Eating problems in very low birthweight children are highest during the first year and independent risk factors include duration of invasive ventilation

Zehetgruber, Nadine; Boedeker, Rolf-Hasso; Kurth, Regina A.; Faas, Dirk; Zimmer, Klaus–Peter; Heckmann, Matthias

doi:10.1111/apa.12730

Cited by 14 publications

(42 citation statements)

References 29 publications

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“…A prevalence range of 25-35% for OPD in preterm and LBW neonates has been reported in some studies. 50,57 The prevalence of OPD of 29.2% in this study concurs with previous research on this population.…”

Section: Validity and Reliability Of The Nfas In Comparison To Mbsssupporting

confidence: 91%

Reliability and validity of the neonatal feeding assessment scale (NFAS) for the early identification of dysphagia in moderate to late preterm neonates

Viviers¹,

Kritzinger²,

Graham³

2019

Afr H. Sci.

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Background: A clinical feeding assessment instrument to assist with early identification of oropharyngeal dysphagia (OPD) in neonates was developed.Objective: To investigate the validity and reliability of the Neonatal Feeding Assessment Scale (NFAS) in comparison to the modified barium swallow study (MBSS) as gold standard.Method: A within-subject design was implemented. A group of 48 late premature neonates (mean gestational age 35.5 weeks) were sampled in the neonatal intensive care unit.Results: The NFAS consists of six subsections, including physiological stability, infant state, stress cues, screening of muscle tone and control, oral peripheral examination and feeding/swallowing assessment. 93% of participants (14/15) received confirmatory diagnosis of OPD on MBSS. The NFAS presented with high sensitivity (78.6%) and specificity (88.2%) scores. The positive predictive value was 78.6%. Subsequently the accuracy of the NFAS to identify the presence of OPD accurately was 85.4% when compared to MBSS. Inter-rater reliability was determined on 35% of the sample. The inter-rater agreement on overall instrument outcome was substantial beyond chance.Conclusion: The NFAS may be of use to clinicians to support the early identification of OPD in this population, especially in resource constrained settings working without access to MBSS and to reach under served neonates.Keywords: Inter-rater reliability, modified barium swallow study, Neonatal Feeding Assessment Scale (NFAS), oropharyngeal dysphagia diagnosis, validity.

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Section: Validity and Reliability Of The Nfas In Comparison To Mbsssupporting

confidence: 91%

Reliability and validity of the neonatal feeding assessment scale (NFAS) for the early identification of dysphagia in moderate to late preterm neonates

Viviers¹,

Kritzinger²,

Graham³

2019

Afr H. Sci.

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“…In addition to programming appetite, early inadequate nutrition and growth can affect childhood dietary habits by influencing parental beliefs and feeding practices [10]. In addition, it may cause problems in feeding, such as swallowing, vomiting, refusal to eat, or neophobia [11,12], and eating disorders such as anorexia and bulimia nervosa [13].…”

Section: Introductionmentioning

confidence: 99%

Weight following birth and childhood dietary intake: A prospective cohort study

et al. 2017

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“…Six studies assessed cardiorespiratory status, defined by duration of mechanical ventilation (in days), as a potential risk factor for developing long-term feeding problems. Burklow et al2 and Zehetgruber et al1 found a significant positive correlation between longer duration on mechanical ventilation (in days) and increased risk in developing long-term feeding problems (all tests, P < .04). However, the remaining studies did not observe such a significantly positive correlation 3,16,24,26.…”

Section: Resultsmentioning

confidence: 86%

Risk Factors Associated With Long-term Feeding Problems in Preterm Infants

Fucile

Samdup

Sinclair

2021

Advances in Neonatal Care

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Background: Infants who are born preterm are at a high risk of encountering feeding problems. Purpose: The aim of this scoping review is to identify risk factors associated with feeding problems that persist beyond infancy in children (aged 1-6 years) who were born preterm (<37 weeks' gestation). Methods: To perform this scoping review, the Preferred Reporting Items for Systematic Reviews and Meta-Analyses framework was applied. To be included in this study, articles had to be published in peer-reviewed journals, had an empirical study design, examined feeding problems relating to the child's feeding ability or refusal to eat certain texture of foods, and assessed risk factors (age, weight, and medical conditions) associated with long-term feeding problems in children who were born preterm. Results: After abstract and full-text screening, a total of 9 articles meeting the inclusion criteria were included in this study. Findings from this study identified that gestational age and birth weight are significant risk factors and that sex, duration of mechanical ventilation, and length of tube feedings are potential risk factors. Implications for Practice: This study confirms that younger and smaller infants are at a high risk of encountering oral feeding difficulties and early interventions services should be focused on these preterm infants. Implications for Research: Evaluation of timing and intensity (dose) of early interventions strategies should be investigated to provide more targeted and effective interventions for younger and smaller preterm infants.

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Eating problems in very low birthweight children are highest during the first year and independent risk factors include duration of invasive ventilation

Cited by 14 publications

References 29 publications

Reliability and validity of the neonatal feeding assessment scale (NFAS) for the early identification of dysphagia in moderate to late preterm neonates

Reliability and validity of the neonatal feeding assessment scale (NFAS) for the early identification of dysphagia in moderate to late preterm neonates

Weight following birth and childhood dietary intake: A prospective cohort study

Risk Factors Associated With Long-term Feeding Problems in Preterm Infants

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