Nutrition Interventions for Children with Special Health Care Needs

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Chapter 13 - Nutrition Interventions for Overweight and Obesity References 1. Ogden CL, Carroll MD, Flegal KM. High Body Mass Index for Age Among US Children and Adolescents, 2003–2006. JAMA 2008;299:2401–2405. 2. Barlow SE, et al. Expert Committee recommendations regarding the assessment, prevention and treatment of child and adolescent overweight and obesity: Summary report. Pediatrics. 2007;120:S164-192.. 3. Ekvall SW, et al. Obesity. In: Ekvall SW, ed. Pediatric Nutrition in Chronic Diseases and Developmental Disorders. New York: Oxford University Press; 1993. 4. Pipes P, Powell J. Preventing obesity in children with special health care needs. Nutrition Focus. 1996;11(6). 5. Cloud H. Developmental disabilities (chap 14). In: Samour PQ, King K: Handbook of Pediatric Nutrition, 3rd ed. Jones and Bartlett, 2005. 6. Pipes PL, Lucas B. Dietary intervention to prevent chronic disease. In: Trahms CT, Pipes PL, eds. Nutrition in Infancy and Childhood, 6th ed. Dubuque, IA: WCB/ McGraw-Hill; 1997. 7. Vehrs P. Physical activity and exercise for children with special health care needs. Nutrition Focus. 2007;22(#4, #5). 8. Spear BA, et al.: Recommendations for treatment of child and adolescent overweight and obesity. Pediatrics. 2007:120:S254-288. Additional References and Resources • Children’s Obesity Action Team, http://obesity.seattlechildrens.org/ • Feucht S, Lucas B. Weight management in children with special health care needs. Nutrition Focus. 2000; 15(1). • National Center on Physical Activity and Disability, http://www.ncpad.org/ • Satter E. How to Get Your Kid to Eat…but not too much. Palo Alto California: Bull Publishing Co; 1987. • Satter E. Your Child’s Weight – Helping Without Harming. Kelcy Press, Madison, WI; 2005. • Special Olympics Program, http://www.specialolympics.org/ which includes Healthy Athletes http://www.specialolympics.org/healthy_athletes.aspx • Washington State Department of Health, Nutrition, Physical Activity and Obesity Prevention Program. Washington State Nutrition and Physical Activity Plan. Revised June, 2008. http://www.doh.wa.gov/cfh/NutritionPA/our_states_ approach/npa_state_plan/default.htm 148 Nutrition Interventions for Children With Special Health Care Needs
Chapter 14 Section 3 - Condition-Specific Nutrition Interventions Nutrition Interventions for Failure to thrive Barbara York, MS, RD and Gail Watts, MSW Updated by Sharon Feucht, MA, RD, CD and Betty Lucas, MPH, RD, CD “It seems to me that our three basic needs for food, security, and love, are so mixed, mingled, and intertwined that we can not think of one without the other.”- M.F.K. Fisher Introduction Children with special health care needs are at risk for failure to thrive for a number of reasons. Poor or delayed growth is associated with some diagnoses, and conditions may have developmental problems that can interfere with an adequate intake or can increase energy needs. The stress of a serious medical condition can put a strain on the parent-child feeding relationship, further placing the child with special needs at risk for problems with growth. Definition of Failure to Thrive Failure to thrive (FTT) is a medical term frequently used to describe children, generally up to 3 years of age, who demonstrate a downward deviation in growth when compared to expectations from the Centers for Disease Control (CDC) growth charts (1,2). There are no universally accepted diagnostic criteria for FTT, and there remains confusion about definitions currently used to describe this condition. Definitions range from vague descriptions of children whose weight is delayed in comparison to stature, to specific criteria such as weight moving downward across two standard deviations for age. While these descriptions may help identify a slow rate of growth, it is important to recognize that they depict anthropometric parameters only and offer little understanding to the overall complexity of the issues which have contributed to the diagnosis of failure to thrive (1,2). Often pediatric undernutrition and growth failure originate from multiple physical and psychosocial factors that change over time and are most effectively treated by an interdisciplinary team. Growth experts warn against a broad use of anthropometric Nutrition Interventions for Children With Special Health Care Needs 149
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Nutrition Interventions for Childre
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Kay Kopp, OTR/L Occupational Therap
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Appendices Appendix A Sample Screen
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ii Nutrition Interventions for Chil
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Population “Children with special
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vi Nutrition Interventions for Chil
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Chapter 1 - Nutrition Screening and
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Chapter 2 - Anthropometricss needs,
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Chapter 2 - Anthropometricss Statur
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Chapter 2 - Anthropometricss Techni
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Chapter 2 - Anthropometricss paraly
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Chapter 2 - Anthropometricss time a
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Chapter 2 - Anthropometricss measur
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Chapter 2 - Anthropometricss Mild m
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Chapter 2 - Anthropometricss 9. Re-
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Chapter 2 - Anthropometricss 5. Per
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Chapter 2 - Anthropometrics Table 2
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Chapter 2 - Anthropometricss Refere
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Chapter 2 - Anthropometricss 26. Kr
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Chapter 3 - Physical Activity for C
