Category Archives: General Topics Related to CSHCN
35(4) Avoidant Restrictive Food Intake Disorder (ARFID)
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 →
35(3) Anxious Eaters, Anxious Mealtimes: Support for Seriously Picky Eaters
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 →
34(2) Supplements for Children with Special Health Care Needs
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 →
34(1) Human Milk and Pediatric Formula Update
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 →
33(5) Working with Children in Foster Care – Nutrition Issues and Practice Implications
Providing medical nutrition therapy to children within foster care is complex as providers have numerous additional hurdles to navigate, including the psychological impact and effect of transitional care, logistical management among multiple caregivers and home environments, and patient confidentiality. This … Continue reading →
33(3) Childhood Lead Poisoning and the Role of Nutrition
Lead exposure is a serious yet preventable environmental public health issue. The persistence of lead poisoning continues to challenge clinicians and public health practitioners despite everything that is known about the sources, pathways and prevention of lead exposure. Lead has … Continue reading →
33(2) Medication-Nutrient Interactions
Medication-nutrient interactions occur any time a medication interferes with a food or nutrient, or vice versa, a food or nutrient interferes with the action of a medication. Many children with special health care needs receive one or more medications on … Continue reading →
33(1) Introduction of Complementary Foods in Infancy: When, What and How
Introduction of complementary foods (solid foods and liquids other than breast milk or infant formula) during infancy is a practice that has evolved and changed over time and across cultures. Introducing complementary foods to an infant is both an art … Continue reading →
31(6) Children and Weight: Providing Help, Preventing Harm Part 2 – Nutrition Intervention
Parents and caregivers receive many different messages about children, weight, and food, and it can be confusing for parents to navigate what is sound advice versus what is dangerous. How can health care providers help families and children without doing … Continue reading →
31(2) Increasing Energy Concentration in Infant Feedings
Energy is required by each individual’s body to sustain functions including respiration, circulation, physical work, metabolism, and protein synthesis. In children, energy is also needed for overall growth. Energy needs depend on intake and expenditure. Energy requirements and expenditure are … Continue reading →