Risco de distúrbio alimentar Pediátrico em pré-escolares nascidos prematuros
Risk of pediatric eating disorders in preschoolers born prematurely
Manoela Gomes; Claudiane Bottoli; Bianca Nunes Pimentel; Camila Lenhardt Vargas; Raquel Coube de Carvalho Yamamoto; Angela Regina Meciel Weinmann; Geovana de Paula Bolzan
Resumo
Palavras-chave
Abstract
Purpose: To verify the risk of pediatric eating disorders in preschoolers who were born prematurely and relate it to neonatal aspects, breastfeeding and oral habits.
Methods: Descriptive and longitudinal study. The sample was made up of preschoolers who were born prematurely and who were followed up until 24 months of corrected age. Data collection consisted of analysis of medical records, interviews and application of the Brazilian Infant Feeding Scale (EBAI).
Results: 19 preschoolers participated, with a mean age of 5.11±0.51, born prematurely (gestational age of 32.05 ± 3.26 weeks), healthy and with normal oral motor function at 2 years of corrected age. The application of the EBAI made it possible to identify the risk of pediatric eating disorders in 31.57% of the sample. There was no difference between the groups with and without risk of pediatric eating disorders regarding neonatal variables, breastfeeding and oral habits. Only the variable feeding time during the neonatal hospitalization period showed a difference between the groups, being higher in children who were not at risk for pediatric eating disorders.
Conclusion: The risk of pediatric eating disorders occurred in almost a third of pre-school-age premature infants. The dietary transition time during the neonatal hospitalization period was the only variable that showed a difference between the groups with and without risk of pediatric eating disorders. Thus, one may consider that, the moment of introduction of oral feeding and the way in which the diet progresses until the full oral route, during neonatal hospitalization, may be related to eating behavior in other phases of child development.
Keywords
References
1 Aguiar LCS, Vigo PDS, Christoffel MM, Machado RCM, Pacheco STA. Perfil alimentar de recém-nascidos prematuros internados na unidade neonatal. Rev Recien. 2022;12(37):424-3.
2 Florêncio GF, Vicente KM, Vogt C, Freita GVL, Felippi JMM. Nursing care for premature newborns in a specialized center: experience report. Res Soc Dev. 2020;9(11):e639119539.
3 Adriano APS, Souta ES, Lopes LS, Santos MLS, Lobato MV, Sanches RP, et al. Neonatal mortality related to prematurity. Res Soc Dev. 2022;11(4):e27511421565.
4 Swiader N, Hasenstab KA, Yildiz VO, Jadcherla SR. Characterization of esophageal and sphincter reflexes across maturation in dysphagic infants with oral feeding success vs infants requiring gastrostomy. Dysphagia. 2022;37(1):148-57.
5 Calado DFB, Souza R. Intervenção fonoaudiológica em recém-nascido pré-termo: estimulação oro-motora e sucção não-nutritiva. Rev CEFAC. 2012;14(1):176-81.
6 Kamity R, Kapavarapu PK, Chandel A. Feeding problems and long-term outcomes in preterm infants: a systematic approach to evaluation and management. Children (Basel). 2021;8(12):1158.
7 Pados BF, Hill RR, Yamasaki JT, Litt JS, Lee CS. Prevalence of problematic feeding in young children born prematurely: a meta-analysis. BMC Pediatr. 2021 Mar 6;21(1):110.
8 Brusco RT, Delgado ES. Caracterização do desenvolvimento da alimentação de crianças nascidas pré-termo entre três e 12 meses. Rev CEFAC. 2014;16(3):917-28.
9 Diniz PB. Recusa alimentar na infância- o que a fonoaudiologia tem a dizer e a contribuir. In: Levy DS, Almeida ST. Disfagia infantil. Rio de Janeiro: Thieme Revinter Publicações; 2018. p. 85-91.
10 Walton K, Daniel AI, Mahood Q, Vaz S, Law N, Unger SL, et al. Eating behaviors, caregiver feeding interactions, and dietary patterns of children born preterm: a systematic review and meta-analysis. Adv Nutr. 2022 Jun 1;13(3):875-912.
11 Goday PS, Huh SY, Silverman A, Lukens CT, Dodrill P, Cohen SS, et al. Pediatric feeding disorder: consensus definition and conceptual framework. J Pediatr Gastroenterol Nutr. 2019 Jan;68(1):124-9.
