Author Archives: nutrfoc

35(4) Avoidant Restrictive Food Intake Disorder (ARFID)

Posted on February 8, 2022 by nutrfoc

Avoidant Restrictive Food Intake Disorder (ARFID) is a broad diagnosis that includes children and adults with selective food intake (severe picky eating, typically associated with sensory issues), restricted intake due to fear of consequences of eating (e.g., fear of vomiting … Continue reading →

Posted in General Topics Related to CSHCN, Specific Conditions | Tagged appetite, ARFID, behavior, calories, CSHCN, development, education, energy, family centered care, feeding, growth, growth charts, intervention, nutrition management, selectivity, sensory issues, team members | Comments Off

35(3) Anxious Eaters, Anxious Mealtimes: Support for Seriously Picky Eaters

Posted on September 3, 2020 by nutrfoc

There are picky eaters and there are SERIOUSLY PICKY eaters! Parents and therapists alike face the challenges of supporting children with both mild and extreme picky eating tendencies. We know it is developmentally appropriate for toddlers to be picky. However, … Continue reading →

Posted in General Topics Related to CSHCN | Tagged anxious eaters, ARFID, behavior, family centered care, intervention, mealtime peace, new foods, pediatric feeding disorder, pfd, sensory, sensory issues, systematic desensitization, team members, trust | Comments Off

35(2): Nutrition Implications in Cerebral Palsy

Posted on August 12, 2020 by nutrfoc

The first section of this issue will define cerebral palsy (CP), describe its causes, and review its classification types. Associated deficits related to CP will also be described. The next section will discuss nutrition assessment of children with CP followed … Continue reading →

Posted in Specific Conditions | Tagged anthropometrics, assessment, body composition, calories, cerebral palsy, constipation, CSHCN, development, education, energy, enteral nutrition, failure to thrive, family centered care, feeding, GI, GMFCS, gross motor, growth, growth charts, IDDSI, intervention, medication interactions, muscle tone, nutrition management, oral health | Comments Off

35(1): Type 1 Diabetes – Part 3: Diabetes Technology and Nutrition Care Considerations

Posted on May 20, 2020 by nutrfoc

There are about 200,000 American youth 20 years and younger living with Type 1 Diabetes (T1D). Due to a rising prevalence of T1D, dietitians and care providers will encounter youth and families with T1D seeking advice more frequently than in … Continue reading →

Posted in Nutrition-related Issues, Specific Conditions | Tagged assessment, blood glucose, CGM, continuous glucose monitoring, CSHCN, diabetes, education, family centered care, hypoglycemia, insulin, insulin pump, intervention, medications, nutrition management, physical activity, resources, team members | Comments Off

34(6) Type 1 Diabetes Part 2: Nutrition Management

Posted on May 20, 2020 by nutrfoc

This issue of Nutrition Focus explores nutrition management and planning for school for the child with type 1 diabetes. Nutrition education is an integral component in the care of the child with diabetes. It includes assessing nutrition status and developing … Continue reading →

Posted in Nutrition-related Issues, Specific Conditions | Tagged assessment, carbohydrate counting, CGM, continuous glucose monitoring, CSHCN, development, diabetes, education, family centered care, intervention, laboratory assessment, meal planning, medications, MNT, nutrition management, physical activity, resources, school | Comments Off

34(5): Type 1 Diabetes – Part 1: Family Education Following Diagnosis

Posted on May 20, 2020 by nutrfoc

Type 1 diabetes (previously called insulin dependent diabetes mellitus or juvenile diabetes) affects approximately 193,000 children and adolescents in the United States.1 Every year, more than 17,900 youth are diagnosed with diabetes. There are striking racial differences in the risk … Continue reading →

Posted in Nutrition-related Issues, Specific Conditions | Tagged assessment, CSHCN, diabetes, DKA, education, endocrine, family centered care, glucose, hypoglycemia, insulin, intervention, ketones, medications, nutrition management, physical activity, resources, self-management, team members | Comments Off

34(4) Update: Overview of Assessment of Nutrition Status for Children with Metabolic Disorders

Posted on February 19, 2020 by nutrfoc

Metabolic disorders are genetic (inherited) conditions. Previously identified through clinical symptoms (which were often catastrophic), advances in technology have allowed identification of metabolic disorders through newborn screening (NBS). Registered dietitians nutritionists (RDNs) are involved in the care of children with … Continue reading →

Posted in Nutrition-related Issues, Specific Conditions | Tagged assessment, CSHCN, galactosemia, genetics, growth, intervention, mcad deficiency, medical food, metabolic disorders, newborn screening, nutrition management, pku, team members | Comments Off

34(3) Update: Nutrition for Congenital Heart Disease

Posted on October 21, 2019 by nutrfoc

Nearly 1% or 40,000 births (or nearly 1 in 100 babies) each year in the United States are affected by congenital heart disease (CHD), with approximately 25% of those infants having critical cardiac defects that require surgery or catheter-based intervention … Continue reading →

Posted in Specific Conditions | Tagged assessment, calories, congenital heart disease, CSHCN, energy, enteral nutrition, GI, growth, infants, intervention, medication interactions, nutrition management, oral-motor, parenteral nutrition, protein, team members, tube feeding | Comments Off

34(2) Supplements for Children with Special Health Care Needs

Posted on September 27, 2019 by nutrfoc

The focus of this article is micronutrient (vitamin and mineral) supplements for children, particularly children with special health care needs. The article explores current trends in dietary supplementation, oversight of supplement quality, estimates of children’s nutritional intake from foods, and … Continue reading →

Posted in General Topics Related to CSHCN | Tagged adhd, assessment, CSHCN, diabetes, down syndrome, medication interactions, minerals, nutrition management, supplements, vitamins | Comments Off

34(1) Human Milk and Pediatric Formula Update

Posted on August 22, 2019 by nutrfoc

This issue includes an abbreviated discussion on human milk and pediatric formula, as well as a formula comparison guide. The included Pediatric Formula Comparison Guide, compiled by this author and John Kerner, MD, will be used at Lucile Packard Children’s … Continue reading →

Posted in General Topics Related to CSHCN | Tagged breast milk, breastfeeding, calories, fluid, formula, human milk, infants, lactoferrin, milk fat globule membrane, oligosaccharides, probiotics, resources | Comments Off

Author Archives: nutrfoc

35(2): Nutrition Implications in Cerebral Palsy

34(3) Update: Nutrition for Congenital Heart Disease

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