Pediatric feeding disorders with severe nutritional impact

Trastornos alimentarios pediátricos con impacto nutricional severo A comprehensive and interdisciplinary approach

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Mónica Saldaneri
Carola Saure
Graciela Filomena
Guillermina Soraiz
Regina Esmoris
Sandra Massa
Dalma J. González Moreira
Abstract

Pediatric feeding disorders (PFD) have a significant prevalence in typical development children and increase drastically when there are comorbilities health conditions. PFD are one of the most frequent concerns in pediatric consultant. The lack of accured detection can negatively impact the comprehensive health of children.


The objective of this article is to describe the approach that was carried out in children and adolescents who presented pediatric feeding disorders with severe nutritional impact in the context of the "Interdisciplinary Swallowing and feeding team" that operates in a public hospital in the City from Buenos Aires, Argentina.


A descriptive and retrospective study was carried out. 16 families were included in the final sample. The children included an age range of 2 to 13 years. The most prevalent reasons for hospitalization were functional impotence of the lower limbs and visual alterations. 93.75% of the population presented challenges in their development. The average age of onset of feeding difficulties was between 12 and 18 months of age. 56.25% had previously consulted with a health professional. 56.25% did not have adequate therapeutic support. 100% had difficulties in forming routines.


Pediatric Feeding Disorders (PFD) constitute a strong challenge for the health team, so awareness and training on this topic is essential. Early detection, timely interventions, and a family-centered approach are essential to avoid severe complications and promote a pleasant mealtime for all.

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Author Biographies / See

Mónica Saldaneri, Hospital de pediatría "Prof. Dr. Juan P. Garrahan", Buenos Aires, Argentina.

Licenciada en Terapia Ocupacional. Becaria de perfeccionamiento en terapia ocupacional pediátrica en el Hospital de pediatría "Prof. Dr. Juan P. Garrahan", Buenos Aires, Argentina. 

Carola Saure, Hospital de pediatría "Prof. Dr. Juan P. Garrahan", Buenos Aires, Argentina

Médica pediatra y neonatóloga, especialista en Nutrición.Médica pediatra y neonatóloga, especialista en Nutrición en el Hospital de pediatría "Prof. Dr. Juan P. Garrahan", Buenos Aires, Argentina

Graciela Filomena, Hospital de pediatría "Prof. Dr. Juan P. Garrahan"

Licenciada en Terapia Ocupacional. Profesional de planta. Licenciada en Terapia Ocupacional en el Hospital de pediatría "Prof. Dr. Juan P. Garrahan"

Guillermina Soraiz, Hospital de pediatría "Prof. Dr. Juan P. Garrahan" Buenos Aires, Argentina

Médica pediatra. Jefa del consultorio de condiciones crónicas complejas, en el Hospital de pediatría "Prof. Dr. Juan P. Garrahan"

Regina Esmoris, al de pediatría "Prof. Dr. Juan P. Garrahan", Buenos Aires, Argentina

Licenciada en Psicología.Profesional de planta en el Hospital de pediatría "Prof. Dr. Juan P. Garrahan", Buenos Aires, Argentina

Sandra Massa, Hospital de pediatría "Prof. Dr. Juan P. Garrahan", Buenos Aires, Argentina

Licenciada en kinesiología y fisiatría. Profesional de planta. Licenciada en kinesiología y fisiatría en el Hospital de pediatría "Prof. Dr. Juan P. Garrahan", Buenos Aires, Argentina

Dalma J. González Moreira, Hospital de pediatría "Prof. Dr. Juan P. Garrahan", Buenos Aires, Argentina

Doctora en Fonoaudiología e IBCLC.  Profesional de planta. Dra. en fonoaudiología en el Hospital de pediatría "Prof. Dr. Juan P. Garrahan", Buenos Aires, Argentina 

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