Impact of COVID-19 Pandemic on Young Children With Feeding and Eating Problems and Disorders and Their Families

Hilde Krom1,2, Joost van Mameren3,4, Lianne Remijn3,5

  • 1From the Department of Pediatric Gastroenterology, Hepatology and Nutrition, Emma Children's Hospital, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.

Insights

The COVID-19 pandemic significantly impacted children with feeding and eating problems and disorders (FEPD). Parents reported increased stress, child feeding difficulties, and reduced family support compared to controls.

Area of Science:

  • Pediatric Psychology
  • Child Nutrition
  • Public Health

Background:

  • Feeding and eating problems and disorders (FEPD) in children saw increased incidence during the COVID-19 pandemic.
  • The pandemic's effects on young children with FEPD and their families require thorough investigation.

Purpose of the Study:

  • To assess the impact of the COVID-19 pandemic on young children diagnosed with FEPD.
  • To evaluate the experiences of parents with children suffering from FEPD during the pandemic.

Main Methods:

  • A cross-sectional online survey was conducted with parents of children aged 0-11 years in the Netherlands.
  • Questionnaires assessed demographic information, pediatric feeding disorder (PFD) and/or avoidant/restrictive food intake disorder (ARFID) criteria, and pandemic-related impacts.
  • Parental responses for children with FEPD were compared against those of healthy controls (HCs).

Main Results:

  • 129 children with FEPD and 111 HCs were included in the study.
  • Parents of children with FEPD reported significantly higher child stress (P=0.014) and parental stress (P=0.014).
  • Worse child eating behaviors (P<0.001), more negative family dynamics (P=0.006), and less environmental support (P=0.001) were reported by parents of children with FEPD.

Conclusions:

  • The COVID-19 pandemic exerted a substantial impact on young children with FEPD and their parents.
  • Parents of children with FEPD experienced heightened stress, feeding challenges, and diminished support systems.
  • Findings underscore the need for targeted interventions and support for families navigating FEPD during public health crises.
Abstract

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