Pediatric feeding disorders with severe nutritional impact
Trastornos alimentarios pediátricos con impacto nutricional severo A comprehensive and interdisciplinary approach
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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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Aguirre, J., Buscio, M., Solari, A., Bozzani, A., Piantanida, S., Armeno, M., & Arpi, L. (2024). Increase in the frequency of scurvy in children with food selectivity: A case series. Arch Argent Pediatr, e202310224. https://doi.org/10.5546/aap.2023-10224 DOI: https://doi.org/10.5546/aap.2023-10224
Almeida, C. A. N. D., Mello, E. D. D., Maranhão, H. D. S., Vieira, M. C., Barros, R., Fisberg, M., & Barreto, J. R. (2012). Dificuldades alimentares na infância: revisão da literatura com foco nas repercussões à saúde. Pediatr. mod. Disponible en: https://pesquisa.bvsalud.org/portal/resource/pt/lil-666287
Ammaniti, M., Lucarelli, L., Cimino, S., D'Olimpio, F., & Chatoor, I. (2012). Feeding disorders of infancy: a longitudinal study to middle childhood. International Journal of Eating Disorders, 45(2), 272-280. https://doi.org/10.1002/eat.20925 DOI: https://doi.org/10.1002/eat.20925
Beaudry Bellefeuille, I. (2014). El rechazo a alimentarse y la selectividad alimentaria en el niño menor de 3 años: una compleja combinación de factores médicos, sensoriomotores y conductuales. Acta Pediatr Esp, 72(5), XX. Disponible en: https://www.actapediatrica.com/index.php/secciones/nutricion-infantil/973-el-rechazo-a-alimentarse-y-la-selectividad-alimentaria-en-el-nino-menor-de-3-anos-una-compleja-combinacion-de-factores-medicos-sensoriomotores-y-conductuales
Becker, P. J., Carney, L. N., Corkins, M. R., Monczka, J., Smith, E., Smith, S. E., ... & White, J. V. (2014). Consensus statement of the Academy of Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition: indicators recommended for the identification and documentation of pediatric malnutrition (undernutrition). Journal of the Academy of Nutrition and Dietetics, 114(12), 1988-2000. https://doi.org/10.1177/0884533614557642 DOI: https://doi.org/10.1016/j.jand.2014.08.026
Benson, J. D., Parke, C. S., Gannon, C., & Muñoz, D. (2013). A retrospective analysis of the sequential oral sensory feeding approach in children with feeding difficulties. Journal of Occupational Therapy, Schools, & Early Intervention, 6(4), 289-300. https://doi.org/10.1080/19411243.2013.860758 DOI: https://doi.org/10.1080/19411243.2013.860758
Caldwell, A. R., Skidmore, E. R., Bendixen, R. M., & Terhorst, L. (2020). Examining child mealtime behavior as parents are coached to implement the Mealtime PREP intervention in the home: Findings from a pilot study. British Journal of Occupational Therapy, 83(10), 631-637. https://doi.org/10.1177/0308022620920086 DOI: https://doi.org/10.1177/0308022620920086
Campuzano, M. (2020). Trastornos de conducta alimentaria. Pediatría Integral, 25(2), 108–114. Consultado en: https://www.pediatriaintegral.es/wp-content/uploads/2020/xxiv02/05/n2-108-114_Campuzano.pdf
Castejón Ponce, E., De la Mano Hernández, A., & Martínez Zazo, A. B. (2023). Alteraciones del comportamiento alimentario en el lactante y niño pequeño. Sociedad Española de Gastroenterología, Hepatología, y Nutrición Pediátrica. Protoc diagn ter pediatr, 1, 505-518. Disponible en: https://www.aeped.es/sites/default/files/documentos/41_alter_alimentacion.pdf
Cejas, V., Benuzzi, V., & Pesarini, L. (2022). Preferencias alimentarias y comportamientos alimentarios en niños, niñas y adolescentes de 5 a 18 años con diagnóstico de trastorno del espectro autista (TEA). Rev. Fac. Cien. Med. Univ. Nac. Córdoba. Disponible en: https://revistas.unc.edu.ar/index.php/med/article/view/38933
Chatoor, I. (2009). Diagnosis and treatment of feeding disorders in infants, toddlers and young children. Washington, DC: Zero to Three.
