Pediatric Feeding Disorder

Goday, Praveen S.; Huh, Susanna Y.; Silverman, Alan H.; Lukens, Colleen Taylor; Dodrill, Pamela; Cohen, Sherri; Delaney, Amy L.; Feuling, Mary Beth; Noel, Richard J.; Gisel, Erika G.; Kenzer, Amy L.; Kessler, Daniel B.; Camargo, Olaf Kraus de; Browne, Joy V.; Phalen, James A.

doi:10.1097/mpg.0000000000002188

Cited by 349 publications

(235 citation statements)

References 57 publications

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“…With these recommendations in mind, it is also important to emphasize that ARFID is widely recognized as a heterogeneous condition capturing a range of clinical presentations. This heterogeneity is likely one contributing factor to the rather tepid response to ARFID from the feeding disorders community, highlighted by calls for the recognition of pediatric feeding disorders as a unique disability (see Goday et al, 2018). It may also explain the aforementioned lack of research attention from the feeding disorder community.…”

Section: Including Specific Guidance On How Various Subtypes Correspondmentioning

confidence: 99%

Avoidant/restrictive food intake disorder: A diagnosis at the intersection of feeding and eating disorders necessitating subtype differentiation

Sharp

Stubbs

2019

Intl J Eating Disorders

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Avoidant/restrictive food intake disorder (ARFID) is a diagnosis that sits squarely at the cross roads of feeding disorders and eating disorders. It is historically tied to feeding disorders as a replacement of the DSM‐IV diagnosis of feeding disorder of infancy or early childhood. The revision process, however, extended the diagnostic umbrella by removing its predecessor's weight loss requirement and age of onset restriction (i.e., 6 years). Implications of this extension include capturing an older cohort of patients with ARFID accessing care at eating disorders clinics, as well as providing a diagnostic home to previously orphaned pediatric subgroups with feeding disorders that lacked a diagnostic home prior to DSM‐5. While recognizing notable strengths of this now 5‐year‐old diagnostic entity, ARFID is largely recognized as a very heterogeneous condition that lacks specificity to best guide clinical and research activities. The current commentary discusses the implications of ARFID as a replacement and extension of the DSM‐IV diagnosis of feeding disorder of infancy or early childhood and provides the rationale and guidance for developing a subtype taxonomy.

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Section: Including Specific Guidance On How Various Subtypes Correspondmentioning

confidence: 99%

Avoidant/restrictive food intake disorder: A diagnosis at the intersection of feeding and eating disorders necessitating subtype differentiation

Sharp

Stubbs

2019

Intl J Eating Disorders

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“…Problematic feeding occurs in approximately 42% of children under 4 years of age who were born prematurely (< 37 weeks’ gestation). To date, the study of problematic feeding in children has been limited by a lack of definition of the problem [ 12 ] and lack of valid and reliable measures. In 2019, Goday and colleagues proposed a consensus definition of Pediatric Feeding Disorder - impaired oral intake that is not age-appropriate, and is associated with medical, nutritional, feeding skill, and/or psychosocial dysfunction [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

“…To date, the study of problematic feeding in children has been limited by a lack of definition of the problem [ 12 ] and lack of valid and reliable measures. In 2019, Goday and colleagues proposed a consensus definition of Pediatric Feeding Disorder - impaired oral intake that is not age-appropriate, and is associated with medical, nutritional, feeding skill, and/or psychosocial dysfunction [ 12 ]. This improved definition of the problem, along with newly-developed, psychometrically-sound measures of feeding [ 7 – 11 , 52 – 59 ] can be used to improve upon the research and care of problematic feeding in children born preterm and with other medical conditions.…”

Section: Discussionmentioning

confidence: 99%

“…Studies that compared feeding in infants born prematurely to those born full-term, but did not report a prevalence of problematic feeding within the premature sample, were also excluded. Until recently, there has been no accepted definition of problematic feeding [ 12 ]. For the purposes of this study, problematic feeding was broadly defined as any type of problematic oral feeding, such as dysphagia, aspiration, problematic feeding behaviors, feeding refusal, or delayed eating skills.…”

