Multicomponent treatment for food selectivity in children: description and case report.
BACKGROUND
Food selectivity is common in children with and without developmental disabilities and can have negative implications for nutrition intake and family quality of life. The evidence base for effective treatment protocols is still developing.


METHODS
The purpose of this study was to describe a pilot, multicomponent treatment protocol for food selectivity and present several case examples using a retrospective chart review. Elements in the treatment manual included sensory integration and behavioral modification strategies, including systematic desensitization. Also, parents were educated on factors associated with food selectivity and strategies for increasing food acceptance during family meals.


RESULTS
Four children with food selectivity demonstrated increased food acceptance of previously refused foods. Incidence of negative behaviors, including gagging, vomiting, and aggressive behavior (eg, hitting, batting away spoon), during clinical meals was also evaluated. No aggressive behavior or vomiting was observed during treatment sessions, and gagging on foods at initial introduction was minimal.


CONCLUSIONS
This descriptive study and case review provides information to inform treatment of food selectivity and may provide a catalyst for larger scale clinical trials.
Western Michigan University, Kalamazoo, Michigan michelle.a.suarez@wmich.edu.
Michelle Ann
MA
Suarez
D000293:Adolescent; D002648:Child; D002652:Child Behavior; D002675:Child, Preschool; D005260:Female; D005518:Food Preferences; D006801:Humans; D008297:Male; D009752:Nutritional Status; D010865:Pilot Projects; D011788:Quality of Life; D012189:Retrospective Studies; D013649:Taste
feeding and eating disorders of childhood; feeding behavior; food preferences; food selectivity; pediatrics