Feeding problems in childhood are becoming more widely recognized. Metabolic dietitians are likely to encounter concerns regarding eating in their patients. A feeding problem can be viewed from many perspectives. For metabolic dietitians, a feeding problem can be defined as the inability or refusal to eat the quantity, variety, or texture of foods that are appropriate for a person’s developmental age, medical condition, social group, and nutrient needs. Common feeding concerns are listed in Table 1. Limited food variety includes self-restriction based on preferred characteristics of food (rules about specific brands, colors, presentation, etc.) and persistent cumulative food jags in which, over time, more and more previously accepted foods are rejected. Restrictions in the foods a child will accept make a metabolic diet even more difficult to manage.
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Feeding Problems in Metabolic Disorders
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