REASONS OF AVERSION TO FOOD AT CHILDREN OF EARLY AGE: DIFFERENTIAL AND DIAGNOSTIC SEARCH AND CORRECTION WAYS
https://doi.org/10.15690/vsp.v13i3.1030
Abstract
Aversion to food is observed at children at different stages of their development since the neonatality period. This state can be caused by several reasons. First, by coexisting diseases among which there are pathology of a gastrointestinal path (gastroesophageal reflux disease, malabsorption syndrome), neurologic (damage at ischemia or hemorrhage of a brain axis and cervical cord, neuromuscular diseases) and logopedic pathology (ankyloglossia), metabolic diseases (organic aciduria) and food intolerance. Secondly, disorder of eating behaviour can be connected with organic pathology, for example with gullet and stomach developmental malformations (esophageal achalasi, short gullet, pyloristenosis), congenital pathology of cardiovascular system, respiratory organs, liver. Thirdly, aversion to food can take place against complete health without visible objective reasons and, as a rule, is interfaced to the wrong feeding. For this reason the determination of possible reasons of eating disorder is fundamental for the achievement of clinical effect. However, besides treatment of the main disease the complex behavioural and nutritional correction which is considered in this article is justified for all patients with aversion to food.
About the Authors
О. N. Komarova
Pirogov Russian National Research Medical University, Moscow
Russian Federation
Komarova Oksana Nikolaevna, MD, dietarian of the Department of Gastroenterology and Endoscopic Research Techniques of Research Clinical Pediatric Institute
Russian Federation
Komarova Oksana Nikolaevna, MD, dietarian of the Department of Gastroenterology and Endoscopic Research Techniques of Research Clinical Pediatric Institute
А. I. Khavkin
Pirogov Russian National Research Medical University, Moscow
Russian Federation
Russian Federation
References
1. Chatoor I. Diagnosis and Treatment of Feeding Disorders in Infants, Toddlers, and Young Children. Washington, DC: Zero to Three. 2009. 256 с.
2. Lindberg L., Bohlin G., Hagekull B. Early feeding problems in a normal population. Int. J. Eating Dis. 1991; 10: 395–405.
3. Gastroenterologiya detskogo vozrasta. Pod red. S.V. Bel'mera, A.I. Khavkina, P.L. Shcherbakova [Gastroenterologyin Children. Edited by S.V. Bel'mer, A.I. Khavkin, P.L. Shcherbakov]. Moscow, Medpraktika-M, 2010. 475 p.
4. Berdnikova E. K., Keshishyan E. S. RMZh — Russian medical journal. 2006; 14 (19): 1397–1400.
5. Kharlamov D. A. Praktika pediatra — Pediatrician’s practice. 2010; 1: 21–25. 6. Chatoor I. Child feeding disorders in infants and toddlers: diagnosis and treatment. Child. Adolesc. Psychiatr. Clin. North Am. 2002; 11 (2): 163–183.
6. Levy Y., Levy A., Zangen T., Kornfeld L., Dalal I., Samuel E., Boaz M., Ben David N., Dunitz M., Levine A. Diagnostic сlues for identification of nonorganic vs organic causes of food refusal and poor feeding. J. Pediatr. Gastroenterol. Nutr. 2009; 48 (3): 355–362.
7. Levine A., Bachar L., Tsangen Z., Mizrachi A., Levy A., Dalal I., Kornfeld L., Levy Y., Zadik Z., Turner D., Boaz M. Screening criteria for diagnosis of infantile feeding disorders as a cause of poor feeding or food refusal. J. Pediatr. Gastroenterol. Nutr. 2011; 52 (5): 563–568.
Review
For citations:
Komarova О.N., Khavkin А.I. REASONS OF AVERSION TO FOOD AT CHILDREN OF EARLY AGE: DIFFERENTIAL AND DIAGNOSTIC SEARCH AND CORRECTION WAYS. Current Pediatrics. 2014;13(3):69-72. (In Russ.) https://doi.org/10.15690/vsp.v13i3.1030
Views:
1099
Email this article 
