Study Objective

The purpose of this study was to determine the prevalence of child and adolescent females at risk for Avoidant Restrictive Food Intake Disorder (ARFID) in a tertiary care pediatric and adolescent gynecology (PAG) clinic.

Design

Cross-sectional study design.

Setting

Tertiary care PAG clinic at the Hospital for Sick Children in Toronto, Ontario, Canada.

Participants

Females between 8 and 18 years of age presenting to the tertiary care PAG clinic.

Intervention

Between October 2017 and April 2019, eligible patients completed a 3-part, self-administered questionnaire that included demographic and anthropometric information, reason(s) for referral, medical history, menstrual history and function, and the Eating Disorders in Youth−Questionnaire (EDY-Q).

Main Outcome Measures

The main outcome measure was the prevalence of child and adolescent females who were identified to be at risk for ARFID in a tertiary care PAG clinic.

Results

Seven (3.7%) of 190 patients were identified to be at risk for ARFID based on the EDY-Q. All patients at risk for ARFID had a significantly lower body mass index (17.4 ± 1.6 vs 24.4 ± 6.7, P < .001) than patients not at risk for ARFID.

Conclusions

This study demonstrated that 3.7% of patients seeking treatment in a tertiary care PAG clinic were identified to be at risk for ARFID. Clinicians in tertiary care PAG clinics can play a pivotal role in the identification and referral of children and adolescents at risk for ARFID. Referral to the patients’ primary care physician or to an eating disorder program is important so as not to delay the diagnosis and treatment.

中文翻译：

---

儿科和青少年妇科诊所中有避免回避限制性食物摄入障碍风险的儿童和青少年患病率。

研究目的

这项研究的目的是确定三级儿科和青少年妇科（PAG）诊所中有避免回避限制性食物摄入障碍（ARFID）风险的儿童和青少年女性的患病率。

设计

横断面研究设计。

设置

加拿大安大略省多伦多市儿童病医院的三级护理PAG诊所。

参加者

到三级护理PAG诊所就诊的8至18岁的女性。

介入

在2017年10月至2019年4月之间，符合条件的患者填写了一份由三部分组成的自我管理调查表，其中包括人口统计学和人体测量学信息，转诊原因，病史，月经史和功能以及《青年问卷调查中的饮食失调》（ EDY-Q）。

主要观察指标

主要结果指标是在三级护理PAG诊所中被确定有ARFID风险的儿童和青春期女性患病率。

结果

根据EDY-Q，在190名患者中有7名（3.7％）被确定有ARFID风险。与没有ARFID风险的患者相比，所有有ARFID风险的患者的体重指数均显着降低（17.4±1.6 vs 24.4±6.7，P  <.001）。

结论

这项研究表明，在三级PAG诊所寻求治疗的患者中，有3.7％的患者存在ARFID风险。三级医疗PAG诊所的临床医生可以在识别和转诊具有ARFID风险的儿童和青少年中发挥关键作用。转诊至患者的初级保健医生或饮食失调计划很重要，以免延误诊断和治疗。