Is your child a picky eater?

Experts offer new tactics to help parents manage children with feeding difficulties.

Contrary to popular beliefs that difficulty in feeding children is just normal, experts says it is more than just a phase and the effect may last up to 11 years of a child’s life. Worst, it may cause the child an impaired growth and low nutrient intake which result in physical and cognitive problems if not reversed.

Studies show that six out of 10 mothers report that their children have feeding difficulties. Globally, 50 to 60 of parents have reported some kind of feeding difficulty in their, otherwise, physically normal children.

In a media forum organized by a global healthcare company, it revealed that feeding difficulties are often overlooked and therefore remained underdiagnosed. Parents often misdiagnose the problem and simply pass it off as picky eating or fussy eating.

“Feeding difficulties can be severe enough to impact on growth and nutrient intake, so it is important not only to address the eating behavior but also provide adequate calories and nutrients to children as part of their management,” said Dr. Rita Paz Rowena A. De Guzman, fellow and board member, Philippine Society for Developmental and Behavioral Pediatrics.

Photo courtesy of
Photo courtesy of

There are four different types of feeding difficulties:1) Parental perceptions – child who is achieving satisfactory growth but the parents believe their child’s appetite is limited;

2) Fundamentally vigorous – A child who rarely shows signs of hunger or interest in food. The child is very active, more interested in playing and is easily distracted;

3) Highly selective eater – A child who has limited food selection, has negative reactions to taste, texture, smell, and appearance of food; and,

4) Fear of feeding – A child who is afraid to eat after having a painful or bad experience with eating.

The most common nutrients lacking in a child with feeding difficulties include vitamins A, D, Iron, and Zinc. In order for a child to reach their optimum growth potential they require these essential nutrients as well as adequate calories.

The IMFeD™ program

The IMFeD (Identification and Management of Feeding Difficulties) program was developed by a multi-disciplinary group of doctors led by Drs. Benny Kerzner and Irene Chatoor in order to properly screen a child for his/her specific feeding difficulties.

IMFed is being used by 16 countries and endorsed by nine medical societies globally. It employs a systematic approach in investigating feeding difficulties among children. It provides pediatricians with information and tools to diagnose and manage the four different types of feeding difficulties using evidence-based clinical practice guidelines.

To date, there are more than 400 hundred doctors in the IMFeD network nationwide who have collaborated to create awareness on feeding difficulties as a medical condition.

IMFeD approach is scientific and facilitated by experts. It uses appropriate tools to screen, assess, manage, and monitor the child’s progress, uses growth charts and patient management tools.

To know doctors who are part of the IMFed MD network in your area, please call 995-1555 or 1-800-10-995-155 from Mondays to Saturdays, from 8 a.m. to 8 p.m., for more information.

Originally published at Baby On Board, November 2013. Republished with minor edits



Published by Mylene Orillo

Mylene Orillo is a contributing writer at My Pope Philippines. Prior to that, she contributed to the Health & Lifestyle magazine.  She's a former correspondent at The Manila Times; former editor-in-chief of TravelPlus magazine; and former assistant editor of Health & Lifestyle, Zen Health, and DiabetEASE magazines by FAME Publishing, Inc., a company owned by cardiologist Dr. Rafael Castillo who has given her the much-needed break and opportunity in the health industry and medical field.  Her previous job as a Media Consultant at the Philippine Charity Sweepstakes Office and Writer-Researcher at the Headquarters Philippine Army ignited her passions for charity, volunteering, selfless service, and love of country. As a young girl, she loved reading her mom's collection of Mills & Boons pocketbooks, which started her passion to write romance stories.  She has a Bachelor of Arts degree in Journalism from the University of Sto. Tomas in España, Manila. She is now working towards earning her master's degree hopefully this year. She loves traveling, long-distance running, reading romance and non-fiction books, watching Korean Drama series, feel-good rom coms, military movies, and documentaries during her spare time. Someday, she wants to meet Prince William and Pope Francis, settle down with the love of her life and have a family and kids of her own; and become a bestselling romance author.

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