标题：Uso clínico do inventário alimentar para identificação do sub relato materno sobre ingestão alimentar em crianças: experiência de centro de referência brasileiro
出版社：Sociedad Española de Dietética y Ciencias de la Alimentación (SEDCA)
摘要：Background: Feeding Difficulties (FD) are a common
problem in childhood, and dietary assessments are extremely
important to evaluate food consumption and selectivity patterns.
In clinical practice, it is often observed that caregivers
have an exacerbated perception of the severity of their children’s
FD and this may impact on dietary reports.
Objectives: To compare the variety of foods consumed by
children with FD under maternal perception to the evaluation
performed by nutritionist using a food inventory in association
with traditional methods.
Methods: It is a cross sectional study with 119 motherchildren
pairs, with complaints of FD followed at an outpatient
service in São Paulo, Brazil. Data collected consisted of demographics,
maternal caregiving style, responsibility over
feeding the child, perception of children’s feeding diversity
(expressed in numbers, taken from a self-explanatory food inventory),
presence of organic disease, type of FD, BMI Zscore,
and actual repertoire of foods consumed (expressed in
numbers, assessed by the nutritionist after evaluating the
food inventory). The inventory provided information about
the food items the child accepts without rejection, used to accept
but now rejects, and completely rejects. Spearman correlation
and Lynn’s coefficient of variation, ANOVA and T-student
tests were used, with a 5% significance level.
Results and discussion: Overall food diversity ranged
from 16 (p25%) to 30 (p75%) different types of foods.
Maternal perceived food diversity ranged from 4,3 to 14,5
(p25-75). Around 23,7% of children were considered highly
selective (less than 15 types of foods) (p=0,000). Maternal
perception underestimated that assessed by the nutritionist in
2,2 times, with low reproducibility between these two variables
(r=0,14). Both maternal perception and professional assessment
did not vary according to age, organic comorbidities,
gender, maternal parity, feeding style or responsibility
over feeding routines (p>0,49). Findings enhance the importance
of parental behavioral interventions and of the use of
dietary research methodologies which are complementary to
already validated strategies.
Conclusions: There was maternal underestimation on the
quantity of foods accepted by children with FD. The data reinforce
the need for family orientation about the expectations
regarding the feeding practices and preferences of their children.
