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Published on: April 19, 2024
[Eating behavior and skills of premature children in different age periods]
M A Podporina1, T V Saprina1, Yu S Rafikova1
1Siberian State Medical University of the Ministry of Healthcare of the Russian Federation, 634050, Tomsk, Russian Federation.
Insights
Premature infants often experience long-term feeding difficulties impacting their eating skills and behavior throughout childhood. These challenges, particularly for those born before 32 weeks gestation, require ongoing pediatric attention and specialized monitoring programs.
Area of Science:
- Pediatrics
- Developmental Psychology
- Nutritional Science
Background:
- Premature infant feeding presents challenges beyond the neonatal period, affecting the development of nutritional skills and habits.
- Eating difficulties in premature children persist beyond infancy and differ from those of full-term peers.
- The long-term impact of prematurity on eating behavior necessitates a comprehensive understanding.
Purpose of the Study:
- To delineate the specific eating skills and behaviors observed in premature infants across childhood.
- To highlight the developmental trajectory of eating patterns in preterm children compared to their full-term counterparts.
Main Methods:
- Systematic literature search conducted on eLIBRARY.ru and PubMed.
- Inclusion of original studies and systematic reviews evaluating eating skills or behavior in premature children and adolescents.
- Analysis of data across various age periods.
Main Results:
- Infants born before 32 weeks gestation are most susceptible to eating disorders due to immature suck-swallow-breath patterns.
- Eating difficulties are linked to motor skill and neurodevelopmental progression in the first year of life.
- While decreasing with age, nutritional difficulties in preterm children remain higher than in full-term peers, evolving into selective appetite and disordered eating tendencies, with increased prevalence in boys.
Conclusions:
- Accumulated data reveal distinct age-related patterns in the eating behavior of prematurely born children.
- The enduring effects of premature birth on eating behavior underscore the need for heightened pediatrician awareness.
- Development of specialized monitoring programs for preterm children is crucial to address long-term feeding and behavioral outcomes.
Abstract:
Premature infant feeding often causes a number of difficulties not only during the nursing of a baby in the neonatal period, but also in further periods of the formation of nutritional skills and habits. Eating difficulties are noticeable not only during the first year of life. The further development of the eating behavior of premature children differs from fullterm peers. The aim of the publication is to demonstrate the peculiarities of eating skills and eating behavior in premature infants throughout the entire period of childhood. Material and methods. The search for original studies and systematic reviews that evaluated eating skills or eating behavior in children and adolescents born prematurely at various age periods was carried out using the eLIBRARY.ru and PubMed databases. Results. Children with a gestation period of less than 32 weeks at birth are most vulnerable to the development of eating disorders, since the suck-swallow-breath pattern is in the process of maturation. Eating difficulties are noticeable during the first year of life, since the formation of eating behavior is closely related to the development of motor skills and the neurodevelopment. The proportion of premature children experiencing nutritional difficulties decreases with age, but does not become comparable with that among full-term peers. Later with time, motor disorders are replaced by selective appetite, and tendencies to eating disorders are formed. In addition, with age, gender differences in eating behavior appear, which are characterized by an increase in eating disorders among boys. Conclusion. Currently, the data demonstrating characteristic age patterns in children born prematurely have been accumulated. Such a long-term effect of premature birth on eating behavior dictates the need for close attention to this group of children among pediatricians and the development of specialized programs for monitoring of preterm children.
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