Feeding and eating disorders in childhood

Bryant‐Waugh, Rachel; Markham, Laura; Kreipe, Richard E.; Walsh, B. Timothy

doi:10.1002/eat.20795

Cited by 316 publications

(261 citation statements)

References 79 publications

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“…[5][6][7] Classifications of these disorders dating back to the 1980s tend to reflect the discipline of the authors and often lack an agreedupon nomenclature. [8][9][10][11] Those from the pediatric medical community generally focus on well-defined organic conditions, but do not emphasize a systematic approach to behavioral issues.…”

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confidence: 99%

“…Bryant-Waugh et al, 6 as well as Kreipe and Palomaki, 13 in excellent reviews explaining the most recent DSM-V classification, concluded that early childhood feeding disorders should be grouped under the umbrella term "avoidant/restrictive food intake disorder." They recognize 3 fundamental, aberrant feeding behaviors: children eating too little, eating a restricted number of foods, or displaying a fear of eating.…”

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confidence: 99%

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A Practical Approach to Classifying and Managing Feeding Difficulties

Kerzner¹,

et al. 2015

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Many young children are thought by their parents to eat poorly. Although the majority of these children are mildly affected, a small percentage have a serious feeding disorder. Nevertheless, even mildly affected children whose anxious parents adopt inappropriate feeding practices may experience consequences. Therefore, pediatricians must take all parental concerns seriously and offer appropriate guidance. This requires a workable classification of feeding problems and a systematic approach. The classification and approach we describe incorporate more recent considerations by specialists, both medical and psychological. In our model, children are categorized under the 3 principal eating behaviors that concern parents: limited appetite, selective intake, and fear of feeding. Each category includes a range from normal (misperceived) to severe (behavioral and organic). The feeding styles of caregivers (responsive, controlling, indulgent, and neglectful) are also incorporated. The objective is to allow the physician to efficiently sort out the wide variety of conditions, categorize them for therapy, and where necessary refer to specialists in the field.Parents of young children worldwide are concerned about feeding difficulties. When asked, more than 50% of mothers claim that at least 1 of their children eats poorly; this implicates ∼20% to 30% of children.

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confidence: 99%

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confidence: 99%

A Practical Approach to Classifying and Managing Feeding Difficulties

Kerzner¹,

et al. 2015

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“…11,12 It is presumed that FED are multifactorial in nature and involve interactions among biological, environmental, and behavioral factors. 11,[13][14][15][16] Some predisposing factors for FED may originate from the perinatal period. Low gestational age and birth weight have been identified as risk factors.…”

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confidence: 99%

Perinatal Risk Factors for Feeding and Eating Disorders in Children Aged 0 to 3 Years

et al. 2016

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OBJECTIVE: To describe the incidence, age at diagnosis, and associations between perinatal risk factors of feeding and eating disorders (FED) diagnosed at hospital in children aged 0 to 3 years. METHODS:A nationwide cohort of 901 227 children was followed until 48 months of age in the national registers from 1997 to 2010. Multivariable Cox proportional hazards regression was used to estimate hazard ratios (HRs) for FED diagnosis according to the International Classification of Diseases and associations with perinatal risk factors. RESULTS:A total of 1365 children (53% girls) were diagnosed with FED at hospital, corresponding to a cumulative incidence of 1.6 per 1000 live births. High risk of FED was seen in children born before gestational week 28 (HR, 3.52; 95% confidence interval [CI], 2.15-5.78). HRs were 3.74 for children small for gestational age ≤3 SD (95% CI, 2.71-5.17) and 4.71 in those with congenital malformations (95% CI, 3.86-5.74). Increased risk of FED was associated with female gender (HR, 1.2; 95% CI, 1.08-1.34), maternal smoking in pregnancy (HR, 1.24; 95% CI, 1.08-1.42), immigrant status (HR, 2.24; 95% CI, 1.92-2.61), and being the firstborn (HR, 1.33; 95% CI, 1.19-1.50).CONCLUSIONS: FED in referred children aged 0 to 3 years are associated with perinatal adversities, female gender, maternal smoking in pregnancy, being firstborn, and having immigrant parents. The results suggest complex causal mechanisms of FED and underscore the need for a multidisciplinary approach in the clinical management of young children with persistent problems of feeding, eating, and weight faltering.

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“…The reliability and validity of the CFNS is good in normative samples (Cooke et al, 2004;Drewenowski, 1997;Koivisto & Sjoden, 1996;Russell & Worsley, 2008) and it has been used extensively within the child feeding literature. The term and the measure have been listed as a characteristic of ARFID under the sensory aspects of food avoidance (Bryant-Waugh et al, 2010;Chatoor & Ganiban, 2003). To date, no clinical cut off scores have been offered for this psychometric measure and the current paper offered an analysis of the measures ability to assess clinical samples using this measure.…”

Section: Child Food Neophobia Scalementioning

confidence: 99%

“…These are: a lack of dietary variety (Cooke et al, 2006;Falciglia et al, 2000); sensory sensitivity or defensiveness specific to food (Coulthard & Blissett, 2009;Farrow & Coulthard, 2012;Nederkoorn et al, 2015;Smith et al, 2005); and problematic behaviour during mealtimes (e.g. spitting out food, hand batting food away, packing) Lewinshon et al, 2005 (Dovey & Martin., 2012b) and food avoidance behaviour (Piazza et al, 2003) have also been attributed to ARFID in children (Bryant-Waugh et al, 2010;Dovey et al, 2009;Field et al, 2003;Kreipe & Palomaki, 2012) and appear as important characteristics under the development and course subsection of the Diagnostic and Statistical Manual version 5 (DSM-V) for ARFID.…”

Section: Introductionmentioning

confidence: 99%

Screening Avoidant/Restrictive Food Intake Disorder (ARFID) in children: Outcomes from utilitarian versus specialist psychometrics

Dovey

Aldridge²,

Martin³

et al. 2016

Eating Behaviors

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This study assessed the specificity and sensitivity of two commonly used psychometric methods to assess ARFID in children. To achieve this, a sample of 329 mothers and one father completed the Behavioral Pediatrics Feeding Assessment Scale (BPFAS) and the Child Food Neophobia Scale (CFNS). A Receiver Operating Characteristic (ROC) analysis indicated that both measures were able to successfully differentiate a known clinical sample from those of typically developing population. Although the BPFAS was more accurate at differentiating ARFID from the general population, the CFNS was acceptable and on some metrics better than its longer counterpart. The ability of a food neophobia scale to differentiate clinical and population samples, and detect gradation of food avoidance within the population sample, suggests that the multitude of psychometric measures available may be measuring similar constructs. Therefore, confidence can be expected in cross-site comparisons despite each using different psychometric measures of food avoidance in children.

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Feeding and eating disorders in childhood

Cited by 316 publications

References 79 publications

A Practical Approach to Classifying and Managing Feeding Difficulties

A Practical Approach to Classifying and Managing Feeding Difficulties

Perinatal Risk Factors for Feeding and Eating Disorders in Children Aged 0 to 3 Years

Screening Avoidant/Restrictive Food Intake Disorder (ARFID) in children: Outcomes from utilitarian versus specialist psychometrics

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