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International Journal of Nutrology
Consensus
DOI: 10.1055/s-0038-1670717
Submitted: 03-05-2022
Published: 03-05-2022

Consenso da Associação Brasileira de Nutrologia sobre o uso de suplementos alimentares para crianças com dificuldades alimentares

Associação Brasileira de Nutrologia, Universidade Federal de São Carlos – UFSCAR, São Carlos, São Paulo, Brazil
Associação Brasileira de Nutrologia, Universidade Federal do Rio Grande do Sul – UFRGS, Porto Alegre, Rio Grande do Sul, Brazil
Associação Brasileira de Nutrologia, Fundação Padre Albino, Catanduva, São Paulo, Brazil
Nutricionista, Instituto PENSI, São Paulo, São Paulo, Brazil
Instituto PENSI, Universidade Federal de São Paulo – UNIFESP, São Paulo, São Paulo, Brazil
supplementary feeding feeding behavior feeding and eating disorders feeding nutritional support

Abstract

Introduction: Feeding difficulties are extremely frequent complaints in the pediatric age group, being relevant the standardization of the behaviors by the professionals involved in the treatment. One of the tools that can be used is nutritional supplementation. Objectives: To establish the recommendations of the Brazilian Association of Nutrology on the use of supplements for the child with feeding difficulties. Methods: Revision of the scientific literature of the last fifty years in relation to the proposed theme. Conclusions: Recommendations are made about the use of supplements for the child with feeding difficulties.

