Kim Milano1, Irene Chatoor2, Benny Kerzner3. 1. College of Health & Human Sciences, Northern Illinois University, DeKalb, IL, 60115-2828, USA. 2. Department of Psychiatry, Children's National Medical Health System, The George Washington School of Medicine and Health Sciences, Washington, DC, USA. 3. Department of Pediatric Gastroenterology, Hepatology and Nutrition, Children's National Medical Health System, Professor of Pediatrics, The George Washington School of Medicine and Health Sciences, 111 Michigan Ave. NW., Washington, DC, 20010, USA. bkerzner@childrensnational.org.
Abstract
PURPOSE OF REVIEW: This review provides an approach for resolving a variety of feeding difficulties in children, ranging from normal eating behavior that is misperceived as a problem to substantial feeding disorders. RECENT FINDINGS: Criteria to identify pediatric feeding disorders have been thoroughly addressed in the newly established designations of avoidant restrictive food intake disorder (ARFID) and pediatric feeding disorder (PFD). These diagnostic criteria improve the accuracy of identifying, classifying, and managing significant feeding disorders in young children. While recent definitions of feeding difficulties are particularly appropriate in multidisciplinary settings, in this paper, we advocate for a progressive approach of managing feeding problems in all clinical settings. It begins by identifying red flags indicative of serious threats to the child, screening for oral motor dysfunction, stabilizing nutrient intake, and eliminating aversive feeding practices. The next step, if eating behavior does not improve, involves strategies that target specific eating behaviors and parental feeding styles. In severe or resistant cases, referral to specialists or interdisciplinary feeding teams is advised.
PURPOSE OF REVIEW: This review provides an approach for resolving a variety of feeding difficulties in children, ranging from normal eating behavior that is misperceived as a problem to substantial feeding disorders. RECENT FINDINGS: Criteria to identify pediatric feeding disorders have been thoroughly addressed in the newly established designations of avoidant restrictive food intake disorder (ARFID) and pediatric feeding disorder (PFD). These diagnostic criteria improve the accuracy of identifying, classifying, and managing significant feeding disorders in young children. While recent definitions of feeding difficulties are particularly appropriate in multidisciplinary settings, in this paper, we advocate for a progressive approach of managing feeding problems in all clinical settings. It begins by identifying red flags indicative of serious threats to the child, screening for oral motor dysfunction, stabilizing nutrient intake, and eliminating aversive feeding practices. The next step, if eating behavior does not improve, involves strategies that target specific eating behaviors and parental feeding styles. In severe or resistant cases, referral to specialists or interdisciplinary feeding teams is advised.
Entities:
Keywords:
Fear of feeding; Feeding disorder; Food selectivity; Picky eating; Poor appetite
Authors: Susan L Johnson; L Suzanne Goodell; Kimberly Williams; Thomas G Power; Sheryl O Hughes Journal: Appetite Date: 2014-12-12 Impact factor: 3.868
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