scholarly journals Organic and Nonorganic Feeding Disorders

2015 ◽  
Vol 66 (Suppl. 5) ◽  
pp. 16-22 ◽  
Author(s):  
Anna Rybak
Keyword(s):  
Premature Infants ◽  
Failure To Thrive ◽  
Feeding Disorders ◽  
Food Refusal ◽  
Healthy Children ◽  
Disabled Children ◽  
Feeding Problems ◽  
Behavioral Issues ◽  
Negative Behaviors ◽  
Feeding Style

Feeding is one of the most important interactions between caregiver and child in the first few years of life and even later on in handicapped children. Feeding disorders can present as food refusal or low quantity of food intake due to behavioral issues or underlying organic conditions. This situation concerns mostly infants and children below 6 years of age; however, feeding problems can appear also later on in life. Feeding disorders are a concern for over 10-25% of parents of otherwise healthy children below 3 years of age, but only 1-5% of infants and toddlers suffer from severe feeding problems resulting in failure to thrive. In case of premature infants or neurologically disabled children, this rate is much higher. Feeding disorders may appear as an isolated problem, mainly due to negative behaviors during feeding, or as a concomitant disorder with an underlying organic disease or structural anomaly. The newest classification also includes the feeding style presented by the caregiver (responsive, controlling, indulgent or neglectful) as a separate cause of feeding disorders.

Dysphagia and Oral Feeding Problems in the Premature Infant

2002 ◽  
Vol 21 (2) ◽  
pp. 51-57 ◽  
Author(s):  
Martha Wilson Jones ◽  
Elaine Morgan ◽  
Jean Shelton
Keyword(s):  
Premature Infant ◽  
Premature Infants ◽  
Gestational Age ◽  
Term Infant ◽  
Oral Feeding ◽  
Feeding Disorders ◽  
Feeding Problems ◽  
The Past ◽  
Common Problems

FEEDING DISORDERS AND dysphagia are common problems seen in premature infants following their discharge from the NICU. A major factor in the growing incidence of these problems is the number of infants born and surviving between 23 and 25 weeks gestational age, which has increased dramatically over the past decade. These infants experience both a lengthier exposure to noxious oral stimuli and a longer time until they develop the suck/swallow coordination that makes oral feeding safe.1 Oral feeding is generally not offered before 32–34 weeks gestational age, when the preterm infant’s sucking pattern begins to resemble that of a term infant.2,3 Therefore, there may be an 8- to 9-week lag between birth and oral feedings in a 23- or 24-week gestational age infant.

Frequent Breastfeeding and Food Refusal Associated with Failure to Thrive

2001 ◽  
Vol 40 (1) ◽  
pp. 27-33 ◽  
Author(s):  
Mary E. O'Connor ◽  
Laura J. Szekely
Keyword(s):  
Failure To Thrive ◽  
Food Refusal

Behavioral treatment of food refusal and selectivity in developmentally disabled children

1980 ◽  
Vol 1 (1-2) ◽  
pp. 95-112 ◽  
Author(s):  
Mary M Riordan ◽  
Brian A Iwata ◽  
Marianne K Wohl ◽  
Jack W Finney
Keyword(s):  
Behavioral Treatment ◽  
Developmentally Disabled ◽  
Food Refusal ◽  
Disabled Children

Managing Feeding Problems and Feeding Disorders

2013 ◽  
Vol 34 (12) ◽  
pp. 549-557
Author(s):  
James A. Phalen
Keyword(s):  
Feeding Disorders ◽  
Feeding Problems

Treatment of Attachment Disorder of Infancy in a Neonatal Intensive Care Unit

PEDIATRICS ◽  
1993 ◽  
Vol 91 (1) ◽  
pp. 139-142
Author(s):  
MARLENE S. GOODFRIEND
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Failure To Thrive ◽  
Reactive Attachment Disorder ◽  
Feeding Problems ◽  
Medical Problems ◽  
Attachment Disorder ◽  
Reactive Attachment

