儿童饮食行为干预工具在上海市浦东新区1～4岁饮食行为问题儿童中的应用

Applicaton of identification and management of feeding difficulties tools in 1~4 years old children with dietary behavior problems in Pudong district in Shanghai

目的评估儿童饮食行为干预工具对儿童饮食行为问题的干预效果。方法收集1-4岁不良饮食行为儿童205名,随机分为干预组和对照组,分别使用儿童饮食行为干预工具和临床常规处理方法干预12个月。干预过程中共进行6次随访,每次均记录饮食行为评分,进行前后比较和组间比较。结果干预后两组儿童饮食行为评分均显著下降,干预组下降更明显。1岁~组和2岁~组干预效果优于3岁~组和4岁~组。干预组＂对某种食物特别偏好＂、＂不良进食习惯＂和＂害怕进食＂症状改善更明显,＂精力充沛胃口差＂、＂对某种食物特别偏好＂和＂不良进食习惯＂症状改善最快。结论与目前常规处理方法相比,儿童饮食行为干预工具能更有效改善儿童不良饮食行为,具有推广价值。

Objective To evaluate the intervention effect of identification and management of feeding difficulties （IMFeD） tools for childreffs dietary behavior problems. Methods A total of 205 children of 1-4 years old with dietary behavior problems were randomly divided into intervention group and control group. Children in intervention group received intervention of IMFeD tools,while children in control group received conventional practice method. 6 follows up were conducted in the 12：months intervention period. Dietary behavior problems were evaluated at each follow U~,and comparison of the scores was made before and after intervention between two groups. Results After intervention, dietary behavior problem scores in both two groups decreased significantly,and the downward trend of intervention group was more obvious. The effects in 1-year-old group and 2-year-old group were better than in 3-year-old group and 4-year-old group. The improvements of ＂ strong preference to some food＂,＂ poor eating habits＂ and ＂ scare of eating＂ was more obvious in intervention group,and ＂full of energy with poor appetite＂, ＂strong preference to some food＂ and ＂poor eating habits＂ improved faster. Conclusions Compared to the conventional practice method, children with dietary behavior problems can benefit more by IMFeD tools. Hence,IMFeD tools can be considered of certain value to generalize in clinic.