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Feeding/Eating problems in children: Who does (not) benefit after behavior therapy? A retrospective chart review.
- Source :
-
Frontiers in pediatrics [Front Pediatr] 2023 Feb 28; Vol. 11, pp. 1108185. Date of Electronic Publication: 2023 Feb 28 (Print Publication: 2023). - Publication Year :
- 2023
-
Abstract
- Background: Treating disordered feeding at a young age reduces risks of future feeding problems, but not all children profit equally; can we define predictors of a worse prognosis?<br />Objectives: In 252 children, with a mean age of 4; 7 years (SD = 3 years; range 5 months to 17; 10 years), who had undergone behavioral day treatment in the past, several variables were investigated, retrieved from initial consultation (t1) and re-assessed at follow-up (t2).<br />Method: Logistic regressions were carried out with sex, gastro-intestinal problems, refusal of the first nutrition, syndrome/intellectual disability, Down's syndrome, autism spectrum disorder, comorbidity of medical diseases (other than gastro-intestinal problems), restrictive caloric food intake and selective food intake, as the predictor variables from t1, and age-appropriate food intake at t2 as the dependent variable. The potential role of sensory processing problems was reviewed at t2.<br />Results: About 73% had improved towards an age-appropriate food intake. Sex (boys), syndrome/intellectual disability, and a lack of varied nutritional intake at t1 were predictors of a worse prognosis. We found a small, but significant correlation between current selective eating patterns and general sensory processing problems.<br />Conclusion: Feeding disordered children, especially boys, with intellectual disabilities or selective eating patterns are at risk for not achieving an age-adequate food intake at a later age, despite behavioral treatment.<br />Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.<br /> (© 2023 Dumont, Jansen, Duker, Seys, Broers and Mulkens.)
Details
- Language :
- English
- ISSN :
- 2296-2360
- Volume :
- 11
- Database :
- MEDLINE
- Journal :
- Frontiers in pediatrics
- Publication Type :
- Academic Journal
- Accession number :
- 36925666
- Full Text :
- https://doi.org/10.3389/fped.2023.1108185