RT Book, Section
A1 Noel, Richard J.
A2 Bishop, Warren P.
SR Print(0)
ID 55943971
T1 Chapter 3. Feeding and Swallowing Disorders
T2 Pediatric Practice: Gastroenterology
YR 2010
FD 2010
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-163379-6
LK accesspediatrics.mhmedical.com/content.aspx?aid=55943971
RD 2024/04/19
AB Pediatric  feeding  disorders  may  be  defined  as  problems  with  the  developmentally  appropriate  intake  of  food.  This  broad  category  includes  difficulties  that  objectively  result  in  nutritional  or  medical  risk  (e.g.,  refusal  of  dietary  protein  leading  to  protein  energy  malnutrition),  as  well  as  those  perceived  as  problematic  by  the  child’s  family  that  result  in  stressful  mealtimes  without  objective  medical  consequence.  These  do  not  include  eating  disorders  (i.e.,  anorexia  and  bulimia)  or  obesity.  Pediatric  feeding  disorders  may  be  associated  with  medical  disease  (often  gastrointestinal),  malnutrition  or  failure  to  gain  weight,  developmental  delays  affecting  skill  acquisition,  and  interpersonal  disorders.  Feeding  problems  have  been  characterized  simply  along  axes  of  ability  and  desire,1  by  biophysical  etiology,2  or  by  criteria  that  focus  on  interpersonal  relationships.3  Children  with  feeding  disorders  are  best  assessed  and  managed  by  interdisciplinary  teams  that  address  all  sides  of  the  problem,  given  that  distinct  facets  of  the  disorder  require  individual  expert  assessment  and  intervention.