Ocorrência das dificuldades alimentares em crianças autorreportada pelos pais
Occurrence of eating difficulties in children self-reported by parents
Vanessa Souza Gigoski de Miranda; Juliana dos Santos Luiz; Lisiane De Rosa Barbosa; Gilberto Bueno Fischer
Resumo
Palavras-chave
Abstract
ABSTRACT
Purpose To estimate the occurrence and characteristics of eating difficulties in Brazilian children.
Methods Cross-sectional study, carried out from January to June 2022 through the completion of online forms and scales by parents and/or guardians of Brazilian children aged 6 months to 6 years and 11 months old.
Results The sample included 596 participants, the majority (54.5%) of whom were male, with a gestational age at birth of an average of 38 weeks (SD = 3.07). Eating difficulties were present in 26% of the sample, being more prevalent in males (59.36%). There were positive associations between family education and the presence and severity of eating difficulties. The presence of at least one disease or comorbidity was reported in 59.1% (n = 352) of the sample, with severe eating difficulties being associated with the presence of at least one of the mentioned comorbidities. Children diagnosed with autism spectrum disorder were significantly associated with severe eating difficulties (p = <0.001). The presence of some syndrome or genetic disease was associated (p = 0.021) with moderate eating difficulties. There was a significant association (p = 0.026) between the presence of mild and moderate eating difficulties and the presence of more than one hospitalization.
Conclusion The occurrence of eating difficulties in Brazilian children is 26%, the majority of which are severe and associated with pre-existing comorbidities.
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Referências
1 Muller PW, Salazar V, Donelli TMS. Dificuldades alimentares na primeira infância: uma revisão sistemática. Estud Pesqui Psicol. 2017;17(2):635-52.
2 Correia C. Seletividade alimentar e sensibilidade sensorial em crianças com perturbação do espectro do autismo [projecto]. Lisboa: Santa Casa da Misericórdia de Lisboa; 2015 [citado em 2020 Mar 1]. Disponível em:
3 Valle, J. M. N. & Euclydes, M. P. A formação dos hábitos alimentares na infância: uma revisão de alguns aspectos abordados na literatura nos últimos dez anos. Revista APS [Internet]. 2007 [citado em 2020 Mar 1];10(1):56-65. Disponível em:
4 Goday PS, Huh SY, Silverman A, Lukens CT, Dodrill P, Cohen SS, et al. Pediatric feeding disorder: consensus definition and conceptual framework. J Pediatr Gastroenterol Nutr. 2019;68(1):124-9.
5 Sanchez K, Spittle AJ, Allison L, Morgan A. Parent questionnaires measuring feeding disorders in preschool children: a systematic review. Dev Med Child Neurol. 2015;57(9):798-807.
6 Berlin KS, Davies WH, Silverman AH, Woods DW, Fischer EA, Rudolph CD. Assessing children’s mealtime problems with the mealtime behavior questionnaire. Child Health Care. 2010;39(2):142-56.
7 Maximino P, Machado RHV, Junqueira P, Ciari M, Tosatti AM, Ramos C C, et al. How to monitor children with feeding difficulties in a multidisciplinary scope? Multidisciplinary care protocol for children and adolescents - a pilot study. J Hum Growth Dev. 2016;26(2):331-40.
8 Conde MO, Tessicini G, Bittar DP, Ishigaki ECSS. Ishigaki ECSS. Dificuldades alimentares na paralisia cerebral: proposta de um protocolo. Rev CEFAC. 2016;18(2):426-38.
9 Shim JE, Kim J, Mathai RA, STRONG Kids Research Team. Associations of infant feeding practices and picky eating behaviors of preschool children. J Am Diet Assoc. 2011;111(9):1363-8.
10 Junqueira, P. Relações cognitivas com o alimento na infância. Vol. 5. São Paulo: ILS Brasil - International Life SciencesInstitute do Brasil; 2017.
