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KMID : 1038820150180010001
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Pediatric Gastroenterology, Hepatology & Nutrition
2015 Volume.18 No. 1 p.1 ~ p.9
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How to Improve Eating Behaviour during Early Childhood
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Robin John Green
Aly Gamal Samy
Mohamad Saleh Miqdady
Rola Sleiman
Hatim Mohamed Ahmed Abdelrahman
Fatima Al Haddad
Mona M. Reda
Humphrey Lewis, Emmanuel E. Ekanem
Yvan Vandenplas
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Abstract
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Eating behaviour disorder during early childhood is a common pediatric problem. Many terminologies have beenused interchangeably to describe this condition, hindering implementation of therapy and confusing a commonproblem. The definition suggests an eating behaviour which has consequences for family harmony and growth. Therecent Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition does not cover the entire spectrum seenby pediatricians. Publications are substantive but level of evidence is most of the time low. This purpose of this reviewis to clarify terminology of eating behaviour problems during early childhood; including benign picky eating, limiteddiets, sensory food aversion, selective eating, food avoidance emotional disorder, pervasive refusal syndrome, tactiledefensiveness, functional dysphagia, neophobia and toddler anorexia. This tool is proposed only to ease theclinical management for child care providers. Diagnostic criteria are set and management tools are suggested. Therole of dietary counselling and, where necessary, behavioural therapy is clarified. It is hoped that the condition willmake its way into mainstream pediatrics to allow these children, and their families, to receive the help they deserve.
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KEYWORD
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Eating behaviour disorders, Eating disorders, Picky eater, Early childhood, Meals
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