Delayed Development of Feeding Skills in Children with Feeding Difficulties—Cross-sectional Study in a Brazilian Reference Center
BackgroundDelays in gross motor development, sensory processing issues, and organic and behavioral problems are known to interfere in the development of feeding skills (FS); and—therefore—in the success of the process of feeding a child. Children with feeding difficulties (FD) commonly present inade...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2017-10-01
|
| Series: | Frontiers in Pediatrics |
| Subjects: | |
| Online Access: | http://journal.frontiersin.org/article/10.3389/fped.2017.00229/full |
| _version_ | 1811226529710997504 |
|---|---|
| author | Cláudia C. Ramos Priscila Maximino Rachel H. V. Machado Ana Beatriz Bozzini Letícia W. Ribeiro Mauro Fisberg |
| author_facet | Cláudia C. Ramos Priscila Maximino Rachel H. V. Machado Ana Beatriz Bozzini Letícia W. Ribeiro Mauro Fisberg |
| author_sort | Cláudia C. Ramos |
| collection | DOAJ |
| description | BackgroundDelays in gross motor development, sensory processing issues, and organic and behavioral problems are known to interfere in the development of feeding skills (FS); and—therefore—in the success of the process of feeding a child. Children with feeding difficulties (FD) commonly present inadequacy of FS.ObjectivesAssessment of five FS in Brazilian children with FD, and search of associations with types of FD.MethodsCross-sectional study with 70 children below 10 years old. Data were obtained from medical records: age, gender, age at texture transitions, feeding phase (breastfeeding, weaning to solids or full solids) at first complaint; characteristics of the meal (duration, environment, and shared meals with adults), self-feeding practices, use of feeding equipment and bottle, mouthing, feeding position and FD diagnosis. Skills were categorized according to standards for age. Chi-Square, Anova Test (or non-parametric equivalent) and Multinomial logistic regression tests were used, with a significance level of 5%.ResultsThere was no difference in FS (p > 0.05) or in the number of FS inadequateness (p = 0.84) according to FD diagnosis. The majority (94%) of children presented at least one delayed development of FS; 1/3 presented delays in more than half of the FS. The most prevalent inadequacies in FS were inadequate feeding position (73.5%), prolonged bottle feeding (56.9%), and inadequate self-feeding practices (37.9%). Feeding complaints first appeared at 10.9 ± 11.4 months, and picky eating was the most prevalent type of FD (37.1%). Most children were fed in inadequate environments (55.2%), without the company of adults (78%). Transition to solid foods occurred at 16 ± 5.6 months. Multinomial logistic regression showed no difference in likelihood of presenting any type of FD compared to picky eating, according to FS. Age at texture transition both from breastfeeding to complementary feeding (p = 0.95), and from complementary feeding to solid foods (p = 0.43) did not vary according to FD diagnosis.ConclusionFS development or number of FS inadequateness did not vary according to FD diagnosis. Identification of these inadequacies could help the discussion for multi-professional treatment of patients with FD. |
| first_indexed | 2024-04-12T09:26:39Z |
| format | Article |
| id | doaj.art-344edec64526476088d617ecf6d78062 |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-04-12T09:26:39Z |
| publishDate | 2017-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-344edec64526476088d617ecf6d780622022-12-22T03:38:28ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602017-10-01510.3389/fped.2017.00229282382Delayed Development of Feeding Skills in Children with Feeding Difficulties—Cross-sectional Study in a Brazilian Reference CenterCláudia C. Ramos0Priscila Maximino1Rachel H. V. Machado2Ana Beatriz Bozzini3Letícia W. Ribeiro4Mauro Fisberg5Instituto PENSI, Hospital Infantil Sabará, Fundação José Luiz Egydio Setúbal, Higienópolis, Sao Paulo, BrazilInstituto PENSI, Hospital Infantil Sabará, Fundação José Luiz Egydio Setúbal, Higienópolis, Sao Paulo, BrazilInstituto PENSI, Hospital Infantil Sabará, Fundação José Luiz Egydio Setúbal, Higienópolis, Sao Paulo, BrazilInstituto PENSI, Hospital Infantil Sabará, Fundação José Luiz Egydio Setúbal, Higienópolis, Sao Paulo, BrazilInstituto PENSI, Hospital Infantil Sabará, Fundação José Luiz Egydio Setúbal, Higienópolis, Sao Paulo, BrazilInstituto PENSI, Hospital Infantil Sabará, Fundação José Luiz Egydio Setúbal, Higienópolis, Sao Paulo, BrazilBackgroundDelays in gross motor development, sensory