Document Type

Article

Language

eng

Publication Date

1-2019

Publisher

Lippincott Williams & Wilkins, Inc.

Source Publication

Journal of Pediatric Gastroenterology and Nutrition

Source ISSN

0277-2116

Abstract

Pediatric feeding disorders (PFDs) lack a universally accepted definition. Feeding disorders require comprehensive assessment and treatment of 4 closely related, complementary domains (medical, psychosocial, and feeding skill-based systems and associated nutritional complications). Previous diagnostic paradigms have, however, typically defined feeding disorders using the lens of a single professional discipline and fail to characterize associated functional limitations that are critical to plan appropriate interventions and improve quality of life. Using the framework of the World Health Organization International Classification of Functioning, Disability, and Health, a unifying diagnostic term is proposed: “Pediatric Feeding Disorder” (PFD), defined as impaired oral intake that is not age-appropriate, and is associated with medical, nutritional, feeding skill, and/or psychosocial dysfunction. By incorporating associated functional limitations, the proposed diagnostic criteria for PFD should enable practitioners and researchers to better characterize the needs of heterogeneous patient populations, facilitate inclusion of all relevant disciplines in treatment planning, and promote the use of common, precise, terminology necessary to advance clinical practice, research, and health-care policy.

Comments

Accepted version. Journal of Pediatric Gastroenterology and Nutrition, Vol. 68, No. 1 (January 2019) : 124-129. DOI. © 2019 Lippincott Williams & Wilkins, Inc. Used with permission.

Amy L. Delaney was affiliated with Medical College of Wisconsin at the time of publication.

Download
delaney_13239acc.docx (53 kB)
ADA Accessible Version

Share

COinS