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Alterations in Child Feeding Behavior: An Underrecognized Clinical Complication of Food Allergy

Jinhee Park1, Kaitlin B Proctor2, Hayley H Estrem3

  • 1Boston College William F. Connell School of Nursing, Chestnut Hill, Mass.

The Journal of Allergy and Clinical Immunology. in Practice
|September 26, 2024
PubMed

Insights

Children with food allergy (FA) experience more feeding problems than healthy peers. Factors like older age and race influence these issues, highlighting the need for routine screening and support.

Area of Science:

  • Pediatric Allergy and Immunology
  • Gastroenterology
  • Child Psychology

Background:

  • Food allergy (FA) impacts millions of US children, potentially affecting growth and psychosocial well-being.
  • A higher prevalence of feeding difficulties is suggested in children with FA, but the connection is not fully understood.

Purpose of the Study:

  • To compare feeding problems in children with IgE-mediated FA and/or pediatric feeding disorder (PFD) against healthy children.
  • To identify factors associated with feeding problems in children diagnosed with FA.

Main Methods:

  • A matched cross-sectional cohort study surveyed 352 parents of children aged 6 months to 7 years.
  • Participants included children with FA only, FA and PFD, and PFD only, compared to matched healthy controls.
  • Feeding problems were assessed using the Pediatric Eating Assessment Tool, with statistical analysis to compare groups and identify associated factors.

Main Results:

  • Children with FA showed significantly more feeding problems compared to healthy children.
  • Children with PFD had more severe feeding issues, regardless of co-occurring FA.
  • Factors associated with feeding problems in FA included older age, non-White race, medical comorbidities, and restricted diet.

Conclusions:

  • Evidence confirms a higher prevalence of feeding problems in children with FA.
  • Clinicians should screen FA patients for feeding and growth issues and consider multidisciplinary feeding program referrals.
Abstract

Keywords:
ChildrenFeeding problemsFood allergyPediatric feeding disorder

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