Characteristics of feeding tube dependency with respect to food aversive behaviour and growth

Characteristics of feeding tube dependency with respect to food aversive behaviour and growth The use of feeding tubes in pediatric medical procedures and management has dramatically increased over the last three decades. With this increase, the prevalence of Feeding Tube Dependency (FTD) – a reliance on enteral feeding following medical recovery due to lack of oral intake of nutrition, despite being able to eat– has increased too. It has been suggested, that cases with FTD show avoidant feeding behaviours such as food refusal, gagging or swallowing resistance, but evidence for this hypothesis is scarce. In a German population of 146 cases requesting feeding tube dependency treatment between 2005 and 2008 the frequency of occurrence of avoidant behaviour in FTD cases has been evaluated and was correlated to growth. The study includes children under 50 months of age being tube fed for at least three months. Parents received the Anamnestic Questionnaire for Feeding Disorder and Tube Weaning (AFT), which evaluates nutritional supply, tube feeding, feeding disorder symptoms, medical diagnosis, growth and psychosocial variables. The study group was comprised of 101 children (50 male, 51 female), with a median age of 15 months (IQR: 10–26.5) and a median tube feeding duration of 13 months (IQR: 8–27). The most prevalent medical diagnoses were congenital malformations (n = 51) and prematurity (n = 27). Parents reported daily symptoms of food aversion through all age groups, like food refusal 2 (IQR: 1–3), gagging 1 (IQR: 0–3), vomiting 1 (0.1–2) and total symptoms 6 (5–11). Vomiting was negatively correlated with weight and length percentile and head circumference. Cases with FTD show frequent and persistent food avoidant behaviors, which may be explain the need for specific psychological treatment during transitioning from tube dependency to oral eating. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Appetite Elsevier

Characteristics of feeding tube dependency with respect to food aversive behaviour and growth

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Publisher
Elsevier
Copyright
Copyright © 2017 Elsevier Ltd
ISSN
0195-6663
D.O.I.
10.1016/j.appet.2017.11.107
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Abstract

The use of feeding tubes in pediatric medical procedures and management has dramatically increased over the last three decades. With this increase, the prevalence of Feeding Tube Dependency (FTD) – a reliance on enteral feeding following medical recovery due to lack of oral intake of nutrition, despite being able to eat– has increased too. It has been suggested, that cases with FTD show avoidant feeding behaviours such as food refusal, gagging or swallowing resistance, but evidence for this hypothesis is scarce. In a German population of 146 cases requesting feeding tube dependency treatment between 2005 and 2008 the frequency of occurrence of avoidant behaviour in FTD cases has been evaluated and was correlated to growth. The study includes children under 50 months of age being tube fed for at least three months. Parents received the Anamnestic Questionnaire for Feeding Disorder and Tube Weaning (AFT), which evaluates nutritional supply, tube feeding, feeding disorder symptoms, medical diagnosis, growth and psychosocial variables. The study group was comprised of 101 children (50 male, 51 female), with a median age of 15 months (IQR: 10–26.5) and a median tube feeding duration of 13 months (IQR: 8–27). The most prevalent medical diagnoses were congenital malformations (n = 51) and prematurity (n = 27). Parents reported daily symptoms of food aversion through all age groups, like food refusal 2 (IQR: 1–3), gagging 1 (IQR: 0–3), vomiting 1 (0.1–2) and total symptoms 6 (5–11). Vomiting was negatively correlated with weight and length percentile and head circumference. Cases with FTD show frequent and persistent food avoidant behaviors, which may be explain the need for specific psychological treatment during transitioning from tube dependency to oral eating.

