The Complexity of Feeding Problems in 700 Infants and Young Children Presenting to a Tertiary Care Institution

Rommel, Nathalie; Meyer, Anne-Marie De; Feenstra, Louw; Veereman-Wauters, G.

doi:10.1097/00005176-200307000-00014

Cited by 361 publications

(322 citation statements)

References 15 publications

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“…15 A study of 700 children under the age of 10 who had feeding disorders diagnosed found that medical disorder and behavioral problems related to feeding occurred both alone and in combination: 86% had an underlying medical disorder, 61% had some oropharyngeal dysfunction, and 18% had a behavioral problem. 16 Budd and colleagues also reported that 64% of their sample of children presenting for out-patient treatment of feeding problems had a combination of behavior disturbance and subtle oral-motor problems. 17 To some extent, such figures are determined by the type of clinical setting where the study is carried out, making it difficult to clarify the interplay between physical and psychological factors and even more difficult to disentangle cause and effect.…”

Section: Feeding Disorder Of Infancy or Early Childhoodmentioning

confidence: 99%

Feeding and eating disorders in childhood

Bryant‐Waugh¹,

Markham²,

Kreipe³

et al. 2010

Intl J Eating Disorders

309

222

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Objective: To review the literature related to the current DSM-IV-TR diagnostic criteria for feeding disorder of infancy or early childhood; pica; rumination disorder; and other childhood presentations that are characterized by avoidance of food or restricted food intake, with the purpose of informing options for DSM-V.Method: Articles were identified by computerized and manual searches and reviewed to evaluate the evidence supporting possible options for revision of criteria.Results: The study of childhood feeding and eating disturbances has been hampered by inconsistencies in classification and use of terminology. Greater clarity around subtypes of feeding and eating problems in children would benefit clinicians and patients alike.Discussion: A number of suggestions supported by existing evidence are made that provide clearer descriptions of subtypes to improve clinical utility and to promote research. V

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Section: Feeding Disorder Of Infancy or Early Childhoodmentioning

confidence: 99%

Feeding and eating disorders in childhood

Bryant‐Waugh¹,

Markham²,

Kreipe³

et al. 2010

Intl J Eating Disorders

309

222

View full text Add to dashboard Cite

show abstract

“…It is known that an infant's medical condition 11 and neurological maturity 6,12 influence nutritive sucking. Behavior state has also been shown to have a relationship to sucking activity.…”

Section: Introductionmentioning

confidence: 99%

Predictors of nutritive sucking in preterm infants

et al. 2006

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Objective: The purposes of this analysis were to determine how select characteristics of nutritive sucking (number of sucks, sucks/burst, and sucks/minute) change over time and to examine the effect of select factors (morbidity, maturity, prefeeding behavior state, and feeding experience) on those changes.Study design: A longitudinal, non-experimental study was conducted in a Level 3 neonatal intensive care unit using a convenience sample of 88 preterm infants. Statistical analyses were performed using a repeated-measures mixed-model in SAS.Results: Sucking activity (number of sucks, sucks/burst, and sucks/ minute) was predicted by morbidity, maturity, feeding experience and prefeeding behavior state. Experience at oral feeding had the greatest effect on changes in the number of sucks, suck/burst and sucks/minute. Conclusion:Experience at feeding may result in more rapid maturation of sucking characteristics.

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“…A definição da complexidade da atenção nutricional pode contribuir para o estabelecimento de prioridades, uma vez que as demandas de cuidados hospitalares necessitam ser gerenciadas, além disso, faz-se necessária a caracterização dos problemas e dificuldades que envolvem o paciente para que o cuidado seja direcionado 12 .…”

Section: N T R O D U ç ã Ounclassified

Avaliação e monitoramento do estado nutricional de pacientes hospitalizados: uma proposta apoiada na opinião da comunidade científica

et al. 2010

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OBJETIVO: A desnutrição pode afetar adversamente a evolução clínica de pacientes hospitalizados e aumentar o tempo de permanência hospitalar. O objetivo deste estudo foi certificar critérios para avaliação e acompanhamento do estado nutricional de pacientes hospitalizados aceitos pela comunidade de pesquisadores, docentes e profissionais da área de nutrição clínica. MÉTODOS: Com este propósito aplicou-se um questionário via Internet, à comunidade científica, cadastrada na Plataforma Lattes - sistema nacional de cadastro curricular unificado on-line -, para apoiar atividades de fomento de agencias federais e estaduais. O questionário é composto de recomendações acompanhadas por uma escala Likert e espaços para justificativas dos participantes em relação à opção de aceitação parcial ou discordância do procedimento proposto. Foi considerado aprovado o procedimento que teve concordância total ou parcial maior ou igual a 70,0%. RESULTADOS: Responderam ao questionário 35,2% dos profissionais contatados. A maioria (84,0%) era professor universitário, sendo 62,0% de universidade pública; 67,0% eram doutores; 63,0% tinha mais de 20 anos de formado; 74,0% eram nutricionistas e 25,0% médicos. Os procedimentos propostos versam sobre as seguintes necessidades: triagem para definição de complexidade da atenção nutricional, indicadores de avaliação e monitoramento nutricional durante a internação e equipamentos e protocolos para o atendimento nutricional. Todos os procedimentos foram aceitos pelos entrevistados. Foi proposto pelos autores um modelo de triagem para definição da complexidade do atendimento nutricional, considerando os procedimentos aceitos. CONCLUSÃO: A aceitação dos procedimentos propostos fortalece o reconhecimento da necessidade de implantação de padrões para a avaliação e monitoramento nutricional nas instituições hospitalares.

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The Complexity of Feeding Problems in 700 Infants and Young Children Presenting to a Tertiary Care Institution

Cited by 361 publications

References 15 publications

Feeding and eating disorders in childhood

Feeding and eating disorders in childhood

Predictors of nutritive sucking in preterm infants

Avaliação e monitoramento do estado nutricional de pacientes hospitalizados: uma proposta apoiada na opinião da comunidade científica

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