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- Title
ARFID—Strategies for Dietary Management in Children.
- Authors
Białek-Dratwa, Agnieszka; Szymańska, Dorota; Grajek, Mateusz; Krupa-Kotara, Karolina; Szczepańska, Elżbieta; Kowalski, Oskar
- Abstract
Avoidant/Restrictive Food Intake Disorder (ARFID) is a relatively new disease entity in DSM-5 and ICD-11. This disorder continues to pose a diagnostic and therapeutic challenge for many professionals. This disorder can affect people of all ages. The most characteristic pattern is considered to be a lack of interest in eating or avoidance of food intake, which may result in nutritional deficiencies, weight loss or lack of expected weight gain, dependence on enteral feeding or dietary supplements, and impaired psychosocial functioning. This disorder cannot be explained by a current medical condition or co-occurring other psychiatric disorders, but if ARFID co-occurs with another disorder or illness, it necessarily requires extended diagnosis. Its treatment depends on the severity of the nutritional problem and may include hospitalization with multispecialty care (pediatrician, nutritionist, psychologist, psychiatrist, neurologist). The nutritional management strategy may include, inter alia, the use of Food Chaining, and should in the initial stage of therapy be based on products considered "safe" in the patient's assessment. The role of the dietitian in the management of a patient with ARFID is to monitor weight and height and nutritional status and analyze the foods that should be introduced into the food chain first.
- Subjects
DIAGNOSIS of eating disorders; TREATMENT of eating disorders; FOOD habits; NUTRITIONAL assessment; CHILD nutrition; EATING disorders; MEDICAL needs assessment; NUTRITIONAL status; CHILDREN
- Publication
Nutrients, 2022, Vol 14, Issue 9, p1739
- ISSN
2072-6643
- Publication type
Article
- DOI
10.3390/nu14091739