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Feeding Problems Score and Its Related Factors in Two-Year-Old Children Born Very-Preterm and Full-Term
Maryam Mokhlesin1, Majid Mirmohammadkhani2, Shamsollah Nooripour3
1Neuromuscular Rehabilitation Research Centre, Semnan University of Medical Sciences, Semnan, Iran.
Insights
Very preterm infants do not show increased feeding problems at age two compared to full-term peers. However, male gender was associated with more feeding difficulties in both groups.
Area of Science:
- Pediatrics
- Developmental Psychology
- Clinical Nutrition
Background:
- Oral feeding difficulties are common in very-preterm infants post-discharge.
- Limited research exists on feeding problems beyond the first year of life.
- Cultural and psychosocial factors may influence feeding outcomes.
Purpose of the Study:
- To compare feeding problem scores in very-preterm and full-term children at age two.
- To investigate the relationship between feeding scores and explanatory variables in these groups.
Main Methods:
- Retrospective descriptive-analytic study in Semnan, Iran (2014).
- Thirty-eight very-preterm and 38 full-term two-year-old children participated.
- The Iranian version of the Lewinhson Feeding Disorders questionnaire was utilized.
Main Results:
- No significant difference in total feeding scores between very-preterm and full-term children (p > 0.05).
- No significant differences were found in subtest scores.
- A significant relationship was observed between higher total feeding scores and male gender in both groups.
Conclusions:
- Very preterm birth does not appear to be associated with increased feeding problem scores at two years of age.
- Male gender is linked to a higher prevalence of feeding problems at two years.
- Further research is needed to explore gender-specific feeding challenges.
Background:
Many very-preterm infants have difficulty in oral feeding during the first months of life after discharge. Since studies surveying the presence of feeding problems after the first year of life are limited and cultural/psychosocial differences can affect results, so the aim of this study was to compare scores of a feeding problems test between very-preterm and full-term born children at the age of 2 and study the relationship between obtained scores and explanatory variables.
Materials And Methods:
This is a retrospective descriptive-analytic study conducted in 2014 in Semnan city of Iran. Thirty-eight 2-year-old children with the history of very-preterm birth were selected by census sampling method and 38 full-term babies born in the same hospital were selected randomly. The Iranian version of Lewinhson Feeding Disorders questionnaire was used and the relationship between explanatory variables and the total score of the questionnaire was surveyed in each group by Mann-Whitney and linear regression tests.
Results:
Mean (SD) gestational age and weight of birth were 30.47 (1.63) weeks and 1630 (310) grams respectively in the very-preterm group. Feeding scores were not significantly higher in very-preterm babies, neither in total score (p > 0.05) nor in subtests. A relationship was just found between total feeding score and female gender both in the exposed group (β = -0.36, p = 0.01) and non-exposed group (β = -0.49, p = 0.002).
Conclusions:
Two-year-old children born very preterm did not have higher feeding problems scores than full-term born peers. Male gender was related to more feeding problems at 2 years of age.
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