Journal

Appetite – Elsevier

Published: Apr 1, 2018

References

  • Percutaneous endoscopic gastrostomy in children: A safe technique with major symptom relief and high parental satisfaction
    Åvitsland, T.L.; Kristensen, C.; Emblem, R.; Veenstra, M.; Mala, T.; Bjørnland, K.
  • Feeding and eating disorders in childhood
    Bryant-Waugh, R.; Markham, L.; Kreipe, R.E.; Walsh, B.T.
  • Medical, surgical, and health outcomes of gastrostomy feeding
    Craig, G.M.; Carr, L.J.; Cass, H.; Hastings, R.P.; Lawson, M.; Reilly, S.
  • Definitions and clinical guidance on the enteral dependence component of the avoidant/restrictive food intake disorder diagnostic criteria in children
    Dovey, T.M.; Wilken, M.; Martin, C.I.; Meyer, C.
  • Prevention and treatment of tube dependency in infancy and early childhood
    Dunitz-Scheer, M.; Levine, A.; Roth, Y.; Kratky, E.; Beckenbach, H.; Braegger, C.
  • Behavioral regulation of the milieu interne in man and rat
    Garcia, J.; Hankins, W.G.; Rusiniak, K.W.
  • Gastrostomy tube feeding: When to start, what to feed and how to stop
    Gottrand, F.; Sullivan, P.B.
  • Four factor index of social status
    Hollingshead, A.B.
  • Outcomes of infants with home tube Feeding: Comparing nasogastric vs gastrostomy tubes
    Khalil, S.T.; Uhing, M.R.; Duesing, L.; Visotcky, A.; Tarima, S.; Nghiem-Rao, T.H.
  • Discontinuation of tube feeding in young children by hunger provocation
    Kindermann, A.; Kneepkens, C.M.F.; Stok, A.; van Dijk, E.M.; Engels, M.
  • Perzentile für den Body-mass-Index für das Kindes-und Jugendalter unter Heranziehung verschiedener deutscher Stichproben
    Kromeyer-Hauschild, K.; Wabitsch, M.; Kunze, D.; Geller, F.; Geiß, H.C.; Hesse, V.
  • Supplemental tube feeding does not mitigate weight loss in infants with shunt-dependent single-ventricle physiology
    Di Maria, M.V.; Glatz, A.C.; Ravishankar, C.; Quartermain, M.D.; Rush, C.H.
  • Stress, the stress system and the role of glucocorticoids
    Nicolaides, N.C.; Kyratzi, E.; Lamprokostopoulou, A.; Chrousos, G.P.; Charmandari, E.
  • Short report: Long-term enteral nutrition survey
    Pediatric Society New Zealand
  • Assessment of pediatric feeding disorders
    Piazza, C.; Roane, H.S.
  • The polyvagal theory: Phylogenetic substrates of a social nervous system
    Porges, S.W.
  • A systematic review and meta-analysis of intensive multidisciplinary intervention for pediatric feeding Disorders: How standard is the standard of care?
    Sharp, W.G.; Volkert, V.M.; Scahill, L.; McCracken, C.E.; McElhanon, B.
  • Nutritional and psychosocial outcomes of gastrostomy tube–dependent children completing an intensive inpatient behavioral treatment program
    Silverman, A.H.; Kirby, M.; Clifford, L.M.; Fischer, E.; Berlin, K.S.; Rudolph, C.D.
  • Functional nausea and vomiting
    Talley, N.J.
  • The Feeding Adversity Scale (FAS): Development and evaluation of a psycho diagnostic instrument for early onset feeding disorders in premature infants
    Wilken, M.
  • Posttraumatic feeding disorder in low birth weight young children: A nested case–control study of a home-based intervention program
    Wilken, M.; Bartmann, P.
  • Rapid home-based weaning of small children with feeding tube dependency: Positive effects on feeding behaviour without deceleration of growth
    Wilken, M.; Cremer, V.; Berry, J.; Bartmann, P.
  • Anamnestic questionnaire for feeding disorder and tube weaning
    Wilken, M.; Jotzo, M.
  • Withdrawing feeds from children on long term enteral feeding: Factors associated with success and failure
    Wright, C.M.; Smith, K.H.; Morrison, J.
  • Gastrointestinal motility and sensory abnormalities may contribute to food refusal in medically fragile toddlers
    Zangen, T.; Ciarla, C.; Zangen, S.; Di Lorenzo, C.; Flores, A.F.; Cocjin, J.

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