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References

  1. Couch SC, Glanz K, Zhou C, Sallis JF, Saelens BE. Home food environment in relation to children’s diet quality and weight status. J Acad Nutr Diet 2014;114(10):1569–1579.e1
  2. Pedersen S, Grønhøj A, Thøgersen J. Following family or friends. Social norms in adolescent healthy eating. Appetite 2015;86:54–60
  3. Savage JS, Fisher JO, Birch LL. Parental influence on eating behavior: conception to adolescence. J Law Med Ethics 2007;35 (01):22–34
  4. Tosatti AM, Ribeiro LW, Machado RHV, et al. Does family mealtime have a protective effect on obesity and good eating habits in young people? A 2000–2016 review. Rev Bras Saude Mater Infant 2017; 17:425–434
  5. Carruth BR, Ziegler PJ, Gordon A, Barr SI. Prevalence of picky eaters among infants and toddlers and their caregivers’ decisions aboutoffering a new food. J Am Diet Assoc 2004;104(01, Suppl 1):s57–s64
  6. Jacobi C, Schmitz G, Agras WS. Is picky eating an eating disorder? Int J Eat Disord 2008;41(07):626–634
  7. Mascola AJ, Bryson SW, Agras WS. Picky eating during childhood: a longitudinal study to age 11 years. Eat Behav 2010;11(04):253–257
  8. Fisberg M, Tosatti AM, Abreu CL. A criança que não come abordagem pediátrico-comportamental. Blucher Med Proceed 2014;1:176–189
  9. Kerzner B. Clinical investigation of feeding difficulties in young children: a practical approach. Clin Pediatr (Phila) 2009;48(09): 960–965
  10. Kerzner B, Milano K, MacLean WC Jr, Berall G, Stuart S, Chatoor I. A practical approach to classifying and managing feeding difficulties. Pediatrics 2015;135(02):344–353
  11. Jaballas E, Clark-Ott D, Clasen C, Stolfi A, Urban M. Parents’ perceptions of their children’s weight, eating habits, and physical activities at home and at school. J Pediatr Health Care 2011;25 (05):294–301
  12. Wright CM, Parkinson KN, Shipton D, Drewett RF. How do toddler eating problems relate to their eating behavior, food preferences, and growth? Pediatrics 2007;120(04):e1069–e1075
  13. Jacobi C, Agras WS, Bryson S, Hammer LD. Behavioral validation, precursors, and concomitants of picky eating in childhood. J Am Acad Child Adolesc Psychiatry 2003;42(01):76–84
  14. Jansen PW, Roza SJ, Jaddoe VW, et al. Children’s eating behavior, feeding practices of parents and weight problems in early childhood: results from the population-based Generation R Study. Int J Behav Nutr Phys Act 2012;9:130
  15. Bleichfeld B, Montgomery M. Feeding and sleeping problems of infancy and early childhood. Child and adolescent mental health. Philadelphia: Lippincott Williams and Wilkins; 2002:226–251
  16. Yackobovitch-Gavan M, Lebenthal Y, Lazar L, et al. Effect of nutritional supplementation on growth in short and lean pre-pubertal children after 1 year of intervention. J Pediatr 2016; 179:154–159.e1
  17. Alarcon PA, Lin L-H, Noche M Jr, et al. Effect of oral supplementation on catch-up growth in picky eaters. Clin Pediatr (Phila) 2003; 42(03):209–217
  18. Siviero AA, Anti SMA, Bandeira CRS, Russeff MM, Fisberg M. Intervenção e orientação nutricional no acompanhamento de crianças desnutridas em creches de São Paulo. Rev Paul Pediatr 1997;15:7
  19. Maximino P, Machado RHV, Junqueira P, et al. How to monitor children with feeding difficulties in a multidisciplinary scope?: Multidisciplinary care protocol for children and adolescents J Hum Growth Dev 2016;26:331–340
  20. Chatoor I. When Your Child Won’t Eat Or Eats Too Much: A Parents’ Guide for the Prevention and Treatment of Feeding Problems in Young Children. iUniverse; 2012
  21. Fisberg M, et al. Effect of Oral Nutritional Supplementation with or without Synbiotics on Sickness and Catch-up Growth in Pre-school Children. Int Pediatr 2002;17:216–222
  22. Huynh DT, Estorninos E, Capeding RZ, Oliver JS, Low YL, Rosales FJ. Longitudinal growth and health outcomes in nutritionally at-risk children who received long-term nutritional intervention. J Hum Nutr Diet 2015;28(06):623–635
  23. Fisberg M, Maximino P. Dificuldades Alimentares. In: Nogueira-de-Almeida CA, Mello EDd, editors. Nutrologia Pediátrica: Prática Baseada em Evidências. 1. Barueri: Manole; 2016:117–125
  24. Ong C, Phuah KY, Salazar E, How CH. Managing the ‘picky eater’ dilemma. Singapore Med J 2014;55(04):184–189, quiz 190
  25. Akram DS, Bharmal FY, Hussain T. PediaSure in the treatment of severe malnutrition in Pakistani children. J Pak Med Assoc 2000; 50(11):377–380
  26. Maximino P, Machado RHV, Junqueira P, et al. Como acompanhar a criança com dificuldade alimentar em escopo multidisciplinar?: Protocolo de atendimento multiprofissional na infância e adolescência-estudo piloto J Hum Growth Dev 2016;26:331–340
