Pediatric Feeding Disorder: Consensus Definition and Conceptual Framework.
Pediatric Feeding Disorder: Consensus Definition and Conceptual Framework.
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DOI：
10.1097/mpg.0000000000002188
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发表时间：
2019-01
影响因子：
2.9
通讯作者：
Phalen JA
中科院分区：
文献类型：
--
作者：
Goday PS;Huh SY;Silverman A;Lukens CT;Dodrill P;Cohen SS;Delaney AL;Feuling MB;Noel RJ;Gisel E;Kenzer A;Kessler DB;Kraus de Camargo O;Browne J;Phalen JA
儿科喂养障碍（PFDs）缺乏一个普遍接受的定义。进食障碍需要对4个密切相关、互补的领域（医疗、心理社会和基于喂养技能的系统以及相关的营养并发症）进行全面评估和治疗。然而，以前的诊断范例通常使用单一专业学科的透镜来定义进食障碍，并且未能表征对于计划适当的干预和改善生活质量至关重要的相关功能限制。使用世界卫生组织国际功能、残疾和健康分类的框架，提出了一个统一的诊断术语：“儿科喂养障碍”（PFD），定义为与年龄不相适应的口服摄入受损，并与医疗、营养、喂养技能和/或心理社会功能障碍有关。通过纳入相关的功能限制，建议的PFD诊断标准应使从业人员和研究人员能够更好地描述异质性患者人群的需求，促进治疗计划中所有相关学科的纳入，并促进使用通用的，精确的，必要的术语来推进临床实践，研究和医疗保健政策。
Pediatric feeding disorders (PFDs) lack a universally accepted definition. Feeding disorders require comprehensive assessment and treatment of 4 closely related, complementary domains (medical, psychosocial, and feeding skill-based systems and associated nutritional complications). Previous diagnostic paradigms have, however, typically defined feeding disorders using the lens of a single professional discipline and fail to characterize associated functional limitations that are critical to plan appropriate interventions and improve quality of life. Using the framework of the World Health Organization International Classification of Functioning, Disability, and Health, a unifying diagnostic term is proposed: “Pediatric Feeding Disorder” (PFD), defined as impaired oral intake that is not age-appropriate, and is associated with medical, nutritional, feeding skill, and/or psychosocial dysfunction. By incorporating associated functional limitations, the proposed diagnostic criteria for PFD should enable practitioners and researchers to better characterize the needs of heterogeneous patient populations, facilitate inclusion of all relevant disciplines in treatment planning, and promote the use of common, precise, terminology necessary to advance clinical practice, research, and health-care policy.