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Functional Evaluation of Eating Difficulties Scale to predict oral motor skills in infants with neurodevelopmental

Anna Cavallini1, Livio Provenzi2, Giunia Scotto Di Minico2

  • 1Neuropsychiatry and Neurorehabilitation Unit, Scientific Institute IRCCS Eugenio Medea, Bosisio Parini, Lecco, Italy.

Developmental Medicine and Child Neurology
|February 6, 2019
PubMed

Insights

The Functional Evaluation of Eating Difficulties Scale (FEEDS) effectively predicts long-term feeding outcomes in infants with neurodevelopmental disorders. Lower FEEDS scores indicate a higher likelihood of achieving autonomous oral feeding.

Area of Science:

  • Pediatric Gastroenterology
  • Neurodevelopmental Pediatrics
  • Feeding and Swallowing Disorders

Background:

  • Infants with neurodevelopmental disorders often experience feeding difficulties.
  • Early assessment of feeding challenges is crucial for developmental outcomes.
  • Enteral nutrition support is common in this population.

Purpose of the Study:

  • To evaluate the predictive accuracy of the Functional Evaluation of Eating Difficulties Scale (FEEDS) for long-term feeding development in infants with neurodevelopmental disorders.
  • To determine if FEEDS scores can predict feeding modality and time to autonomous oral feeding.

Main Methods:

  • 144 infants (0-12 months) with neurodevelopmental disorders requiring enteral nutrition were included.
  • The FEEDS was administered at hospitalization onset.
  • Feeding outcomes were assessed at discharge and 6, 12, and 24 months post-discharge.

Main Results:

  • FEEDS scores significantly predicted feeding modality (R² 0.40–0.61).
  • A 1-point increase in FEEDS score correlated with a 6%-14% increased risk of non-autonomous feeding.
  • FEEDS cut-off scores identified infants at high and low risk for eating disorders.

Conclusions:

  • The FEEDS is a clinically valid tool for predicting eating difficulties in infants with neurodevelopmental disabilities.
  • FEEDS demonstrates significant predictive validity for long-term feeding outcomes.
  • The scale aids in identifying infants requiring specialized feeding interventions.
Abstract

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