  27. Saleh JW, Yang MU, van Itallie TB, Hashim SA. Ingestive behavior and composition of weight change during cyproheptadine administration. Int J Obes 1979;3(03):213–221
  28. Prelusky DB, Rotter BA, Thompson BK, Trenholm HL. Effect of the appetite stimulant cyproheptadine on deoxynivalenol-induced reductions in feed consumption and weight gain in the mouse. J Environ Sci Health B 1997;32(03):429–448
  29. Orthen-Gambill N. Antihistaminic drugs increase feeding, while histidine suppresses feeding in rats. Pharmacol Biochem Behav 1988;31(01):81–86
  30. Kachani AT, Abreu CLMD, Lisboa SBH, Fisberg M. Seletividade alimentar da criança. Pediatria. 2005;27:48–60
  31. Coura C, Soli A, Bezerra L. Enasios com a buclizina em associação a aminoácidos essenciasis e vitaminas do complexo B (Buclivit) no tratamento da inapetência infantil. Hospital (Rio J) 1968; 74:939–946
  32. Alaya GQ. Efectos de los medicamentos en el apetito. Trastornos de la conducta alimentaria; 2011:1437–1460
  33. Higa J, Micelli I, Astolfi E. [Buclizine as an appetite stimulant. Clinical, experimental and toxicological studies]. Prensa MedArgent 1969;56(23):1129–1133
  34. ANVISA. Suplementos: Anvisa quer regulação específica 2018 [Avail-able from: http://portal.anvisa.gov.br/rss/-/asset_publisher/Zk4q6UQCj9Pn/content/anvisa-quer-regulacao-especifica-para-suplementos-alimentares/219201?inheritRedirect¼false
  35. Wright C, Birks E. Risk factors for failure to thrive: a population-based survey. Child Care Health Dev 2000;26(01):5–16
  36. Fisberg MM-R. I.E.; Tormo, R.; Carrascoso, M.T.; Giner, C.P.; Martin, F.A.; Belinchon, P.P.; Costa, C.M.; Perez, M.P.; Caro, J.G. Effect of oral supplementation with or without synbiotics on sickness and catch-up growth in preschool children. Int Pediatr2002;17:2
  37. Ekstein S, Laniado D, Glick B. Does picky eating affect weight-for-length measurements in young children? Clin Pediatr (Phila) 2010;49(03):217–220
  38. Galloway AT, Fiorito L, Lee Y, Birch LL. Parental pressure, dietary patterns, and weight status among girls who are “picky eaters”. J Am Diet Assoc 2005;105(04):541–548
  39. Dubois L, Farmer A, Girard M, Peterson K, Tatone-Tokuda F. Problem eating behaviors related to social factors and body weight in preschool children: A longitudinal study. Int J Behav Nutr Phys Act 2007;4:9
  40. Chatoor I, Surles J, Ganiban J, Beker L, Paez LM, Kerzner B. Failure to thrive and cognitive development in toddlers with infantile anorexia. Pediatrics 2004;113(05):e440–e447
  41. de Almeida CAN, Ricco RG. Avaliação do estado nutricional com ênfase à antropometria. Pediatria (São Paulo) 1998;20:385–398
  42. Waterlow JC, Buzina R, Keller W, Lane JM, Nichaman MZ, Tanner JM. The presentation and use of height and weight data for comparing the nutritional status of groups of children under the age of 10 years. Bull World Health Organ 1977;55(04):489–498
  43. Marchi M, Cohen P. Early childhood eating behaviors and adolescent eating disorders. J Am Acad Child Adolesc Psychiatry 1990;29 (01):112–117
  44. Galloway AT, Lee Y, Birch LL. Predictors and consequences of food neophobia and pickiness in young girls. J Am Diet Assoc 2003;103 (06):692–698
  45. Carruth BR, Skinner J, Houck K, Moran J III, Coletta F, Ott D. The phenomenon of “picky eater”: a behavioral marker in eating patterns of toddlers. J Am Coll Nutr 1998;17(02):180–186
  46. Carruth BR, Skinner JD. Revisiting the picky eater phenomenon: neophobic behaviors of young children. J Am Coll Nutr 2000;19 (06):771–780
  47. Dubois L, Farmer AP, Girard M, Peterson K. Preschool children’s eating behaviours are related to dietary adequacy and body weight. Eur J Clin Nutr 2007;61(07):846–855
  48. Shay NF, Mangian HF. Neurobiology of zinc-influenced eating behavior. J Nutr 2000;130(5S, Suppl)1493S–1499S
  49. Rocha ÉD, de Brito NJN, Dantas MMG, Silva AdeA, Almeida Md, Brandão-Neto J. das Graças Almeida M, Brandão-Neto J. Effect of zinc supplementation on GH, IGF1, IGFBP3, OCN, and ALP in non-zinc-deficient children. J Am Coll Nutr 2015;34(04):290–299
  50. Strand TA, Ulak M, Chandyo RK, et al. The effect of vitamin B12 supplementation in Nepalese infants on growth and development: study protocol for a randomized controlled trial. Trials 2017;18(01):187
  51. de Almeida CAN, de Mello ED, de Sousa Maranhão H, Vieira MC, Barros R, Fisberg M. Dificuldades alimentares na infância: revisão da literatura com foco nas repercussões à saúde. Pediatr Mod 2012;•••:48
  52. Chatoor I. Feeding disorders in infants and toddlers: diagnosis and treatment. Child Adolesc Psychiatr Clin N Am 2002;11(02):163–183
