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Assessment of Herbal Treatment in Appetite Improvement of Anorexia Children Using Korean Children's Eating Behaviour Questionnaire (K-CEBQ)

한국어판 아동식습관 설문지를 사용한 식욕부진 소아의 식욕 개선 평가

  • Lee, Sun-Haeng (Department of Oriental Pediatrics, Kyung Hee University Hospital at Gang-dong) ;
  • Kim, Cho-Young (Department of Oriental Pediatrics, Kyung Hee University Hospital at Gang-dong) ;
  • Chang, Gyu-Tae (Department of Oriental Pediatrics, Kyung Hee University Hospital at Gang-dong)
  • 이선행 (강동경희대학교병원 한방소아과) ;
  • 김초영 (강동경희대학교병원 한방소아과) ;
  • 장규태 (강동경희대학교병원 한방소아과)
  • Received : 2012.01.31
  • Accepted : 2012.02.17
  • Published : 2012.02.28

Abstract

Background Children's Eating Behaviour Questionnaire (CEBQ) is a parents-targeted questionnaire to measure eating behavior of children, developed in United Kingdom and verified validity and reliability in several countries. Validity of Korean version of CEBQ (K-CEBQ) was verified in 2009. Objectives The study was conducted to assess the appetite improvement after herbal treatment in children who have anorexia. Methods The parents of the 26 children(anorexia 11, non-anorexia 15; $79.54{\pm}38.17$ months) who visited one university hospital was surveyed using K-CEBQ from April 2010 to April 2011. It was re-surveyed at intervals of 3 months. Differences between the anorexia group and the non-anorexia group were analyzed by Mann-Whitney U test, and comparisons of pre-treatment and post-treatment in anorexia group and non-anorexia group were verified by Wilcoxon signed-rank test. Results Depends on the presence of anorexia in child, Slowness in eating/Satiety responsiveness (SE/SR), Enjoyment of food (EF), Emotional undereating (EUE) and total scores were significantly different ($p$<0.05). Also, there were significant difference in SE/SR and total scores before and after the herbal treatment in anorexia group (p<0.05), and all scores tended to increase a few. However there were no significant difference before and after the herbal treatment in non-anorexia group, and the scores except for Desire to drink (DD) and Emotional overeating (EOE) were decreased. Conclusions Herbal treatment in children who have anorexia has improved their appetite in terms of eating sensitivity.

