未经批准:小儿喂养障碍(PFD)很常见,他们巨大的表型变异性反映了相关疾病概况的广度。PFD应由多学科小组进行评估和管理。我们的研究旨在描述一组PFD患者进食困难的临床症状,并将其与对照组中的儿童进行比较。
未经评估:在本病例对照研究中,病例组1至6岁的患者通过巴黎罗伯特·德布雷教学医院的多学科单位连续招募,治疗儿科喂养困难,法国。患有脑病的儿童,严重的神经代谢紊乱,或遗传综合征(疑似或确诊)被排除.对照组的成员,由没有喂养困难的儿童组成(即,蒙特利尔儿童医院喂养量表评分低于60)或严重的慢性病,从一个日托中心和两个幼儿园招募。来自与用餐时间实践相关的病史和临床检查的数据,口腔运动技能,神经发育,感官加工,所有功能性胃肠病(FGIDs)均被记录并进行组间比较.
未经评估:总之,将244例PFD病例与109例对照进行了比较(平均年龄:病例,3.42[±1.47];对照,3.32[±1.17];P=0.55)。在PFD儿童中,进餐时分心的使用要多得多(案例,77.46%;对照,5.5%;P<0.001),就像吃饭时的冲突一样。虽然小组成员的手口协调或抓取物体的能力没有差异,案件后来开始探索他们的环境;口口相传,尤其是,在病例组中较不常见(病例,n=80[32.92%];对照,n=102[94.44%];P<0.001)。FGID和视觉标志,嗅觉,触觉,和口腔超敏反应在病例中明显更常见。
未经评估:初步临床评估显示,在有PFD的孩子中,环境探索的正常阶段被改变了,这通常与感觉过敏和消化不适的迹象有关。
UNASSIGNED: Pediatric feeding disorders (PFDs) are common, and their great phenotypic variability reflects the breadth of the associated nosological profiles. PFDs should be assessed and managed by multidisciplinary teams. Our study aimed to describe clinical signs of feeding difficulties in a group of PFD patients assessed by such a team, and to compare them with children in a control group.
UNASSIGNED: In this
case-control study,
case group patients 1 to 6 years old were consecutively recruited through the multidisciplinary unit for the treatment of pediatric feeding difficulties based at Robert Debré Teaching Hospital in Paris, France. Children with an encephalopathy, severe neurometabolic disorder, or genetic syndrome (suspected or confirmed) were excluded. Members of the control group, consisting of children with no feeding difficulties (i.e., Montreal Children\'s Hospital Feeding Scale scores below 60) or severe chronic diseases, were recruited from a day care center and 2 kindergartens. Data from medical histories and clinical examination related to mealtime practices, oral motor skills, neurodevelopment, sensory processing, and any functional gastrointestinal disorders (FGIDs) were recorded and compared between groups.
UNASSIGNED: In all, 244 PFD cases were compared with 109 controls (mean ages: cases, 3.42 [±1.47]; controls, 3.32 [±1.17]; P = 0.55). Use of distractions during meals was much more among PFD children (cases, 77.46%; controls, 5.5%; P < 0.001), as was conflict during meals. While the groups did not differ in their members\' hand-mouth coordination or ability to grab objects, cases began exploring their environments later; mouthing, especially, was less common in the
case group (cases, n = 80 [32.92%]; controls, n = 102 [94.44%]; P < 0.001). FGIDs and signs of visual, olfactory, tactile, and oral hypersensitivity were significantly more frequent among cases.
UNASSIGNED: Initial clinical assessments showed that, in the children with PFDs, normal stages of environmental exploration were altered, and that this was often associated with signs of sensory hypersensitivity and digestive discomfort.