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Changes in Symptoms of Problematic Eating Over 6 Months in Infants and Young Children
Infants & Young Children ( IF 1.1 ) Pub Date : 2018-10-01 , DOI: 10.1097/iyc.0000000000000128
Jinhee Park , Cara McComish , Britt Frisk Pados , Hayley H. Estrem , Suzanne M. Thoyre

The purpose of this article is to describe changes in problematic eating symptoms across 6 months in children seen in an outpatient feeding clinic and explore child characteristics associated with symptom changes. Participants were 58 parents of children aged 6 months to 7 years of age who were seen in an outpatient feeding clinic. Parents completed an online survey at 3 time points: enrollment and 3 and 6 months later. The survey consisted of the Pediatric Eating Assessment Tool (PediEAT) and a set of questions assessing demographic information, child's medical and feeding history, medical diagnoses, gastrointestinal function, and medications. Linear mixed modeling was used to examine changes in PediEAT total and subscale scores over time and explore associated child characteristics. The PediEAT total score significantly decreased over time with the greatest change in the Physiologic Symptoms subscale. Several child characteristics were associated with more severe symptoms of problematic feeding: older child age, more symptoms of constipation, and diagnoses of speech–language delay, developmental delay, food allergy, and/or genetic disorder. Parent report of child symptoms of problematic eating decreased across 6 months. Associations with child characteristics highlight the complexity of pediatric eating problems and the need for more research on potential factors influencing symptoms of eating problems.

中文翻译:

婴幼儿 6 个月以上进食问题症状的变化

本文的目的是描述在门诊喂养诊所看到的儿童在 6 个月内有问题的饮食症状的变化,并探索与症状变化相关的儿童特征。参与者是在门诊喂养诊所就诊的 6 个月至 7 岁儿童的 58 名父母。家长在 3 个时间点完成在线调查:入学以及 3 个月和 6 个月后。该调查包括儿科饮食评估工具 (PediEAT) 和一组评估人口统计信息、儿童医疗和喂养史、医疗诊断、胃肠功能和药物治疗的问题。线性混合模型用于检查 PediEAT 总分和分量表分数随时间的变化,并探索相关的儿童特征。PediEAT 总分随时间显着下降,生理症状分量表变化最大。一些儿童特征与更严重的喂养问题症状相关:年龄较大的儿童、更多的便秘症状以及诊断为语言发育迟缓、发育迟缓、食物过敏和/或遗传疾病。家长报告的儿童进食问题症状在 6 个月内有所减少。与儿童特征的关联凸显了儿科饮食问题的复杂性,需要对影响饮食问题症状的潜在因素进行更多研究。语言发育迟缓、发育迟缓、食物过敏和/或遗传病的诊断。家长报告的儿童进食问题症状在 6 个月内有所减少。与儿童特征的关联凸显了儿科饮食问题的复杂性,需要对影响饮食问题症状的潜在因素进行更多研究。语言发育迟缓、发育迟缓、食物过敏和/或遗传病的诊断。家长报告的儿童进食问题症状在 6 个月内有所减少。与儿童特征的关联凸显了儿科饮食问题的复杂性,需要对影响饮食问题症状的潜在因素进行更多研究。
更新日期:2018-10-01
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