processing issues, and organic and behavioral problems are known to interfere in the development of feeding skills (FS); and—therefore—in the success of the process of feeding a child. Children with feeding difficulties (FD) commonly present inadequacy of FS.ObjectivesAssessment of five FS in Brazilian children with FD, and search of associations with types of FD.MethodsCross-sectional study with 70 children below 10 years old. Data were obtained from medical records: age, gender, age at texture transitions, feeding phase (breastfeeding, weaning to solids or full solids) at first complaint; characteristics of the meal (duration, environment, and shared meals with adults), self-feeding practices, use of feeding equipment and bottle, mouthing, feeding position and FD diagnosis. Skills were categorized according to standards for age. Chi-Square, Anova Test (or non-parametric equivalent) and Multinomial logistic regression tests were used, with a significance level of 5%.ResultsThere was no difference in FS (p > 0.05) or in the number of FS inadequateness (p = 0.84) according to FD diagnosis. The majority (94%) of children presented at least one delayed development of FS; 1/3 presented delays in more than half of the FS. The most prevalent inadequacies in FS were inadequate feeding position (73.5%), prolonged bottle feeding (56.9%), and inadequate self-feeding practices (37.9%). Feeding complaints first appeared at 10.9 ± 11.4 months, and picky eating was the most prevalent type of FD (37.1%). Most children were fed in inadequate environments (55.2%), without the company of adults (78%). Transition to solid foods occurred at 16 ± 5.6 months. Multinomial logistic regression showed no difference in likelihood of presenting any type of FD compared to picky eating, according to FS. Age at texture transition both from breastfeeding to complementary feeding (p = 0.95), and from complementary feeding to solid foods (p = 0.43) did not vary according to FD diagnosis.ConclusionFS development or number of FS inadequateness did not vary according to FD diagnosis. Identification of these inadequacies could help the discussion for multi-professional treatment of patients with FD.http://journal.frontiersin.org/article/10.3389/fped.2017.00229/fullfeeding difficultiesfeeding skillschildhoodcomplementary feedingfeeding behavior |
| spellingShingle | Cláudia C. Ramos Priscila Maximino Rachel H. V. Machado Ana Beatriz Bozzini Letícia W. Ribeiro Mauro Fisberg Delayed Development of Feeding Skills in Children with Feeding Difficulties—Cross-sectional Study in a Brazilian Reference Center Frontiers in Pediatrics feeding difficulties feeding skills childhood complementary feeding feeding behavior |
| title | Delayed Development of Feeding Skills in Children with Feeding Difficulties—Cross-sectional Study in a Brazilian Reference Center |
| title_full | Delayed Development of Feeding Skills in Children with Feeding Difficulties—Cross-sectional Study in a Brazilian Reference Center |
| title_fullStr | Delayed Development of Feeding Skills in Children with Feeding Difficulties—Cross-sectional Study in a Brazilian Reference Center |
| title_full_unstemmed | Delayed Development of Feeding Skills in Children with Feeding Difficulties—Cross-sectional Study in a Brazilian Reference Center |
| title_short | Delayed Development of Feeding Skills in Children with Feeding Difficulties—Cross-sectional Study in a Brazilian Reference Center |
| title_sort | delayed development of feeding skills in children with feeding difficulties cross sectional study in a brazilian reference center |
| topic | feeding difficulties feeding skills childhood complementary feeding feeding behavior |
| url | http://journal.frontiersin.org/article/10.3389/fped.2017.00229/full |
| work_keys_str_mv | AT claudiacramos delayeddevelopmentoffeedingskillsinchildrenwithfeedingdifficultiescrosssectionalstudyinabrazilianreferencecenter AT priscilamaximino delayeddevelopmentoffeedingskillsinchildrenwithfeedingdifficultiescrosssectionalstudyinabrazilianreferencecenter AT rachelhvmachado delayeddevelopmentoffeedingskillsinchildrenwithfeedingdifficultiescrosssectionalstudyinabrazilianreferencecenter AT anabeatrizbozzini delayeddevelopmentoffeedingskillsinchildrenwithfeedingdifficultiescrosssectionalstudyinabrazilianreferencecenter AT leticiawribeiro delayeddevelopmentoffeedingskillsinchildrenwithfeedingdifficultiescrosssectionalstudyinabrazilianreferencecenter AT maurofisberg delayeddevelopmentoffeedingskillsinchildrenwithfeedingdifficultiescrosssectionalstudyinabrazilianreferencecenter |