Feeding characteristics in young children with food allergies.

Tracks
Concurrent session T5
Feeding
Infant feeding
Paediatric/Infant
Research
Swallowing
Tuesday, May 28, 2024
12:10 PM - 12:25 PM
River View Room 05

Overview

Jennifer Kefford


Details

⏫ Research insights
📚 Assumed knowledge of attendees: Foundational (new/casual familiarity with the topic e.g. treated a single case)


Presenter

Agenda Item Image
Ms Jennifer Kefford
Senior Speech Pathologist
NSW Health

Feeding characteristics in young children with food allergies.

12:10 PM - 12:25 PM

Presentation summary

In this presentation we will present data describing the prevalence and impact of paediatric feeding disorder (PFD) in young children with IgE-mediated food allergies (FAs). To our knowledge there is currently no Australian data on PFD in this population.

Our research aims included a) describing parent-reported feeding behaviours, stress, and the impact of these on quality of life in a cohort of young children with medically diagnosed IgE-mediated FAs; and b) to explore differences in presentation across three age groups (6-18months, 19-35months, 36-59months).

To achieve these aims we recruited parents of children with IgE-mediated FA from waiting rooms of allergy clinics at 3 major NSW hospitals. The Behavioural Paediatrics Feeding Assessment Scale (BPFAS); Parental Stress Scale (PSS); and Feeding Swallowing Impact Scale (FS-IS) were provided. Consenting parents completed these online.

To date, data on 56 children has been collected (6-18months n=10; 19-35months n=22; 36-59months n=19). Overall, approximately 1 in 5 children were reported by their parents to have clinically significant feeding behaviours on the BPFAS, but only 11% of parents (n=6) had sought help. Comparison of scores on the BPFAS, PSS and FS-IS found no significant differences across the three age groups, although it was noted that reported difficult feeding behaviours increased with age. Parents who reported higher frequency of difficult feeding behaviours also reported higher levels of parental stress (r=0.485, p<0.01). Further results will be available at the time of presentation.

Although our results showed that there is a subset of this cohort reported typical by their parents, there were a proportion with clinically significant feeding behaviours and these behaviours were reported at higher levels than in the general population. Improved diagnostics and further research into appropriate supports for those that are identifying feeding challenges in this group, is warranted.

(Data collection funded by SPA New Researcher Grant, 2021.)

Key messages

1. Current data available on the prevalence and characteristics of feeding behaviours in young children with food allergies.
2. The impact of these behaviours on parental stress.
3. The impact of these behaviours on feeding related quality of life

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Jennifer is a Senior Paediatric Speech Pathologist working in Community Health in NSW. She has been working for nearly 20 years predominantly in paediatrics. She currently manages her local service on a day to day basis and carries a speech and language caseload and specialist feeding caseload covering children aged 0-6. Jennifer commenced her PhD through the University of Queensland in 2020, looking at the feeding characteristics and behaviours of young children with food allergies.

Session chair

Mary Claessen
Senior Advisor Professional Standards
Speech Pathology Australia


Student volunteer(s)

Lillian Hennessy-Ellis
Student
Curtin University

Tanvi Patel
Curtin University

The information contained in this program is current at of the time of publishing but is subject to changes made without notice.

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