Are parents' anxiety and depression related to child fussy eating?
Are parents' anxiety and depression related to child fussy eating?
复制标题
DOI：
10.1136/archdischild-2015-309101
复制
发表时间：
2016-06-01
影响因子：
5.2
通讯作者：
Tharner, Anne
中科院分区：
文献类型：
--
作者：
de Barse, Lisanne M.;Cano, Sebastian Cardona;Tharner, Anne
目的 研究父母的焦虑和抑郁与儿童挑食（即持续拒绝特定食物）之间的关联。
设计 本研究嵌套在荷兰的Generation R项目中，这是一个从胎儿期开始的前瞻性队列研究。
环境 基于人群。
参与者 4746名4岁儿童及其父母。
暴露情况 在孕期和学前阶段（儿童3岁时）使用《简明症状量表》评估父母的内化问题（即焦虑和抑郁症状）。
主要结局指标 《儿童饮食行为问卷》中的食物挑剔量表。
结果 孕期和儿童学前阶段母亲的焦虑与儿童较高的食物挑剔总分相关。例如，在调整混杂因素后，孕期焦虑量表每增加1分，儿童在食物挑剔量表上的总分平均高出1.02分（95%置信区间为0.59 - 1.46）。同样，母亲在两个时间点的抑郁症状都与其孩子的挑食行为有关（例如，在产前阶段：抑郁量表每增加1分，儿童在食物挑剔量表上的总分高出0.91分，95%置信区间为0.49 - 1.33）。我们发现父亲的内化问题与儿童挑食之间也有大致相似的关联。然而，父亲在产前阶段的焦虑与儿童挑食无关。
结论 母亲和父亲的内化问题与学龄前儿童的挑食存在前瞻性关联。医疗从业者应意识到父母的非临床焦虑和抑郁症状是儿童挑食的风险因素。
Objective To examine the association between parental anxiety and depression with child fussy eating -that is, consistent rejection of particular food items.Design This study was embedded in Generation R, a prospective cohort from fetal life onwards in the Netherlands.Setting Population-based.Participants 4746 4-year-old children and their parents.Exposure Parental internalising problems (ie, symptoms of anxiety and depression) were assessed with the Brief Symptoms Inventory during pregnancy and the preschool period (child age 3 years).Main outcome measure The food fussiness scale of the Children's Eating Behaviour Questionnaire.Results Maternal anxiety during pregnancy and during the child's preschool period was related to higher food fussiness sum-scores in children. For instance, per point on the anxiety scale in pregnancy, children had on average a 1.02 higher sum-score (95% CI 0.59 to 1.46) on the food fussiness scale, after adjustment for confounders. Likewise, mothers' depressive symptoms at both time points were associated with fussy eating behaviour in their children (eg, in the antenatal period: per point on the depression scale, children had a 0.91 point higher sum-score on the food fussiness scale, 95% CI 0.49 to 1.33). We found largely similar associations between fathers' internalising problems and children's fussy eating. However, fathers' anxiety during the antenatal period was not related to child fussy eating.Conclusions Maternal and paternal internalising problems were prospectively associated with fussy eating in preschoolers. Healthcare practitioners should be aware that non-clinical symptoms of anxiety and depression in parents are risk factors for child fussy eating.