Evaluating palatability in young children: a mini-review of relevant physiology and assessment techniques

Haley M Schluterman1, Constance G Linardos1, Teresa Drulia2

  • 1Departments of Medical Education, The Anne Marion Burnett School of Medicine, Texas Christian University, Fort Worth, TX, United States.

Frontiers in Pediatrics
|February 23, 2024
PubMed

Insights

Ensuring children find medications palatable is key for treatment success. Current palatability assessment methods have limitations, especially for young children, and a gold standard is still needed.

Area of Science:

  • Pharmaceutical Science
  • Pediatric Medicine
  • Sensory Science

Background:

  • Medication palatability significantly impacts pediatric compliance and treatment outcomes.
  • Unpalatable drugs can lead to treatment failure with short- and long-term health consequences.
  • Systematic palatability assessment is increasingly important due to advances in food and pharmaceutical technologies.

Purpose of the Study:

  • To review current methods for assessing the palatability of pediatric pharmaceutical products.
  • To highlight the limitations of existing palatability assessment tools for young children.
  • To emphasize the need for a universally accepted gold standard in pediatric medication palatability assessment.

Main Methods:

  • Review of existing literature on palatability assessment methods in pediatric populations.
  • Analysis of techniques including visual analogue scales, facial hedonic scales, and facial recognition software.
  • Evaluation of the applicability and limitations of these methods for pediatric use.

Main Results:

  • Various methods exist for assessing palatability, including subjective scales and objective software.
  • Current methods demonstrate utility but possess significant limitations, particularly for very young children.
  • No single method is universally accepted as a gold standard by regulatory agencies.

Conclusions:

  • Effective palatability assessment is critical for pediatric medication adherence.
  • Existing assessment tools require further development to overcome limitations in young populations.
  • The establishment of a recognized gold standard for pediatric medication palatability is a necessary future development.

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