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Neonatal Eating Assessment Tool-Mixed Breastfeeding and Bottle-feeding: Reference values and factors associated with

Britt Frisk Pados1, Jamarii Johnson, Madeline Nelson

  • 1Boston College William F. Connell School of Nursing, Chestnut Hill, Massachusetts.

Journal of the American Association of Nurse Practitioners
|August 11, 2020
PubMed

Insights

Reference values for the Neonatal Eating Assessment Tool-Mixed Feeding (NeoEAT-Mixed Feeding) were established for infants aged 0-7 months. Gastrointestinal symptoms correlate with problematic infant feeding, suggesting targeted interventions may improve outcomes.

Area of Science:

  • Pediatric feeding assessment
  • Infant nutrition and development

Background:

  • The Neonatal Eating Assessment Tool-Mixed Breastfeeding and Bottle-feeding (NeoEAT-Mixed Feeding) assesses problematic feeding symptoms in infants using both breast and bottle.
  • This tool is parent-reported and designed for a specific infant feeding population.

Purpose of the Study:

  • To establish normative reference values for the NeoEAT-Mixed Feeding in healthy, full-term infants.
  • To identify factors contributing to problematic feeding symptoms in this population.

Main Methods:

  • An online survey was administered to parents of 409 infants under 7 months of age.
  • Median and percentile scores were calculated for distinct age groups (0-2, 2-4, 4-6, and 6-7 months).

Main Results:

  • NeoEAT-Mixed Feeding total scores and subscale scores for Gastrointestinal Tract Function and Energy & Physiologic Stability decreased with infant age.
  • Sensory Responsiveness scores increased with age, while Infant Regulation and Feeding Flexibility remained stable.
  • Higher NeoEAT-Mixed Feeding scores were associated with increased gastrointestinal symptoms.

Conclusions:

  • Established reference values can aid in identifying infants requiring further assessment and intervention for feeding issues.
  • Interventions addressing gastrointestinal symptoms may effectively improve problematic feeding in infants experiencing both concurrently.
Abstract

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