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A Treatment Package without Escape Extinction to Address Food Selectivity
Published on: August 21, 2015
Infant and toddler feeding patterns and problems: normative data and a new direction. Pediatric Practice Research
N R Reau1, Y D Senturia, S A Lebailly
1Department of Pediatrics, Children's Memorial Hospital, Chicago, Illinois 60614, USA.
Insights
This study surveyed parents about infant and toddler feeding habits. Problematic feeding behaviors are common in toddlers and linked to slower eating, suggesting a need for clinical guidance.
Area of Science:
- Pediatric Nutrition
- Child Development
- Behavioral Pediatrics
Background:
- Information gaps exist regarding typical infant and toddler feeding behaviors.
- Problematic feeding behaviors (PFBs) are frequently reported in toddlers.
- Understanding feeding times and behaviors is crucial for clinical intervention.
Purpose of the Study:
- To characterize infant and toddler feeding times and behaviors.
- To identify common problematic feeding behaviors (PFBs) in young children.
- To explore the relationship between PFBs and feeding duration.
Main Methods:
- Survey of predominantly non-Hispanic white parents in five Chicago-area pediatric offices.
- Data collected on infant (n=130) and toddler (n=151) feeding times and behaviors.
- Statistical analysis to compare feeding times and identify correlations with PFBs.
Main Results:
- Feeding time distributions did not significantly differ by age, with 90th percentile feeding times exceeding 29 minutes.
- Common infant PFB: "not always hungry at mealtime" (33%).
- Common toddler PFBs: "not always hungry" (52%), "trying to end meals" (42%), "picky eating" (35%), and strong food preferences (33%).
- Toddler picky eaters and those with recalled early PFBs ate significantly more slowly.
Conclusions:
- Infants and toddlers exceeding 30 minutes for meals can be considered slow feeders.
- Behavioral feeding problems are prevalent in toddlers and associated with prolonged feeding times.
- These findings provide valuable data for guiding clinical care and future research in pediatric feeding.
Abstract:
To fill information gaps, predominantly non-Hispanic white parents in five Chicago-area pediatric offices were surveyed concerning infant (n = 130) and toddler (n = 151) feeding times and behaviors. Feeding time distributions did not differ by age. Percentiles (in minutes) were: 10th, 9.4; 50th, 17.7; and 90th, 29.3. The most common infant problematic feeding behavior (PFB) was "not always hungry at mealtime" (33%). Toddler PFB included "not always hungry at mealtime" (52%), "trying to end meals after a few bites" (42%), "picky eating" (35%), and strong food preferences (33%). Toddler picky eaters ate more slowly (means 23.3 vs 19.7 minutes, p < .04). Toddlers with recalled PFB at 6 and 12 months ate most slowly (mean 37.5 minutes). We conclude that: (1) infants and toddlers who take >30 minutes to feed are slow feeders; (2) reports of behavioral feeding problems are common in toddlers and are related to slow feeding; (3) and these data can guide clinical care and future studies.
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