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| Intervention study on eating behavior problems of children aged 1-5 years by identification and management of feeding difficulties tools |
| CAI Shizhong1, SHI Xiaoyan1, QIN Liqiang2, CHEN Yan1, LU Haiping1, WU Ying1 |
| 1. Department of Child and Adolescent Healthcare, Children,s Hospital of Soochow University, Suzhou 215021, Jiangsu Province, China; 2. School of Public Health, Soochow University, Suzhou 215021, Jiangsu Province, China |
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Abstract Objective To evaluate the intervention effects of eating behavior intervention tools on children,s eating behavior problems and their parents, cognitive attitudes towards children,s eating behavior. Methods Two hundred children with eating behavior problems aged 1-5 years in Suzhou City were randomly divided into intervention group (n=100) and control group (n=100). The intervention was conducted with IMFeD (identification and management of feeding difficulties) intervention tools and routine outpatient guidance. The follow-up lasted for 9 months and 4 times. Each follow-up required physical measurement of the children. At the same time, the children,s eating behavior and cognitive status of the caregivers were assessed by filling out questionnaires. Results Among the six major eating behavioral problems of children, the most serious ones reported by caregivers were “poor appetite” and “bad eating habits”, while no “potential disease status” was reported. The baseline scores of “poor appetite” (P<0.001) and “excessive parental care” (P=0.049) in the intervention group were higher than those in the control group. After 9 months of the intervention, the scores of eating behavior of children in both groups showed a downward trend compared with those before intervention, and the improvement of “poor appetite” in intervention group was more obvious than that in control group (P=0.003). The height and weight gain of children in the intervention group were higher than those in the control group, and the difference of height was significant (P=0.030). With the prolongation of the intervention time, the scores of four items, “bad appetite” “special preference for certain food” “bad eating habits” “excessive parental care”, and the total score of eating behavior in the intervention group showed a gradual decline trend, and there were significant differences among the groups (P<0.001). After the intervention, the proportion of the caregivers in the intervention group who thought that the children had eating problems, the degree of worrying about the children,s eating, and the evaluation of the efficacy and satisfaction of the doctors were significantly improved (P<0.001). Conclusion Comprehensive and systematic eating behavior intervention can improve children,s dietary behavior problems, promote children,s physical growth, and improve the cognitive attitude of caregivers to children,s eating behavior.
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