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Feeding Difficulty Among Chinese Toddlers Aged 1–3 Years and Its Association With Health and Development
Feeding problems are biopsychosocial in nature and have a great influence on children's growth. The aim of this study was to profile the status and possible influencing factors of feeding difficulty among normal Chinese toddlers, and to investigate its association with health and development. T...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Frontiers Media S.A.
2021
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8650057/ https://www.ncbi.nlm.nih.gov/pubmed/34888269 http://dx.doi.org/10.3389/fped.2021.758176 |
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author | Ren, Zhongxia Lan, Hanglian Szeto, Ignatius Man-Yau Yang, Chenlu Zhang, Jian Li, Pin Li, Jingwen Wang, Peiyu Zhang, Yumei Zhao, Ai |
author_facet | Ren, Zhongxia Lan, Hanglian Szeto, Ignatius Man-Yau Yang, Chenlu Zhang, Jian Li, Pin Li, Jingwen Wang, Peiyu Zhang, Yumei Zhao, Ai |
author_sort | Ren, Zhongxia |
collection | PubMed |
description | Feeding problems are biopsychosocial in nature and have a great influence on children's growth. The aim of this study was to profile the status and possible influencing factors of feeding difficulty among normal Chinese toddlers, and to investigate its association with health and development. This study is a part of the Young Investigation (YI study) conducted in 10 cities in China. Data from 924 children aged 1–3 years were analyzed. Data on socio-demographic factors, feeding behaviors, self-reported diseases, and anthropometry parameters were collected. Blood samples were drawn to determine hemoglobin levels. Feeding difficulty was evaluated by the Montreal Children's Hospital Feeding Scale (MCH-FS). Ages and Stages Questionnaires, Third Edition (ASQ-3) were used to assess developmental progress. Multivariable analyses were performed to explore the potential associations. The mean total score of the MCH-FS was 35.21 ± 12.90 and the highest scored item was “acting up/making a big fuss during mealtimes.” Feeding difficulty occurred more often among children with picky eating behavior or whose caregivers once used the strategy of pre-mastication. Children with feeding difficulty had lower intakes of cereals, vegetables, and fruits, and were more likely to suffer from diarrhea (OR, 2.04; 95%CI: 1.32, 3.11) or constipation (OR, 2.04; 95%CI: 1.27, 3.24), but not anemia. Feeding difficulty was also negatively associated with weight, height, head circumference and mid-upper-arm circumference-related Z-scores (P all < 0.05). In addition, it was related to poorer fine motor skills, personal and social skills, and total scores of ASQ-3 (β, −9.00; 95%CI: −15.11, −2.89). Feeding difficulty assessed by MCH-FS showed a negative association with children's health and development, supporting the need for early identification. |
format | Online Article Text |
id | pubmed-8650057 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-86500572021-12-08 Feeding Difficulty Among Chinese Toddlers Aged 1–3 Years and Its Association With Health and Development Ren, Zhongxia Lan, Hanglian Szeto, Ignatius Man-Yau Yang, Chenlu Zhang, Jian Li, Pin Li, Jingwen Wang, Peiyu Zhang, Yumei Zhao, Ai Front Pediatr Pediatrics Feeding problems are biopsychosocial in nature and have a great influence on children's growth. The aim of this study was to profile the status and possible influencing factors of feeding difficulty among normal Chinese toddlers, and to investigate its association with health and development. This study is a part of the Young Investigation (YI study) conducted in 10 cities in China. Data from 924 children aged 1–3 years were analyzed. Data on socio-demographic factors, feeding behaviors, self-reported diseases, and anthropometry parameters were collected. Blood samples were drawn to determine hemoglobin levels. Feeding difficulty was evaluated by the Montreal Children's Hospital Feeding Scale (MCH-FS). Ages and Stages Questionnaires, Third Edition (ASQ-3) were used to assess developmental progress. Multivariable analyses were performed to explore the potential associations. The mean total score of the MCH-FS was 35.21 ± 12.90 and the highest scored item was “acting up/making a big fuss during mealtimes.” Feeding difficulty occurred more often among children with picky eating behavior or whose caregivers once used the strategy of pre-mastication. Children with feeding difficulty had lower intakes of cereals, vegetables, and fruits, and were more likely to suffer from diarrhea (OR, 2.04; 95%CI: 1.32, 3.11) or constipation (OR, 2.04; 95%CI: 1.27, 3.24), but not anemia. Feeding difficulty was also negatively associated with weight, height, head circumference and mid-upper-arm circumference-related Z-scores (P all < 0.05). In addition, it was related to poorer fine motor skills, personal and social skills, and total scores of ASQ-3 (β, −9.00; 95%CI: −15.11, −2.89). Feeding difficulty assessed by MCH-FS showed a negative association with children's health and development, supporting the need for early identification. Frontiers Media S.A. 2021-11-23 /pmc/articles/PMC8650057/ /pubmed/34888269 http://dx.doi.org/10.3389/fped.2021.758176 Text en Copyright © 2021 Ren, Lan, Szeto, Yang, Zhang, Li, Li, Wang, Zhang and Zhao. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Pediatrics Ren, Zhongxia Lan, Hanglian Szeto, Ignatius Man-Yau Yang, Chenlu Zhang, Jian Li, Pin Li, Jingwen Wang, Peiyu Zhang, Yumei Zhao, Ai Feeding Difficulty Among Chinese Toddlers Aged 1–3 Years and Its Association With Health and Development |
title | Feeding Difficulty Among Chinese Toddlers Aged 1–3 Years and Its Association With Health and Development |
title_full | Feeding Difficulty Among Chinese Toddlers Aged 1–3 Years and Its Association With Health and Development |
title_fullStr | Feeding Difficulty Among Chinese Toddlers Aged 1–3 Years and Its Association With Health and Development |
title_full_unstemmed | Feeding Difficulty Among Chinese Toddlers Aged 1–3 Years and Its Association With Health and Development |
title_short | Feeding Difficulty Among Chinese Toddlers Aged 1–3 Years and Its Association With Health and Development |
title_sort | feeding difficulty among chinese toddlers aged 1–3 years and its association with health and development |
topic | Pediatrics |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8650057/ https://www.ncbi.nlm.nih.gov/pubmed/34888269 http://dx.doi.org/10.3389/fped.2021.758176 |
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