Related Experiment Video

Updated: Dec 1, 2025

Author Spotlight: Implications of Non-Nutritive Sucking on Speech Emergence and Infant Development
06:19

Author Spotlight: Implications of Non-Nutritive Sucking on Speech Emergence and Infant Development

Published on: April 19, 2024

1.1K

Neonatal feeding performance is related to feeding outcomes in childhood

Jenny Kwon1, Polly Kellner2, Michael Wallendorf3

  • 1Program in Occupational Therapy, Washington University School of Medicine, St. Louis, MO, USA.

Early Human Development
|November 8, 2020
PubMed

Insights

Early feeding assessments in infants predict later feeding difficulties. The Neonatal Eating Outcome Assessment shows predictive validity for childhood feeding outcomes, aiding early intervention strategies.

Area of Science:

  • Pediatrics
  • Neonatology
  • Developmental Pediatrics

Background:

  • Infant feeding performance is crucial for development.
  • Predicting childhood feeding issues from neonatal assessments is vital for early intervention.
  • The Neonatal Eating Outcome Assessment (NEOOA) and Neonatal Oral Motor Assessment Scale (NOMAS) are used to evaluate infant feeding.

Purpose of the Study:

  • To determine the relationship between early infant feeding performance and feeding outcomes in childhood.
  • To assess the predictive validity of the Neonatal Eating Outcome Assessment (NEOOA) for later feeding problems.
  • To evaluate the concurrent validity of childhood feeding assessment tools.

Main Methods:

  • Ninety-one infants (44 preterm, 47 full-term) were assessed neonatally using NEOOA and NOMAS.
  • At 4 years, 39 infants (43% follow-up) completed parent-report feeding measures: Behavioral Pediatrics Feeding Assessment Scale (BPFAS) and Pediatric Eating Assessment Tool (PediEAT).
  • Statistical analyses examined correlations between neonatal and childhood feeding measures.

Main Results:

  • Lower NEOOA scores correlated with higher PediEAT scores (r=-0.44, p=0.01), indicating predictive validity.
  • No significant relationships were found between NOMAS and BPFAS or PediEAT.
  • Strong correlation between BPFAS and PediEAT at 4 years (r=0.66, p<0.001) suggests concurrent validity.

Conclusions:

  • Neonatal feeding performance is a significant predictor of feeding outcomes at 4 years of age.
  • The Neonatal Eating Outcome Assessment demonstrates predictive validity for childhood feeding issues.
  • The Pediatric Eating Assessment Tool shows concurrent validity, correlating with other childhood feeding measures.
Abstract

Keywords:
AssessmentDevelopmentNeonatal Eating Outcome AssessmentNeonatal intensive care unitOral motorOutcome

More Related Videos

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale19:15

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

Published on: August 25, 2014

87.1K
Assessing Cellular Stress and Inflammation in Discrete Oxytocin-secreting Brain Nuclei in the Neonatal Rat Before and After First Colostrum Feeding09:12

Assessing Cellular Stress and Inflammation in Discrete Oxytocin-secreting Brain Nuclei in the Neonatal Rat Before and After First Colostrum Feeding

Published on: November 14, 2018

8.1K

Related Concept Videos

Parentral Nutrition: Centeral and Peripheral Parental Nutrition01:27

Parentral Nutrition: Centeral and Peripheral Parental Nutrition

Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
499
Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption01:23

Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption

Understanding the physiological differences in the pediatric population is crucial for effective pharmacotherapy. Neonates, infants, and children exhibit significant variations in gastric pH, gastric emptying time, intestinal transit time, and biliary function. These variations profoundly affect oral drug absorption, necessitating a nuanced approach to pediatric dosing.Neonates present with a unique physiological profile, having a gastric pH greater than 4 and faster and more irregular gastric...
130
Pharmacokinetics in Pediatric Patients: Drug Distribution01:17

Pharmacokinetics in Pediatric Patients: Drug Distribution

Drug distribution in the pediatric population exhibits unique challenges and considerations due to the physiological differences between children, particularly neonates and infants, and adults. A crucial aspect of pediatric pharmacology is understanding how these differences impact the pharmacokinetics of various drugs, necessitating age-specific dosing strategies to ensure efficacy and safety.Neonates and infants have a higher total body water content, ~75%–90% of their body weight,...
146
Pharmacokinetics in Pediatric Patients: Drug Metabolism01:24

Pharmacokinetics in Pediatric Patients: Drug Metabolism

In pediatric care, understanding the nuances of hepatic drug metabolism is crucial, as it significantly differs from that of adults. This divergence is primarily due to the developmental stage of drug-metabolizing enzymes, which affects how medications are processed in the body. In neonates, for instance, the activity of Phase I enzymes—critical for the initial breakdown of drugs—is markedly reduced, functioning at just 20–40% of the levels seen in adults. This reduction poses...
99
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding01:15

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding

Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
523
Oxygen Requirements and Growth Patterns01:29

Oxygen Requirements and Growth Patterns

Microorganisms exhibit diverse oxygen requirements and growth patterns driven by their metabolic strategies and environmental adaptations. Oxygen, while essential for many organisms, can also be toxic under certain conditions, shaping how microorganisms grow and survive.Oxygen Requirements of MicroorganismsMicroorganisms are classified based on their ability to use or tolerate oxygen:● Obligate aerobes like Mycobacterium tuberculosis need oxygen for energy production, as it serves as the...
956