Keywords

References

  1. 최민형, 이진용, 김덕곤. 경희의료원 한방소아.청소년과 외래 환자의 주소증에 대한 연구(2009년 3월-2010년 2월). 대한한방소아과학회지. 2010;24(3):121-37.
  2. 윤영훈, 박영봉, 양은석, 노영일, 김은영, 문경래, 이철갑. 식욕부진이 있는 4세 이하 영유아의 식이 습관에 대한 조사. 대한소아소화기영양학회지. 2003;6(2): 167-73.
  3. Ruldolf MC, Logan S. What is the long-term outcome for children who fail to thrive? A systemic review. Arch Dis Child. 2005;90:925-31. https://doi.org/10.1136/adc.2004.050179
  4. 교재편찬위원회. 한방소아청소년의학. 서울: 의성당. 2010:449-54.
  5. Nandrino JL, Berna G, Hot P, Dodin V, Latree J, Decharles S, Sequeira H. Cognitive and physiological dissociations in response to emotional pictures in patients with anorexia. J Psychosom Res. 2012;72(1):58-64. https://doi.org/10.1016/j.jpsychores.2011.11.003
  6. Oldershaw A, Hambrook D, Stahl D, Tchanturia K, Treasure J, Schmidt U. The socio-emotional processing stream in Anorexia Nervosa. Neurosci Biobehav Rev. 2011;35:970-88. https://doi.org/10.1016/j.neubiorev.2010.11.001
  7. Manikam R, Perman J. Pediatric Feeding Disorders. J Clin Gastroenterol. 2000;30(1):34-46. https://doi.org/10.1097/00004836-200001000-00007
  8. Wardle J, Guthrie CA, Sanderson S, Rapoport L. Development of the Children's Eating Behaviour Questionnaire. J Child Psychol Psychiatry. 2001;42(7): 963-70. https://doi.org/10.1111/1469-7610.00792
  9. van Strien T, Oosterveld. The Children's DEBQ for assessment of restrained, emotional, and external eating in 7-to 12-year-old children. Int J Eat Disord. 2008;41:72-81. https://doi.org/10.1002/eat.20424
  10. Archer LA, Rosenbaum PL, Streiner DL. The Children's Eating Behavior Inventory:reliability and validity results. J Pediatr Psychol. 1991;16:629-42. https://doi.org/10.1093/jpepsy/16.5.629
  11. Babbit RL, Edlen-Nezein L, Manikam R, Summers J, Murphy CM. Assessment of eating and weight-related problems in children and special populations:measures, theory, and research. In Handbook of assessment methods for eating behaviours and weight-related problems. Edited by Allison DB. Thousand Oaks, CA: Sage Publications. 1995:431-92.
  12. 이민정, 장규태, 한윤정. 한국어판 아동식습관 설문지(Korean Children's Eating Behaviour Questionnaire, K-CEBQ)의 타당화 예비연구. 대한한방소아과학회지. 2009;23(1):127-40.
  13. Santos JL, Ho-Urriola JA, Gonzalez A, Smalley SV, Dominguez-Vásquez P, Cataldo R, Obregon AM, Amador P, Weisstaub G, Hodgson MI. Association between eating behavior scores and obesity in Chilean children. Nutr J. 2011;10:108. https://doi.org/10.1186/1475-2891-10-108
  14. Parkinson KN, Drewett RF, Le Couteur AS, Adamson AJ. Do maternal ratings of appetite in infants predict later child eating behaviour questionnaire scores and body mass index? Appetite. 2010;54:186-90. https://doi.org/10.1016/j.appet.2009.10.007
  15. Ashcroft J, Semmler C, Carnell S, van Jaarsveld CH, Wardle J. Continuity and stability of eating behaviour traits in children. Eur J Clin Nutr. 2008;62(8):985-90. https://doi.org/10.1038/sj.ejcn.1602855
  16. Farooqi IS, Jebb SA, Langmack G, Lawrence E, Cheetham CH, Prentice AM, Hughes IA, McCamish MA, O'Rahilly S. Brief report: Effects of recombinant leptin therapy in a child with congenital leptin deficiency. New England Journal of Medicine. 1999;341:879-84. https://doi.org/10.1056/NEJM199909163411204
  17. Holland A, Treasure J, Costkeran P, Dallow J, Milton N, Hillhouse E. Measurement of excessive appetite and metabolic changes in Prader-Willi syndrome. International Journal of Obesity. 1993;17:527-32.
  18. Carnell S, Wardle J. Appetitive traits and child obesity: measurement, origins and implications for intervention. Proceedings of the Nutrition Society. 2008;67:343-55.
