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A Preliminary Single-Centre Study on the Risk Factors Associated with Persistent Feeding Disorders in Children

Marta Ewelina Lis1, Martyna Chojnacka1, Ewa Łoś-Kiszkowiak2

  • 1Student Research Club Paediatric, Allergology and Gastroenterology, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, 87-100 Toruń, Poland.

Nutrients
|April 12, 2025
PubMed

Insights

Pediatric feeding disorders (PFDs) are common. This study identified factors like wasting and early feeding issues that predict PFD persistence in children, highlighting a better prognosis for those consuming varied foods by age one.

Area of Science:

  • Pediatrics
  • Child Psychology
  • Nutritional Science

Background:

  • Childhood feeding disorders (PFDs) present a significant epidemiological challenge.
  • Understanding risk factors is crucial for effective intervention and management of PFDs.
  • Both psychosocial and biological factors are implicated in the development and persistence of PFDs.

Purpose of the Study:

  • To identify risk factors associated with the persistence of pediatric feeding disorders.
  • To explore the influence of psychosocial and biological elements on PFD outcomes.
  • To differentiate characteristics between children with persistent versus resolved feeding disorders.

Main Methods:

  • A retrospective cross-sectional study design was employed, with data collected at two distinct time points (Stage I and Stage II) approximately three years apart.
  • The study included 56 hospitalized children, divided into Group A (persistent PFDs) and Group B (resolved PFDs).
  • Data analysis focused on comparing demographic, clinical, and feeding behavior variables between the two groups.

Main Results:

  • A significant difference in wasting prevalence was observed at Stage II, with higher rates in the persistent PFD group (48.7% vs. 17.6%, p=0.029).
  • Feeding disorders related to non-milk foods were significantly more prevalent in the persistent group (83.8% vs. 42.9%, p=0.011).
  • Children with resolved PFDs were more likely to consume foods of all consistencies by one year of age (64.3% vs. 27%, p=0.036).

Conclusions:

  • Pediatric feeding disorders represent a heterogeneous clinical presentation.
  • Early onset during exclusive breastfeeding and difficulties with non-milk foods are associated with persistent PFDs.
  • Consumption of diverse food consistencies by one year of age indicates a more favorable prognosis for children with feeding disorders.

Keywords:
child nutritionfeeding difficultiespaediatric feeding disorders

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