Article record

IgE介导食物过敏幼儿的喂养特征：一项横断面观察性研究

Feeding characteristics in young children with IgE-mediated food allergies: A cross-sectional observational study.

临床研究咽喉科IF 4.3Q1

文献信息

PMID	42844973
原文	在 PubMed 查看原文 ↗
发表日期	2026
作者	Jennifer Kefford 查看其他 6 位作者 Elizabeth C Ward；Rebecca L Packer；Merryn Netting；Shruti Swamy；Lara S Ford；Jeanne Marshall
作者单位	School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia. 查看其他 10 条单位信息 Northern Sydney Local Health District, New South Wales Health, Sydney, New South Wales, Australia.；Centre for Functioning and Health Research (CFAHR), Metro South Hospital and Health Service, Brisbane, Queensland, Australia.；National Allergy Council, Sydney, New South Wales, Australia.；Department of Paediatrics, University of Adelaide, Adelaide, South Australia, Australia.；The University of Sydney, Sydney, New South Wales, Australia.；Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.；Royal North Shore Hospital, Sydney, New South Wales, Australia.；Sydney Children's Hospital Randwick, Sydney, New South Wales, Australia.；The Children's Hospital at Westmead, Sydney, New South Wales, Australia.；Queensland Children's Hospital, Children's Health Queensland Hospital and Health Service, Brisbane, Queensland, Australia.
期刊	Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology
SCI 分区	Q1
IF	4.3
研究类型	临床研究 · 临床
所属专科	咽喉科

中文摘要

背景： 关于免疫球蛋白E（IgE）介导的食物过敏与儿科喂养障碍（PFD）之间交叉的研究有限。同时管理患有这两种疾病的儿童的照护者所受到的影响也仍知之甚少。
目的： 本研究旨在探讨IgE介导食物过敏幼儿的喂养特征，以确定可能面临PFD风险的儿童比例，并检验PFD风险与照护者报告的应激及喂养相关生活质量之间的关联。
方法： 从三家儿科过敏门诊招募了一个横断面队列（N=107），对象为0;6-4;11岁、至少诊断有一种IgE介导食物过敏儿童的照护者。使用经过验证的照护者报告问卷评估喂养行为、照护者应激和喂养相关生活质量。
结果： 根据行为儿科喂养评估量表-总频率评分（BPFAS-TFS），17名（16%）儿童被确定为面临PFD风险。在整个队列中，照护者应激处于预期范围内。然而，面临PFD风险儿童的照护者在父母压力量表（PSS）上报告的应激水平显著更高（p<.001），在喂养-吞咽影响量表（FS-IS）上报告的喂养相关生活质量更差（p<.001）。
结论： 16%的IgE介导食物过敏儿童筛查为面临PFD风险，提示在该人群中开展PFD筛查和评估是有价值的。更频繁的困难进餐行为与照护者应激增加及喂养相关生活质量降低相关。卫生服务必须认识到同时管理食物过敏和喂养行为/PFD所带来的复合应激源，以提供整体、以家庭为中心的照护。

英文摘要

BACKGROUND: Research is limited regarding the intersection between Immunoglobulin-E (IgE)-mediated food allergies and paediatric feeding Disorder (PFD). The impact on caregivers managing a child with both conditions also remains poorly understood.
OBJECTIVE: This study aimed to explore feeding characteristics in young children with IgE-mediated food allergies to identify the proportion of children who may be at risk of PFD, and to examine associations between risk of PFD and caregiver-reported stress and feeding-related quality of life.
METHODS: A cross-sectional cohort (N = 107) of caregivers of children aged 0;6-4;11 years, with at least one diagnosed IgE-mediated food allergy, was recruited from three paediatric allergy clinics. Validated caregiver-reported questionnaires were used to assess feeding behaviours, caregiver stress and feeding-related quality of life.
RESULTS: Seventeen (16%) children were identified as being at risk of PFD based on the Behavioural Pediatric Feeding Assessment Scale-Total Frequency Score (BPFAS-TFS). Across the cohort, caregiver stress fell within the expected range. However, caregivers of children at risk of PFD reported significantly higher levels of stress on the Parental Stress Scale (PSS) (p < .001) and poorer feeding-related quality of life on the Feeding Swallowing-Impact Scale (FS-IS) (p < .001).
CONCLUSION: Sixteen percent of children with IgE-mediated food allergies screened as being at risk of PFD, suggesting that screening and assessment of PFD are valuable in this population. More frequent difficult mealtime behaviours were associated with increased caregiver stress and lower feeding-related quality of life. Health services must recognise the compounded stressors of managing both food allergies and feeding behaviours/PFD to deliver holistic, family-centred care.