Chatoor, I. (2002). Trastornos de la alimentación en bebés y niños pequeños: diagnóstico y tratamiento. Clínicas Psiquiátricas para Niños y Adolescentes de América del Norte, 2(2), 163-183. https://doi.org/10.1016/S1056-4993(01)00002-5 DOI: https://doi.org/10.1016/S1056-4993(01)00002-5
De Toro, V., Aedo, K., & Urrejola, P. (2021). Trastorno de evitación y restricción de la ingesta de alimentos (ARFID): Lo que el pediatra debe saber. Andes Pediatrica, 92(2), 298–307. https://doi.org/10.32641/andespediatr.v92i2.2794 DOI: https://doi.org/10.32641/andespediatr.v92i2.2794
Dunn Klein, M. (2021). Comedores ansiosos, horas de comida ansiosas. Estrategias prácticas y compasivas para tener paz a la hora de comida. OTR/L. Med, FAOTA.
Dunn, W. (2016). Manual perfil sensorial-2. Adaptación española. NCS Pearson, Inc.
Espinoza Tocto, A., & Caviedes Polo, A. (2023). Selectividad alimentaria y su relación con el procesamiento sensorial en niños. Rev Hered Rehab, 1, 23. https://doi.org/10.20453/rhr.v2023i1.5035 DOI: https://doi.org/10.20453/rhr.v2023i1.5035
Eusse Solano, P. A., & Vargas García, M. A. (2022). Factores contextuales asociados a la selectividad de la conducta alimentaria: perspectiva fonoaudiológica. Areté, 22(1), 77–84. https://doi.org/10.33881/1657-2513.art.22109
Filomena, G., Massa, S., González Moreira, D. J., Rodríguez, P., & Olguín, G. (2021). La telerehabilitación durante la pandemia COVID-19: experiencia de las familias de niños con condiciones crónicas complejas. Med. infant, 164-171. Disponible en: https://www.medicinainfantil.org.ar/images/stories/volumen/2021/xxviii_2_164.pdf
Finnane, J. M., Jansen, E., Mallan, K. M., & Daniels, L. A. (2017). Mealtime structure and responsive feeding practices are associated with less food fussiness and more food enjoyment in children. Journal of Nutrition Education and Behavior, 49(1), 11-18. https://doi.org/10.1016/j.jneb.2016.08.007 DOI: https://doi.org/10.1016/j.jneb.2016.08.007
Goday, P. S., Huh, S. Y., Silverman, A., Lukens, C. T., Dodrill, P., Cohen, S., ... & Phalen, J. A. (2019). Pediatric feeding disorder: consensus definition and conceptual framework. Journal of Pediatric Gastroenterology and Nutrition, 68(1), 124. https://doi.org/10.1097/MPG.0000000000002188 DOI: https://doi.org/10.1097/MPG.0000000000002188
González, D., Filomena, G., Massa, S., Rodriguez, P., Soraiz, G., Marin, D., & Saure, C. (2022). Trastornos de la deglución en niños menores de 3 años con condiciones médicas complejas, abordaje interdisciplinario. Revista de Logopedia, Foniatría y Audiología, 42(4), 161-167. https://doi.org/10.1016/j.rlfa.2022.01.003 DOI: https://doi.org/10.1016/j.rlfa.2022.01.003
Haines, J., Haycraft, E., Lytle, L., Nicklaus, S., Kok, F. J., Merdji, M., ... & Hughes, S. O. (2019). Nurturing children's healthy eating: position statement. Appetite, 137, 124-133. https://doi.org/10.1016/j.appet.2019.02.007 DOI: https://doi.org/10.1016/j.appet.2019.02.007
Keen, D. V. (2008). Childhood autism, feeding problems and failure to thrive in early infancy. European Child and Adolescent Psychiatry, 17, 209–216. https://doi.org/10.1007/s00787-007-0655-7 DOI: https://doi.org/10.1007/s00787-007-0655-7
Kerzner, B., Milano, K., MacLean Jr,Continuación de las referencias corregidas según normas APA, 7ª edición.