As a psychiatric consultant in an inner-city level III neonatal intensive care unit (NICU), I have seen several cases involving premature infants who did not have a caring, consistent adult in their lives. This neglect appeared to contribute to the development of behavior problems (eg, irritability) or feeding problems (eg, failure to thrive), and sometimes an infant failed to progress medically or experienced an exacerbation of medical problems. These infants were assigned the diagnosis of reactive attachment disorder of infancy. This is a recognized psychiatric entity that is defined, as follows, in the Diagnostic and Statistical Manual of Mental Disorders (3rd ed, revised):

scholarly journals Symptoms of pediatric feeding disorders among individuals with 3q29 deletion syndrome

2020 ◽  
Author(s):  
Addam J. Wawrzonek ◽  
T. Lindsey Burrell ◽  
William Sharp ◽  
Scott E. Gillespie ◽  
Rebecca Pollak ◽  
...  
Keyword(s):  
Pediatric Population ◽  
Failure To Thrive ◽  
Food Group ◽  
Autism Spectrum ◽  
Deletion Syndrome ◽  
Future Research ◽  
Feeding Disorders ◽  
Pediatric Feeding Disorders ◽  
Remediation Strategies ◽  
Pediatric Feeding

Objective: To evaluate symptoms of pediatric feeding disorders in a sample of individuals with 3q29 Deletion Syndrome. Previous research has found that individuals with 3q29 deletion syndrome (3q29Del) may experience elevated feeding concerns in early childhood; however, the specificity of these feeding concerns in this pediatric population is not well understood. Methods: We compared individuals with 3q29Del (n = 60) to matched controls (n = 59) using an 11-item survey that assessed commonly reported symptoms associated with pediatric feeding disorders. An exploratory analysis also examined individuals with 3q29Del with and without a comorbid autism spectrum disorder (ASD) diagnosis. Results: Caregivers of 3q29Del cases reported higher incidences of feeding concerns on all 11 items included in the survey. This included statistically significant differences in food refusal behaviors, rejection of one or more food group, and a history of failure to thrive. Parents of children with comorbid autism were more likely to report concerns regarding rejection of one or more food group compared to children with 3q29Del without autism. Conclusions: Results suggest individuals with 3q29Del experience increased symptoms of pediatric feeding disorders. Future research should include a more thorough multidisciplinary evaluation to further document the severity and identify optimal remediation strategies.

scholarly journals Pulse Oximetry Values in Very Preterm infants Asymtomatic at 34-36 weeks post menstrual age.

2020 ◽  
Author(s):  
Ignacio Oyarzún ◽  
Marcela Diaz ◽  
Paulina Toso ◽  
Alejandra Zamorano ◽  
Soledad Montes ◽  
...  
Keyword(s):  
Pulse Oximetry ◽  
Preterm Infants ◽  
Premature Infants ◽  
Gestational Age ◽  
Oxygen Therapy ◽  
Healthy Children ◽  
Multicentric Study ◽  
Very Preterm Infants ◽  
Very Preterm ◽  
Postmenstrual Age

Background: Oxygen supplementation is an important component for preterm infants neonatal care. Pulse oximetry (SpO2) is essential to guide oxygen therapy. Evidence on SpO2 values in premature infants previous to discharge is limited. Objectives: To establish SpO2 values in asymptomatic premature infants at 34, 35, and 36 weeks postmenstrual age (PMA). Methods: Longitudinal, multicentric study. From May 2018 to May 2019 premature infants born ≤32 weeks gestational age, from three level III NICUs in Santiago, Chile (altitude 579mt), were enrolled. Healthy children without current apnea of prematurity were included. Continuous SpO2 was obtained with Masimo-Radical 7/8 (USA), averaging time 2-4 seconds. Results: 101 SpO2 recordings (n = 44, 33 and 24 at 34, 35 and 36 weeks PMA respectively) from 62 infants. Twenty eight (45%) male, median (range) gestational age at birth 30 (26-32) weeks, median (range) birth weight 1480 (785-2700) g. Oximetry variables for total recordings: mean SpO2, median (range) 96.9 (93.3-99.3); minimum SpO2, median (range) 74 (51-89); time of SpO2 <90%, median (range) 2% (0-10.6%); time of SpO2 <80%, median (range) 0.1% (0-1.3%); desaturation event by ≥4% (DI4) ≥ 0 and ≥ 10 seconds per sample hour, median (range) 45.2 (5.2-115) and median (range) 15 (3.5-62.5) respectively; desaturation event <80% (DI80), median (range) 0.58 (0-10.8). We found no differences between SpO2 values at different weeks PMA. Conclusions: We described SpO2 values in very preterm infants, asymptomatic at 34, 35 and 36 weeks PMA. These values could be used as a reference to guide oxygen therapy previous to discharge.