  53. Chatoor I, Ganiban J, Hirsch R, Borman-Spurrell E, Mrazek DA. Maternal Characteristics and Toddler Temperament in Infantile Anorexia. Journal of the American Academy of Child &amp. Adolesc Psychiatry 2000;39:743–751
  54. Chatoor I, Ganiban J, Colin V, Plummer N, Harmon RJ. Attachment and feeding problems: a reexamination of nonorganic failure to thrive and attachment insecurity. J Am Acad Child Adolesc Psychiatry 1998;37(11):1217–1224
  55. Batsell WR Jr, Brown AS, Ansfield ME, Paschall GY. “You will eat all of that!”: a retrospective analysis of forced consumption episodes. Appetite 2002;38(03):211–219
  56. Birch LL, Birch D, Marlin DW, Kramer L. Effects of instrumental consumption on children’s food preference. Appetite 1982;3(02):125–134
  57. Newman J, Taylor A. Effect of a means-end contingency on young children’s food preferences. J Exp Child Psychol1992;53(02):200–216
  58. van der Horst K. Overcoming picky eating. Eating enjoyment as a central aspect of children’s eating behaviors. Appetite 2012;58 (02):567–574
  59. Micali N, Simonoff E, Elberling H, Rask CU, Olsen EM, Skovgaard AM. Eating patterns in a population-based sample of children aged 5 to 7 years: association with psychopathology and parentally perceived impairment. J Dev Behav Pediatr 2011;32(08):572–580. Doi: 10.1097/DBP.0b013e31822bc7b7
  60. Schmid G, Schreier A, Meyer R, Wolke D. A prospective study on the persistence of infant crying, sleeping and feeding problems and preschool behaviour. Acta Paediatr 2010;99(02):286–290
  61. Sanders MR, Patel RK, Le Grice B, Shepherd RW. Children with persistent feeding difficulties: an observational analysis of the feeding interactions of problem and non-problem eaters. Health Psychol 1993;12(01):64–73
  62. Feldman R, Keren M, Gross-Rozval O, Tyano SAM. Mother, ÄìChild Touch Patterns in Infant Feeding Disorders: Relation to Maternal, Child, and Environmental Factors. Journal of the American Academy of Child &amp. Adolesc Psychiatry 2004;43:1089–1097
  63. Brown AM, Matheny AP Jr. Feeding problems and preschool intelligence scores: a study using the co-twin method. Am J Clin Nutr 1971;24(10):1207–1209
  64. Birch LL, Fisher JO. Development of eating behaviors among children and adolescents. Pediatrics 1998;101(3 Pt 2):539–549
  65. Faith MS, Berkowitz RI, Stallings VA, Kerns J, Storey M, Stunkard AJ. Parental feeding attitudes and styles and child body mass index: prospective analysis of a gene-environment interaction. Pediatrics 2004;114(04):e429–e436
  66. Savage JS, Fisher JO, Birch LL. Parental influence on eating behavior: conception to adolescence. The Journal of law, medicine & ethics: a journal of the American Society of Law. Med Ethics (Burlingt, Mass) 2007;35:22–34
  67. van der Horst K, Oenema A, Ferreira I, et al. A systematic review of environmental correlates of obesity-related dietary behaviors in youth. Health Educ Res 2007;22(02):203–226
  68. Ventura AK, Birch LL. Does parenting affect children’s eating and weight status? Int J Behav Nutr Phys Act 2008;5:15
  69. Oliveira MICD, Rigotti RR, Boccolini CS. Fatores associados à falta de diversidade alimentar no segundo semestre de vida. Cad Saude Colet 2017;25:65–72
  70. Bergman P, Lindh ÅU, Björkhem-Bergman L, Lindh JD. Vitamin D and respiratory tract infections: a systematic review and metaanalysis of randomized controlled trials. PLoS One 2013;8(06):e65835
  71. Charan J, Goyal JP, Saxena D, Yadav P. Vitamin D for prevention of respiratory tract infections: A systematic review and meta-analysis. J Pharmacol Pharmacother 2012;3(04):300–303
  72. Willoughby JL, Bowen CN. Zinc deficiency and toxicity in pediatric practice. Curr Opin Pediatr 2014;26(05):579–584
  73. Fallah R, Sabbaghzadegan S, Karbasi SA, Binesh F. Efficacy of zinc sulfate supplement on febrile seizure recurrence prevention in children with normal serum zinc level: A randomised clinical trial. Nutrition 2015;31(11-12):1358–1361
  74. Sharp WG, Stubbs KH, Adams H, et al. Intensive, Manual-based intervention for pediatric feeding disorders: results from a randomized pilot trial. J Pediatr Gastroenterol Nutr 2016;62(04):658–663
  75. Gürlek Gökçebay D, Emir S, Bayhan T, Demir HA, Gunduz M, Tunc B. Assessment of nutritional status in children with cancer and effectiveness of oral nutritional supplements. Pediatr Hematol Oncol 2015;32(06):423–432 International Journal of Nutrology Vol. 11 Suppl. S1/2018 Consensus Consenso S15

How to Cite

Nogueira-de-Almeida, C. A., Mello, E. D. de, Ribas Filho, D., Maximino, P., & Fisberg, M. (2022). Consenso da Associação Brasileira de Nutrologia sobre o uso de suplementos alimentares para crianças com dificuldades alimentares. International Journal of Nutrology, 11(4), 4–15. https://doi.org/10.1055/s-0038-1670717