Feeding Problems as an Indicator of Developmental Delay in Early Childhood.
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ABSTRACT: 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.
SUBMITTER: Putnick DL
PROVIDER: S-EPMC8882156 | biostudies-literature | 2022 Mar
REPOSITORIES: biostudies-literature
Publications
Feeding Problems as an Indicator of Developmental Delay in Early Childhood.
Putnick Diane L DL Bell Erin M EM Ghassabian Akhgar A Robinson Sonia L SL Sundaram Rajeshwari R Yeung Edwina E
The Journal of pediatrics 20211111
<h4>Objective</h4>To determine whether feeding problems are indicators of developmental delay.<h4>Study design</h4>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 h ...[more]
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