Prevalência de dificuldades alimentares em crianças entre seis meses e seis anos que nasceram prematuras
Prevalence of feeding difficulties in children aged six months to six years who were born prematurely
Cícero Alaor Kluppel; Amanda Bencke Teixeira da Silva; Daniel Boquai Camargo; Adriane Celli; Ana Lúcia Figueiredo Sarquis
Resumo
Palavras-chave
Abstract
Purpose To describe the prevalence of feeding difficulties in preterm children aged six months to six years and eleven months, and to analyze the relationships with perinatal and neonatal conditions.
Methods This cross-sectional ambispective study applied the Brazilian Infant Feeding Scale to the parents of 129 children followed in preterm outpatient clinics to assess the prevalence of feeding difficulties. Additional variables were collected retrospectively from medical records.
Results Fifteen children (11.62%) out of 129 exhibited feeding difficulties. Significant influencing variables were being born small for gestational age, having a mother with gestational diabetes mellitus, and undergoing phototherapy. Ventilatory support duration correlated with the Motor-Oral domain, and phototherapy duration correlated with the Sensory-Oral domain of the Brazilian Infant Feeding Scale.
Conclusion The Brazilian Infant Feeding Scale showed that the prevalence of long-term Feeding Difficulty in preterm infants was 11.62%. Small for Gestational Age newborns showed a higher prevalence. Children undergoing phototherapy and offspring of mothers with gestational diabetes showed a lower prevalence. The other variables studied did not significantly affect the prevalence of Feeding Difficulties, but the duration of ventilatory support affected the Oral-motor domain, and the duration of phototherapy also affected the Oral-Motor. This study marks the first application of the Brazilian Infant Feeding Scale in Brazilian preterm infants.
Keywords
Referencias
1 Carruth BR, Ziegler PJ, Gordon A, Barr SI. Prevalence of picky eaters among infants and toddlers and their caregivers’ decisions about offering a new food. J Am Diet Assoc. 2004;104(1, Suppl 1):s57-64.
2 Kerzner B, Milano K, MacLean WC Jr, Berall G, Stuart S, Chatoor I. A practical approach to classifying and managing feeding difficulties. Pediatrics. 2015;135(2):344-53.
3 Chatoor I. Feeding disorders in infants and toddlers: diagnosis and treatment. Child Adolesc Psychiatr Clin N Am. 2002;11(2):163-83.
4 Hawdon JM, Beauregard N, Slattery J, Kennedy G. Identification of neonates at risk of developing feeding problems in infancy. Dev Med Child Neurol. 2000;42(4):235-9.
5 Pados BF, Hill RR, Yamasaki JT, Litt JS, Lee CS. Prevalence of problematic feeding in young children born prematurely: a meta-analysis. BMC Pediatr. 2021;21(1):110.
6 Pagliaro CL, Bühler KEB, Ibidi SM, Limongi SCO. Dietary transition difficulties in preterm infants: critical literature review. J Pediatr (Rio J). 2016;92(1):7-14.
7 Steinberg C, Menezes L, Nóbrega AC. Disfunção motora oral e dificuldade alimentar durante a alimentação complementar em crianças nascidas pré-termo. CoDAS. 2021;33(1):e20190070.
8 Machado ACCDP, Oliveira SRD, Magalhães LDC, Miranda DMD, Bouzada MCF. Processamento sensorial no período da infância em crianças nascidas pré-termo: revisão sistemática. Rev Paul Pediatr. 2017;35(1):92-101.
9 Silvério GB, Felício PVP, Melo LDA, Paula FMD, Jorge RPC, Siqueira MDP, et al. Habilidades nas refeições e motricidade mastigatória em indivíduos com transtorno do espectro autista / Eating ability and chewing motricity in individuals with autism spectrum disorder. BJD. 2020;6(9):71270-80.
10 Goday PS, Huh SY, Silverman A, Lukens CT, Dodrill P, Cohen SS, et al. Pediatric feeding disorder: consensus definition and conceptual framework. J Pediatr Gastroenterol Nutr. 2019;68(1):124-9.
11 Guimarães HNCL, Petreça RH, de Almeida ST, Magno F, Santos RS, Taveira KVM, et al. Relação entre prematuridade e dificuldades na transição da consistência alimentar na infância: uma revisão sistemática. CoDAS. 2024;36(4):e20230100. PMid:38836827.
12 Diniz PB, Fagondes SC, Ramsay M. Cross-cultural adaptation and validation of the Montreal Childre’s Hospital Feeding Scale into brazilian portuguese. Rev Paul Pediatr. 2021;39:e2019377.
