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[Validation of a clinical nutritional sucking scale]

Mario Enrique Rendón-Macías1, Miguel Ángel Villasís-Keever, María del Carmen Martínez-García

  • 1Unidad de Investigación Médica en Epidemiología Clínica, Hospital de Pediatría, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, México. drmariorendon@gmail.com.

Revista Medica Del Instituto Mexicano Del Seguro Social
|April 22, 2016
PubMed

Insights

A new clinical scale effectively assesses infant sucking, swallowing, and respiration, aiding in classifying feeding issues. This reliable tool helps identify nutritional challenges in infants with abnormal sucking patterns.

Area of Science:

  • Pediatric Nutrition
  • Clinical Assessment Tools
  • Infant Feeding

Background:

  • Suck dysfunction in infants can impede adequate nutrition.
  • Accurate assessment of infant feeding is crucial for growth and development.

Purpose of the Study:

  • To develop and validate a clinical nutritional sucking scale.
  • The scale focuses on the interconnected components of sucking, swallowing, and respiration.

Main Methods:

  • The scale underwent face and psychometric validation.
  • 179 healthy newborns and 26 infants under 6 months, plus 86 high-risk infants, were evaluated.
  • Inter-observer concordance and internal consistency were analyzed, refining the scale to 7 items.

Main Results:

  • The 7-item scale demonstrated high reliability (Cronbach's alpha=0.77, inter-observer concordance=0.98).
  • Sucking correlated with ingested volume (r=0.61), swallowing with oxygen saturation (r=0.24), and breathing with respiratory rate (r=0.50).
  • The scale identified patterns of sucking abnormalities linked to neurological, hemodynamic, and immaturity factors.

Conclusions:

  • The clinical nutritional scale is reliable and valid for classifying infant sucking problems.
  • Further research is needed to explore its use in oral stimulation therapies.
Abstract

Keywords:
Breast feedingNutrition assessmentNutrition processesScales

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