Pediatric Feeding Disorder: A Nationwide Prevalence Study

Kovačić, Karlo; Rein, Lisa; Szabó, Anikó; Kommareddy, Sruthi; Bhagavatula, Pradeep; Goday, Praveen S.

doi:10.1016/j.jpeds.2020.07.047

Cited by 99 publications

(90 citation statements)

References 12 publications

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“…Yet despite their pervasiveness, pediatric feeding disorders are woefully understudied. In this volume of The Journal, Kovacic et al 1 finally bring some muchneeded data and perspective to the field of pediatric feeding disorders by reporting, for the first time, the prevalence of feeding disorders across age spans. The importance of this work far exceeds academic interest alone; this work is critical for both administrators and funding agencies who need to understand the scope of pediatric feeding disorders.…”

mentioning

confidence: 99%

“…Kovacic et al 1 were also able to capture these patients' complexities by measuring multiple associated comorbidities. The authors collected, in addition to billing data for feeding disorder codes, the codes for placement of enteral tubes (gastrostomy, gastrojejunostomy) which are a surrogate marker of feeding disorder severity.…”

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confidence: 99%

“…Kovacic et al 1 have given us the critical data needed to start the conversation with our hospital systems about supporting feeding programs, to lobby for research funding to better study feeding disorders, and to forge multicenter collaborations to tackle the difficult questions about the management of children with these highly prevalent disorders. n or may present with variable symptoms not falling into a defined clinical disorder.…”

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confidence: 99%

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Prevalence of Feeding Disorders: A Tough Reality to Swallow

Rosen

2021

The Journal of Pediatrics

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confidence: 99%

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confidence: 99%

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confidence: 99%

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Prevalence of Feeding Disorders: A Tough Reality to Swallow

Rosen

2021

The Journal of Pediatrics

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“…Despite an increasing prevalence of dysphagia [1][2][3] and a high demand for interdisciplinary diagnostics and therapy, pediatric patients still are underrepresented in dysphagia research. A further increase might be expected due to the higher chance of survival of very premature children [4] and of children with complex diseases who are at risk of dysphagia [5].…”

Section: Introductionmentioning

confidence: 99%

Pediatric Flexible Endoscopic Evaluation of Swallowing: Critical Analysis of Implementation and Future Perspectives

et al. 2021

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This study aimed to critically review pediatric swallowing assessment data to determine the future need for standardized procedures. A retrospective analysis of 152 swallowing examinations in 128 children aged 21 days to 18 years was performed. The children were presented at a university dysphagia center between January 2015 and June 2020 for flexible-endoscopic evaluation of swallowing (FEES). Descriptive analysis was conducted for the sample, swallowing pathologies, diagnosis, and missing values. Using binary logistic regression, the relationship between dysphagia and underlying diseases was investigated. The largest group with a common diagnosis in the cohort were children with genetic syndromes (n = 43). Sixty-nine children were diagnosed with dysphagia and 59 without dysphagia. The non-dysphagic group included 15 patients with a behavioral feeding disorder. The presence of an underlying disease significantly increased the chance of a swallowing problem (OR 13.08, 95% CI 3.66 to 46.65, p = .00). In particular, the categories genetic syndrome (OR 2.60, 95% CI 1.15 to 5.88) and neurologic disorder (OR 4.23, 95% CI 1.31 to 13.69) were associated with higher odds for dysphagia. All pediatric FEES were performed without complications, with a completion rate of 96.7%, and with a broad variability of implementation. Several charts lacked information concerning swallowing pathologies, though. Generally, a more standardized protocol and documentation for pediatric FEES is needed to enable better comparability of studies on epidemiology, assessment, and treatment outcomes in future.

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“…[ 2 ] The disease is most common in children aged 1 to 5 years. [ 3 ] If left untreated, PN can result in childhood malnutrition, body wasting, rickets, anemia, and a decline in immune function, all adverse consequences that can affect growth and development both physically and intellectually, in addition to mental illness. [ 4 – 5 ] In modern medicine, the main treatment for PN is drug treatment, including the use of supplementary trace elements to enhance peptin levels and gastric dynamics [ 6 ] However, it is often difficult to determine the exact cause of anorexia in children.…”

Section: Introductionmentioning

confidence: 99%

To study the intervention mechanism of pediatric massage on intestinal flora and host metabolism in children with anorexia

Gao

Zhang

et al. 2020

Medicine

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Background: As a common and frequent disease in pediatric patients, pediatric anorexia (PN) poses a serious threat to childhood growth and health. In recent years, societal changes in lifestyle and diet have increased the incidence of this PN, which has attracted extensive attention from both the medical community and parents. It has been shown that massage therapy represents an effective intervention for the treatment of anorexia, but investigation on its mechanism(s) of action remains limited. In this study, we will explore the biological mechanism(s) of PN from the perspective of intestinal flora, to further reveal its site of action and therapeutic mechanism(s). Methods: A total of 60 healthy children will be randomly selected for physical examination. According to a random number generated by a computer, children with anorexia who meet the inclusion criteria will be selected. In strict accordance with the time sequence of inclusion, subjects will be randomly assigned to either the massage or control group (n = 60 per group). The blank group will receive no treatment. Children in the massage group will receive a designated massage protocol. The control group will be administered oral Jianweixiaoshi tablets over 4 weeks. Each group will be compared for intestinal flora structure, fecal short chain fatty acids levels, serum trace elements, urine D-xylose-excretion rates, gastric fluid emptying, gastric motility, and hemoglobin levels before and after treatment. Results: We will review the clinical trial registry in China (http://www.chictr.org.cn/searchprojen.aspx), peer-reviewed journals and academic conferences. Conclusion: This study will verify the intervention mechanism(s) of pediatric massage on intestinal flora and host metabolism in children with anorexia. Trial registration number: ChiCTR2000033274

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Pediatric Feeding Disorder: A Nationwide Prevalence Study

Cited by 99 publications

References 12 publications

Prevalence of Feeding Disorders: A Tough Reality to Swallow

Prevalence of Feeding Disorders: A Tough Reality to Swallow

Pediatric Flexible Endoscopic Evaluation of Swallowing: Critical Analysis of Implementation and Future Perspectives

To study the intervention mechanism of pediatric massage on intestinal flora and host metabolism in children with anorexia

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