Kerzner, B., Milano, K., MacLean Jr, W. C., Berall, G., Stuart, S., & Chatoor, I. (2015). A practical approach to classifying and managing feeding difficulties. Pediatrics, 135(2), 344-353. https://doi.org/10.1542/peds.2014-1630 DOI: https://doi.org/10.1542/peds.2014-1630
Kovacic, K., Rein, L. E., Szabo, A., Kommareddy, S., Bhagavatula, P., & Goday, P. S. (2020). Pediatric feeding disorder: a nationwide prevalence study. The Journal of Pediatrics, 228, 126-131. https://doi.org/10.1016/j.jpeds.2020.07.047 DOI: https://doi.org/10.1016/j.jpeds.2020.07.047
Milano, K., Chatoor, I., & Kerzner, B. (2019). A functional approach to feeding difficulties in children. Current Gastroenterology Reports, 21, 1-8. https://doi.org/10.1007/s11894-019-0719-0 DOI: https://doi.org/10.1007/s11894-019-0719-0
Moreira, D. G., & Granatto, S. M. (2022). La hora de comer y sus desafíos: experiencia en primera persona. Revista Fonoaudiológica, 69(2), 34-44. Disponible en: https://fonoaudiologica.asalfa.org.ar
Morris, S. E., & Dunn Klein, M. (2000). Pre-Feeding Skills: A Comprehensive Resource for Mealtime Development (2nd ed.). Therapy Skills Builders.
Noel, R. J. (2023). Avoidant restrictive food intake disorder and pediatric feeding disorder: the pediatric gastroenterology perspective. Current Opinion in Pediatrics, 35(5), 566-573. http://doi.org/10.1097/MOP.0000000000001267 DOI: https://doi.org/10.1097/MOP.0000000000001267
Provost, B., Crowe, T. K., Osbourn, P. L., McClain, C., & Skipper, B. J. (2010). Mealtime behaviors of preschool children: Comparison of children with autism spectrum disorder and children with typical development. Physical & Occupational Therapy in Pediatrics, 30, 220–233. https://doi.org/10.3109/01942631003757669 DOI: https://doi.org/10.3109/01942631003757669
Saure, C., Zonis, L. N., González Sanguineti, X., & Kovalskys, I. (2024). Dificultades alimentarias en la infancia: una revisión narrativa. Arch Argent Pediatr, e202310200. https://doi.org/10.5546/aap.2023-10200 DOI: https://doi.org/10.5546/aap.2023-10200
Toomey, K. (2007). An introduction to the SOS approach to feeding. Pediatric Feeding and Dysphagia Newsletter, 8(1), 2–10. Disponible en: https://pediatricfeedingnews.com/wp-content/uploads/2014/01/Newsletter-July-2007.pdf
Ross, E. (2017). Eating development in young children: understanding the complex interplay of developmental domains. In Early Nutrition and Long-Term Health (pp. 229-262). Woodhead Publishing. https://doi.org/10.1016/B978-0-08-100168-4.00009-4 DOI: https://doi.org/10.1016/B978-0-08-100168-4.00009-4
Silverman, A. H., Erato, G., & Goday, P. (2020). The relationship between chronic pediatric feeding disorders and caregiver stress. J Child Health Care, 25(1), 69-80. https://doi.org/10.1177/1367493520905381 DOI: https://doi.org/10.1177/1367493520905381
Vargas García, M. A., & Eusse Solano, P. A. (2022). Factores contextuales asociados a la selectividad de la conducta alimentaria: Perspectiva fonoaudiológica. Areté, 22(1), 77-84. https://doi.org/10.33881/1657-2513.art.22109 DOI: https://doi.org/10.33881/1657-2513.art.22109