Prevalence of feeding problems and oral motor dysfunction in children with cerebral palsy: A community survey

Reilly, Sheena; Skuse, David; Pobleté, Ximena

doi:10.1016/s0022-3476(96)70032-x

Cited by 374 publications

(316 citation statements)

References 25 publications

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“…The association between neurological disorders such as cerebral palsy and feeding problems is a well-known phenomenon. 4 Neurological abnormalities such as muscular hypotonia are frequent in children with congenital heart disease and are often diagnosed before cardiac surgery. 22 Among those neurobehavioural abnormalities was also an absent suck or poor feeding efficiency.…”

Section: Discussionmentioning

confidence: 99%

“…3 Disorders of the central nervous system can also contribute to the development of feeding problems. 4 The child's environment is defined by the parents' behaviour and the family's cultural and social background. Any imbalance between parental expectations and the child's feeding progress could cause an interaction problem, generating feeding disorders, such as food refusal, avoidance or aversion, on the part of the child.…”

Section: A Feeding Disorder In Infancy and Childhoodmentioning

confidence: 99%

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Prevalence and predictors of later feeding disorders in children who underwent neonatal cardiac surgery for congenital heart disease

et al. 2011

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Aim: We thought of assessing the prevalence and predictors of feeding disorders in patients with congenital heart defects after neonatal cardiac surgery. Methods: Retrospective study of 82 consecutive neonates (48 males, 34 females) who underwent surgery for congenital heart defects from 1999 to 2002. Information was taken from patient charts and nursing notes. The presence of a feeding disorder was assessed by a questionnaire sent to the paediatricians when the child was 2 years of age. A feeding disorder was defined as a need for tube feeding, inadequate food intake for age, or failure to thrive. Data were analysed with descriptive statistics and logistic regression. Results: Feeding disorders occurred in 22% of the study population. Reoperation and early feeding disorders were identified as independent risk factors for later feeding disorders (odds ratio 5.8, p 0.01; odds ratio 20.7, p 0.02). There was a trend towards more feeding disorders in patients with neurological abnormalities during the first hospital stay. Conclusion: Feeding disorder is a frequent, long-term sequela after neonatal cardiac surgery. Patients with congenital heart defects who undergo multiple cardiac surgeries and those with early feeding disorders are at risk of developing later feeding disorders. Patients with these risk factors need to be selected for preventive strategies. is a complex condition involving different symptoms, such as food refusal and faddiness, and leading to a decreased food intake. 1 It often results from abnormal feeding development. A child's feeding development is determined by its constitution, the environment, and the child's learning process. 2 Pathology in one or more of these components can lead to a feeding disorder. Factors of constitutional origin can be organic diseases, such as the malformation of organs directly related to food intake or transport, or diseases of other organ systems that disturb the child's feeding and digestion process by impacting on its general health. 3 Disorders of the central nervous system can also contribute to the development of feeding problems. 4 The child's environment is defined by the parents' behaviour and the family's cultural and social background. Any imbalance between parental expectations and the child's feeding progress could cause an interaction problem, generating feeding disorders, such as food refusal, avoidance or aversion, on the part of the child. Parents with psychological disorders, or uncertainty regarding feeding style in families from other cultures, and also poverty and poor education can be contributory factors to feeding disorders. In most patients with feeding disorders, it is typically a combination of different factors that gives rise to the disorder. [5][6][7][8][9][10][11] Although some children start with a purely organic problem, that is, constitutional, many

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Section: Discussionmentioning

confidence: 99%

Section: A Feeding Disorder In Infancy and Childhoodmentioning

confidence: 99%

Prevalence and predictors of later feeding disorders in children who underwent neonatal cardiac surgery for congenital heart disease

et al. 2011

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“…1 Dysphagia, although often under-recognized in this population of children 2 is common, with reported prevalences ranging from about one-fifth of children with CP of any degree, 3 to 99% in children with severe CP and intellectual disability. 4 Pulmonary aspiration is also common (where food or fluid enters the airway).…”

Section: Introductionmentioning

confidence: 99%

Psychosocial aspects of feeding children with neurodisability

Craig

2013

Eur J Clin Nutr

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The psychosocial support needs of parents considering a gastrostomy feeding tube for their disabled child are often overlooked, yet there is a growing body of evidence that attests to the decisional conflicts parents, often mothers, experience. This may be in addition to the stress associated with feeding a disabled child. The support needs of families and caregivers should be assessed, including the values parents attach to oral and tube feeding. Structured support should be embedded within the care pathway and both professionals, and service users, with appropriate training should be identified to ensure parental information needs, and any emotional, practical and financial issues are addressed.

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“…The prevalence and consequences of feeding difficulties in individuals with cerebral palsy therefore should not be underestimated. Reilly et al 3 showed feeding difficulties in up to 85% of children with spastic quadriplegia, and the North American Growth and Cerebral Palsy Project showed that two-thirds of such children were stunted and 44% had low fat stores. These growth deficits were found to correlate with the severity of cerebral palsy.…”

mentioning

confidence: 99%

Nutrition and growth in children with cerebral palsy: setting the scene

Sullivan

2013

Eur J Clin Nutr

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Prevalence of feeding problems and oral motor dysfunction in children with cerebral palsy: A community survey

Cited by 374 publications

References 25 publications

Prevalence and predictors of later feeding disorders in children who underwent neonatal cardiac surgery for congenital heart disease

Prevalence and predictors of later feeding disorders in children who underwent neonatal cardiac surgery for congenital heart disease

Psychosocial aspects of feeding children with neurodisability

Nutrition and growth in children with cerebral palsy: setting the scene

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