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Patterns of Medical and Developmental Comorbidities Among Children Presenting With Feeding Problems: A Latent Class Analysis

Patterns of Medical and Developmental Comorbidities Among Children Presenting With Feeding... Original Article Patterns of Medical and Developmental Comorbidities Among Children Presenting With Feeding Problems: A Latent Class Analysis Kristoffer S. Berlin, PhD,*†‡ Debra J. Lobato, PhD,†‡ Beth Pinkos, MS, RD, LDN,§ Carolina S. Cerezo, MD,§ Neal S. LeLeiko, MD, PhD§ ABSTRACT: Objective: Children with feeding problems often have multiple co-occurring medical and devel- opmental conditions; however, it is unknown whether patterns of comorbidity exist and whether they relate to important feeding-related health outcomes. The main objective of this study was to examine (1) the relationship between the number of medical and developmental comorbidities and important feeding-related health outcomes; (2) how various comorbidities interact and form empirically derived patterns; and (3) how empirically derived patterns of comorbidity relate to weight status, nutritional variety, and child and parent mealtime behavior problems. Methods: The medical records of 286 children (mean age  35.56 months) seen at an outpatient feeding disorders clinic were reviewed. Child weight status, nutritional variety, and child and parent mealtime behavior problems were assessed using standardized measures. The lifetime occurrence of medical and developmental conditions was reliably coded. Empirically derived patterns of comorbidity were generated via latent class analyses. Results: Latent class analyses generated 3 comorbidity patterns: “Behav- ioral” http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Developmental & Behavioral Pediatrics Wolters Kluwer Health

Patterns of Medical and Developmental Comorbidities Among Children Presenting With Feeding Problems: A Latent Class Analysis

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ISSN
0196-206X
eISSN
1536-7312
DOI
10.1097/DBP.0b013e318203e06d
pmid
21099437
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Abstract

Original Article Patterns of Medical and Developmental Comorbidities Among Children Presenting With Feeding Problems: A Latent Class Analysis Kristoffer S. Berlin, PhD,*†‡ Debra J. Lobato, PhD,†‡ Beth Pinkos, MS, RD, LDN,§ Carolina S. Cerezo, MD,§ Neal S. LeLeiko, MD, PhD§ ABSTRACT: Objective: Children with feeding problems often have multiple co-occurring medical and devel- opmental conditions; however, it is unknown whether patterns of comorbidity exist and whether they relate to important feeding-related health outcomes. The main objective of this study was to examine (1) the relationship between the number of medical and developmental comorbidities and important feeding-related health outcomes; (2) how various comorbidities interact and form empirically derived patterns; and (3) how empirically derived patterns of comorbidity relate to weight status, nutritional variety, and child and parent mealtime behavior problems. Methods: The medical records of 286 children (mean age  35.56 months) seen at an outpatient feeding disorders clinic were reviewed. Child weight status, nutritional variety, and child and parent mealtime behavior problems were assessed using standardized measures. The lifetime occurrence of medical and developmental conditions was reliably coded. Empirically derived patterns of comorbidity were generated via latent class analyses. Results: Latent class analyses generated 3 comorbidity patterns: “Behav- ioral”

Journal

Journal of Developmental & Behavioral Pediatrics – Wolters Kluwer Health

Published: Jan 1, 2011

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