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Behavioral issues and implications with pediatric feeding disorders

J C Arvedson1

  • 1Speech-Language-Hearing Department, Children's Hospital of Buffalo, NY 14222, USA.

Seminars in Speech and Language
|February 1, 1997
PubMed
Summary
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This study explores behavioral feeding problems in children, focusing on creating positive mealtime interactions. It offers strategies to manage food refusal and poor weight gain, promoting healthy development.

Area of Science:

  • Pediatric Nutrition
  • Child Psychology
  • Developmental Pediatrics

Background:

  • Feeding problems are common in children and can impact growth and development.
  • Behavioral and interactional factors significantly influence a child's eating habits.
  • Failure to thrive (FTT) is a critical diagnosis associated with poor appetite and food refusal.

Observation:

  • Children with limited appetites and food refusal often exhibit poor weight gain or weight loss.
  • Behavioral components underlying feeding difficulties require a comprehensive "total" child approach.
  • Optimal feeding relationships are best understood within a developmental framework.

Findings:

  • Management strategies focus on making the eating process enjoyable and nutritionally adequate.

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  • Addressing behavioral aspects is key to improving outcomes for children with feeding problems.
  • A developmental perspective provides essential guidelines for establishing healthy feeding relationships.

    • Implications:

    • Early identification and intervention for feeding problems can prevent long-term health issues.
    • Educating caregivers on positive feeding practices supports child development.
    • This approach can improve nutritional status and overall well-being in children experiencing feeding difficulties.