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Published on: August 21, 2015
Factors associated with age of presentation of pediatric feeding disorder
Tut Galai1, Gal Friedman2, Nataly Kalmintzky1
1Pediatric Gastroenterology, Dana Dwek Children's Hospital, Affiliated to the Faculty of Medicine, Tel Aviv, Israel.
Insights
Pediatric feeding disorder (PFD) presents differently in infants versus toddlers. Younger children with PFD were more likely to be girls, preterm, hospitalized, and require medication, with distinct feeding issues.
Area of Science:
- Pediatric Gastroenterology
- Child Health
- Clinical Nutrition
Background:
- Pediatric Feeding Disorder (PFD) affects infants and toddlers.
- Limited understanding of how age influences PFD characteristics.
- Need to identify age-specific factors in PFD.
Purpose of the Study:
- Investigate factors associated with Pediatric Feeding Disorder (PFD).
- Compare PFD characteristics across different age groups (infants vs. toddlers).
- Determine the impact of age of presentation on PFD outcomes.
Main Methods:
- Retrospective analysis of medical records for 253 children diagnosed with PFD.
- Comparison between younger (1-12 months) and older (13-72 months) age groups.
- Utilized World Health Organization-based definition for PFD diagnosis.
Main Results:
- Younger PFD patients were more often girls (52.6% vs 34.4%) and preterm (25% vs 14%).
- Infants experienced higher hospitalization rates (34% vs 23%) and medication needs (36% vs 17%).
- Feeding issues stemmed from skill deficits in younger children and nutritional problems in older ones.
Conclusions:
- Infants under one year with PFD are a distinct group with unique features.
- Age at presentation significantly impacts PFD patient profiles.
- Tailored treatment strategies are essential for different PFD age groups.
Aim:
Understanding the association between pediatric feeding disorder (PFD) and age of presentation is limited. We aimed to investigate factors associated with PFD among different age groups.
Methods:
Retrospective analysis of medical records of infants and toddlers diagnosed with PFD, according to the World Health Organization-based definition. We compared children aged 1-12 months to those aged 13-72 months.
Results:
Included were 253 children with PFD (median [interquartile range] age 16.4 [9.5-33] months at diagnosis, 56% boys). Significantly more children in the younger age group were girls (52.6% vs. 34.4%, respectively, p = .03) and preterm (25% vs. 14%, p = .03). They had more hospitalizations (34% vs. 23%, p = .03) and needed more prescription medications (36% vs. 17%, p < .01). Additionally, disturbances in oral intake were primarily linked to feeding skills dysfunction in the younger group and nutritional dysfunction in the older group (39.6% vs. 23.7% and 55% vs. 38%, respectively, p = .02).
Conclusions:
Infants under 1 year old with PFD represent a distinct patient group with unique characteristics and outcomes. The age of presentation plays a significant role in children with PFD, necessitating tailored treatment strategies.
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