12 Dutra AKF, Levi DS, Felix GB, Junqueira P, Meira, RRS. Diretrizes sobre a atuação fonoaudiológica nos distúrbios alimentares pediátricos resolução CFFa Nº 659, de 30 de Março de 2022. Brasília: CFFa; 2022.
13 Lázaro CP, Siquara GM, Pondé MP. Escala de Avaliação do Comportamento Alimentar no Transtorno do Espectro Autista: estudo de validação. J Bras Psiquiatr. 2019;68(4):191-9.
14 Lessen BS. Effect of the premature infant oral motor intervention on feeding progression and length of stay in preterm infants. Adv Neonatal Care. 2011;11(2):129-39.
15 Diniz PB, Fagondes SC, Ramsay M. Cross-cultural adaptation and validation of the montreal children’s hospital feeding scale into brazilian portuguese. Rev Paul Pediatr. 2021;39:39.
16 Fenton TR, Kim JH. A systematic review and meta-analysis to revise the Fenton growth chart for preterm infants. BMC Pediatr. 2013;13:59.
17 Freitas BAC, Lima LM, Carlos CFLV, Priore SE, Franceschini SCC. Duração do aleitamento materno em prematuros acompanhados em serviço de referência secundário. Rev Paul Pediatr. 2016;34(2):189-96.
18 Duran S, Duran R, Acunaş B, Cesur G, Çiftdemir NA. Eating behaviors of late and moderately preterm infants at two years of age and Their Associations With Mothers’ Mental Health. J Pediatr Gastroenterol Nutr. 2021 Fev 1;72(2):311-5.
19 Kerzner B, Milano K, MacLean WC Jr, Berall G, Stuart S, Chatoor I. A practical approach to classifying and managing feeding difficulties. Pediatrics. 2015;135(2):344-53.
20 Antunes VP, Berwig LC, Steidl EMS, Weinmann ARM. Efeitos do tuboorotraqueal sobre a performance alimentar e sinais de estresse em recém-nascidos pré-termo. Distúrb Comun. 2014;26(3):569-75.
21 Pagliaro CL, Bühler KE, Ibidi SM, Limongi SC. Dietary transition difficulties in preterm infants: critical literaturereview. J Pediatr (Rio J). 2016;92(1):7-14.
22 Czechowski AE, Fujinaga CI. Seguimento ambulatorial de prematuros e a prevalência do aleitamento. Rev Soc Bras Fonoaudiol. 2010;15(4):572-7.
23 Sociedade Brasileira de Pediatria. Departamento em Nutrologia. Manual de orientação para a alimentação do lactente, do pré-escolar, do escolar, do adolescente e na escola. Rio de Janeiro: Departamento Científico de Nutrologia, Sociedade Brasileira de Pediatria; 2018.
24 Méio MDBB, Villela LD, Gomes SCS Jr, Tovar CM, Moreira MEL. Aleitamento materno de recém-nascidos pré-termo após alta hospitalar: seguimento no primeiro ano de vida. Ciênc Saúde Col. 2018;23(7):2403-12.
25 Brasil. Ministério da Saúde. Secretaria de Atenção Primaria à Saúde. Departamento de Promoção da Saúde. Guia alimentar para crianças brasileiras menores de 2 anos. Brasília: Ministério da Saúde; 2019.
26 Junqueira P. Relações cognitivas com o alimento na infância. São Paulo: ILSI Brasil international life sciences institute do Brasil; 2017.
27 Carvalho FM, Rocha L, Nogueira JAS, Lobo PLD, Pimentel FLDS, Sacchetto MSLS, et al. Relationship between breastfeeding, deleteric bucal habits and malocclusions in the childhood. J Young Pharm. 2022;14(1):25-9.
28 WHO: World Health Organization. Infant and young child feeding counselling: an integrated course. Trainer’s guide. 2nd ed. Geneva: WHO; 2021.
29 Departamento Científico de Nutrologia. A Alimentação Complementar e o Método BLW (Baby-Led Weaning). São Paulo: Departamento Científico de Nutrologia, Sociedade Brasileira de Pediatria; 2017.
Submitted date:
09/02/2023
Accepted date:
02/28/2024


