Feeding Problems in Typically Developing Young Children, a Population-Based Study (original) (raw)

Assessment of behavioral feeding difficulties in young children

Annals of Medical Research, 2019

Aim: Feeding difficulties are common in typically developing children and the prevalence ranges from 25% to 45%. Although using an assessment tool is the best approach when planning an intervention, assessment of feeding disorders is mostly accomplished by informal parent interviews in clinical practice. This study was designed to assess the mealtime behaviours of young children with 'Feeding Difficulties' (FD) by an instrument and to compare the results with 'Typically Developing' (TD) children. Material and Methods: A total of 61 children with FDs and 63 TD children aged 6-42 months were included. The Behavioral Pediatric Feeding Assessment Scale (BPFAS) was completed to describe the child's feeding behaviors and the parents' mealtime strategies. Results:FD group had higher scores than TD group in all BPFAS subtests' scores. The mean 'Total Frequency Score' was 104.6 in FD group whereas 72.9 in TD group (p=0.0001). The FD group had more problematic feeding behaviours in comparison to TD group. The mean 'Total Problem Score' of TD group was 6.1 whereas 20.1 in children with FD (p=0.0001). Conclusion: This study supports the BPFAS to be a useful and practical feeding assessment tool and also has the advantage of incorporating parents' feelings about child's feeding behaviors.

Clinical Investigation of Feeding Difficulties in Young Children: A Practical Approach

Clinical Pediatrics, 2009

Many young children are thought by their parents to eat poorly. Although the majority of these children are mildly affected, a small percentage have a serious feeding disorder. Nevertheless, even mildly affected children whose anxious parents adopt inappropriate feeding practices may experience consequences. Therefore, pediatricians must take all parental concerns seriously and offer appropriate guidance. This requires a workable classification of feeding problems and a systematic approach. The classification and approach we describe incorporate more recent considerations by specialists, both medical and psychological. In our model, children are categorized under the 3 principal eating behaviors that concern parents: limited appetite, selective intake, and fear of feeding. Each category includes a range from normal (misperceived) to severe (behavioral and organic). The feeding styles of caregivers (responsive, controlling, indulgent, and neglectful) are also incorporated. The objective is to allow the physician to efficiently sort out the wide variety of conditions, categorize them for therapy, and where necessary refer to specialists in the field.

Feeding disorders of early childhood: an empirical study of diagnostic subtypes

The International journal of eating disorders, 2013

The aim of this study was to examine the differences among three subtypes of feeding disorders (FD), defined through the criteria of the DC:0-3R: "Infantile Anorexia" (IA), "Feeding Disorder Associated with Insults to the Gastrointestinal Tract" (FDIGT), and "Sensory Food Aversions" (SFA), by exploring mother-child interactions during feeding, children's temperament and emotional-adaptive functioning, and mothers' psychological profile and eating attitudes. The sample consisted of 146 Italian mother-child pairs, of which 51 children with IA, 47 children with FDIGT, and 48 mothers and their children with SFA. All dyads were videotaped during feeding; mothers completed questionnaires assessing their psychological profiles and eating attitudes, as well as their children's temperament and emotional/behavioral functioning. Analyses revealed significant differences between the diagnostic groups of FD in relation to mother-child interactions during...

Feeding difficulties among Brazilian children: prevalence and associated factors

Research, Society and Development

Objective: to present characteristics related to feeding difficulties (FD) in Brazilian children. Methodology: cross-sectional, observational, descriptive study with a quantitative approach that used a structured electronic questionnaire on FD, management and reaction of caregivers to these difficulties, family repercussions, source of knowledge on the subject and professional approach. Results: one thousand caregivers of children aged between 6 months and 10 years answered the questionnaire in full. FD initially manifested between 1 and 4 years of age in 62% of children. Rejection of trying new foods was the main FD (61%); 65% of the children consumed five or less types of food/day, with cooked foods being preferred by 79%; 33% of caregivers attributed the cause of FD to inadequate examples of family feeding and 32% admitted difficulties in keeping the child focused during feeding. Most caregivers reported that FD don’t affect or have little effect on the family dynamics or child’s...

Validation of the Comprehensive Feeding Practices Questionnaire with parents of 10-to-12-year-olds

BMC Medical Research Methodology, 2011

Background: There is a lack of validated instruments for quantifying feeding behavior among parents of older children and adolescents. The Comprehensive Feeding Practices Questionnaire (CFPQ) is a self-report measure to assess multiple parental feeding practices. The CFPQ is originally designed for use with parents of children ranging in age from about 2 to 8 years. It is previously validated with American and French parents of children within this age range. The aim of the present study was to adapt and test the validity of this measure with parents of older children (10-to-12-year-olds) in a Norwegian setting. Methods: A sample of 963 parents of 10-to-12-year-olds completed a Norwegian, slightly adapted version of the CFPQ. Scale analyses were performed to test the validity of the instrument in our sample.

Parental feeding practices data in healthy children and children with gastrointestinal diseases

Data in Brief, 2020

Parental feeding practices significantly influence child eating behavior. The data for this article was from a cross-sectional case control larger study that aimed to record parental practices to manage feeding problems in children with typical development and children with gastrointestinal diseases. A set of 23 Likert-type questions was used to investigate parental practices. Demographic and anthropometric data were obtained via a structured set of questions. In total 765 parents of healthy children and 136 parents of children with gastrointestinal diseases aged one to seven years participated in the study. Healthy controls were recruited from kindergartens located in various geographical areas in Greece. Children with gastrointestinal diseases were recruited from a Pediatric Gastroenterology Outpatient Clinic. Descriptive measures (i.e. frequencies, percentages, means and standard deviations) alongside with statistical analysis measures are presented in this article. Chi-square tests and U-tests were performed for the purpose of the comparison between the two groups. Spearman's rho correlation coefficient was also calculated for inter-item correlations among the 23-items of the questionnaire.

A Review of Methods to Assess Parental Feeding Practices and Preschool Children's Eating Behavior: The Need for Further Development of Tools

Journal of the Academy of Nutrition and Dietetics, 2012

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A Biopsychosocial Model of Normative and Problematic Pediatric Feeding

Children's Health Care, 2009

A comprehensive model is presented that (a) highlights factors that have been implicated in the development and maintenance of feeding problems in both normal and clinical populations; and (b) provides a framework for the prevention, management, and treatment of feeding problems across the range of physically healthy children to children with acute and chronic illnesses. Relevant literatures and feeding models were synthesized to present a comprehensive unified biopsychosocial model that may aid in the prediction and synthesis of information about feeding and eating in both normal and clinical populations and provide a framework for interdisciplinary research and intervention.