Objective To explore intervention effects on nutrient intake, eating behavior problems of children with autism and their parent's nutrition dietary knowledge improvement by comprehensive intervention based on IMFeD. Methods 49 children with autism were randomly selected to assessment their dietary intake by 24 hours dietary recalls, meanwhile, completed the investigation on children's diet and related behavioral problems with self-designed questionnaire.Before and after intervention, intervention effects of nutrient intake, dietary behavior problems of children with autism and parent's dietary knowledge level were evaluated. Results Dietary behavioral problems (including diet poor appetite, food preferences, poor eating habits and poor parental feeding behavior) in children with autism were decreased after intervention (P<0.05).The awareness rate of parent nutrition dietary knowledge increased from 61.3% to 77.5%.Intake levels of energy, vitamin C, sodium, protein, vitamin B6, phosphorus, thiamine and folic acid were improved significantly for children with autism (P<0.05). Conclusions IMFeD intervention strategies have obvious effects on improving autism dietary nutrient intake and knowledge awareness of parents dietary and nutrition, decreasing dietary behavior problems of autistic children.
Key words
autistim /
nutrition /
eating behavior /
intervention /
follow-up stud
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References
[1] Main PA, Angley MT, Thomas P, et al.Folate and methionine metabolism in autism:a systematic review[J].Am J Clin Nutr, 2010, 91(6):1598-1620.
[2] Autism and Developmental Disabilities Monitoring (ADDM) Network Surveillance Year 2008 Principal Investigators, Centers for Disease Contril and Prevention.Prevalence of autism spectrum disorders-autism and developmental disabilities monitoring network, 14 sites, United States, 2008[J].MMWR Surveill Summ, 2012, 61(3):1-19.
[3] Wong VC, Hui SL.Epidemiological study of autism spectrum disorder in China[J].J Child Neurol, 2008, 23(1):67-72.
[4] 于聪, 夏薇, 孙彩虹, 等.哈尔滨市2~6岁儿童孤独症谱系障碍的现况调查[J].中国儿童保健杂志, 2010, 18(10):750-753.
[5] Provost B, Crowe TK, Osbourn PL, et al.Mealtime behaviors of preschool children:comparison of children with autism spectrum disorder and children with typical development[J].Physical & Occupational Therapy in Pediatrics, 2010, 30(3):220-233.
[6] 寿小婧, 张嵘.孤独症儿童的饮食问题[J].中国儿童保健杂志, 2010, 18(10):779-781.
[7] Cermak SA, Curtin C, Bandini LG.Food selectivity and sensory sensitivity in children with autism spectrum disorders[J].Journal of the American Dietetic Association, 2010, 110(2):238-246.
[8] Xia W, Zhou Y, Sun C, et al.A preliminary study on nutritional status and intake in Chinese children with autism[J].European Journal of Pediatrics, 2010, 169(10):1201-1206.
[9] 叶亚, 毕贵苹.重庆市 32 所幼儿园儿童营养调查分析[J].重庆医学, 2004, 33(11):1725-1726.
[10] 林穗方, 胡艳, 刘慧燕, 等.婴幼儿早期喂养行为现状及其影响分析[J].实用医学杂志, 2009, 25(20):3499-3500.
[11] 夏薇, 王佳, 孙彩虹, 等.孤独症儿童的营养状况调查[J].中华疾病控制杂志, 2010, 14(1):14-17.
[12] 刘丽, 李佳, 吴晶, 等.哈尔滨市儿童饮食行为问题干预策略研究[J].中国初级卫生保健, 2012, 26(10):66-68.
[13] 陆青梅, 班亮阶, 林娜, 等.健康教育对留守营养不良儿童监护人营养知识认知和行为的影响[J].右江医学, 2012, 40(2):159-161.
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