Effects of consistent food presentation on efficiency of eating and nutritive value of food consumed by children with severe neurological impairment.

The purpose of this investigation was to determine what implications consistent presentation of food, delivered by an assistive feeding device at a position regarded as optimal, would have for the maintenance of food intake, duration of meals, and efficiency of eating. The trial employed an AB within-subjects design and extended over a 9-month period. Twenty children, aged 7 to 17 years, with severe neurological impairment and associated eating difficulties, were studied. The effects of the intervention were compared by examination of diaries recording the sizes and composition of meals consumed during designated periods and by precautionary measures of growth and weight. Although no statistically significant changes in weight were recorded overall, meals presented consistently were consumed less efficiently and sometimes more slowly than were standard ones, where food was presented by hand. However, no change occurred in the amount of energy and protein consumed, which suggested that the children's ability to thrive was neither improved nor further compromised by participation in the study. The findings have implications for the way in which children are assisted during mealtimes by their caregivers.