Feeding Problems as an Indicator of Developmental Delay in Early Childhood - 22/02/22
, Erin M. Bell, PhD 2, Akhgar Ghassabian, MD, PhD 3, 4, 5, Sonia L. Robinson, PhD 1, Rajeshwari Sundaram, PhD 6, Edwina Yeung, PhD 1Abstract |
Objective |
To determine whether feeding problems are indicators of developmental delay.
Study design |
In this prospective longitudinal cohort study, mothers of 3597 children (49% female, 35% multiples) reported on their children's feeding problems and developmental delays (using the Ages and Stages Questionnaire [ASQ]) when children were age 18, 24, and 30 months. Average scores of feeding problems were computed at each age, as well as a categorical score indicating a persistently high number of feeding problems ≥90th percentile across time. The Battelle Developmental Inventory, Second Edition (BDI-2) was used to assess development in 5 domains for a subset of children at 4 years.
Results |
In adjusted analyses, feeding problems (per point increase) were increasingly associated with 6 ASQ domains from 18 months (OR, 1.30-1.98) to 24 months (OR, 2.07-2.69) to 30 months (OR, 3.90-5.64). Compared with children who never experienced feeding problems, children who experienced a high number of feeding problems at 1 or 2 time points were more than twice as likely to have a delay on all ASQ domains (OR, 2.10-2.50), and children who experienced a high number of feeding problems at all 3 time points were ≥4-fold more likely to have a delay on all ASQ domains (OR, 3.94-5.05). Children with 1-point higher feeding problems at 30 months scored 3-4 points lower in all BDI-2 domains at 4 years.
Conclusions |
Frequent feeding problems, especially those that persist into the third year, could be used to identify children at risk for developmental delay for more targeted screening.
Le texte complet de cet article est disponible en PDF.Keywords : feeding problems, developmental delay, developmental screening
Abbreviations : ASQ, BDI-2, MCHAT
Plan
| Supported by the Intramural Research Program of the Eunice Kennedy Shriver National Institute of Child Health and Human Development (contracts HHSN275201200005C and HHSN267200700019C). The sponsor played no role in the study design, data collection, data analysis or interpretation, writing of the manuscript, or the decision to submit the article for publication. The authors declare no conflicts of interest. |
Vol 242
P. 184 - mars 2022 Retour au numéro
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