Systematic Review: Mealtime Behavior Measures Used in Pediatric Chronic Illness Populations

Poppert, Katrina M.; Patton, Susana R.; Borner, Kelsey B.; Davis, Ann M.; Gillette, Meredith L. Dreyer

doi:10.1093/jpepsy/jsu117

Cited by 16 publications

(15 citation statements)

References 79 publications

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“…First, we did not investigate eating habits and food presentation within families. This could be particularly relevant for studies evaluating eating preferences in children with ASD and can be registered with specific mealtime behavior questionnaires [77]. Moreover, our methodology for defining dietary intake was based on a parent version of a modified FFQ.…”

Section: Discussionmentioning

confidence: 99%

Dietary Patterns and Weight Status in Italian Preschoolers with Autism Spectrum Disorder and Typically Developing Children

et al. 2021

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Atypical eating habits are more common in children with autism spectrum disorders (ASD) than typically developing (TD) peers. Feeding problems may lead to the double burden of specific nutrient deficiencies and excessive weight gain, with a consequent increase in obesity prevalence. The dietary intake of Italian preschoolers with ASD compared to their TD peers and the impact of their dietary choices on their weight status and relationship to food selectivity (FS) were investigated. Dietary patterns and their associations with body mass index (BMI) were evaluated in 65 children with ASD and 82 peers with TD aged 1.3–6.4 years. Eating habits were assessed with a modified version of a parent-rated semi-quantitative Food Frequency Questionnaire. Moreover, the prevalence of FS and possible links with dietary patterns and BMI were investigated in the ASD group. Children with ASD consumed significantly higher amounts of simple sugars, processed and ultra-processed carbohydrates, both low- and high-fat animal proteins, and lower amounts of vegetables and fruits compared to peers with TD. The obesity rate was 1.5% in children with TD and more than fourfold (6.2%) in children with ASD, although the difference between groups was not statistically significant. FS was significantly more frequent in children with ASD than in peers with TD. Children with ASD and FS showed significantly lower annual intakes of vegetable proteins and fiber (considered essential nutrients for a healthy diet) than children with ASD without FS. Our results showed that children with ASD showed different dietary habits than those with TD, with the higher consumption of energy-dense foods and lower amounts of food-sourced fibers, which could place them at increased risk to develop overweight, obesity, and micronutrient deficiencies later in life.

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Section: Discussionmentioning

confidence: 99%

Dietary Patterns and Weight Status in Italian Preschoolers with Autism Spectrum Disorder and Typically Developing Children

et al. 2021

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“…Specifically, we were interested in coding specific strategies and behaviours, whereas the MICS examines overall family functioning more broadly. Conversely, the DINE does provide a scheme for coding specific behaviours but does not specify between preferred and non-preferred foods and lacks codes for child food exploration (Poppert et al, 2015). Because targeted food acceptance and the ability to interact with and explore novel food are central to the clinical treatment of SFA, it was crucial that we used a system that reliably coded these behaviours.…”

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confidence: 99%

Mealtime behaviours of young children with sensory food aversions: An observational study

Caldwell

Krause

2021

Aus Occup Therapy J

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Proper nutritional intake is imperative for successful development in early childhood (Samuel et al., 2018); however, many children are not consuming well-rounded diets due to selective eating (Carruth et al., 2004). Selective, or picky, eating has been defined in a variety of ways but includes an element of low dietary variety (Dovey et al., 2008). Among children, dietary selectivity is often based on the sensory characteristics of food, such as texture, smell or temperature. Approximately 50% of children demonstrate caregiverreported selective eating behaviours by the age of two, many of whom (58%) will outgrow this behaviour pattern (Carruth et al., 2004;Mascola et al., 2010). However, young children (0-8 years) who demonstrate sensory food aversions (SFA) avoid food based on sensory characteristics (e.g., colour,

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“…Confirmatory factor analyses show scale consistency ranging from (.78 -.87). Poppert and colleagues rate the AYCE as a well-established measure (Poppert et al, 2015).…”

Section: Methodsmentioning

confidence: 99%

Caregiver Impressions of Clinical Effectiveness of an Intensive Behavioral Feeding Program

Begotka¹,

Long²,

Goday³

et al. 2018

Clinical Practice in Pediatric Psychology

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Intensive outpatient behavioral feeding programs are frequently used in the treatment of severe feeding disorders to decrease negative mealtime behaviors of affected children and improve caregiver-child mealtime interactions. Yet, there are few descriptions of these clinical practices and their clinical effectiveness. The purpose of this study is to describe an intensive outpatient feeding treatment protocol and to evaluate the clinical outcomes of the program. This study utilizes prepost treatment design studying patients completing a 5-day intensive outpatient parent training protocol. This study utilized caregiver completed measures including the Mealtime Behavior Questionnaire; the About Your Child's Eating Questionnaire; the Feeding Strategies Questionnaire; and the Parenting Stress Index-Short Form. Findings showed pre-to-post improvements of interactions between caregivers and children within a mealtime context, decreased problematic mealtime behaviors, and improved caregiver use of effective mealtime strategies. Decreases in caregiver distress and caregiver perceptions of their child as "difficult" were also found. These findings support the use of intensive outpatient treatment programs to help caregivers learn to use effective strategies that facilitate appropriate interactions between themselves and their children within a feeding context. Implications for Impact StatementThis study describes a brief intensive outpatient treatment program for feeding disorders of childhood. Based on caregiver impressions, this intervention improved mealtime interactions, child mealtime behaviors, caregiver use of effective mealtime strategies, while decreasing caregiver stress.

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Systematic Review: Mealtime Behavior Measures Used in Pediatric Chronic Illness Populations

Cited by 16 publications

References 79 publications

Dietary Patterns and Weight Status in Italian Preschoolers with Autism Spectrum Disorder and Typically Developing Children

Dietary Patterns and Weight Status in Italian Preschoolers with Autism Spectrum Disorder and Typically Developing Children

Mealtime behaviours of young children with sensory food aversions: An observational study

Caregiver Impressions of Clinical Effectiveness of an Intensive Behavioral Feeding Program

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