Feeding at 6-12 months in infants with CHD

In this study of 30 infants with CHD, delayed acquisition of feeding skills and problematic feeding behaviors were common. At 6 months, 95% of infants had delayed feeding skills and 90% of infants had problematic feeding behaviors. Feeding difficulties improved between 6 and 12 months, but at 12 months, 30% continued to have delayed feeding skills and 38% continued to meet criteria for problematic feeding behaviors. Infants with more symptoms of gastrointestinal distress and gastroesophageal reflux had more problematic feeding behaviors.

Authors: Britt Pados & Tondi Harrison

Publication information: Cardiology in the Young, doi: 10.1017/S1047951122003298

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Symptoms of feeding problems in preterm-born children at 6 months to 7 years old

This study included 57 very preterm (< 32 weeks gestation), 199 moderate to late preterm (32 – 37 weeks gestation), and 979 full-term born children who were between 6 months and 7 years old at the time of the study. Compared to children born full-term, both very preterm and moderate to late preterm born children had significantly more symptoms of problematic feeding, as measured by the Pediatric Eating Assessment Tool. Children born preterm may require careful assessment of feeding throughout childhood.

Authors: Jinhee Park, Suzanne Thoyre, Britt Pados, & Matt Gregas

Publication information: Journal of Pediatric Gastroenterology. 2019; 68(3): 416-421. doi: 10.1097/MPG.0000000000002229

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Symptoms of problematic feeding in children with Congenital Heart Disease (CHD) compared to healthy peers

In this study, I compared symptoms of problematic feeding in children with congenital heart disease (CHD; n = 94) compared to healthy children without medical conditions (n=999) who were between 6 months and 7 years of age and eating solid foods by mouth. Children with CHD had significantly more symptoms of problematic feeding than healthy children on the Pediatric Eating Assessment Tool total score, more physiologic symptoms, problematic mealtime behaviors, selective/restrictive eating, and oral processing dysfunction. Children with CHD are at risk for problematic feeding and should be monitored for feeding difficulties throughout childhood.

Authors: Britt Pados

Publication information: Cardiology in the Young. 2019; 29(2): 152-161. doi: 10.1017/S1047951118001981

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Changes in symptoms of problematic eating over six months in infants and young children

In this study, we followed 58 children who were between the ages of 6 months and 7 years old and who were being seen in an outpatient feeding clinic. We found that the scores on the Pediatric Eating Assessment Tool (PediEAT) decreased over the 6 months that these children were followed, with the greatest change being in the Physiologic Symptoms subscale. Child characteristics that were associated with more symptoms of problematic feeding included older child age, constipation, and speech–language delay, developmental delay, food allergy, and/or genetic disorder.

Authors: Jinhee Park, Cara McComish, Britt Pados, Hayley Estrem, & Suzanne Thoyre

Publication information: Infants and Young Children. 2018; 31(4): 297-309. doi: 10.1097/IYC.0000000000000128

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