{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,7]],"date-time":"2025-05-07T04:13:44Z","timestamp":1746591224454,"version":"3.40.5"},"reference-count":20,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,2,8]],"date-time":"2025-02-08T00:00:00Z","timestamp":1738972800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To describe swallowing and oral\u2010sensorimotor characteristics in a sample of young hospitalised children with severe acute malnutrition (SAM).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The Schedule of Oral\u2010motor Assessment was used to compare oral\u2010sensorimotor skills of 45 hospitalised patients\u00a0with SAM (<jats:italic>M<\/jats:italic>\u2009=\u200915.98\u2009months; SD\u2009=\u20098.03), to pairwise\u2010matched controls (<jats:italic>M<\/jats:italic>\u2009=\u200915.96\u2009months; SD\u2009=\u20098.08). Participants were matched for age, gender, TB, HIV\u2010status, socio\u2010economic status including maternal education, paternal employment, housing and transport access. Caregivers reported demographic information, feeding practices and behaviours during feeding.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In comparison to controls (<jats:italic>n<\/jats:italic>\u2009=\u20096; 13.3%), participants with SAM (<jats:italic>n<\/jats:italic>\u2009=\u200925; 55.6%) presented with significantly more oral\u2010sensorimotor difficulties (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), across all consistencies except liquids from the trainer cup and bottle. Difficulties included jaw opening and stabilisation, tongue and lip control for chewing, bolus formation and transport, sustained bite and uncoordinated swallowing. Delayed sitting development significantly correlated with uncoordinated swallowing and head extension on puree and cup drinking, and multiple swallows on puree and semi\u2010solids. Force\u2010feeding and slow swallow initiation in semi\u2010solids significantly correlated. Disruptive feeding behaviours and higher levels of food refusal at the beginning of meals were reported. Clinical signs of aspiration were identified.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Oral\u2010sensorimotor dysfunction and possible aspiration were observed in 55.6% of participants with SAM. Safe swallowing function for overall health and nutritional recovery is emphasised. Under\u2010identification of oral\u2010sensorimotor difficulties, lack of referral to speech\u2010language therapists and disruption to continuity of care warrants further research.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.16790","type":"journal-article","created":{"date-parts":[[2025,2,11]],"date-time":"2025-02-11T12:52:40Z","timestamp":1739278360000},"page":"721-728","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Swallowing and Oral\u2010Sensorimotor Characteristics in\u00a0a Sample of Young Hospitalised Children With Severe\u00a0Acute Malnutrition"],"prefix":"10.1111","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2297-4466","authenticated-orcid":false,"given":"Casey Jane","family":"Eslick","sequence":"first","affiliation":[{"name":"Department of Speech\u2010Language Pathology and Audiology University of Pretoria  Pretoria South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alta","family":"Kritzinger","sequence":"additional","affiliation":[{"name":"Department of Speech\u2010Language Pathology and Audiology University of Pretoria  Pretoria South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marien Alet","family":"Graham","sequence":"additional","affiliation":[{"name":"Department of Science, Mathematics and Technology Education University of Pretoria  Pretoria South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Esedra","family":"Kr\u00fcger","sequence":"additional","affiliation":[{"name":"Department of Speech\u2010Language Pathology and Audiology University of Pretoria  Pretoria South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,2,8]]},"reference":[{"unstructured":"United Nations Children's Fund (UNICEF) World Health Organization (WHO) The World Bank \u201cLevels and Trends in Child Malnutrition: Joint Child Malnutrition Estimates: Key Findings of the 2023 Edition \u201d2023 https:\/\/www.who.int\/publications\/i\/item\/9789240073791.","key":"e_1_2_12_2_1"},{"doi-asserted-by":"publisher","key":"e_1_2_12_3_1","DOI":"10.1111\/apa.13483"},{"doi-asserted-by":"publisher","key":"e_1_2_12_4_1","DOI":"10.4102\/PHCFM.V12I1.2444"},{"doi-asserted-by":"publisher","key":"e_1_2_12_5_1","DOI":"10.3389\/fped.2017.00229"},{"volume-title":"Pediatric Swallowing and Feeding: Assessment and Management","year":"2020","author":"Arvedson J. 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