了儿童和父母的明显更多的感知压力，儿童的饮食行为更困难，家庭成员之间的负面行为更多，以及来自环境的支持更少。
The incidence of feeding and eating problems and disorders (FEPD) in children increased during the coronavirus disease 2019 (COVID-19) pandemic. The aim of this study was to assess the impact of the COVID-19 pandemic on young children with FEPD and their parents. Cross-sectional survey: parents of children with FEPD (0–11 years) in the Netherlands completed an online questionnaire (January–April 2021). This questionnaire included 4 demographic questions (including criteria of pediatric feeding disorder [PFD] and/or avoidant/restrictive food intake disorder [ARFID]) and 11 questions related to experienced impact of the COVID-19 pandemic. Parental responses regarding children with FEPD (including PFD and ARFID) were compared with those of healthy controls (HCs). In total, 240 children (median age, 5.5 years; interquartile range [IQR], 3.5–7.9 years; 53.3% female) were included; 129 children with FEPD and 111 HC. Most children with FEPD fulfilled criteria for PFD (n = 119; 92.2%) and/or ARFID (n = 117; 90.7%). Parents of children with FEPD reported more stress (of their child [P = 0.014] and parental stress [P = 0.014]), worse eating by the child (P < 0.001), more negative relations within the family (P = 0.006), and less support from the environment (P = 0.001) compared with parents of HC during the COVID-19 pandemic than before. It seems that the COVID-19 pandemic had great impact on young children with FEPD and their parents because parents of children with FEPD reported significantly more perceived stress within both the child and parents, more difficult eating behavior of the child, more negative behavior between family members, and less support from the environment as compared with HC.