Dysphagia and aspiration in children

Tutor, James D.; Gosa, Memorie M.

doi:10.1002/ppul.21576

Cited by 154 publications

(137 citation statements)

References 178 publications

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“…Propping bottles up with a blanket or towel is discouraged because it prevents an infant from turning their head from the bottle when finished and also poses a significant choking hazard. 49,51 Once infants begin eating solid foods, the guidelines for nutrient quality do not differ materially from toddlerschildren should be consistently offered healthy foods, and unhealthy foods should be limited. Infant providers were nearly 9 times more likely to avoid serving sugary foods and 11 times more likely to avoid serving fast food to children than toddler providers.…”

Section: Discussionmentioning

confidence: 99%

Child Care Provider Adherence to Infant and Toddler Feeding Recommendations: Findings from the Baby Nutrition and Physical Activity Self-Assessment for Child Care (Baby NAP SACC) Study

et al. 2015

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Background: Identifying characteristics associated with the Institute of Medicine's (IOM) recommended feeding practices among infant and toddler care providers in child care centers could help in preventing childhood obesity.Methods: In 2009, at baseline in a pilot intervention study of 29 licensed Massachusetts child care centers with at least 50% of enrolled children identified as racial minorities, 57 infant and 109 toddler providers completed feeding questionnaires. To assess provider adherence to six IOM-recommended behaviors, we used cluster-adjusted multivariable logistic regression models including provider type (infant or toddler), race, education, and center Child and Adult Care Food Program (CACFP) participation.Results: In multivariable analysis, CACFP participation was associated with providers sitting with children at meals (odds ratio [OR], 5.2; 95% confidence interval [CI], 1.2-21.7), offering fruits and vegetables (OR, 3.3; 95% CI 1.7-6.2), and limiting fast food (OR, 3.5; 95% CI, 1.8-6.7). Providers at centers serving meals family style were less likely to allow children to leave food unfinished (OR, 0.27; 95% CI, 0.09-0.77). Infant providers were more likely than toddler providers to sit with children at meals (OR, 6.98; 95% CI, 1.51-32.09), allow children to eat when hungry (OR, 3.50; 95% CI, 1.34-9.16), and avoid serving sugary (OR, 8.74; 95% CI, or fast foods (OR, 11.56; 95% CI,.Conclusions: CACFP participation may encourage IOM-recommended feeding practices among infant and toddler providers. Child care providers may benefit from education about how to feed infants and toddlers responsively, especially when offering foods family style. Future research should explore ways to promote child-centered feeding practices, while addressing barriers to providing children with nutrient-rich foods.

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Section: Discussionmentioning

confidence: 99%

Child Care Provider Adherence to Infant and Toddler Feeding Recommendations: Findings from the Baby Nutrition and Physical Activity Self-Assessment for Child Care (Baby NAP SACC) Study

et al. 2015

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“…54 However, in a small sample size study (N = 30), FEES was concluded to be a comparable technique to the VFSS for diagnosis and treatment of pediatric patients in the acute care setting. 55 FEES visualizes events at the pharyngeal stage in virtual isolation.…”

Section: Flexible Endoscopic Examination Of Swallowingmentioning

confidence: 97%

Assessing the Role of Aspiration in Pediatric Lung Disease

Wallis

Ryan

2012

Pediatric Allergy, Immunology, and Pulmonology

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“…A less common approach utilizes direct flexible nasopharyngoscopy to visualize the larynx during swallowing. The salivagram is a tool that specifically diagnoses salivary aspiration when radiotracer placed in the buccal pouch is detected in the tracheobronchial tree [13].…”

Section: Evaluation Of Aspirationmentioning

confidence: 99%

Pulmonary Manifestations of Neuromuscular Diseases

Khatwa

2015

Indian J Pediatr

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Neuromuscular disorders comprise a phenotypically diverse group of inherited and acquired diseases; however, they share common pathophysiologic mechanisms which produce significant respiratory complications. Respiratory and bulbar muscle weakness gives rise to ineffective cough, swallowing dysfunction results in aspiration-related lung disease, and abnormal muscle tone produces chest wall deformities - all of which ultimately leads to repeated chest infections and chronic respiratory failure. In this article, the authors describe the respiratory manifestations of neuromuscular disease and their underlying pathophysiological mechanisms. This review also highlights the diagnostic and management tools recommended for acute and chronic care. Aggressive pulmonary management is the most impactful at reducing the overall morbidity and improving the quality of life of children with neuromuscular disorders, at least while definitive molecular and gene replacement therapies remain elusive.

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Dysphagia and aspiration in children

Cited by 154 publications

References 178 publications

Child Care Provider Adherence to Infant and Toddler Feeding Recommendations: Findings from the Baby Nutrition and Physical Activity Self-Assessment for Child Care (Baby NAP SACC) Study

Child Care Provider Adherence to Infant and Toddler Feeding Recommendations: Findings from the Baby Nutrition and Physical Activity Self-Assessment for Child Care (Baby NAP SACC) Study

Assessing the Role of Aspiration in Pediatric Lung Disease

Pulmonary Manifestations of Neuromuscular Diseases

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