13 Savitz DA, Terry JW Jr, Dole N, Thorp JM Jr, Siega-Riz AM, Herring AH. Comparison of pregnancy dating by last menstrual period, ultrasound scanning, and their combination. Am J Obstet Gynecol. 2002;187(6):1660-6.
14 Ballard JL, Khoury JC, Wedig K, Wang L, Eilers-Walsman BL, Lipp R. New Ballard Score, expanded to include extremely premature infants. J Pediatr. 1991;119(3):417-23.
15 Blencowe H, Cousens S, Chou D, Oestergaard M, Say L, Moller AB, et al. Born Too Soon: the global epidemiology of 15 million preterm births. Reprod Health. 2013;10(Suppl 1):S2.
16 Mandy GT. Preterm birth: definitions of prematurity, epidemiology, and risk factors for infant mortality - UpToDate [Internet]. 2023 [citado em 2023 Set 28]. Disponível em:
17 Fenton TR, Kim JH. A systematic review and meta-analysis to revise the Fenton growth chart for preterm infants. BMC Pediatr. 2013;13(1):59.
18 Weffort VRS, organizador. Manual de Alimentação: orientações para alimentação do lactente ao adolescente, na escola, na gestante, na prevenção de doenças e segurança alimentar Sociedade Brasileira de Pediatria. 4. ed. Rio de Janeiro: Departamento Científico de Nutrologia; 2012. 43 p.
19 Ramsay M, Martel C, Porporino M, Zygmuntowicz C. The Montreal Children’s Hospital Feeding Scale: a brief bilingual screening tool for identifying feeding problems. Paediatr Child Health. 2011;16(3):147-e17.
20 Nieuwenhuis T, Verhagen EA, Bos AF, Van Dijk MWG. Children born preterm and full term have similar rates of feeding problems at three years of age. Acta Paediatr. 2016;105(10):e452-7.
21 Lundgren EM, Tuvemo T. Effects of being born small for gestational age on long-term intellectual performance. Best Pract Res Clin Endocrinol Metab. 2008;22(3):477-88.
22 Silva JC, Bertini AM, Ribeiro TE, Carvalho LSD, Melo MM, Barreto L No. Fatores relacionados à presença de recém-nascidos grandes para a idade gestacional em gestantes com diabetes mellitus gestacional. Rev Bras Ginecol Obstet. 2009;31(1):5-9.
23 He XJ, Qin FY, Hu CL, Zhu M, Tian CQ, Li L. Is gestational diabetes mellitus an independent risk factor for macrosomia: a meta-analysis? Arch Gynecol Obstet. 2015;291(4):729-35.
24 Aguilar Cordero MJ. Diabetes mellitus materna y su influencia en el neurodesarrollo del niño; revisión sistemática. Nutr Hosp. 2015;(6):2484-95. PMid:26667695.
25 Adane AA, Mishra GD, Tooth LR. Diabetes in pregnancy and childhood cognitive development: a systematic. Rev Pediatr. 2016;137(5):e20154234.
26 Hintz SR, Stevenson DK, Yao Q, Wong RJ, Das A, Van Meurs KP, et al. Is phototherapy exposure associated with better or worse outcomes in 501‐ to 1000‐g‐birth‐weight infants? Acta Paediatr. 2011;100(7):960-5.
27 Guimarães HNCL, Marciniak A, Paula LDS, Almeida STD, Celli A. Comparison of the introduction of consistencies in complementary feeding introduction between preterm and full-term newborns - Cohort from 0 to 12 months. CoDAS. 2024;36(1):e20220315.
28 Hübl N, Costa SPD, Kaufmann N, Oh J, Willmes K. Sucking patterns are not predictive of further feeding development in healthy preterm infants. Infant Behav Dev. 2020;58:101412.
29 Pridham K, Steward D, Thoyre S, Brown R, Brown L. Feeding skill performance in premature infants during the first year. Early Hum Dev. 2007;83(5):293-305.
30 Douglas JE, Bryon M. Interview data on severe behavioural eating difficulties in young children. Arch Dis Child. 1996;75(4):304-8.
31 Jonsson M, Van Doorn J, Van Den Berg J. Parents’ perceptions of eating skills of pre-term vs full-term infants from birth to 3 years. Int J Speech Lang Pathol. 2013;15(6):604-12.
Submitted date:
22/06/2024
Accepted date:
10/09/2024
Facebook
Google+
Twitter
LinkedIn
Mendeley
StumbleUpon
CiteULike
Reddit
Email