孤独症儿童营养及饮食行为问题干预的追踪研究

发布时间：2019-06-26 11:07

【摘要】：目的探讨以IMFeD策略为主的综合干预对孤独症儿童营养素摄入、饮食行为问题以及对孤独症儿童家长营养及饮食相关知识知晓的干预效果。方法随机选择孤独症儿童49例,采用24h膳食回顾法评估患儿营养素摄入情况,自拟问卷完成儿童饮食及相关行为问题调查。通过对基线调查、3个月随访以及6个月终期调查结果的统计分析,评价IMFeD对孤独症儿童营养素摄入、饮食行为问题以及家长饮食知识知晓的干预效果。结果干预完成后,孤独症儿童饮食行为问题中胃口差、食物偏好、不良进食习惯和家长的不良喂养行为均减少(均为P0.05);家长营养及饮食知识知晓率由61.3%提升至77.5%;孤独症儿童能量、维生素C、钠、蛋白质、维生素B6、磷、钾、硫胺素和叶酸的摄入水平有显著改善(P均0.05)。结论以IMFeD干预策略为主的综合干预手段对改善孤独症儿童的膳食营养素摄入、减少其饮食行为问题、提高家长正确营养及饮食知识知晓率均有明显作用。
[Abstract]:Objective To study the effects of comprehensive intervention based on IMFeD strategy on the intake and dietary behavior of autistic children and the knowledge of nutrition and diet related knowledge of autistic children. Methods 49 cases of autistic children were randomly selected, and the nutrition intake of the child was assessed by the 24-hour dietary review method. The self-questionnaire was used to complete the investigation of the children's diet and related behavior. Based on a statistical analysis of the baseline survey,3-month follow-up, and 6-month end-to-end results, the effect of IMFeD on the intake of nutrients, dietary behavior and the knowledge of the parents' dietary knowledge was evaluated. Results After the intervention, the poor appetite, the food preference, the bad eating habits and the bad feeding behavior of the parents were all decreased (P <0.05). The knowledge of the nutrition and the diet knowledge of the parents was increased from 61.3% to 77.5%, and the energy, vitamin C, and sodium of the autistic children. The intake of protein, vitamin B6, phosphorus, potassium, thiamine and folic acid was significantly improved (P <0.05). Conclusion The comprehensive intervention method based on IMFeD intervention strategy has an obvious effect on improving the dietary nutrient intake of autistic children, reducing the dietary behavior of the children, and improving the knowledge of the proper nutrition and the diet knowledge of the parents.
【作者单位】：哈尔滨医科大学公共卫生学院儿少卫生与妇幼保健学教研室;哈尔滨市妇幼保健院;哈尔滨医科大学;中国疾病预防控制中心地方病研究中心;
【基金】：国家自然科学基金(81072298)
【分类号】：R749.94

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