Fussy/picky eating behaviours are common across childhood. Recent reviews of the fussy eating literature focus on quantitative research and do not adequately account for families' subjective experiences, perceptions and practices. This review aims to synthesise the increasing volume of qualitative work on fussy eating. A systematic search of relevant databases was carried out. Studies were included if they were qualitative, published since 2008, with a primary focus on families' experiences, perceptions and practices regarding fussy eating, food neophobia, or food refusal in children (aged one to young adult). Studies with clinical samples, or relating to children under one year were excluded. Ten studies were eligible for this review and were synthesised using meta-ethnography (developed by Noblit and Hare). This review provides a comprehensive description and definition of fussy eating behaviours. A conceptual model of the family experience of fussy eating was developed, illustrating relationships between child characteristics (including fussy eating behaviours), parent feeding beliefs, parent feeding practices, mealtime emotions and parent awareness of food preference development. Our synthesis identified two ways in which fussy eating relates to mealtime emotions (directly and via parent feeding practices) and three distinct categories of parent beliefs that relate to fussy eating (self-efficacy, attributions and beliefs about hunger regulation). The model proposes pathways which could be explored further in future qualitative and quantitative studies, and suggests that parent beliefs, emotions, and awareness should be targeted alongside parent feeding practices to increase effectiveness of interventions. The majority of studies included in this review focus on pre-school children and all report the parent perspective. Further research is required to understand the child's perspective, and experiences of fussy eating in later childhood. PROSPERO Registration: CRD42017055943.

中文翻译：

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儿童的挑剔/挑剔饮食行为：系统的综述和定性研究的综合。

挑剔/挑剔的饮食行为在整个儿童时期都很普遍。最近对挑剔的饮食文献的评论集中在定量研究上，没有充分考虑到家庭的主观经验，看法和做法。这篇综述的目的是综合有关挑剔饮食的定性工作量的增加。对相关数据库进行了系统搜索。自2008年以来发表的定性研究包括在内，主要研究家庭对儿童（一岁至年轻）的暴躁饮食，食物恐惧症或拒绝食物的经历，看法和做法。排除了对临床样品或一年以下儿童的研究。十项研究符合这项审查条件，并使用元民族志（由Noblit和Hare开发）进行了综合。这篇评论提供了挑剔饮食行为的全面描述和定义。建立了家庭暴食饮食经验的概念模型，该模型说明了儿童特征（包括暴食饮食行为），父母的进食信念，父母的进食习惯，进餐时间的情绪和父母对食物偏好发展意识之间的关系。我们的综合确定了暴躁饮食与进餐时间情绪有关的两种方式（直接和通过父母的进食方式）和与暴躁饮食有关的三种不同的父母信念（自我效能，归因和饥饿调节信念）。该模型提出了可以在未来的定性和定量研究中进一步探索的途径，并提出了父母的信念，情感，并应与父母的喂养方式一起提高认识，以提高干预措施的有效性。该评价中包括的大多数研究集中于学龄前儿童，所有研究均报告了父母的观点。需要进一步的研究来理解孩子的观点，以及在童年后期大吃大饱的经历。PROSPERO注册：CRD42017055943。