Parent‐report instruments for assessing feeding difficulties in children with neurological impairments: a systematic review

Jaafar, Nurul Hazirah; Othman, Azizah; Majid, Noorizan Abd; Harith, Sakinah; Zabidi-Hussin, Z A M H

doi:10.1111/dmcn.13986

Cited by 20 publications

(12 citation statements)

References 28 publications

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“…The MCH-FS contains 14 items based on the biopsychosocial model, covering the following domains: parental concerns about feeding and children's growth; strategies (use of distractions or force); children's oral motor and sensory (gagging/spitting or vomiting, holding of food in the mouth, chewing/sucking); appetite, mealtime duration, and behaviors (acting up/making a big fuss); and family relationships influenced by feeding ( 4 , 16 ). The Chinese version of the MCH-FS was used in this study to identify children's feeding problems.…”

Section: Methodsmentioning

confidence: 99%

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Feeding Difficulty Among Chinese Toddlers Aged 1–3 Years and Its Association With Health and Development

et al. 2021

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Feeding problems are biopsychosocial in nature and have a great influence on children's growth. The aim of this study was to profile the status and possible influencing factors of feeding difficulty among normal Chinese toddlers, and to investigate its association with health and development. This study is a part of the Young Investigation (YI study) conducted in 10 cities in China. Data from 924 children aged 1–3 years were analyzed. Data on socio-demographic factors, feeding behaviors, self-reported diseases, and anthropometry parameters were collected. Blood samples were drawn to determine hemoglobin levels. Feeding difficulty was evaluated by the Montreal Children's Hospital Feeding Scale (MCH-FS). Ages and Stages Questionnaires, Third Edition (ASQ-3) were used to assess developmental progress. Multivariable analyses were performed to explore the potential associations. The mean total score of the MCH-FS was 35.21 ± 12.90 and the highest scored item was “acting up/making a big fuss during mealtimes.” Feeding difficulty occurred more often among children with picky eating behavior or whose caregivers once used the strategy of pre-mastication. Children with feeding difficulty had lower intakes of cereals, vegetables, and fruits, and were more likely to suffer from diarrhea (OR, 2.04; 95%CI: 1.32, 3.11) or constipation (OR, 2.04; 95%CI: 1.27, 3.24), but not anemia. Feeding difficulty was also negatively associated with weight, height, head circumference and mid-upper-arm circumference-related Z-scores (P all < 0.05). In addition, it was related to poorer fine motor skills, personal and social skills, and total scores of ASQ-3 (β, −9.00; 95%CI: −15.11, −2.89). Feeding difficulty assessed by MCH-FS showed a negative association with children's health and development, supporting the need for early identification.

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Section: Methodsmentioning

confidence: 99%

“…This stool is suitable for children of a wide range of ages, from 6 months to 6 years old and is primarily based on parent report, which can offer a "holistic" perspective efficiently (3). Further, it has been confirmed to have excellent construct validity and reliability (4,(16)(17)(18)(19)(20)(21).…”

Section: Introductionmentioning

confidence: 92%

Feeding Difficulty Among Chinese Toddlers Aged 1–3 Years and Its Association With Health and Development

et al. 2021

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“…Four domains underlie feeding di culties in childhood: medical, nutritional, feeding skills, and psychosocial aspects, and the damage in any one of them can lead to dysfunction [25].…”

Section: Culties and Related In Uencing Factorsmentioning

confidence: 99%

Systematic Review of Barriers and Facilitators to Complementary Feeding in Preterm Infants

Liu

Zeng

et al. 2022

Preprint

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Background: It has been reported that preterm infants may experience feeding difficulties in complementary food introduction. There is a lack of a comprehensive summary of the current evidence of the difficulties in complementary food introduction of preterm infants and how to intervene or solve these difficulties. So the purpose of this review is to systematically analyze the difficulties and solutions in the existing literature on it. Methods: A literature search was conducted in PubMed, Web of Science, Cochrane library and Scopus databases for the studies about complementary feeding in preterm infants. The time range of the search was from January 2012 to December 2021. Included studies were summarized and organized into two perspectives: (1) the difficulties of complementary feeding in preterm infants; (2) related factors influencing feeding difficulties and possible interventions. Results: A total of 6 articles were included in the systematic review ultimately. Three studies were cross-sectional study and the other three were longitudinal study. The current evidence demonstrated that feeding problems such as vomiting, gagging, food refusal, and chewing and swallowing difficulty might occur in complementary foods introduction in preterm infants. And preterm infants were more likely to experience these difficulties than full-term infants. Possible causes of these feeding difficulties include endotracheal intubation, gastric tube feeding, formula feeding, neonatal surgery, parenteral nutrition, etc. However, the available literatures do not provide specific intervention methods or guidelines to facilitate the complementary feeding in preterm infants. Conclusions: More experiments are needed to explore appropriate interventions to solve the problems and facilitate complementary feeding in preterm infants during infancy, and promote catch-up growth and develop good eating habits for preterm infants.

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“…Swallowing disorders in children have a significant impact on health, cognitive development [9], and quality of life of the entire family [10,11]. Due to these burdening consequences, the use of well-evaluated diagnostic instruments and clear criteria for early detection is mandatory to establish early and appropriate therapy [12][13][14].…”

Section: Introductionmentioning

confidence: 99%

Pediatric Flexible Endoscopic Evaluation of Swallowing: Critical Analysis of Implementation and Future Perspectives

et al. 2021

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This study aimed to critically review pediatric swallowing assessment data to determine the future need for standardized procedures. A retrospective analysis of 152 swallowing examinations in 128 children aged 21 days to 18 years was performed. The children were presented at a university dysphagia center between January 2015 and June 2020 for flexible-endoscopic evaluation of swallowing (FEES). Descriptive analysis was conducted for the sample, swallowing pathologies, diagnosis, and missing values. Using binary logistic regression, the relationship between dysphagia and underlying diseases was investigated. The largest group with a common diagnosis in the cohort were children with genetic syndromes (n = 43). Sixty-nine children were diagnosed with dysphagia and 59 without dysphagia. The non-dysphagic group included 15 patients with a behavioral feeding disorder. The presence of an underlying disease significantly increased the chance of a swallowing problem (OR 13.08, 95% CI 3.66 to 46.65, p = .00). In particular, the categories genetic syndrome (OR 2.60, 95% CI 1.15 to 5.88) and neurologic disorder (OR 4.23, 95% CI 1.31 to 13.69) were associated with higher odds for dysphagia. All pediatric FEES were performed without complications, with a completion rate of 96.7%, and with a broad variability of implementation. Several charts lacked information concerning swallowing pathologies, though. Generally, a more standardized protocol and documentation for pediatric FEES is needed to enable better comparability of studies on epidemiology, assessment, and treatment outcomes in future.

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Parent‐report instruments for assessing feeding difficulties in children with neurological impairments: a systematic review

Cited by 20 publications

References 28 publications

Feeding Difficulty Among Chinese Toddlers Aged 1–3 Years and Its Association With Health and Development

Feeding Difficulty Among Chinese Toddlers Aged 1–3 Years and Its Association With Health and Development

Systematic Review of Barriers and Facilitators to Complementary Feeding in Preterm Infants

Pediatric Flexible Endoscopic Evaluation of Swallowing: Critical Analysis of Implementation and Future Perspectives

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