与小儿喂养障碍就诊年龄相关的因素。

Factors associated with age of presentation of pediatric feeding disorder.

作者信息

Galai Tut, Friedman Gal, Kalmintzky Nataly, Shemer Kim, Gal Dana L, Cohen Shlomi, Moran-Lev Hadar

机构信息

Pediatric Gastroenterology, Dana Dwek Children's Hospital, Affiliated to the Faculty of Medicine, Tel Aviv, Israel.

Pediatrics, Dana Dwek Children's Hospital, Affiliated to the Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

出版信息

Brain Behav. 2024 Mar;14(3):e3461. doi: 10.1002/brb3.3461.

DOI:10.1002/brb3.3461

PMID:38468461

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10928322/

Abstract

AIM

Understanding the association between pediatric feeding disorder (PFD) and age of presentation is limited. We aimed to investigate factors associated with PFD among different age groups.

METHODS

Retrospective analysis of medical records of infants and toddlers diagnosed with PFD, according to the World Health Organization-based definition. We compared children aged 1-12 months to those aged 13-72 months.

RESULTS

Included were 253 children with PFD (median [interquartile range] age 16.4 [9.5-33] months at diagnosis, 56% boys). Significantly more children in the younger age group were girls (52.6% vs. 34.4%, respectively, p = .03) and preterm (25% vs. 14%, p = .03). They had more hospitalizations (34% vs. 23%, p = .03) and needed more prescription medications (36% vs. 17%, p < .01). Additionally, disturbances in oral intake were primarily linked to feeding skills dysfunction in the younger group and nutritional dysfunction in the older group (39.6% vs. 23.7% and 55% vs. 38%, respectively, p = .02).

CONCLUSIONS

Infants under 1 year old with PFD represent a distinct patient group with unique characteristics and outcomes. The age of presentation plays a significant role in children with PFD, necessitating tailored treatment strategies.

摘要

目的

关于儿童喂养障碍（PFD）与发病年龄之间关联的了解有限。我们旨在调查不同年龄组中与PFD相关的因素。

方法

根据基于世界卫生组织的定义，对诊断为PFD的婴幼儿病历进行回顾性分析。我们将1至12个月大的儿童与13至72个月大的儿童进行了比较。

结果

纳入了253例PFD患儿（诊断时年龄中位数[四分位间距]为16.4[9.5 - 33]个月，56%为男孩）。较年轻年龄组中女孩明显更多（分别为52.6%和34.4%，p = 0.03）且早产患儿更多（25%和14%，p = 0.03）。他们住院次数更多（34%和23%，p = 0.03）且需要更多处方药（36%和17%，p < 0.01）。此外，较年轻组的经口摄入障碍主要与喂养技能功能障碍有关，而较年长组则与营养功能障碍有关（分别为39.6%和23.7%，以及55%和38%，p = 0.02）。