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Four-Fold Increase of the Number of Children Diagnosed With Paediatric Feeding Disorder in Northern Sweden in
Elsa Gustavsson1, Martina Kölgran1, Maria Jonsson2
1Department of Clinical Sciences, Pediatrics, Umeå University, Umeå, Sweden.
Insights
The prevalence of Paediatric Feeding Disorder (PFD) has significantly increased over the past decade, particularly in children under five. This rise highlights the urgent need for further research into PFD and its management.
Area of Science:
- Pediatric Health
- Clinical Nutrition
- Epidemiology
Background:
- Paediatric Feeding Disorder (PFD) is a complex condition affecting children's nutritional intake and development.
- Understanding the epidemiological trends of PFD is crucial for public health planning and resource allocation.
Purpose of the Study:
- To investigate the annual prevalence and characteristics of Paediatric Feeding Disorder (PFD) in Västerbotten county, Sweden.
- To analyze trends in PFD prevalence from 2012 to 2022.
Main Methods:
- Retrospective analysis of medical records from pediatric clinics.
- Identification of patients using pre-defined diagnostic and procedure codes for feeding problems.
- Verification of PFD diagnostic criteria and retrieval of nutritional status and enteral feeding data.
Main Results:
- Annual PFD prevalence rose from 1.2 to 5.0 per 1000 children between 2012 and 2022.
- In 2022, prevalence in children under five was 10.2 per 1000.
- Significant rates of malnutrition (28% moderate/severe thinness) and enteral feeding (31% tube-fed) were observed.
Conclusions:
- PFD prevalence has notably increased in the last decade, especially in young children.
- High rates of malnutrition and enteral feeding suggest the study identified severe PFD cases.
- Further research is essential due to the rising prevalence of PFD.
Aim:
The aim of this study was to investigate the annual prevalence and characteristics of Paediatric Feeding Disorder (PFD) in Västerbotten county, Sweden, during the years 2012-2022.
Methods:
In this retrospective study, medical records of patients attending paediatric clinics with possible feeding problems were identified by applying pre-defined diagnostic and procedure codes. Diagnostic criteria of PFD were verified. Additional data including nutritional status and enteral feeding tube placement were retrieved.
Results:
Annual prevalence of PFD increased from 1.2 (95% CI, 0.9-1.5) per 1000 children in 2012 to 5.0 (95% CI, 4.4-5.6) per 1000 children in 2022. In 2022, the prevalence in children < 5 years of age was 10.2 (95% CI, 8.7-12.0) per 1000. Of those, 28% had thinness grades 2 or 3 (moderate or severe thinness), and 31% were fed via nasogastric tube or gastrostomy.
Conclusion:
Prevalence of PFD has increased in the last decade, most notably for children under the age of five. High rates of malnutrition and enteral feeding in our study population indicate that we identified only the most severe cases of PFD. Given the rising prevalence of PFD, further research on the condition is of high priority.
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