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Feeding Challenges in Children With Down Syndrome: The Role of Aspiration and Clinical Subgroups

Müberra Tanrıverdi1, Gülşah Zengin Yazıcı2, Güleser Güney Yılmaz3

  • 1Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Bezmialem Vakif University, Istanbul, Turkey.

Journal of Applied Research in Intellectual Disabilities : JARID
|September 25, 2025
PubMed

Insights

Aspiration risk affects feeding in children with Down syndrome, with younger children facing higher risks. Early assessment is vital for safe, individualized feeding strategies.

Area of Science:

  • Pediatric Gastroenterology
  • Developmental Pediatrics
  • Clinical Nutrition

Background:

  • Feeding difficulties and aspiration risk are prevalent in children with Down syndrome.
  • Understanding factors influencing feeding modality is critical for intervention.

Purpose of the Study:

  • To identify factors associated with feeding modality in children with Down syndrome.
  • To characterize subgroups of children with Down syndrome based on feeding and aspiration risk.

Main Methods:

  • Cross-sectional study of 335 children with Down syndrome (aged 4-12 years).
  • Feeding assessed using Functional Oral Intake Scale (FOIS) and Screening Tool of Feeding Problems (STEP).
  • Aspiration risk identified via STEP and clinical evaluation; feeding categorized as oral or non-oral.

Main Results:

  • 74.1% were oral feeders, 25.9% received non-oral nutrition.
  • 33.7% of participants had aspiration risk.
  • Younger age correlated with higher aspiration risk (OR=0.38, p=0.001); distinct subgroups emerged based on aspiration, oral sensory, and behavioral issues.

Conclusions:

  • Aspiration risk significantly impacts feeding modality and patient subgroups.
  • Early, multidisciplinary assessment is crucial for detecting risk.
  • Tailored feeding strategies are essential, particularly for younger children.
Abstract

Keywords:
aspirationdown syndromefeeding difficultiesoral intakepaediatric dysphagiaswallowingtrisomy 21

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