Behavioral validation, precursors, and concomitants of picky eating in childhood

Behavioral validation, precursors, and concomitants of picky eating in childhood
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DOI:
10.1097/00004583-200301000-00013
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发表时间:
2003-01-01
影响因子:
13.3
通讯作者:
Hammer, LD
Hammer, LD
中科院分区:
医学1区
文献类型:
--
作者:
Jacobi, C;Agras, WS;Hammer, LD

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目标.使用客观的、基于实验室的测量方法来验证父母报告的挑食的概念,并识别儿童和父母挑食的前兆和伴随物。方法:对135例新生儿从出生到5.5岁进行监测。挑食的行为措施,从标准化喂养的3-5岁和5,5岁,在实验室和家里。儿童前驱体的婴儿吸吮行为的措施,父母前驱体的饮食抑制解除,限制饮食,身体不满,身体质量指数。父母报告的态度和行为被认为是与挑剔和父母的伴随物取自斯坦福大学,喂养问卷。儿童气质采用儿童行为问卷进行评定。结果:挑食者吃的食物更少,尤其是更有可能避免蔬菜。挑剔的女孩在3.5岁到5-5岁之间减少了热量摄入,而所有其他孩子都增加了热量摄入。包括父母的前体都没有显着相关的挑剔。挑食者表现出不同的吸吮模式,在第2周和第4周,每次喂食的吸吮次数较少。最后,挑食儿童比不挑食儿童表现出更多的父母报告的负面情绪。结论:父母报告的挑食与婴儿期开始的抑制性和选择性进食的一致模式有关。
Objectives. To validate the concept of parent-reported picky eating using objective, laboratory-based measures and to identify both child and parental precursors and concomitants of picky eating. Method: One hundred thirty-five infants were monitored from birth to 5.5 years. Behavioral measures of picky eating were obtained from standardized feedings at ages 3-5 and 5,5 years in the laboratory and at home. Child precursors were measures of infant sucking behavior; parental precursors were disinhibition of eating, restrained eating, body dissatisfaction, and body mass index. Parentally reported attitudes and behaviors thought to be related to pickiness and parental concomitants were taken from the Stanford,Feeding Questionnaire. Child Temperament was assessed by the Children's Behavior Questionnaire. Results: Picky eaters ate fewer foods and were especially more likely to avoid vegetables. Picky girls decreased their caloric intake between ages 3.5 and 5-5, whereas all other children increased their caloric intake. None of the included parental precursors was significantly related to pickiness. Picky eaters demonstrated a different sucking pattern with fewer sucks per feeding session at weeks 2 and 4. Finally, picky children displayed more parent-reported negative affect than nonpicky children. Conclusions: Parentally reported picky eating Is associated with a consistent pattern of inhibited and selective eating beginning in infancy.