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Feeding Issues Among Preschoolers With Developmental Concerns and Risks From a Developmental Pediatrics Perspective:
Emel Omercioglu1, Ayse Mete Yesil1, Ebru Ozturk2
1Division of Developmental Pediatrics, Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Clinical Pediatrics
|September 25, 2025
Summary
Preschool children with developmental risks often experience feeding difficulties linked to behavioral problems, not developmental delays. Addressing these feeding issues requires considering medical, developmental, and behavioral factors for optimal growth.
Area of Science:
- Pediatric Medicine
- Developmental Psychology
- Behavioral Science
Background:
- Feeding difficulties are common in preschool children with developmental risks.
- Existing research often focuses on severe developmental delays or neurodevelopmental disorders.
- There's a growing need to understand feeding issues in children with milder delays, especially in developing nations.
Purpose of the Study:
- To investigate the relationship between feeding difficulties and the developmental and behavioral profiles of preschool children referred to a developmental pediatrics clinic.
- To determine if feeding issues correlate with developmental domains or behavioral problems.
- To inform comprehensive intervention strategies for children with feeding challenges.
Main Methods:
- Utilized the Ages and Stages Questionnaire (ASQ), ASQ: Social-Emotional, Child Behavior Checklist (CBCL), and Behavioral Pediatrics Feeding Assessment Scale (BPFAS).
- Included 102 preschool children with developmental risks.
- Employed multiple linear regression analysis to assess associations.
Main Results:
- A significant association was found between feeding issues and behavioral problems.
- No significant relationship was observed between feeding difficulties and developmental domains.
- Positive correlations were identified across all behavioral problems and BPFAS subscales.
Conclusions:
- Feeding difficulties in preschool children with developmental risks are strongly associated with behavioral problems.
- Interventions for feeding issues should integrate medical, developmental, and particularly behavioral assessments.
- Addressing feeding problems is crucial for ensuring adequate nutrition, growth, and development in at-risk children.
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