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.
Background:
The Neonatal Eating Assessment Tool-Mixed Breastfeeding and Bottle-feeding (NeoEAT-Mixed Feeding) is a parent-report assessment of symptoms of problematic feeding in infants who are feeding by both breast and bottle.
Purpose:
To establish reference values for the NeoEAT-Mixed Feeding and evaluate factors that contribute to symptoms of problematic feeding in healthy, full-term infants.
Methodology:
Parents of 409 infants less than 7 months old completed an online survey. Median and percentile scores are presented for infants aged 0-2, 2-4, 4-6, and 6-7 months old.
Results:
Neonatal Eating Assessment Tool-Mixed Feeding total score and scores for the Gastrointestinal Tract Function and Energy & Physiologic Stability subscales decreased with increasing infant age. Infant Regulation and Feeding Flexibility subscale scores remained stable over time, whereas Sensory Responsiveness subscale scores increased with increasing infant age. Infants with more gastrointestinal and gastroesophageal symptoms had higher NeoEAT-Mixed Feeding total scores.
Conclusions:
In healthy, full-term infants, symptoms of problematic feeding generally improve over the first 7 months, with the exception of symptoms related to sensory responsiveness. Gastrointestinal and gastroesophageal reflux symptoms are related to symptoms of problematic feeding.
Implications:
The reported reference values may be used to identify infants in need of further assessment, referral, and intervention. In healthy, full-term infants with concurrent gastrointestinal symptoms and problematic feeding, interventions targeted at gastrointestinal symptoms may help to improve symptoms of problematic feeding as well.
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