Yi Sook-Hee, Joung Yoo-Sook, Choe Yon Ho, Kim Eun-Hye, Kwon Jeong-Yi
*Department of Rehabilitation Medicine, Seoul Rehabilitation Hospital †Department of Psychiatry ‡Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine §Department of Rehabilitation Medicine, Seoul Rehabilitation Hospital ||Department of Physical and Rehabilitation Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea.
J Pediatr Gastroenterol Nutr. 2015 Jun;60(6):819-24. doi: 10.1097/MPG.0000000000000707.
Failure-to-thrive is defined as an abnormally low weight and/or height for age. The term "nonorganic failure-to-thrive" (NOFT) has been used to describe "failure-to-thrive" without an obvious cause underlying the growth failure. The purpose of the present study was to compare sensory processing abilities between toddlers with NOFT and feeding problems and age-matched controls.
Toddlers with NOFT and feeding problems (N = 16) were recruited from the pediatric feeding clinic in a tertiary university hospital, and age-matched controls (N = 16) were recruited from community volunteers. They were evaluated for sensory processing ability using an Infant/Toddler Sensory Profile (ITSP), and for development of cognition, motor skills, and language using the Bayley Scales of Infant Development II and Sequenced Language Scale for Infants. Behavior at mealtime was evaluated using the Behavioral Pediatrics Feeding Assessment Scale.
In the NOFT with feeding problems group, atypical performances were more frequently observed in 3 of 5 ITSP section items (tactile, vestibular, and oral) compared with those in the control group. Significant delayed development of cognition, motor skills, and language was observed in the NOFT with feeding problems group compared with that in the control group. In addition, children who showed 1 or more atypical performances in ITSP had delayed development in cognition, motor skills, and language.
Sensory processing problems were more commonly observed in toddlers with feeding problems and growth deficiency. The present study could provide a preliminary evidence for a possible impact of the sensory processing problems on the feeding difficulties in toddlers with NOFT. Future large studies should be conducted to clarify the relation between sensory processing difficulties and feeding problems in toddlers.
生长发育不良被定义为年龄别体重和/或身高异常偏低。“非器质性生长发育不良”（NOFT）一词用于描述无明显生长发育失败原因的“生长发育不良”。本研究的目的是比较患有NOFT和喂养问题的幼儿与年龄匹配的对照组之间的感觉加工能力。
从一所三级大学医院的儿科喂养诊所招募患有NOFT和喂养问题的幼儿（N = 16），并从社区志愿者中招募年龄匹配的对照组（N = 16）。使用婴儿/幼儿感觉概况量表（ITSP）评估他们的感觉加工能力，并使用贝利婴儿发展量表第二版和婴儿语言序列量表评估认知、运动技能和语言发展。使用行为儿科学喂养评估量表评估进餐时的行为。
与对照组相比，患有NOFT和喂养问题的组在ITSP的5个部分项目中的3个（触觉、前庭和口腔）中更频繁地观察到非典型表现。与对照组相比，患有NOFT和喂养问题的组在认知、运动技能和语言方面有明显的发育延迟。此外，在ITSP中表现出1种或更多非典型表现的儿童在认知、运动技能和语言方面有发育延迟。
在有喂养问题和生长发育不足的幼儿中更常见感觉加工问题。本研究可为感觉加工问题对患有NOFT的幼儿喂养困难可能产生的影响提供初步证据。未来应进行大型研究以阐明幼儿感觉加工困难与喂养问题之间的关系。
