Neonatal Eating Assessment Tool-Mixed Breastfeeding and Bottle-feeding: Reference values and factors associated with problematic feeding symptoms in healthy, full-term infants.
Journal
Journal of the American Association of Nurse Practitioners
ISSN: 2327-6924
Titre abrégé: J Am Assoc Nurse Pract
Pays: United States
ID NLM: 101600770
Informations de publication
Date de publication:
07 Aug 2020
07 Aug 2020
Historique:
received:
15
04
2020
accepted:
26
05
2020
pubmed:
11
8
2020
medline:
25
11
2021
entrez:
11
8
2020
Statut:
epublish
Résumé
The Neonatal Eating Assessment Tool-Mixed Breastfeeding and Bottle-feeding (NeoEAT-Mixed Feeding) is a parent-report assessment of symptoms of problematic feeding in infants who are feeding by both breast and bottle. To establish reference values for the NeoEAT-Mixed Feeding and evaluate factors that contribute to symptoms of problematic feeding in healthy, full-term infants. Parents of 409 infants less than 7 months old completed an online survey. Median and percentile scores are presented for infants aged 0-2, 2-4, 4-6, and 6-7 months old. Neonatal Eating Assessment Tool-Mixed Feeding total score and scores for the Gastrointestinal Tract Function and Energy & Physiologic Stability subscales decreased with increasing infant age. Infant Regulation and Feeding Flexibility subscale scores remained stable over time, whereas Sensory Responsiveness subscale scores increased with increasing infant age. Infants with more gastrointestinal symptoms had higher NeoEAT-Mixed Feeding total scores. The reported reference values may be used to identify infants in need of further assessment, referral, and intervention. In healthy, full-term infants with concurrent gastrointestinal symptoms and problematic feeding, interventions targeted at gastrointestinal symptoms may help to improve symptoms of problematic feeding as well.
Sections du résumé
BACKGROUND
BACKGROUND
The Neonatal Eating Assessment Tool-Mixed Breastfeeding and Bottle-feeding (NeoEAT-Mixed Feeding) is a parent-report assessment of symptoms of problematic feeding in infants who are feeding by both breast and bottle.
PURPOSE
OBJECTIVE
To establish reference values for the NeoEAT-Mixed Feeding and evaluate factors that contribute to symptoms of problematic feeding in healthy, full-term infants.
METHODS
METHODS
Parents of 409 infants less than 7 months old completed an online survey. Median and percentile scores are presented for infants aged 0-2, 2-4, 4-6, and 6-7 months old.
RESULTS
RESULTS
Neonatal Eating Assessment Tool-Mixed Feeding total score and scores for the Gastrointestinal Tract Function and Energy & Physiologic Stability subscales decreased with increasing infant age. Infant Regulation and Feeding Flexibility subscale scores remained stable over time, whereas Sensory Responsiveness subscale scores increased with increasing infant age. Infants with more gastrointestinal symptoms had higher NeoEAT-Mixed Feeding total scores.
IMPLICATIONS FOR PRACTICE
CONCLUSIONS
The reported reference values may be used to identify infants in need of further assessment, referral, and intervention. In healthy, full-term infants with concurrent gastrointestinal symptoms and problematic feeding, interventions targeted at gastrointestinal symptoms may help to improve symptoms of problematic feeding as well.
Identifiants
pubmed: 32773534
pii: 01741002-202111000-00015
doi: 10.1097/JXX.0000000000000476
doi:
Types de publication
Journal Article
Langues
eng
Pagination
938-946Informations de copyright
Copyright © 2020 American Association of Nurse Practitioners.
Déclaration de conflit d'intérêts
Competing interests: The authors report no conflicts of interest.
Références
Centers for Disease Control. (2019, December 31). Breastfeeding among U.S. children born 2009–2016, CDC National Immunization Survey. Retrieved April 14, 2020 from https://www.cdc.gov/breastfeeding/data/nis_data/results.html .
DeVellis R. F. (2017). Scale development: Theory and applications. SAGE.
Feenstra M. M., Kirkeby M. J., Thygesen M., Danbjorg D. B., Kronborg H. (2018). Early breastfeeding problems: A mixed method study of mothers' experiences. Sexual & Reproductive Healthcare, 16, 167–174.
Kleinman L., Rothman M., Strauss R., Orenstein S. R., Nelson S., Vandenplas Y., Cuchiara S., Revicki D. A. (2006). The Infant Gastroesophageal Reflux Questionnaire Revised: Development and validation as an evaluative instrument. Clinical Gastroenterology and Hepatology, 4, 588–596.
