泰国牛奶蛋白过敏患儿的喂养困难及喂养行为。

IF 1.3 Q3 PEDIATRICS
International Journal of Pediatrics Pub Date : 2023-11-22 eCollection Date: 2023-01-01 DOI:10.1155/2023/6630167
Kununya Charoensriwattanakul, Kamolmart Wannaphahoon, Sirinuch Chomtho, Pantipa Chatchatee, Narissara Suratannon, Pannipa Kittipongpattana, Orapa Suteerojntrakool
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引用次数: 0

摘要

背景:牛奶蛋白过敏(CMPA)是婴幼儿常见的食物过敏,可能是喂养困难的危险因素。研究泰国CMPA患儿的喂养困难和喂养行为的研究很少。目的:确定泰国CMPA患儿与健康对照组相比,喂养困难和喂养行为的发生率。方法:对1-6岁确诊为CMPA且至少4个月不喝牛奶的儿童与年龄匹配的健康儿童进行横断面研究。采用蒙特利尔儿童医院喂养量表评估喂养困难,采用儿童饮食行为问卷(CEBQ)测量喂养行为。结果:共招募了122名参与者(30名患有CMPA的儿童和92名对照组)。CMPA组和对照组的中位年龄分别为31.0(14.0,43.3)和40.0(28.0,53.8)个月(p值= 0.01)。CMPA组的钙、磷和锌摄入量低于健康对照组。两组间喂养困难发生率无显著差异(36.7% vs 43.5%, p值= 0.70)。摄食行为慢速亚量表CMPA组得分低于健康组。CMPA患儿进食困难与饮水欲望呈正相关(β 3.079, p值= 0.011),与CEBQ食物享受分量表呈负相关(β -10.684, p值< 0.001)。结论:尽管CMPA组与健康儿童的喂养困难发生率相似,但CMPA组在喂养行为上存在一定差异。对食物的享受得分越低,对饮水的渴望得分越高,CMPA儿童的进食困难程度越高。应优先考虑为这群儿童提供适当的营养。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Feeding Difficulties and Feeding Behaviors of Thai Children with Cow's Milk Protein Allergy.

Background: Cow's milk protein allergy (CMPA) is a common food allergy in infants and young children and may be a risk factor for feeding difficulties. Studies exploring feeding difficulties and feeding behaviors in Thai children with CMPA are scarce.

Objectives: To determine the prevalence of feeding difficulties and feeding behaviors in Thai children with CMPA compared to healthy controls.

Methods: A cross-sectional study was performed comparing children aged 1-6 years old diagnosed with CMPA and had eliminated cow's milk for at least 4 months with age-matched healthy children. Feeding difficulties were evaluated using the Montreal Children's Hospital Feeding Scale questionnaire, and feeding behaviors were measured using the Child Eating Behavior Questionnaire (CEBQ).

Results: One hundred and twenty-two participants were recruited (30 children with CMPA and 92 controls). The median age of the CMPA and control groups was 31.0 (14.0, 43.3) and 40.0 (28.0, 53.8) months, respectively (p value = 0.01). The CMPA group had lower calcium, phosphorus, and zinc intake than the healthy controls. The prevalence of feeding difficulties between the two groups did not show a significant difference (36.7 vs. 43.5%, p value = 0.70). The slowness in the eating subscale of feeding behaviors exhibited a lower score in the CMPA group than in the healthy group. Feeding difficulties was positively correlated with the desire to drink (β 3.079, p value = 0.011) but negatively correlated with the enjoyment of food subscale of CEBQ among the CMPA children (β -10.684, p value < 0.001).

Conclusion: Despite a similar prevalence of feeding difficulties between CMPA and healthy children, the CMPA group demonstrated some differences in feeding behaviors. The lower score of enjoyment of food and a higher score of desire to drink correlated with a higher degree of feeding difficulties in the CMPA children. The provision of appropriate nutrition for this group of children should be prioritized.

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来源期刊
CiteScore
3.90
自引率
0.00%
发文量
0
审稿时长
4 weeks
期刊介绍: International Journal of Pediatrics is a peer-reviewed, open access journal that publishes original researcharticles, review articles, and clinical studies in all areas of pediatric research. The journal accepts submissions presented as an original article, short communication, case report, review article, systematic review, or letter to the editor.
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