Pediatric Annals

CME Article 

Feeding Disorders in Children: Taking an Interdisciplinary Approach

Keith-Thomas Ayoob, EdD, RD, FADA; Ida Barresi, MA, CCC-SP

  • Pediatric Annals. 2007;36(8)
  • Posted August 1, 2007

Abstract

How many times have parents told their children’s pediatrician about their children’s feeding habits? These are some of the common complaints we have received:

  • A 3-year-old who “doesn’t chew anything. We have to give him just baby food.”
  • “He chews meat, but he just spits it out.”
  • “We tried the cup, but the milk just runs out the side. We just give him the bottle.”
  • “He eats whatever we eat. I just put everything in the blender.”
  • “Mashed potatoes or farina are easiest for him, so that’s what he eats for every meal.”

ABOUT THE AUTHORS

Keith-Thomas Ayoob, EdD, RD, FADA, is Associate Clinical Professor of Pediatrics, Albert Einstein College of Medicine, Director of Nutrition Clinic Services, Children’s Evaluation and Rehabilitation Center, Rose F. Kennedy Center, Bronx, New York. Ida Barresi, MA, CCC-SP, is a Speech Pathologist, Children’s Evaluation and Rehabilitation Center, Rose F. Kennedy Center.

Address correspondence to Keith-Thomas Ayoob, EdD, RD, FADA, 1165 Morris Park Avenue, Fourth Floor, Bronx, NY 10461; fax 718-823-4877; e-mail: ktayoob@msn.com.

Dr. Ayoob and Ms. Barresi have disclosed no relevant financial relationships.

EDUCATIONAL OBJECTIVES

  1. Name at least three possible criteria for referring a child for a feeding evaluation.
  2. Describe the sequence for introduction of food textures.
  3. Define the functions of the oral structures as they relate to feeding.

Abstract

How many times have parents told their children’s pediatrician about their children’s feeding habits? These are some of the common complaints we have received:

  • A 3-year-old who “doesn’t chew anything. We have to give him just baby food.”
  • “He chews meat, but he just spits it out.”
  • “We tried the cup, but the milk just runs out the side. We just give him the bottle.”
  • “He eats whatever we eat. I just put everything in the blender.”
  • “Mashed potatoes or farina are easiest for him, so that’s what he eats for every meal.”

ABOUT THE AUTHORS

Keith-Thomas Ayoob, EdD, RD, FADA, is Associate Clinical Professor of Pediatrics, Albert Einstein College of Medicine, Director of Nutrition Clinic Services, Children’s Evaluation and Rehabilitation Center, Rose F. Kennedy Center, Bronx, New York. Ida Barresi, MA, CCC-SP, is a Speech Pathologist, Children’s Evaluation and Rehabilitation Center, Rose F. Kennedy Center.

Address correspondence to Keith-Thomas Ayoob, EdD, RD, FADA, 1165 Morris Park Avenue, Fourth Floor, Bronx, NY 10461; fax 718-823-4877; e-mail: ktayoob@msn.com.

Dr. Ayoob and Ms. Barresi have disclosed no relevant financial relationships.

EDUCATIONAL OBJECTIVES

  1. Name at least three possible criteria for referring a child for a feeding evaluation.
  2. Describe the sequence for introduction of food textures.
  3. Define the functions of the oral structures as they relate to feeding.

How many times have parents told their children’s pediatrician about their children’s feeding habits? These are some of the common complaints we have received:

  • A 3-year-old who “doesn’t chew anything. We have to give him just baby food.”
  • “He chews meat, but he just spits it out.”
  • “We tried the cup, but the milk just runs out the side. We just give him the bottle.”
  • “He eats whatever we eat. I just put everything in the blender.”
  • “Mashed potatoes or farina are easiest for him, so that’s what he eats for every meal.”

ABOUT THE AUTHORS

Keith-Thomas Ayoob, EdD, RD, FADA, is Associate Clinical Professor of Pediatrics, Albert Einstein College of Medicine, Director of Nutrition Clinic Services, Children’s Evaluation and Rehabilitation Center, Rose F. Kennedy Center, Bronx, New York. Ida Barresi, MA, CCC-SP, is a Speech Pathologist, Children’s Evaluation and Rehabilitation Center, Rose F. Kennedy Center.

Address correspondence to Keith-Thomas Ayoob, EdD, RD, FADA, 1165 Morris Park Avenue, Fourth Floor, Bronx, NY 10461; fax 718-823-4877; e-mail: ktayoob@msn.com.

Dr. Ayoob and Ms. Barresi have disclosed no relevant financial relationships.

EDUCATIONAL OBJECTIVES

  1. Name at least three possible criteria for referring a child for a feeding evaluation.
  2. Describe the sequence for introduction of food textures.
  3. Define the functions of the oral structures as they relate to feeding.

Sign up to receive

Journal E-contents