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A Cross-Sectional Study of Pediatric Feeding Disorder in Children with Cystic Fibrosis

Anam Bashir1, Nicholas Antos2, Tami Miller3

  • 1From the Division of Pediatric Gastroenterology, Hepatology and Nutrition, Medical College of Wisconsin, Milwaukee, WI.

Journal of Pediatric Gastroenterology and Nutrition
|September 29, 2023
PubMed

Insights

Pediatric feeding disorder (PFD) affects over 60% of children with cystic fibrosis (CF), often involving poor dietary diversity and reliance on nutritional support. Psychosocial dysfunction was less common in this population.

Area of Science:

  • Pediatric Gastroenterology
  • Pulmonology
  • Nutrition Science

Background:

  • Pediatric feeding disorder (PFD) is a complex condition impacting oral intake and associated functional domains.
  • The prevalence and specific characteristics of PFD in children with cystic fibrosis (CF) remain largely uncharacterized.
  • This study aimed to investigate the occurrence and categorize feeding dysfunction in pediatric CF patients.

Purpose of the Study:

  • To determine the prevalence of Pediatric Feeding Disorder (PFD) in children with cystic fibrosis (CF).
  • To categorize the types and domains of feeding dysfunction, including nutritional, feeding skill, and psychosocial aspects, in children with CF.

Main Methods:

  • An observational, cross-sectional study was conducted involving 103 children diagnosed with CF.
  • Data collection encompassed anthropometrics, nutritional status (including enteral nutrition [EN] and dietary diversity), feeding skills (pEAT), and psychosocial function (AYCE/BPFAS).
  • PFD was defined based on poor oral intake combined with criteria for feeding skills, psychosocial function, or nutritional dysfunction.

Main Results:

  • Pediatric feeding disorder (PFD) was identified in 60.1% (62/103) of children with CF.
  • Nutritional challenges were prevalent, with 41.5% experiencing decreased dietary diversity, 9.7% requiring EN, and 29.1% needing oral high-energy beverages.
  • Feeding skill dysfunction was observed in one child, while 10.8% met criteria for psychosocial dysfunction.

Conclusions:

  • Pediatric feeding disorder (PFD) is highly prevalent, affecting nearly two-thirds of children with cystic fibrosis (CF).
  • Poor dietary diversity and reliance on nutritional support (EN, oral supplements) are common issues in this population.
  • While nutritional and feeding challenges are significant, psychosocial dysfunction appears less prevalent among children with CF experiencing PFD.
Abstract

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