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Chapter 4 - Breastfeeding recommend
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Chapter 4 - Breastfeeding Table 4-1
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Chapter 4 - Breastfeeding Assessmen
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Chapter 4 - Breastfeeding 58 Nutrit
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Chapter 5 - Medication-Nutrient Int
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Chapter 6 - Nutrition Interventions
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Chapter 8 - Oral-Motor Feeding Prob
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Chapter 8 - Oral-Motor Feeding Prob
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Chapter 17 - Nutrition Intervention
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Chapter 22 - Ketogenic Diet for Sei
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Appendix A Please list any other nu
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Appendix A Baby formula What kind o
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Appendix B Manufacturer Description
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Appendix C 282 Nutrition Interventi
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Appendix D 284 Nutrition Interventi
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Appendix E 292 Nutrition Interventi
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Appendix E Table 3: Parent-Specific
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Appendix F Percentiles of Upper Arm
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Appendix F 302 Nutrition Interventi
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Appendix G 304 Nutrition Interventi
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Appendix H 312 Nutrition Interventi
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Appendix I 320 Nutrition Interventi
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Appendix J 328 Nutrition Interventi
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Appendix K 336 Nutrition Interventi
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Appendix K 338 Nutrition Interventi
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Appendix L 340 Nutrition Interventi
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Appendix M 342 Nutrition Interventi
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Appendix M 344 Nutrition Interventi
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Appendix N Gastrostomy Tube Feeding
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Appendix N activities. When feeding
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Appendix N Feeding Sets/Extensions
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Appendix N Fluid and Electrolytes W
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Appendix N osmolality of full-stren
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Appendix N Modular Products Modular
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Appendix N his family, and the home
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Appendix N • The feeding tube may
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Appendix N equipment. The Special S
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Appendix N Table N-2: Common Compli
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Appendix N Complication Possible Ca
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Appendix N 368 Nutrition Interventi
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Appendix O Some conditions increase
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Appendix O Table O-3: Recommended P
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Appendix O 374 Nutrition Interventi
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Appendix P Diet Prescription for Me
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Appendix Q Goals Considerations for
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Appendix R Condition Description Nu
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Appendix R Condition Description Nu
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Appendix R References 1. Ekvall SW
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Appendix S Table S-1: Infant Formul
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Appendix S Comments Osmolality (mOs
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Appendix S Table S-2: Pediatric For
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Appendix S Table S-3: Modular Produ
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Appendix S Comments Energy (kcal) P
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Appendix S Contact Information Abbo
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Appendix T Powdered Formulas Accura
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Appendix T Table T-1: Liquid Concen
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Appendix T 402 Nutrition Interventi
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Appendix U Nutrition Strategies for
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Appendix U ADA Pocket Guide to Nutr
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Glossary Autism Spectrum Disorders
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Glossary Early intervention service
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Glossary Length (recumbent length)
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Glossary Stadiometer moveable headb
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Index specialist 98 target 108 Bink
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Index elemental formula 348 elimina
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Index I ICF. See International Clas
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Index risk indicators 4 screening 1
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Index suppositories 72, 77 Surmonti
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Nutrition Interventions for Children with Special Health Care Needs

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