Behavior at Mealtimes and the Young Child with Cystic Fibrosis
Abstract
Recent work has indicated that behavioral feeding disorders may contribute to failure to thrive in patients with cystic fibrosis (CF). This study compared the incidence of behavioral problems at mealtime, parenting stress, and nutritional intake for a sample of 22 children with CF and a matched control group of children without chronic disease. Multivariate analysis indicated that parents of children with CF viewed their child's behavior as more problematic at mealtime and more generally stressful than control group parents. Importantly, there was a significant negative correlation between the number of behavioral problems cited by parents of children with CF and caloric intake. Our CF group did not include any child who had significant failure to thrive (<5th percentile for weight for length). Thus, it appears that behavioral issues may impact on dietary intake for a broader population of children with CF than those with significant failure to thrive. J Dev Behav Pediatr 15:157–161, 1994. Index terms: cystic fibrosis, nutrition, behavior.
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The intense scrutiny around BMI may lead to a poor relationship with food, including disordered eating habits, abnormal mealtime behaviors, and stressful caregiver-patient interactions regarding meals.
“The intense scrutiny around BMI may lead to a poor relationship with food, including disordered eating habits, abnormal mealtime behaviors, and stressful caregiver-patient interactions regarding meals.”
From Eating disorders and body image in cystic fibrosis (2021) · cites this paper as [27]
The preoccupation of cystic fibrosis individuals with food and nutrition presents additional challenges with the burden of eating, including a hyper-focus on weight and BMI, breathlessness when eating, and loss of taste with sinus disease.
“The preoccupation of CF individuals with food and nutrition presents additional challenges with the burden of eating, including a hyper-focus on weight and BMI, breathlessness when eating, and loss of taste with sinus disease [27].”
From Eating disorders and body image in cystic fibrosis (2021) · cites this paper as [27]
The intense focus on nutrition in cystic fibrosis has been shown to result in worsened mealtime behaviors and distressed parent-child interactions around food.
“The intense focus on nutrition in CF has also been shown to result in worsened mealtime behaviors and distressed parent–child interactions around food.”
From Eating disorders and body image in cystic fibrosis (2021) · cites this paper as [27]
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Janicke, D. M., Mitchell, M. J., Quittner, A. L., Piazza‐Waggoner, C., & Stark, L. J. (2008) · Children s Health Care · doi:10.1080/02739610701766891 · Cited by 15 · see citing works
A Brief Group Intervention for Young Children with Feeding Problems
Haywood, P., & Mccann, J. (2009) · Clinical Child Psychology and Psychiatry · doi:10.1177/1359104509104046 · Cited by 13 · see citing works
Marshall, J., Gosa, M. M., & Dodrill, P. (2023) · Journal of Pediatric Gastroenterology and Nutrition · doi:10.1097/mpg.0000000000003798 · Cited by 12 · see citing works
Coaching to Improve Mealtime Parenting in Treating Pediatric Obesity
Shinn, M. M., Timmer, S. G., & Sandoz, T. K. (2017) · Clinical Practice in Pediatric Psychology · doi:10.1037/cpp0000204 · Cited by 12 · see citing works
- Authors
- CRIST, W., MCDONNELL, P., BECK, M., GILLESPIE, C. T., BARRETT, P., & MATHEWS, J.
- Affiliations
- University of New Brunswick (CA)
- ORCID
- BARRETT, PAULA
- Venue
- Journal of Developmental & Behavioral Pediatrics
- Published
- 1994-06
- Volume
- 15
- Issue
- 3
- Pages
- 157???161
- ISSN
- 0196-206X (ISSN-L)
- OpenAlex
- W2080870977
- Cited by
- 156
- References
- 0
- Citations by year
- 2026: 2 · 2025: 10 · 2024: 4 · 2023: 6 · 2022: 4 · 2021: 10 · 2020: 5 · 2019: 5 · 2018: 7 · 2017: 2 · 2016: 4 · 2015: 6 · 2014: 7 · 2013: 8 · 2012: 12
- FWCI
- 0.30
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Developmental & Behavioral Pediatrics (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Cystic Fibrosis Research Advances
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Keywords
- cystic fibrosis, mealtime behavior, parental stress, energy intake, nutritional intake, failure to thrive, young children, children with chronic illness
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