{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T22:18:22Z","timestamp":1791497902213,"version":"4.3.4"},"reference-count":25,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T00:00:00Z","timestamp":1758758400000},"content-version":"vor","delay-in-days":24,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Research Intellect Disabil"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Feeding difficulties, including aspiration risk, are common in children with Down syndrome. Identifying factors affecting feeding modality is crucial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>This cross\u2010sectional study included 335 children with Down syndrome (aged 4\u201312\u2009years; mean 5.2). Feeding was assessed using the Functional Oral Intake Scale (FOIS), the Screening Tool of Feeding Problems (STEP), and clinical observation. Aspiration risk was identified through STEP items and clinician evaluation. FOIS scores categorised feeding as oral or non\u2010oral.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of participants, 74.1% were oral feeders and 25.9% received non\u2010oral nutrition. Aspiration risk was present in 33.7%. Cluster analysis revealed distinct subgroups defined by aspiration, oral sensory issues, and behavioural problems. Younger age was significantly associated with higher aspiration risk (OR\u2009=\u20090.38,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Aspiration risk influences feeding modality and subgroup characteristics. Early multidisciplinary assessment is essential, especially for younger children, to detect risk and guide safe, individualised feeding strategies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jar.70130","type":"journal-article","created":{"date-parts":[[2025,9,26]],"date-time":"2025-09-26T03:01:42Z","timestamp":1758855702000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Feeding Challenges in Children With Down Syndrome: The Role of Aspiration and Clinical Subgroups"],"prefix":"10.1111","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7770-9718","authenticated-orcid":false,"given":"M\u00fcberra","family":"Tanr\u0131verdi","sequence":"first","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences Bezmialem Vakif University  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3348-5422","authenticated-orcid":false,"given":"G\u00fcl\u015fah","family":"Zengin Yaz\u0131c\u0131","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy, Faculty of Health Sciences Bezmialem Vakif University  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1781-9381","authenticated-orcid":false,"given":"G\u00fcleser","family":"G\u00fcney Y\u0131lmaz","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy, Faculty of Health Sciences Hacettepe University  Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7347-881X","authenticated-orcid":false,"given":"T\u00fcrkan Uygur","family":"\u015eahin","sequence":"additional","affiliation":[{"name":"Department of Pediatric Neurology, Faculty of Medicine, Medical Park Bahcelievler Hospital Altinbas University  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,9,25]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jir.12617"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1706537"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19052616"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2004.11.049"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.prrv.2021.04.006"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jar.12494"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455\u2010016\u20109723\u20109"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-0-387-84858-7"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455\u2010016\u20109725\u20107"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4614-7138-7"},{"key":"e_1_2_12_12_1","volume-title":"Finding Groups in Data: An Introduction to Cluster Analysis","author":"Kaufman L.","year":"2009"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/bdr2.1589"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0891\u20104222(01)00065\u20108"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ridd.2014.01.008"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/widm.53"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2352\u20104642(19)30400\u20106"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0895\u20104356(96)00236\u20103"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1203\/00006450\u2010199904020\u201000772"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arcped.2019.11.008"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/jar.12972"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajmg.a.11"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.61919\/jhrr.v3i2.155"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.27070"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00431\u2010010\u20101253\u20100"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1080\/20473869.2025.2493242"}],"container-title":["Journal of Applied Research in Intellectual Disabilities"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jar.70130","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jar.70130","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jar.70130","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T02:45:26Z","timestamp":1773024326000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jar.70130"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9]]},"references-count":25,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,9]]}},"alternative-id":["10.1111\/jar.70130"],"URL":"https:\/\/doi.org\/10.1111\/jar.70130","archive":["Portico"],"relation":{},"ISSN":["1360-2322","1468-3148"],"issn-type":[{"value":"1360-2322","type":"print"},{"value":"1468-3148","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9]]},"assertion":[{"value":"2025-05-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-19","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-25","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70130"}}