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Pediatric Feeding Disorder: Consensus Definition and Conceptual Framework.
Praveen S Goday1, Susanna Y Huh2,3, Alan Silverman1
1Feeding, Swallowing and Nutrition Center, Children's Hospital of Wisconsin, Medical College of Wisconsin, Milwaukee, WI.
Journal of Pediatric Gastroenterology and Nutrition
|October 26, 2018
Summary
A new definition for Pediatric Feeding Disorders (PFDs) is proposed, integrating medical, nutritional, feeding, and psychosocial factors for better assessment and treatment. This aims to improve care for children with feeding difficulties.
Area of Science:
- Pediatrics
- Developmental Psychology
- Clinical Nutrition
Background:
- Pediatric feeding disorders (PFDs) lack a unified definition, hindering comprehensive care.
- Existing diagnostic approaches often focus on single disciplines, neglecting functional limitations.
- This limits effective intervention planning and quality of life for affected children.
Purpose of the Study:
- To propose a unifying diagnostic term and criteria for Pediatric Feeding Disorder (PFD).
- To integrate medical, nutritional, feeding skill, and psychosocial domains within a new framework.
- To improve characterization of patient needs and facilitate interdisciplinary treatment planning.
Main Methods:
- Utilized the World Health Organization International Classification of Functioning, Disability, and Health (ICF) framework.
- Proposed a definition for PFD encompassing impaired oral intake and associated dysfunctions.
- Incorporated functional limitations into diagnostic criteria.
Main Results:
- A proposed definition for Pediatric Feeding Disorder (PFD): impaired oral intake not age-appropriate, associated with medical, nutritional, feeding skill, and/or psychosocial dysfunction.
- The ICF framework provides a basis for a comprehensive, multidisciplinary approach.
- The proposed criteria aim to better characterize heterogeneous patient populations.
Conclusions:
- The proposed diagnostic criteria for PFD offer a unified approach to assessment and treatment.
- This framework facilitates interdisciplinary collaboration and the use of standardized terminology.
- Advancing clinical practice, research, and health policy for pediatric feeding disorders is the ultimate goal.
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