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Feeding dysfunction in single ventricle patients with feeding disorder. Congenit Heart Dis 2014 Jan-Feb;9(1):26-9



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Pubmed Central ID




Scopus ID

2-s2.0-84892884329   9 Citations


PURPOSE: To determine whether caregivers of children with single ventricle heart defects identified as having feeding disorder will report more frequent feeding dysfunction, or maladaptive mealtime behavior and/or interactions, when compared with reference populations.

METHODS: As part of routine evaluation, parents of children evaluated at the Feeding, Swallowing, and Nutrition Center at the Children's Hospital of Wisconsin completed previously validated questionnaires to assess feeding dysfunction and parental stress. Parental responses for single ventricle patients were compared with all other children evaluated with a feeding disorder.

RESULTS: Questionnaires were completed in eight patients with single ventricle heart defects. The mean age was 36 ± 23 months, with five females (63%). Mean weight-for-age z-score was -1.4 ± 0.9. Compared with noncardiac feeding clinic children, there was more reported child resistance to eating (83 ± 15% vs. 44 ± 2%; P = .05). Single ventricle parents were more likely to report distress (50 ± 18% vs. 21 ± 2%; P = .04) and a difficult child (63 ± 17% vs. 31 ± 2%; P = .05). There was also more defensive responding among parents of single ventricle children (63 ± 17% vs. 29 ± 2%; P = .04).

CONCLUSION: Single ventricle patients evaluated for disordered feeding more frequently showed resistance to eating and parental distress than noncardiac feeding clinic patients. Parents of these children underestimated the degree of feeding difficulty by defensive responding and had more parental distress. These findings suggest that feeding dysfunction can contribute to longer-term feeding and growth problems in single ventricle patients with feeding disorder.

Author List

Hill G, Silverman A, Noel R, Bartz PJ


Peter J. Bartz MD Professor in the Pediatrics department at Medical College of Wisconsin
Alan Silverman PhD Professor in the Pediatrics department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Age Factors
Case-Control Studies
Child, Preschool
Feeding Behavior
Feeding and Eating Disorders of Childhood
Heart Defects, Congenital
Heart Ventricles
Infant Behavior
Infant, Newborn
Nutritional Status
Risk Factors
Stress, Psychological
Surveys and Questionnaires
Weight Gain
jenkins-FCD Prod-482 91ad8a360b6da540234915ea01ff80e38bfdb40a