11 Kerzner B, Milano K, MacLean WC Jr, Berall G, Stuart S, Chatoor I. A practical approach to classifying and managing feeding difficulties. Pediatrics. 2015;135(2):344-53.
12 Diniz PB, Fagondes SC, Ramsay M. Cross-cultural adaptation and validation of the Montreal Children’s Hospital feeding scale into brazilianportuguese. Rev Paul Pediatr. 2021;39:e2019377.
13 Kerzner B. Clinical investigation of feeding difficulties in young children: a practical approach. Clin Pediatr (Phila). 2009;48(9):960-5.
14 Kachani AT, Abreu CLM, Lisboa SBH, Fisberg M. Seletividade alimentar da criança. Pediatria (Säo Paulo). 2005;27(1):48-60.
15 Sampaio ABM, Nogueira TL, Grigolon RB, Roma AM, Pereira LE, Dunker KLL. Seletividade alimentar: uma abordagem nutricional. J Bras Psiquiatr. 2013;62(2):164-70.
16 Fisberg M, Tosatti AM, Abreu CL. A criança que não come – abordagem pediátrico-comportamental. Blucher Medical Proceedings. 2014;1(4):1-13.
17 Xue Y, Lee E, Ning K, Zheng Y, Ma D, Gao H, et al. Prevalence of picky eating behavior in Chinese school-age children and associations with anthropometric parameters and intelligence quotient. A cross-sectional study. Appetite. 2015;91:248-55.
18 Thoyre SM, Pados BF, Park J, Estrem H, McComish C, Hodges EA. The pediatric eating assessment tool: factor structure and psychometric properties. J Pediatr Gastroenterol Nutr. 2018;66(2):299-305.
19 Horst K, Deming DM, Lesniauskas R, Carr BT, Reidy KC. Picky eating: associations with child eating characteristics and food intake. Appetite. 2016;103:286-93.
20 Okuizumi AM, Morito JM, Nogueira LR, Mazimino P, Fisberg M. Fatores associados aos tipos de dificuldades alimentares em crianças entre 0 e 10 anos de idade: um estudo retrospectivo em um centro de referência brasileiro. Sci Med (Porto Alegre). 2020;30(1):e35530.
21 IBGE: Instituto Brasileiro de Geografia e Estatística. Pesquisa Nacional por Amostra de Domicílios Contínua. Rio de Janeiro: IBGE; 2023.
22 Maranhão HS, Aguiar RC, Lira DTJ, Sales MÚF, Nóbrega NÁN. Dificuldades alimentares em pré-escolares, práticas alimentares pregressas e estado nutricional. Rev Paul Pediatr. 2018;36(1):45-51.
23 Tharner A, Jansen PW, Jong JCK, Moll HA, Ende JV, Jaddoe VW, et al. Toward an operative diagnosis of fussy/picky eating: a latent profile approach in a population-based cohort. Int J Behav Nutr Phys Act. 2014;11(1):14.
24 Williams S, Witherspoon K, Kavsak P, Patterson C, Mcblain J. Pediatric feeding and swallowing problems: an interdisciplinary team approach. JournalofDieteticPracticeandResearch. 2006;67(4):185-90.
25 Williams C, Wright B. Convivendo com autismo e síndrome de Asperger: estratégias práticas para pais e profissionais. São Paulo: M. Books do Brasil; 2008.
26 Magagnin T, Silva MA, Nunes RZS, Ferraz F, Soratto J. Aspectos alimentares e nutricionais de crianças e adolescentes com transtorno do espectro autista. Physis. 2021;31(1):e310104.
27 Pagliaro CL, Bühler KEB, Ibidi SM, Limongi SCO. Dietary transition difficulties in preterm infants: critical literature review. J Pediatr (Rio J). 2016;92(1):7-14.
28 Browne JV, Ross ES. Feeding outcomes in preterm infants after discharge from the neonatal intensive care unit (NICU): a systematic review. Newborn Infant Nurs Rev. 2013;13(2):87-93.
Submetido em:
15/05/2024
Aceito em:
20/01/2025
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