Diet fortification for mild and moderate picky eating in typically developed children:Opinion review of Middle East consensus
作者机构：Department of PediatricFaculty of MedicineTanta UniversityTanta 31511Egypt Department of PediatricUniversity Medical CenterKing Abdulla Medical CityArabian Gulf UniversityManama 26671ManamaBahrain Paediatric Intensive and Critical Care UnitHospital Hôtel Dieu de FranceBeirut 166830BeyrouthLebanon Department of Pediatric GastroenterologyHepatology and NutritionMadina Maternity and Children HospitalKing Salman Medical CityAlmadina Almonawarh 41412Almadina AlmonawarhSaudi Arabia Department of GastroenterologyHepatology and NutritionAl Amiri HospitalKuwait City 999044Kuwait Department of NutritionAltadawi Speciality HospitalDubai 1853DubayyUnited Arab Emirates Department of Paediatric GastroenterologyRoyal HospitalMuscat 1331MuscatOman Department of DieteticSalmaniya Medical ComplexGovernment HospitalsAl Salmaniya 12ManamaBahrain Department of PediatricsFaculty of MedicineAin Shams UniversityCairo 11591Egypt Department of PaediatricFaculty of MedicineSuez UniversitySuez 41522Egypt Department of PaediatricSheikh Khalifa Medical CityAbu Dhabi 00000Abu DhabiUnited Arab Emirates
出 版 物：《World Journal of Clinical Pediatrics》 (世界临床儿科杂志（英文）)
年 卷 期：2025年第14卷第1期
页 面：139-148页
学科分类：1002[医学-临床医学] 100202[医学-儿科学] 10[医学]
主 题：Picky eating Diet fortification Children Protocol Roundtable discussion Middle East
摘 要：BACKGROUND Picky eating is a commonly observed behavior among children globally,negatively impacting their physical and mental *** common characteristics distinguish peaky eaters,including food selectivity,food neophobia,and food avoidance,there is no clear definition to assess this *** to the unavailability of data regarding picky eating,it wasn’t easy to estimate its *** To develop a regional protocol to help healthcare professionals identify and manage mild and moderate picky eating *** A virtual roundtable discussion was held in April 2021 to gather the opinions of seven pediatricians and two pediatric dietitians from eight Middle Eastern countries who had great experience in the management of picky *** discussion covered different topics,including clearly defining mild and moderate picky eating,identifying the role of diet fortification in these cases,and the possibility of developing a systematic approach to diet *** The panel identified picky eating as consuming an inadequate amount and variety of foods by rejecting familiar and unfamiliar *** of the time,moderate picky eating cases had micronutrient deficiencies with over-or undernutrition;the mild cases only showed inadequate food consumption and/or poor diet *** attention to the organic red flags like growth faltering and development delay and behavioral red flags,including food fixation and anticipatory gagging,will help healthcare professionals evaluate the picky eaters and the caregivers to care for their *** dietary supplementation and commercial food fortification play an important role in picky eating,they were no benefit in the Middle *** The panel agreed that food fortification through a food-first approach and oral nutritional supplements would be the best for Middle Eastern *** recommendations would facilitate identifying and managing picky-eating children in the Middle East.
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