Lau C. (2016). Development of infant oral feeding skills: What do we know? American Journal of Clinical Nutrition, 103, 616S–621S.
McKean E. B., Kasparian N. A., Batra S., Sholler G. F., Winlaw D. S., Dalby-Payne J. (2017). Feeding difficulties in neonates following cardiac surgery: Determinants of prolonged feeding-tube use. Cardiology in the Young, 27, 1203–1211.
Orenstein S. R. (2010). Symptoms and reflux in infants: Infant gastroesophageal reflux questionnaire revised (I-GERQ-R)-utility for symptom tracking and diagnosis. Current Gastroenterology Reports, 12, 431–436.
Orenstein S. R., Shalaby T. M., Cohn J. F. (1996). Reflux symptoms in 100 normal infants: Diagnostic validity of the Infant Gastroesophageal Reflux Questionnaire. Clinical Pediatrics, 35, 607–614.
Pados B. F. (2019). Symptoms of problematic feeding in children with CHD compared to healthy peers. Cardiology in the Young, 29, 152–161.
Pados B. F., Basler A. (2020). Gastrointestinal symptoms in healthy, full-term infants under 7 months of age. Journal of Pediatric Nursing, 53, 1–5.
Pados B. F., Davitt E. S. (2020). Pathophysiology of gastroesophageal reflux disease in infants and non-pharmacologic strategies for symptom management. Nursing for Women's Health, 24, 101–114.
Pados B. F., Estrem H., Thoyre S., Park J., McComish C. (2017). The Neonatal Eating Assessment Tool: Development and content validation. Neonatal Network: The Journal of Neonatal Nursing, 36, 359–367.
Pados B. F., Park J., Thoyre S. (2019a). The Neonatal Eating Assessment Tool—Bottle-feeding: Norm-reference values for infants less than 7 months old. Clinical Pediatrics, 58, 857–863.
Pados B. F., Park J., Thoyre S. (2019b). The Neonatal Eating Assessment Tool—Breastfeeding: Reference values for infants less than 7 months old. Journal of Human Lactation, 36, 236–244.
Pados B. F., Thoyre S. M., Estrem H., Park J., McComish C. (2018a). Factor structure and psychometric properties of the Neonatal Eating Assessment Tool—Bottle feeding (NeoEAT—Bottle feeding). Advances in Neonatal Care, 18, 232–242.
Pados B. F., Thoyre S. M., Estrem H., Park J., McComish C. (2018b). Factor structure and psychometric properties of the Neonatal Eating Assessment Tool—Breastfeeding. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 47, 396–414.
Pados B. F., Thoyre S. M., Galer K. (2019). Neonatal Eating Assessment Tool—Mixed Breastfeeding and Bottle-Feeding (NeoEAT—Mixed Feeding): Factor analysis and psychometric properties. Maternal Health, Neonatology, and Perinatology, 5, 1–15.
Pados B. F., Yamasaki J. T. (2020). Symptoms of gastroesophageal reflux in healthy, full-term infants less than 7 months old. Nursing for Women's Health, 24, 84–90.
Park J., McComish C., Pados B. F., Estrem H., Thoyre S. (2018). Changes in symptoms of problematic eating over six months in infants and young children. Infants and Young Children, 31, 297–309.
Park J., Thoyre S., Pados B. F., Gregas M. (2019). Symptoms of feeding problems in preterm-born children at 6 months to 7 years old. Journal of Pediatric Gastroenterology and Nutrition, 68, 416–421.
Piazza-Waggoner C., Driscoll K. A., Gilman D. K., Powers S. W. (2008). A comparison using parent report and direct observation of mealtime behaviors in young children with cystic fibrosis: Implications for practical and empirically based behavioral assessment in routine clinical care. Childrens Health Care, 37, 38–48.
US Census Bureau. (n.d.). QuickFacts: United States. https://www.census.gov/quickfacts/fact/table/US/PST045218 .
Riley A. W., Trabulsi J., Yao M., Bevans K. B., DeRusso P. A. (2015). Validation of a parent report questionnaire: The Infant Gastrointestinal Symptom Questionnaire. Clinical Pediatrics, 54, 1167–1174.
Shao Y., Forster S. C., Tsaliki E., Vervier K., Strang A., Simpson N., Kumar N., Stares M. D., Rodger A., Brocklehurst P., Field N., Lawley T. D. (2019). Stunted microbiota and opportunistic pathogen colonization in caesarean-section birth. Nature, 574, 117–121.