Pediatric Dysphagia

McClain, Wade; Luttrell, Jordan; Lambert, Elton

doi:10.1016/j.otc.2024.02.010

Cited by 1 publication

(2 citation statements)

References 49 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The pathophysiologic mechanisms in pediatric OPD involve disruptions in the intricate coordination of muscles and nerves. In oropharyngeal dysphagia, neurological impairments may result in uncoordinated or weak muscle contractions, leading to difficulty initiating swallowing and an increased risk of aspiration [ 1 , 2 , 3 ].…”

Section: Introductionmentioning

confidence: 99%

“…OPD presents a significant challenge in pediatric populations, affecting not only the child’s ability to consume a variety of foods but also their nutritional status, growth, and overall development [ 4 ]. Literature reviews emphasize the importance of early diagnosis of dysphagia in chronic diseases where it is prevalent, particularly in neurological pathology such as cerebral palsy (CP), aiming to ensure safe feeding and prioritize proper nutritional management within intervention strategies to meet the complex nutritional needs of these patients [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Nutritional Issues in Children with Dysphagia

Ortiz Pérez,

Valero-Arredondo,

Torcuato-Rubio

et al. 2024

Nutrients

View full text Add to dashboard Cite

(1) Background: Pediatric dysphagia presents significant nutritional challenges, often impacting growth and development due to reduced oral intake, increased nutritional needs, and gastrointestinal complications; (2) Methods: This prospective quasi-experimental study assessed 117 children under 14 years old (20 patients were under 1 year old, 80 were aged 1–7 years, and 17 were older than 7 years), diagnosed with swallowing disorders, to analyze their caloric, macro-, and micronutrient intake and identify potential deficiencies. The severity of dysphagia was established using functional oral intake scales, and dietary records were reviewed over a 3-day period; (3) Results: The study revealed that 39.8% of participants did not meet their total energy expenditure (TEE), highlighting a high prevalence of malnutrition among these children. Furthermore, patients using feeding devices exhibited a significantly lower caloric intake, and over half required significantly modified food textures. After individualized speech therapy and nutritional rehabilitation, participants showed significant improvements in caloric intake, with their energy coverage increasing from 958% to 1198% of the daily requirement. Rehabilitation also improved tolerance to a broader range of food textures; (4) Conclusions: This research underscores the importance of multidisciplinary, individualized nutritional strategies to address the specific challenges of pediatric dysphagia, emphasizing the role of enteral nutrition and therapeutic interventions in improving the quality of life and nutritional outcomes of these children. Further studies are recommended to assess the long-term impact of such strategies.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%