연하 및 섭식장애가 있는 발달장애아의 영양중재
Nutritional Intervention for Developmental Delayed Children with Swallowing and Feeding Disorders
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Swallowing and feeding disorders are common problems in children with developmental disabilities. Disabled children have a high risk of under-or over nutrition, micronutrient deficiencies and growth failure. It is important early recognition of nutritional problems and appropriate intervention of pediatric swallowing and feeding disorder. Nutritional assessment should be performed monthly for the first year of life and at least annually in the older child to adjustment optimal nutrient intakes and to document adequate growth. The efficient nutritional intervention including foods with high nutrient and energy density, modification of food and beverage textures and consistencies may optimize to ensure oral feeding skill, normal growth and quality of life. Enteral tube feeding can be considered in children with developmental disabilities who can not achieve sufficient oral intake to maintain adequate nutritional or hydration status. A multidisciplinary team approach is essential to manage pediatric swallowing and feeding problems and prevent poor nutritional status of disabled children. (JKDS 2012;2:20-26)
Abstract
Swallowing and feeding disorders are common problems in children with developmental disabilities. Disabled children have a high risk of under-or over nutrition, micronutrient deficiencies and growth failure. It is important early recognition of nutritional problems and appropriate intervention of pediatric swallowing and feeding disorder. Nutritional assessment should be performed monthly for the first year of life and at least annually in the older child to adjustment optimal nutrient intakes and to document adequate growth. The efficient nutritional intervention including foods with high nutrient and energy density, modification of food and beverage textures and consistencies may optimize to ensure oral feeding skill, normal growth and quality of life. Enteral tube feeding can be considered in children with developmental disabilities who can not achieve sufficient oral intake to maintain adequate nutritional or hydration status. A multidisciplinary team approach is essential to manage pediatric swallowing and feeding problems and prevent poor nutritional status of disabled children. (JKDS 2012;2:20-26)
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