  19. Drewett RF, Corbett S, Wright C. Physical and emotional development, appetite and body image in adolescents who failed to thrive as infants. Journal of Child Psychology and Psychiatry and Allied Disciplines. 2006;47:524-31. https://doi.org/10.1111/j.1469-7610.2005.01529.x
  20. Birch LL, Fisher JO. Development of eating behaviors among children and adolescents. Pediatrics. 1998;101: 539-49.
  21. Llewellyn CH, van Jaarsveld CH, Johnson L, Carnell S, Wardle J: Nature and nurture in infant appetite: analysis of the Gemini twin birth cohort. Am J Clin Nutr. 2010; 91:1172-9. https://doi.org/10.3945/ajcn.2009.28868
  22. Chatoor I, Ammaniti M. A classification of feeding disorders in infancy and early childhood. In: Narrow W, First M, Regier D, Sirovatka P, editors. Age and Gender Considerations in Psychiatric Diagnosis: A Research Agenda for DSM-V. Arlington, VA: American Psychiatric Press. 2007:227-42.
  23. Ammaniti M, Lucarelli L, Cimino S, D'Olimpio F, Chatoor I. Maternal psychopathology and child risk factors in infantile anorexia. Int J Eat Disord. 2010;43(3):233-40.
  24. Farrow C, Blisset J. Maternal cognitions, psychopathologic symptoms, and infant temperament as predictors of early infant feeding problems: Longitudinal study. Int J Eat Disord. 2006;39:128-34. https://doi.org/10.1002/eat.20220
  25. Wilensky D, Ginsberg G, Altman M, Tulchinsky T, Ben Yishay F, Auerbach J. A community based study of failure to thrive in Israel. Archives of Disease in Childhood. 1996;75:145-8. https://doi.org/10.1136/adc.75.2.145
  26. Parkinson KN, Wright CM, Drewett RF. Mealtime energy intake and feeding behaviour in children who fail to thrive: A population-based case-control study. Journal of Child Psychology and Psychiatry and Allied Disciplines. 2004;45:1030-5. https://doi.org/10.1111/j.1469-7610.2004.t01-1-00294.x
  27. Chatoor I, Ganiban J, Surles J, Doussard-Roosevelt J. Physiological regulation and infantile anorexia: A pilot study. J Am Acad Child Adolesc Psychiatry. 2004;43:1019-25. https://doi.org/10.1097/01.chi.0000126977.64579.4e
  28. Ammaniti M, Lucarelli L, Cimino S, D'Olimpio F. Infantile anorexia and maternal psychopathology: A developmental and clinical study. Proc Am Acad Child Adolesc Psychiatry. 2005.
  29. Ammaniti M, Lucarelli L, Cimino S, D'Olimpio F. Transmission intergenerationnelle: Troubles alimentaires de l'enfance et psychopathologie maternelle. Devenir. 2004;16:173-98. https://doi.org/10.3917/dev.043.0173
  30. Gallant AR, Tremblay A, Perusse L, Bouchard C, Despres JP, Drapeau V. The Three-Factor Eating Questionnaire and BMI in adolescents: results from the Quebec family study. Br J Nutr. 2010;104(7):1074-9. https://doi.org/10.1017/S0007114510001662
  31. Livingstone MB, Robson PJ. Measurement of dietary intake in children. Proc Nutr Soc. 2000;59(2):279-93. https://doi.org/10.1017/S0029665100000318
  32. Carnell S, Wardle J. Measuring behavioral susceptibility to obesity: validation of the child eating behaviour Questionnaire. Appetite. 2007;48(1):104-13. https://doi.org/10.1016/j.appet.2006.07.075
  33. Braet C, van Strien T. Assessment of emotional, externally induced and retrained eating behaviour in nine to twelve-year-old obese and non-obese children. Behav Res Ther. 1997;35:863-73. https://doi.org/10.1016/S0005-7967(97)00045-4
  34. Sleddens EF, Kremers SP, Thijs C. The Children's Eating Behaviour Questionnaire: factorial validity and assciation with Body Mass Index in Dutch children aged 6-7. International Journal of Behavioral Nutrition and Physical Activity. 2008;5:49. https://doi.org/10.1186/1479-5868-5-49