Section: Methodsmentioning

confidence: 99%

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Prevalence of problematic feeding in young children born prematurely: a meta-analysis

et al. 2021

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Background Difficulties related to eating are often reported in children born preterm. The objective of this study was to quantitatively synthesize available data on the prevalence of problematic feeding in children under 4 years of age who were born preterm. Methods Literature was identified from PubMed, CINAHL, and PsycInfo. The search was limited to English language and publication years 2000–2020. To be included in the meta-analysis, the article had to report the prevalence of problematic oral feeding within a population of children born prematurely (< 37 weeks’ gestation), and the child age at the time of study had to be between full-term corrected age and 48 months. For studies meeting inclusion criteria, the following data were extracted: sample size and subsamples by gestational age and/or child age at time of study; definition of problematic feeding; measures used for assessment of feeding; gestational age at time of birth of sample; child age at time of study; exclusion criteria for the study; and prevalence of problematic feeding. Random-effects meta-analyses were performed to estimate the prevalence of problematic feeding across all studies, by gestational age at birth, and by child age at time of study. Results There were 22 studies that met inclusion criteria. Overall prevalence of problematic feeding (N = 4381) was 42% (95% CI 33–51%). Prevalence was neither significantly different across categories of gestational age nor by child age at the time of study. Few studies used psychometrically-sound assessments of feeding. Conclusion Problematic feeding is highly prevalent in prematurely-born children in the first 4 years of life regardless of degree of prematurity. Healthcare providers of children born preterm should consider screening for problematic feeding throughout early childhood as a potential complication of preterm birth. Systematic review registration number Not applicable.

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“…Desde esta perspectiva, un estudio reciente propone el término "trastorno alimentario pediátrico", utilizando la estructura de la Clasificación Internacional de Funcionalidad, Discapacidad y Salud de la Organización Mundial de la Salud. En esta propuesta, el trastorno se define como el deterioro de la ingesta oral que no es propio de la edad y que está asociado con una disfunción médica, nutricional, de capacidad de alimentación y/o psicosocial (Goday et al, 2019). Kerzner et al (2015) presentan un estudio de referencia para la categorización de los trastornos alimentarios, destacando la necesidad de una observación clínica exhaustiva para la identificación de estas dificultades, que implica el reconocimiento de aspectos orgánicos y de comportamiento.…”

Section: Dificultad Alimentariaunclassified

Feeding difficulties in children with Down syndrome

Vasconcelos

Coêlho

Máximo

et al. 2021

IJMSS

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Feeding is a complex act that requires integration between the central and peripheral nervous systems, gastrointestinal and cardiopulmonary process, velopharyngeal mechanism, craniofacial and musculoskeletal structures. To become a pleasurable act for the child, it will depend on the sensory experiences lived or learned in the first months of life and the interaction with the environment and its caregivers. therefore, exclusive breastfeeding in the first six months and supplementation until the baby’s two years is extremely important to the child can go through periods of dietary changes without trauma and stress. Any interference in this process can generate impairment in the introduction and development of feeding, creating feeding difficulty. This is defined as any problem that can negatively influence how parents and caregivers provide food for the child, and its probable consequences are changes in the overall development, oral motor and psychosocial development, depending on the severity of the case. The speech therapist can intervene through broad and integrative approaches, aiming a safer and more effective diet, through the stimulation of the oral motor sensory system, improving chewing and promoting greater coordination between the suction, breathing and swallowing functions. Children with Down Syndrome, for having a specific genetic condition, have some clinical characteristics such as tongue protrusion, swallowing disorders, decreased muscle tone, gastroesophageal reflux, food intolerance, intestinal malabsorption, ogival palate, impaired motor coordination and other factors that can cause a delay in the development of the stomatognathic system, facilitating the appearance of feeding difficulties. Knowing that nutrition is an important factor for the healthy development of the child, the aim of this study is to present the data available in the literature about feeding difficulties in children with Down Syndrome.

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Pediatric Feeding Disorder

Cited by 349 publications

References 57 publications

Avoidant/restrictive food intake disorder: A diagnosis at the intersection of feeding and eating disorders necessitating subtype differentiation

Avoidant/restrictive food intake disorder: A diagnosis at the intersection of feeding and eating disorders necessitating subtype differentiation

Prevalence of problematic feeding in young children born prematurely: a meta-analysis

Feeding difficulties in children with Down syndrome

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