Author Archives: nutrfoc

28(6) Weaning from tube feedings: many different pathways Part I

Developing the ability to eat by mouth and grow at an appropriate rate is usually viewed as a simple part of infancy and childhood. When a baby is born, the parents expect this process will unfold smoothly for both parent … Continue reading

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28(5) Nutrition Issues in Children with Myelomeningocele (Spina Bifida)

Myelomeningocele, or spina bifida, is the most common neural tube defect (NTD). NTDs are caused by abnormal fetal development of the neural tube when the opening in the spinal cord fails to close by the 28th day after fertilization of … Continue reading

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28(4) Phenylketonuria (PKU) and Hyperphenylalaninemia (HPA) – A Review

Phenylketonuria (PKU) and hyperphenylalaninemia (HPA) are metabolic disorders that affect an enzyme required for the conversion of phenylalanine to tyrosine, leading to a build-up of the amino acid phenylalanine (Phe) in the blood. Increased blood levels of Phe are associated … Continue reading

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28(3) Nutrition Management of Cystic Fibrosis

This issue of Nutrition Focus discusses the genetic disease, cystic fibrosis. An overview of the disease will be presented along with nutrition implications, assessment, and intervention. The current evidence-based guidelines for nutrition-related management of infants and adults with cystic fibrosis … Continue reading

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28(2) Feeding the Child with Very Low Energy Needs

Neurologic impairments, whether associated with a congenital disorder or due to a traumatic event, can influence the nutritional requirements of children with special health care needs. In some cases the nutrition issues are present due to medical complications and severe disabilities, including seizures, gastrointestinal disturbances … Continue reading

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28(1) Behavior Management of Feeding Problems

Normal development of feeding skills in children may be altered due to several factors including parenting skills, child’s temperament, family eating patterns, developmental skills, and chronic illness. In addition, feeding problems often include behavior concerns. Interventions directed at improving nutritional … Continue reading

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27(6) Emergency Preparedness – Helping Families and Their Children with Special Nutrition Needs

A number of recent natural disasters have brought the importance of emergency preparedness to the public’s attention. As a result, many organizations have issued preparedness recommendations to assist individuals and families in becoming better prepared for an emergency. Despite a … Continue reading

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27(5) The Picky Eater

Children with special health care needs seen for a nutrition evaluation are often described as picky eaters. This is both a vague and variable description, but one commonly used and a challenge to treat. The purpose of this article is … Continue reading

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27(4) Update – Attention Deficit/Hyperactivity Disorder and Nutrition Issues

Attention Deficit/Hyperactivity Disorder (ADHD) is one of the more common neurobehavioral chronic disorders of childhood. ADHD is defined by academic or behavioral problems and symptoms of inattention, hyperactivity, or impulsivity. These symptoms must be inappropriate for the child’s developmental level, … Continue reading

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27(3) Food Insecurity and Children with Special Health Care Needs

The paragraph above is powerful, illustrating how health care providers may overlook issues of food insecurity in our society. One might wonder how much the tests and procedures cost the health care system. On the individual level, this family spent … Continue reading

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