我国0~6岁儿童饮食行为问题流行特征的meta分析

Prevalence of eating behavior problems among children aged 0−6 in China:a meta-analysis

目的采用meta分析探讨我国0~6岁儿童饮食行为问题检出状况,为儿童饮食行为干预提供理论依据。方法通过PubMed、Embase、PsycINFO、Cochrane Library、中国知网、万方、重庆维普、中国生物医学文献数据库检索自建库以来至2022年6月发表的关于中国0~6岁儿童饮食行为的文献,使用R 4.1.0软件对饮食行为问题流行特征进行meta分析。结果共纳入中文文献35篇,调查人数涉及43105例,采用随机效应模型对我国0~6岁儿童饮食行为问题检出率进行单组meta分析,总体检出率为60.90%(95%CI:52.82~68.42)。亚组分析显示,男、女童饮食行为问题检出率差异无统计学意义(P>0.05);不同年龄的儿童饮食行为问题检出率差异具有统计学意义(P<0.05);西部儿童饮食行为问题检出率明显高于东部(P<0.05);乡村儿童饮食行为问题检出率明显高于城市(P<0.05);2011—2015年发表的文献中儿童饮食行为问题检出率明显高于2016—2020年(P<0.05);抽样调查的儿童饮食问题检出率明显高于普查的儿童(P<0.05);8种常见儿童饮食行为问题检出率比较差异具有统计学意义(P<0.05)。结论自2011年以来我国0~6岁儿童饮食行为问题总体检出率有所增高,应成为儿童健康领域的重点关注内容之一。

Objective To analyze eating behavior problems among children aged 0−6 in China through meta-analysis,so as to provide theoretical evidence for intervention of eating behavior problems among preschool children.Methods Literatures on eating behavior problems among children aged 0−6 in China were searched from PubMed,Embase,PsycINFO,Cochrane Library,China National Knowledge Infrastructure(CNKI),Wanfang Data,VIP database and China Biomedical Literature Service System(CBM)from its establishment to June 2022.R 4.1.0 was used for meta-analysis.Results Thirty-five studies with 43105 participants were involved.Random-effect model was used for meta-analysis to calculate the detection rate of eating behavior problems among children aged 0−6 in China,and the detection rate was 60.90%(95%CI:52.82−68.42).The subgroup analysis showed no significant difference in the detection rate of eating behavior problems between boys and girls(P>0.05).Detection rates of eating behavior problems among children of different age groups were different(P<0.05).The detection rate of eating behavior problems among children from western China and living in rural areas were significantly higher than those among children from eastern China and living in urban areas(P<0.05).The rates reported during 2011−2015 were higher than those reported during 2016−2020(P<0.05),and they were higher in the sampling survey than those in the general survey too(P<0.05).There were also significant differences in the detection rates of eight common eating behavior problems among preschool children(P<0.05).Conclusion Higher overall detection rates of eating behavior problems among children aged 0−6 since 2011 should be one of the key concerns in the field of children’s health.