Clinical and Experimental Pediatrics

대한소아청소년과학회 (The Korean Pediatric Society)
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How to approach feeding difficulties in young children

  • Yang, Hye Ran (Division of Pediatric Gastroenterology and Hepatology, Department of Pediatrics, Seoul National University Bundang Hospital, Seoul National University College of Medicine)
  • 투고 : 2017.08.25
  • 심사 : 2017.10.17
  • 발행 : 2017.12.15
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초록

Feeding is an interaction between a child and caregiver, and feeding difficulty is an umbrella term encompassing all feeding problems, regardless of etiology, severity, or consequences, while feeding disorder refers to an inability or refusal to eat sufficient quantities or variety of food to maintain adequate nutritional status, leading to substantial consequences, including malnutrition, impaired growth, and possible neurocognitive dysfunction. There are 6 representative feeding disorder subtypes in young children: infantile anorexia, sensory food aversion, reciprocity, posttraumatic type, state regulation, and feeding disorders associated with concurrent medical conditions. Most feeding difficulties are nonorganic and without any underlying medical condition, but organic causes should also be excluded from the beginning, through thorough history taking and physical examination, based on red-flag symptoms and signs. Age-appropriate feeding principles may support effective treatment of feeding difficulties in practice, and systematic approaches for feeding difficulties in young children, based on each subtype, may be beneficial.

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참고문헌

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피인용 문헌

  1. Editorial: Feeding Difficulties in Children and Adolescents vol.6, pp.None, 2017, https://doi.org/10.3389/fped.2018.00105
  2. Biopsychosocial Factors in Children Referred With Failure to Thrive: Modern Characterization for Multidisciplinary Care vol.6, pp.None, 2017, https://doi.org/10.1177/2333794x19858526
  3. Association between Adherence to the Antioxidant-Rich Mediterranean Diet and Sensory Processing Profile in School-Aged Children: The Spanish Cross-Sectional InProS Project vol.11, pp.5, 2019, https://doi.org/10.3390/nu11051007
  4. Instrument to Identify Food Neophobia in Brazilian Children by Their Caregivers vol.12, pp.7, 2017, https://doi.org/10.3390/nu12071943
  5. Association between Body Mass Index and Sensory Processing in Childhood: InProS Study vol.12, pp.12, 2017, https://doi.org/10.3390/nu12123684
  6. CROSS-CULTURAL ADAPTATION AND VALIDATION OF THE MONTREAL CHILDREN’S HOSPITAL FEEDING SCALE INTO BRAZILIAN PORTUGUESE vol.39, pp.None, 2021, https://doi.org/10.1590/1984-0462/2021/39/2019377
  7. Association between Swallowing-Related Questionnaire Responses and Pathological Signs on Videofluoroscopy in Children vol.8, pp.12, 2021, https://doi.org/10.3390/children8121109