  35. Viana V, Sinde S, Saxton JC. Children's Eating Behaviour Questionnaire: associations with BMI in portuguese children. Brit J Nutr. 2008;100:445-50
  36. Spence JC, Carson V, Casey L, Boule N. Examining behavioural susceptibility to obesity among Canadian pre-school children: the role of eating behaviours. Int J Pediatr Obes. 2011;6(2-2):e501-7. https://doi.org/10.3109/17477166.2010.512087
  37. Webber L, Hill C, Saxton J, van Jaarsveld CHM, Wardle J. Eating behaviour and weight in children. International Journal of Obesity. 2009;33:21-8. https://doi.org/10.1038/ijo.2008.219
  38. Croker H, Cooke L, Wardle J. Appetitive behaviours of children attending obesity treatment. Appetite. 2011;57(2):525-9. https://doi.org/10.1016/j.appet.2011.05.320
  39. Svensson V, Lundborg L, Cao Y, Nowicka P, Marcus C, Sobko T. Obesity related eating behaviour patterns in Swedish preschool children and association with age, gender, relative weight and parental weight - factorial validation of the Children's Eating Behaviour Questionnaire. Int J Behav Nutr Phys Act. 2011;8(1):134. https://doi.org/10.1186/1479-5868-8-134
  40. Carnell S, Wardle J. Appetite and adiposity in children: evidence for a behavioral susceptibility theory of obesity. Am J Clin Nutr. 2008;88(1):22-9. https://doi.org/10.1093/ajcn/88.1.22
  41. Powers SW, Chamberlin LA, van Schaick KB, Sherman SN, Whitaker RC. Maternal feeding strategies, child eating behaviors, and child BMI in low-income African-American preschoolers. Obes. 2006;14:2026-33. https://doi.org/10.1038/oby.2006.237
  42. Wudy SA, Hagemann S, Dempfle A, Ringler G, Blum WF, Berthold LD, Alzen G, Gortner L, Hebebrand J. Children with idiopathic short stature are poor eaters and have decreased Body Mass Index. Pediatrics. 2005;116:e52-7. https://doi.org/10.1542/peds.2004-1684
  43. 최현, 배선재, 이상용, 이은혜. 소아 및 청소년에서 버섯 유두 개수로 산출한 설 미뢰 밀도와 식습관의 상관성 연구. 대한한방소아과학회지. 2010;24(1):1-8.
  44. Sweetman C, Wardle J, Cooke L. Soft drinks and 'desire to drink' in preschoolers. Int J Behav Nutr Phys Act. 2008;5:60. https://doi.org/10.1186/1479-5868-5-60
  45. Cecil JE, Palmer CAN, Wrieden W, Murrie I, Bolton-Smith C, Watt P, Wallis DJ, Hetherington MM. Energy intakes of children after preloads:adjustment, not compensation. Am J Clin Nutr. 2005;82:302-8. https://doi.org/10.1093/ajcn/82.2.302
  46. De Castro JM. Genetic influences on daily intake and meal patterns of humans. Physiol Behav. 1993;53:777-82. https://doi.org/10.1016/0031-9384(93)90188-L
  47. 장규태, 食慾不振을 나타내는 小兒의 韓醫學的 治療에 관한 最近 傾向. 대한한방소아과학회지. 2002; 16(1):181-202.
  48. Vartanian LR, Schwartz MB, Brownell KD. Effects of soft drink consumption on nutrition and health: a systematic review and meta-analysis. Am J Public Health. 2007;97:667-75. https://doi.org/10.2105/AJPH.2005.083782
  49. Mrdjenovic G, Levitsky DA. Nutritional and energetic consequences of sweetened drink consumption in 6- to 13-year-old children. J Pediatr. 2003;142:604-10. https://doi.org/10.1067/mpd.2003.200
  50. Rodriguez-Artalejo F, Garcia EL, Gorgojo L, Garces C, Royo MA, Martín Moreno JM, Benavente M, Macias A, De Oya M; Investigators of the Four Provinces Study. Consumption of bakery products, sweetened soft drinks and yogurt among children aged 6-7 years: association with nutrient intake and overall diet quality. Br J Nutr. 2003;89:419-29. https://doi.org/10.1079/BJN2002787
  51. Utter J, Scragg R, Schaaf D, Fitzgerald E, Wilson N. Correlates of body mass index among a nationally representative sample of New Zealand children. Int J Pediatr Obes. 2007;2(2):104-13. https://doi.org/10.1080/17477160601127988

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