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Understanding Children's Feeding Problems

Feeding problems in children, including Avoidant Restrictive Food Intake Disorder (ARFID), can affect nutritional status and arise during infancy to childhood, with prevalence rates varying based on developmental conditions. Clinical features include food refusal, mealtime distress, and potential vitamin deficiencies, while specific issues like underfeeding and overfeeding can lead to various health concerns. Management involves behavioral interventions, sensory integration therapy, nutritional counseling, and medical management when necessary.

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65 views13 pages

Understanding Children's Feeding Problems

Feeding problems in children, including Avoidant Restrictive Food Intake Disorder (ARFID), can affect nutritional status and arise during infancy to childhood, with prevalence rates varying based on developmental conditions. Clinical features include food refusal, mealtime distress, and potential vitamin deficiencies, while specific issues like underfeeding and overfeeding can lead to various health concerns. Management involves behavioral interventions, sensory integration therapy, nutritional counseling, and medical management when necessary.

Uploaded by

sanatiny9
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd

FEEDING

PROBLEMS IN
CHILDREN
SOUMITA MONDAL
FEEDING DIFFICULTIES
• It is an umbrella term of AVOIDANDANT
RESTRICTIVE FOOD INTAKE DISORDER
(ARFID).
• It can arise during infancy, toddlerhood and
childhood.
• It can also affect the nutritional status of the child.
PREVALENCE
• 25% -35% -> Normal children
• 40%-80% -> with developmental disabilities
• 90% -> with autistic spectrum disorder
ETIOLOGY
• Picky eater or
• Preferential food likings or
• Having food aversions may be to forceful feeding
or
• Due to coexisting organic feeding causes.

DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL


DISORDERS (DSM) refers “feeding disorder as a persistent feeding
impairment and either a failure to gain weight or a significant weight
loss for at least 1 month without a lack of food availability or
significant medical condition.”
C L A S S I F I C AT I O
N

SELECTIVE
INTAKE FE
ED F E AR
T
I TI T E
ED O
I M E IN F
L P G
AP
C L I N I C A L F E AT U R E S
 Refusal of foods
 Mealtime distress:- crying, tantrums or refusal
to sit at one place
 Slow or poor weight gain
 Gagging or choking:- more with new or
unfamiliar foods
 Sensory sensitivities:- refusal to certain
textures or smells.
 Oral motor dysfunction:- children struggle
with chewing, swallowing or coordinating the
movements required for eating
 Features of forceful feeding
 Vitamin or micronutrient deficiencies
RED FL AG SIGNS
• Presence of dysphagia,
choking, aspiration, pain on
feeding.
• Chronic cardiac or respiratory
symptoms
• Prematurity
• Developmental delay
• Inborn errors of metabolism.
• Features of autism
• Congenital anomalies
SPECIFIC FEEDING
PROBLEMS
UNDERFEEDING:-
Occurs due to offering inadequate food to children, faulty feeding technique
and chronic systemic illness in children.
C/F:- Irritability, excessive crying, sleep disturbance, poor weight gain

B. OVERFEEDING:-
Occurs due to parental overestimation of the nutrition requirements of children.
C/F:- vomiting, abdominal distention, excessive flatulence, overweight and
obesity.

C. RUMINATION:-
Habitual regurgitation and reswallowing of stomach contents by increasing
intra-abdominal pressure by putting finger or fist in the mouth.
DIAGNOSIS
 HISTORY EVALUATION:-
• Dietary intake
• Identification of food refusal
• Prolonged meal time
• Poor dietary intake
• Poor growth
• Selective food preferences
• Age-inappropriate feeding methods:- such as bottle feeding in
older children.
• Exclusion of organic causes for the symptoms.
MANAGEMENT
 BEHAVIORAL INTERVENTIONS:-
• Positive reinforcement techniques.
• Structured mealtime routines
• Gradual exposure to new foods can help reduce mealtime stress and improve acceptance.
 SENSORY INTEGRATION THERAPY:-
 NUTRITIONAL COUNSELLING:- Dietitians can help ensure that the child receives adequate
nutrition despite dietary restrictions or selective eating habits.
 FEEDING THERAPY:-
• Occupational therapy
• Speech language pathologists
 MEDICAL MANAGEMENT:-
• To manage gastrointestinal symptom, symptom-based medicines
• Tube feeding in severe feeding disorders.
THANKYO
U

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