Prevalence of Feeding Problems in Young Children With and Without Autism Spectrum Disorder: A Chart Review Study

2018 ◽  
Vol 40 (4) ◽  
pp. 335-346 ◽  
Author(s):  
Laura Seiverling ◽  
Patricia Towle ◽  
Helen M. Hendy ◽  
Joanna Pantelides
Keyword(s):  
Autism Spectrum Disorder ◽  
Autism Spectrum ◽  
Food Selectivity ◽  
Preschool Age ◽  
Spectrum Disorder ◽  
Food Refusal ◽  
Feeding Problems ◽  
Clinical Issue ◽  
Chart Abstraction ◽  
The Relationship

Feeding problems are known to be an important clinical issue for children with autism spectrum disorder (ASD), but the majority of studies on this topic have been carried out on children preschool age and older. It is important to understand whether these difficulties begin prior to age 3 years, as well as what parameters are important to study for both assessment and intervention. The present study used an early intervention chart abstraction method to examine prevalence of feeding problems in children below 3 years of age with ASD compared with those evaluated for non-ASD language delays (LD). Prevalence of feeding problems detected by speech therapists and psychologists was higher for the ASD group than for the comparison group, with the ASD group showing more food selectivity by texture (23.1% vs. 7.1%), more food selectivity by type (24.4% vs. 11.8%), more new food refusal (10.3% vs. 0%), and more food overstuffing (14.1% vs. 3.5%). We also examined the relationship between the total number of four feeding problems and child characteristics/demographics (ASD or LD diagnosis, gender, age of first evaluation, neighborhood income). Significantly more feeding problems were seen for children with ASD. As well, feeding problems were more prevalent for males. Associations between feeding problems and the other variables, as well as interactions, were not significant.

Neonatal Polycythemia: Frequency of Clinical Manifestations and Other Associated Findings

PEDIATRICS ◽  
1986 ◽  
Vol 78 (1) ◽  
pp. 26-30 ◽  
Author(s):  
Thomas E. Wiswell ◽  
J. Devn Cornish ◽  
Ralph S. Northam
Keyword(s):  
Respiratory Distress ◽  
United States Army ◽  
Premature Infants ◽  
Gonadal Dysgenesis ◽  
Clinical Symptoms ◽  
Clinical Manifestations ◽  
Signs And Symptoms ◽  
Feeding Problems ◽  
Intracranial Hemorrhages ◽  
Army Hospitals

We report the results of a two-part study examining the frequency of symptoms and other findings associated with neonatal polycythemia. In the first part of the investigation, we evaluated the occurrence and features of the disorder in a cohort of 3,768 infants born at our institution that had been screened for the disorder during a 4-year period. Fifty-five infants (1.46%) had neonatal polycythemia. Of these infants, 85% had features associated with the disorder. Frequent signs and symptoms included "feeding problems" (21.8%), plethora (20.0%), lethargy (14.5%), cyanosis (14.5%), respiratory distress (9.1%), jitteriness (7.3%), and hypotonia (7.3%). Other findings included hypoglycemia (40.0%) and hyperbilirubinemia (21.8%). Of the polycythemic infants, 14.5% had no clinical symptoms or associated laboratory abnormalities. In the second portion of the study, we reviewed the features of polycythemia in all infants so diagnosed who were born in United States Army hospitals, worldwide, during a 5-year period. There were 220,050 infants born during this period; 932 (0.42%) were diagnosed as having neonatal polycythemia. Frequent findings were hyperbilirubinemia (33.5%), hypoglycemia (13.0%), and respiratory distress (6.6%). In this large group, only 13 (1.4%) had necrotizing enterocolitis, and nine (1.0%) were thrombocytopenic. Several findings among the 932 infants were unexpected. Six of the infants (only one premature) had intracranial hemorrhages. Additionally, three of the 932 had gonadal dysgenesis and three had cystic fibrosis. We found that premature infants were not less prone to having polycythemia and that the overall frequency of the disorder was less than that which has been previously reported.

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