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Classifying complex pediatric feeding disorders

K A Burklow1, A N Phelps, J R Schultz

  • 1Division of Psychology, Children's Hospital Medical Center, Cincinnati, OH 45229, USA.

Journal of Pediatric Gastroenterology and Nutrition
|August 14, 1998
PubMed
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Complex pediatric feeding problems often involve behavioral issues, interacting with biological factors. Addressing both is key for successful feeding outcomes in children.

Area of Science:

  • Pediatric Medicine
  • Developmental Pediatrics
  • Behavioral Science

Background:

  • Complex pediatric feeding problems present multifaceted challenges.
  • Understanding the classification and frequency of these issues is crucial for effective intervention.

Purpose of the Study:

  • To define characteristics of complex pediatric feeding problems.
  • To determine the relative frequency of classifications in children referred to an interdisciplinary feeding team.

Main Methods:

  • Reviewed 103 children's evaluation reports (4 months–17 years).
  • Coded factors: prematurity, developmental delay, structural abnormalities, neurological conditions, behavioral issues, cardiorespiratory problems, metabolic dysfunction.

Main Results:

Related Experiment Videos

  • Behavioral issues were most frequent (85%), followed by neurological (73%) and structural (57%).
  • Common combinations included structural-neurological-behavioral (30%) and neurological-behavioral (27%).
  • 38% had prematurity history; 74% showed developmental delay.

Conclusions:

  • The majority of children had a behavioral component in their feeding problems.
  • Complex pediatric feeding issues are biobehavioral, requiring integrated treatment.
  • Both biological and behavioral aspects must be addressed for normal feeding.