Abstract: 【Objective】 Through an in-depth understanding the pattern of the occurrence,development and prognosis of children dietary problems,the understanding about children dietary problems becomes more clear,and to further improve the effect of children feeding guidance. 【Method】 According to the study standards,202 children aged from 6 months to 24 months in Lanzhou urban were investigated with Chinese Infants Feeding Intolerance Rating Scale which was standardized by Maternal and Children Health Care Hospital of Hubei Province. 【Results】 1)There were different types of children feeding problems using clustering analysis.The problems were grouped three types:children resisting diet passively,children accepting diet passively and derivative problem.2)There was significant correlation between these three problems and age (χ²=29.335,P<0.05).The highest percentage of the pattern of resisting passively was the group aged 6 to 10 months,the proportion of 76.5%~77.4%,and the lowest of percentage was the group aged 19 to 21 months,the proportion of 29%;the constituent ratio and the direction of change between the pattern of resisting passively and accepting passively were broadly opposite;the derivative problem was in between.The constituent ratio of three problems appeared an obvious joint in the group aged 19 to 21 months. 【Conclusions】 The problem of children feeding has significant features,so the intervention of dietary behaviors should be assessed scientifically and guided separately.The feeding of children has the significant characteristics of age.The intervention of dietary behaviors should combine the characteristics of the physical and mental development of children,monitor systematically,and timely intervene.

Key words: feeding problem, feeding behavior type, clustering analysis, infant

摘要： 【目的】 通过深入细致地了解儿童饮食行为问题发生、发展及转归的规律,对儿童喂养问题形成更加清晰的认识,进一步提高儿童喂养指导工作的效率和水平。【方法】 选择湖北省妇幼保健院主持标化《中国婴幼儿喂养困难评分量表》,按照课题规范,对兰州市城区6~24个月的儿童进行了相关调查。【结果】 1)通过聚类分析,发现儿童的喂养问题有不同的类型。可归为三类:即被动抵抗行为、被动接受行为及延伸性问题;2)上述三类问题与年龄显著相关(χ²=29.335,P<0.05)。被动抵抗型的构成比,6~10个月龄组最高,为76.5%~77.4%,19~21个月龄组最低,为29%;被动接受型与被动抵抗型的构成比及变化趋势大体反向对应;延伸问题介于两者之间。三类问题的构成比在19~21个月龄组呈现一个明显的交汇点。【结论】 儿童喂养问题具有较显著的类型特征,饮食行为干预应科学评估、分类指导;儿童喂养问题具有显著的年龄特征,饮食行为干预应结合儿童身心发展特点,系统监测、适时干预。

关键词: 喂养问题, 喂养行为类型, 聚类分析, 婴幼儿