Neonatal Eating Assessment Tool-Mixed Breastfeeding and Bottle-feeding: Reference values and factors associated with

Britt Frisk Pados1, Jamarii Johnson2, Madeline Nelson3

  • 1Infant Feeding Care, Wellesley, Massachusetts.

Insights

Problematic infant feeding symptoms generally improve by 7 months, except for sensory issues. Gastrointestinal and reflux symptoms correlate with feeding difficulties, suggesting targeted interventions may help.

Area of Science:

  • Pediatric feeding disorders
  • Infant nutrition
  • Developmental pediatrics

Background:

  • The Neonatal Eating Assessment Tool-Mixed Breastfeeding and Bottle-feeding (NeoEAT-Mixed Feeding) assesses problematic feeding symptoms in infants using both breast and bottle.
  • This tool is parent-reported and designed for infants experiencing feeding challenges.

Purpose of the Study:

  • Establish reference values for the NeoEAT-Mixed Feeding tool.
  • Identify factors contributing to problematic feeding symptoms in healthy, full-term infants.

Main Methods:

  • An online survey was completed by parents of 409 infants under 7 months old.
  • Median and percentile scores were calculated for different infant age groups (0-2, 2-4, 4-6, and 6-7 months).

Main Results:

  • NeoEAT-Mixed Feeding scores for overall feeding and subscales like Gastrointestinal Tract Function and Energy & Physiologic Stability decreased with infant age.
  • Infant Regulation and Feeding Flexibility scores remained stable, while Sensory Responsiveness scores increased with age.
  • Higher NeoEAT-Mixed Feeding scores were associated with increased gastrointestinal and gastroesophageal symptoms.

Conclusions:

  • Problematic feeding symptoms in healthy infants typically improve within the first 7 months, excluding sensory-related issues.
  • Gastrointestinal and gastroesophageal reflux symptoms are linked to problematic feeding.
  • Reference values can aid in identifying infants needing assessment and intervention; targeting GI symptoms may improve feeding issues.
Abstract

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